Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
Federal Agency: Federal Government Federal Program Name: Research & Development Assistance Listing Number: 10.205, 10.216, 12.630, 93.859 Federal Award Identification Number and Year: Multiple Award Period: 7/1/2023-6/30/2024 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per Uniform Guidance 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Per 2 CFR 200.344(b), unless the Federal awarding agency or pass-through entity authorizes an extension, a non-Federal entity must liquidate all financial obligations incurred under the Federal award no later than 120 calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award. Condition: The University does not have adequate procedures in place to ensure federal awards are closed in a timely manner. Questioned costs: $125,035.65 Context: During our testing, we identified 10 transactions out of 60 that were incurred after the period of performance date. Additionally, during our testing, we identified 23 transactions out of 60, that was paid over 120 days after the period of performance had ended. Cause: The University does not have an effective control in place to ensure costs are properly incurred prior to the end of the federal awards period of performance. Effect: Failure to close federal awards and process necessary cost transfers in a timely manner may result in inaccurate periodic financial reports and unallowable costs. Repeat Finding: Yes, 2023-016. Recommendation: We recommend the University review its current close out procedures and implement additional procedures to monitor the timeliness of federal account close outs. Views of responsible officials: There is no disagreement with the audit finding.
2024-001 Department of the Treasury FFAL #21.027 COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Applicable Federal Award Number and Year – SLFRP0336 for 2021 Reporting Significant Deficiency in Internal Control Over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: The County’s quarterly Project and Expenditure Report for the quarter ended September 2023 reported several items as current period obligations that were reported as current period obligations in the previous quarter. Cause: The County’s internal control process included a secondary review and approval of the Project and Expenditure Reports. However, the review did not identify the errors in the amounts reported as current period obligations in the September 2023 report. Effect: Inaccurate information was reported to the federal awarding agency. Questioned Costs: None reported. Context: A nonstatistical sample of two out of the four quarterly Project and Expenditure Reports were tested. Repeat Finding from Prior Years: No Recommendation: We recommend the County implement a control process which includes a secondary review and approval of the amounts reported as current period obligations within the Project and Expenditure Reports. Views of Responsible Officials: The Finance Director currently reconciles cumulative expenditures to the reports prepared by the Senior Accountant before signing and dating the report, prior to submission by the Senior Accountant. There will be no additional current obligations in the future due to the December 31, 2024 deadline for obligations.
Federal Agency: Substance Abuse and Mental Health Services Administration Federal Program Name: National Text and Call Center Backups Assistance Listing Number: 93.243 Pass-Through Agency: The Mental Health Association of New York City, Inc. DBA Vibrant Emotional Health Award Period: April 1, 2023 – September 29, 2024 Type of Finding: Material Weakness in Internal Control over Compliance Criteria: 2 CFR section 200.303(a) requires that non-federal entities must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Condition: The Organization did not consistently review monthly billings. Questioned costs: None Context: We tested a sample of 5 reimbursement requests, noting there were no reviews taking place. Cause: Management indicated a review process is not in place. Effect: The effect of this condition increases the possibility that costs submitted for reimbursement may be inaccurate. Repeat Finding: No Recommendation: We recommend the Organization documents review of all billings. Views of Responsible Officials: There is no disagreement with the audit finding.
Criteria: 2 CFR 200.303 states a non-Federal entity must establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Condition: During our audit, auditors tested 25 employees for completion certificate of required training as a condition of the grants. Three of the required annual training were significantly non-compliant. • The Annual HIPPA Training 23 of the 25 (92%) of employees did not properly complete the training. • The Annual Security Awareness Training 4 of the 25 (16%) of employees did not properly complete the training. • The Annual Service Delivery for Deaf and Hard of Hearing Training 15 of the 25 (60%) of employees did not properly complete the training. Questioned Costs: No questioned costs were noted. Cause: The cause of this condition appears to be a lack of oversight in monitoring training completion records and insufficient internal controls over training compliance. Effect: Failure to properly complete required training increases the risk of noncompliance with federal program requirements, potentially leading to disallowed costs, penalties, or other adverse consequences.Recommendation: We recommend that management, enhance internal controls over training compliance by implementing more effective tracking and monitoring system and assign responsibility for ensuring timely completion of required training to a specific individual or department. Additionally, we recommend Hibiscus consider implementing a rolling-year training schedule rather than an annual hire-date renewal process. This approach can streamline tracking, reduce administrative burdens, and ensure consistent compliance by aligning training requirements with a standard cycle applicable to all employees.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-001 – Allowable Costs/Cost Principles Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Numbers Pass Through Entity Grant Period PH-002898 County of Los Angeles 01/11/2011–02/28/2025 PH-002375 County of Los Angeles 12/01/2012–06/30/2025 PH-003746 County of Los Angeles 12/01/2012–06/30/2025 PH-003802 County of Los Angeles 01/01/2013–06/30/2025 H-208518 County of Los Angeles 04/01/2006–07/31/2025 PH-004205 County of Los Angeles 06/01/2020–02/28/2025 10126 PREV King County Public Health 03/01/2023–02/29/2024 11987 PREV King County Public Health 03/01/2024–02/28/2025 St. Mary Medical Center – Long Beach Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Bailey-Boushay House Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Only expenditures incurred related to the federal program should be requested for reimbursement. Condition: St. Mary Medical Center – Long Beach and Bailey-Boushay House did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. At Bailey-Boushay House, one employee’s salary that was charged to the grant was not supported by the underlying timesheet for the respective pay period and the related expenditures should not have been charged to the grant and requested for reimbursement. Cause: St. Mary Medical Center – Long Beach and Bailey-Boushay House management have been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. For one employee at Bailey-Boushay House, the timecard reflected zero hours for grant award 10126-PREV. There was a clerical error whereby the hours transferred from the timecard were reported to the wrong grant, resulting in an overcharge to the federal grant. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: $504, calculated as the amount charged to the grant that was not supported by the underlying time sheet for one employee. Context: We issued a material weakness for St. Mary Medical Center – Long Beach and Bailey-Boushay House related to internal controls in the prior year. Based upon the implementation date for the corrective action provided by management, the finding related to this internal control had not been remediated for the full period under audit. As such, we did not test the operating effectiveness of this control and are issuing a material weakness consistent with the prior year finding. For one employee, the clerical error resulted in an overcharge to the grant. Total payroll expenditures for St. Mary Medical Center – Long Beach were approximately $1.1 million and represent 24% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. Total payroll expenditures, including fringe benefits, for Bailey-Boushay House were approximately $1.4 million and represent 30% of the total HIV Emergency Relief Project Grants expenditures of approximately $4.6 million. We selected a sample of 43 payroll expenditures totaling $52,706 to perform compliance testing. Of the 43 samples, 18 samples totaling $18,451 and 25 samples totaling $34,255 were obtained from Bailey-Boushay House and St. Mary Medical Center – Long Beach, respectively. For 1 of the 18 samples selected from Bailey-Boushay House, comprising $403 in salary and $101 in related fringe benefit expense, for a total of $504, the expenditures were not supported by the related employee timesheet. Identification of a repeat finding: This is a repeat finding for St. Mary Medical Center – Long Beach – Finding 2023-003. For internal controls, this is a repeat finding for Bailey-Boushay House – Findings 2023-003, 2022-007, and 2021-008, but this current year finding is the first time noncompliance has been noted in our testing. Recommendation: We recommend management at St. Mary Medical Center – Long Beach and Bailey-Boushay House execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. At Bailey-Boushay House, we recommend that only expenses supported by an underlying timesheet be charged to the grant. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024. For the noncompliance noted at Bailey-Boushay House, Bailey-Boushay House will return the funds to the grantor for amounts that were not supported by an underlying timesheet.
Finding 2024-002 – Allowable Costs/Cost Principles Identification of the federal program: U.S. Department of Health and Human Services Medicaid Cluster Assistance Listing No. 93.778 Medical Assistance Program Passed through County of Los Angeles Department of Public Health Pass Through Number Pass Through Entity Grant Period PH-004983 County of Los Angeles 10/1/2022–06/30/2025 Dignity Community Care, DBA California Hospital Medical Center Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Condition: At California Hospital Medical Center, internal controls over the required allowability criteria with regard to payroll expense were not performed for 3 of 60 employees selected for testing. Cause: California Hospital Medical Center management did not consistently perform the necessary internal control procedures addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: None. Context: For 3 of 60 payroll expenditures selected for testing, California Hospital Medical Center management did not properly approve the employee timecard for time charged to the grant in accordance with the practices of California Hospital Medical Center. Total payroll expenditures for California Hospital Medical Center were approximately $0.2 million and represent 7% of the total Medical Assistance Program expenditures of approximately $3.3 million. Identification of a repeat finding: This is not a repeat finding. Recommendation: We recommend management execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. Views of responsible officials: Management agrees with the finding and implemented corrective action in July 2024, to require approval of timecards.
Finding 2024-003 – Special Tests and Provisions – Return of Title IV Funds Identification of the federal program: U.S. Department of Education Office of Federal Student Aid Student Financial Assistance Cluster Assistance Listing No. 84.268 Federal Direct Student Loans Good Samaritan College of Nursing & Health Science Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303 requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be compliance with guidance in “Standards for Internal Control the Federal Government” issued by the Comptroller General the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 34 CFR section 668.173(b) requires timely return of title IV, HEA program funds. “In accordance with procedures established by the Secretary or FFEL Program lender, an institution returns unearned title IV, HEA program funds timely if – (1) The institution deposits or transfers the funds into the bank account it maintains under § 668.163 no later than 45 days after the date it determines that the student withdrew; (2) The institution initiates an electronic funds transfer (EFT) no later than 45 days after the date it determines that the student withdrew; (3) The institution initiates an electronic transaction, no later than 45 days after the date it determines that the student withdrew, that informs a FFEL lender to adjust the borrower’s loan account for the amount returned; or (4) The institution issues a check no later than 45 days after the date it determines that the student withdrew. An institution does not satisfy this requirement if – (i) The institution’s records show that the check was issued more than 45 days after the date the institution determined that the student withdrew or (ii) The date on the cancelled check shows that the bank used by the Secretary or FFEL Program lender endorsed that check more than 60 days after the date the institution determined that the student withdrew.” Condition: Good Samaritan College of Nursing & Health Science did not provide evidence of an effective review process to ensure the timely calculation and return of Title IV funds to the U.S. Department of Education. Good Samaritan College of Nursing & Health Science did not calculate and return Title IV funds in a timely manner to the U.S. Department of Education for 1 of 5 students within 45 days after the date the institution determined that the student withdrew. Cause: Good Samaritan College of Nursing & Health Science has been developing and implementing internal controls in response to the prior year finding; however, controls were not implemented during the entire period under audit. Effect or potential effect: Good Samaritan College of Nursing & Health Science is not returning Title IV funds within the required time frame to the U.S. Department of Education, resulting in noncompliance. Questioned costs: None. Context: After obtaining an understanding of the internal controls over return of Title IV funds, we determined internal controls were not designed sufficiently to ensure compliance with timely calculation and returns of Title IV funds. EY selected and tested 5 students from the population of 18 students who withdrew during the year ended June 30, 2024. Of the 5 students selected, returns of Title IV funds were required for all 5 of the students. For 1 of the 5 students who required a return, Good Samaritan College of Nursing & Health Science calculated and returned the funds after 45 days from the date Good Samaritan College of Nursing & Health Science determined the student withdrew. The return of Title IV funds for that student was made in 58 days and totaled $3,761 and consisted of Direct Loans. Total direct loans for Good Samaritan College of Nursing & Health Science are approximately $4.0 million, representing 70% of Good Samaritan College of Nursing & Health Science’s SFA Cluster expenditures of approximately $5.7 million, and 95% of total SFA Cluster expenditures of approximately $6.0 million. Identification as a repeat finding, if applicable: This is a repeat finding for Good Samaritan College of Nursing & Health Science – Finding 2023-012. Recommendation: Management should review and revise its internal controls and procedures in place over the return of Title IV funds to ensure that the returns of Title IV funds are made within the required time frame. Views of responsible officials: Management agrees with the finding and implemented corrective action in April 2024.
Finding 2024-004 – Eligibility Identification of the federal program: Health Resources and Services Administration HIV Emergency Relief Project Grants Assistance Listing No. 93.914 Pass Through Number Pass Through Entity Grant Period 10126 PREV King County Public Health 3/1/2023–2/29/2024 11987 PREV King County Public Health 3/1/2024–2/28/2025 Bailey-Boushay House Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Bailey-Boushay House has processes in place to verify whether participants are eligible; however, documentation to evidence the execution of the controls was not retained. Cause: Bailey-Boushay House management did not retain evidence of the execution of controls due to lack of understanding of the need to retain the documentation. Effect or potential effect: Ineligible individuals may be provided services. Questioned costs: None. Context: Total expenditures for Bailey-Boushay House were approximately $1.4 million and represent 29.8% of the total HIV program expenditures of approximately $4.6 million. However, expenditures are not based upon serving eligible patients. Due to the lack of retaining evidence to document controls, EY did not select controls to test. Identification of a repeat finding: This is not a repeat finding. Recommendation: We recommend management maintain evidence of the execution of internal controls related to documentation that individuals served are eligible to participate in the program. Views of responsible officials: Management agrees with the finding and has developed a corrective action plan to include retaining evidence to support the execution of controls over eligibility determinations. The corrective action will be implemented in February 2025.
Finding 2024-005 - Special Tests and Provisions - Enrollment Reporting Identification of the federal program: U.S. Department of Education Office of Federal Student Aid Student Financial Assistance Cluster Assistance Listing No. 84.063 Federal Pell Grant Program Assistance Listing No. 84.268 Federal Direct Student Loans Good Samaritan College of Nursing & Health Science Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303 requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be compliance with guidance in “Standards for Internal Control the Federal Government” issued by the Comptroller General the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Institutions are responsible for accurately reporting to the National Student Loan Data System (NSLDS) the following significant data elements under the Campus-Level Record and Program-Level Record that Department of Education (ED) considers high risk. ED considers the following Campus-Level data elements to be high risk: 1. Office of Postsecondary Education Identification (OPEID) Number 2. Enrollment Effective Date 3. Enrollment Status 4. Certification Date ED considers the following Program-Level Record data elements to be high risk: 1. OPEID Number 2. CIP Code 3. CIP Year 4. Credential Level 5. Published Program Length Measurement 6. Published Program Length 7. Program Begin Date 8. Program Enrollment Status 9. Program Enrollment Effective Date When a Direct Loan was made to or on behalf of a student who was enrolled or accepted for enrollment at the institution, and the student ceased to be enrolled on at least a half-time basis or failed to enroll on at least a half-time basis for the period for which the loan was intended; or a student who is enrolled at the institution and who received a loan under Title IV has changed his or her permanent address, the institution must report the change in its next updated Enrollment Reporting Roster file (due within 60 days of the change). NSLDS Enrollment Reporting Guide Chapter 1.4: At a minimum, schools are required to certify enrollment every 60 days, and respond within 15 days of the date that the NSLDS sends a roster file to the school or its third-party servicer. This requirement also applies to schools that report exclusively online. Condition: Good Samaritan College of Nursing & Health Science did not have effective internal controls over enrollment reporting. Student enrollment information, including enrollment status changes and campus level and program level information, was not reported accurately and/or timely to the NSLDS for certain students. Cause: Good Samaritan College of Nursing & Health Science has been developing and implementing internal controls in response to the prior year finding over enrollment reporting; however, ineffective internal control led to untimely reporting and inaccurate data reported for certain students. Additionally, in the current year, a different matter was noted in that the third-party system that is used to generate reports to validate status changes was not accurate, resulting in certain enrollment status changes not being submitted to NSLDS timely. Effect or potential effect: Lack of internal controls over timely and accurate enrollment reporting resulted in inaccurate enrollment status. A student’s enrollment status determines eligibility for in-school status, deferment, and grace periods. Enrollment reporting in a timely and accurate manner is important for effective management of the programs. Questioned costs: None. Context: EY selected 61 students from a population of 121 students receiving Pell and Direct Student Loans to test whether the required student enrollment information was accurately and timely reported to NSLDS. For the 61 students selected for testing, we tested 16 attributes for each student, for a total of 976 attributes. Of the 61 students selected, enrollment status was not reported timely, within 60 days, for 4 students receiving direct loans, with reporting to NSLDS ranging from 73 to 187 days. Additionally, of the 61 students selected, for 2 students receiving a direct loan, the correct enrollment status of withdrawn was never reported to NSLDS. As a result of the enrollment status for 6 students being reported late or inaccurately, we noted Campus-Level information was inaccurate in 10 instances for 3 data elements and Program-Level information was inaccurate in 4 instances for 2 data elements. In addition, of the 61 students selected, the program begin date was inaccurately reported for 2 students. Good Samaritan College of Nursing & Health Science has SFA Cluster expenditures of approximately $5.7 million, which makes up 95% of total SFA Cluster expenditures of approximately $6.0 million. Identification as a repeat finding, if applicable: This is a repeat finding for Good Samaritan College of Nursing & Health Science – Findings 2023-010, 2022-005, and 2021-006. An additional internal control matter related to enrollment status is reported in the current year and is a different matter from that reported in the prior years. Recommendation: Good Samaritan College of Nursing & Health Science should refine processes and develop internal controls over enrollment reporting requirements to ensure information used to determine status changes is complete and accurate and that changes in enrollment status are reported timely. Views of responsible officials: Management at Good Samaritan College of Nursing & Health Science agrees with the finding and will work with the student financial aid vendor to ensure all status changes are appropriately captured.
Finding 2024-005 - Special Tests and Provisions - Enrollment Reporting Identification of the federal program: U.S. Department of Education Office of Federal Student Aid Student Financial Assistance Cluster Assistance Listing No. 84.063 Federal Pell Grant Program Assistance Listing No. 84.268 Federal Direct Student Loans Good Samaritan College of Nursing & Health Science Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303 requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be compliance with guidance in “Standards for Internal Control the Federal Government” issued by the Comptroller General the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Institutions are responsible for accurately reporting to the National Student Loan Data System (NSLDS) the following significant data elements under the Campus-Level Record and Program-Level Record that Department of Education (ED) considers high risk. ED considers the following Campus-Level data elements to be high risk: 1. Office of Postsecondary Education Identification (OPEID) Number 2. Enrollment Effective Date 3. Enrollment Status 4. Certification Date ED considers the following Program-Level Record data elements to be high risk: 1. OPEID Number 2. CIP Code 3. CIP Year 4. Credential Level 5. Published Program Length Measurement 6. Published Program Length 7. Program Begin Date 8. Program Enrollment Status 9. Program Enrollment Effective Date When a Direct Loan was made to or on behalf of a student who was enrolled or accepted for enrollment at the institution, and the student ceased to be enrolled on at least a half-time basis or failed to enroll on at least a half-time basis for the period for which the loan was intended; or a student who is enrolled at the institution and who received a loan under Title IV has changed his or her permanent address, the institution must report the change in its next updated Enrollment Reporting Roster file (due within 60 days of the change). NSLDS Enrollment Reporting Guide Chapter 1.4: At a minimum, schools are required to certify enrollment every 60 days, and respond within 15 days of the date that the NSLDS sends a roster file to the school or its third-party servicer. This requirement also applies to schools that report exclusively online. Condition: Good Samaritan College of Nursing & Health Science did not have effective internal controls over enrollment reporting. Student enrollment information, including enrollment status changes and campus level and program level information, was not reported accurately and/or timely to the NSLDS for certain students. Cause: Good Samaritan College of Nursing & Health Science has been developing and implementing internal controls in response to the prior year finding over enrollment reporting; however, ineffective internal control led to untimely reporting and inaccurate data reported for certain students. Additionally, in the current year, a different matter was noted in that the third-party system that is used to generate reports to validate status changes was not accurate, resulting in certain enrollment status changes not being submitted to NSLDS timely. Effect or potential effect: Lack of internal controls over timely and accurate enrollment reporting resulted in inaccurate enrollment status. A student’s enrollment status determines eligibility for in-school status, deferment, and grace periods. Enrollment reporting in a timely and accurate manner is important for effective management of the programs. Questioned costs: None. Context: EY selected 61 students from a population of 121 students receiving Pell and Direct Student Loans to test whether the required student enrollment information was accurately and timely reported to NSLDS. For the 61 students selected for testing, we tested 16 attributes for each student, for a total of 976 attributes. Of the 61 students selected, enrollment status was not reported timely, within 60 days, for 4 students receiving direct loans, with reporting to NSLDS ranging from 73 to 187 days. Additionally, of the 61 students selected, for 2 students receiving a direct loan, the correct enrollment status of withdrawn was never reported to NSLDS. As a result of the enrollment status for 6 students being reported late or inaccurately, we noted Campus-Level information was inaccurate in 10 instances for 3 data elements and Program-Level information was inaccurate in 4 instances for 2 data elements. In addition, of the 61 students selected, the program begin date was inaccurately reported for 2 students. Good Samaritan College of Nursing & Health Science has SFA Cluster expenditures of approximately $5.7 million, which makes up 95% of total SFA Cluster expenditures of approximately $6.0 million. Identification as a repeat finding, if applicable: This is a repeat finding for Good Samaritan College of Nursing & Health Science – Findings 2023-010, 2022-005, and 2021-006. An additional internal control matter related to enrollment status is reported in the current year and is a different matter from that reported in the prior years. Recommendation: Good Samaritan College of Nursing & Health Science should refine processes and develop internal controls over enrollment reporting requirements to ensure information used to determine status changes is complete and accurate and that changes in enrollment status are reported timely. Views of responsible officials: Management at Good Samaritan College of Nursing & Health Science agrees with the finding and will work with the student financial aid vendor to ensure all status changes are appropriately captured.
Finding 2024-006 – Allowable Costs/Cost Principles Identification of the federal program: U.S. Department of Treasury Assistance Listing No. 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Pass-through entity: County of Los Angeles Pass-through number: PH-005009 St. Mary Medical Center – Long Beach Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303(a) requires that a non-federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.430 (i) states “Standards for Documentation of Personnel Expenses (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflected the work performed. These records must: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-Federal entity; (iii) reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; (iv) encompass both federal assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; (v) comply with the established accounting policies and practices of the non-Federal entity.” Condition: St. Mary Medical Center – Long Beach did not have effective internal controls addressing the requirements of 2 CFR 200.303(a) and 2 CFR 200.430, including consistent approval of employees’ timecards. Cause: St. Mary Medical Center – Long Beach did not have controls in place to ensure that all timecards were approved. Effect or potential effect: Unallowable and/or inaccurate payroll expenditures could be charged to the federal program. Questioned costs: No questioned costs. Context: We selected 25 payroll transactions totaling $8,621. Of the 25 transactions selected for testing, 2 timecards with supporting payroll expenditures of $246 were not appropriately approved. We did not note any noncompliance with 2 CFR 200.430. Total payroll expenditures for St. Mary Medical Center – Long Beach were $80,190 and represent approximately 6% of the total program expenditures of approximately $1.4 million. Identification of a repeat finding: This is a not a repeat finding as this program was not previously subject to audit. Recommendation: We recommend management at St. Mary Medical Center – Long Beach execute its processes to properly approve all time charged to federal grants in accordance with 2 CFR 200.430. Additionally, we recommend management execute and retain evidence of its internal controls over the allowability of payroll expenditures. Views of responsible officials: Management agrees with the finding. Corrective action over timecard approval was implemented in April 2024.
Assistance Listing Number, Federal Agency, and Program Name: Assistance Listing Number 84.010 A, Department of Education, Title I A, Improving Basic Programs Federal Award Identification Number and Year: 241530 Pass-through Entity: Michigan Department of Education Finding Type: Significant deficiency in internal control over compliance and noncompliance with parental involvement spending requirement. Repeat Finding: No Criteria: Per 2 CFR § 200.303, The non-Federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Assistance Listing Number, Federal Agency, and Program Name: Assistance Listing Number 84.010 A, Department of Education, Title I A, Improving Basic Programs Federal Award Identification Number and Year: 241530 Pass-through Entity: Michigan Department of Education Finding Type: Significant deficiency in internal control over compliance and noncompliance with parental involvement spending requirement. Repeat Finding: No Criteria: Per 2 CFR § 200.303, The non-Federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: The School District is required to spend the 1% allocation of Parental Involvement for the Title I grant award. The allocation was properly recorded in the budget, but the School District did not spend the entire budgeted allocation required on Parental involvement during the fiscal year ended. Identification of How Questioned Costs Were Computed: N/A Questioned Costs: None Cause: Management did not properly monitor the parental involvement spending. The funds spent for parental involvement did not match the 1% allocation from the budget for the Federal award. The School Districts internal control policies and procedures did not ensure the proper amount of funds were spent on parental involvement. Condition: The School District is required to spend the 1% allocation of Parental Involvement for the Title I grant award. The allocation was properly recorded in the budget, but the School District did not spend the entire budgeted allocation required on Parental involvement during the fiscal year ended. Identification of How Questioned Costs Were Computed: N/A Questioned Costs: None Cause: Management did not properly monitor the parental involvement spending. The funds spent for parental involvement did not match the 1% allocation from the budget for the Federal award. The School Districts internal control policies and procedures did not ensure the proper amount of funds were spent on parental involvement. Effect: The entire parental involvement allocation was not spent during the fiscal year ended. Recommendation: We recommend that management review its procedures and controls in place to ensure that parental Involvement spend matches the allocated amount per the budget reports and the supporting documentation are retained and have proper evidence of review. View of Responsible Officials and Corrective Action Plan: Management agrees with the finding. See corrective action plan.
Finding 2024-003 SIGNIFICANT DEFICENCY Internal Controls and Compliance Criteria: Pursuant to the Code of Federal Regulations (CFR), Title 2 Grants and Agreements, Subpart D Post Federal Award Requirements, Section 200.303 “the non-federal entity must establish and maintain effective internal control over the Federal aware that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award.” Condition: There were no expenditures coded towards the federal funds for all of the fiscal year 2024. Cause: The internal control related to allowable costs and allowable activities are non-existent. Effect: The expenditures in the financial records did not match any expenditure amounts reported to the State to receive federal funds. Recommendations: The Director and the accounting department need to create procedures to ensure that both parties are reporting the same expenditures. Within the procedures created, there needs to be checks and balances to ensure that the recording is occurring before reporting figures to the State. Views of Responsible Officials and Planned Corrective Actions: The District agrees with the finding. See separate document for planned corrective actions.
Finding 2024-003 SIGNIFICANT DEFICENCY Internal Controls and Compliance Criteria: Pursuant to the Code of Federal Regulations (CFR), Title 2 Grants and Agreements, Subpart D Post Federal Award Requirements, Section 200.303 “the non-federal entity must establish and maintain effective internal control over the Federal aware that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award.” Condition: There were no expenditures coded towards the federal funds for all of the fiscal year 2024. Cause: The internal control related to allowable costs and allowable activities are non-existent. Effect: The expenditures in the financial records did not match any expenditure amounts reported to the State to receive federal funds. Recommendations: The Director and the accounting department need to create procedures to ensure that both parties are reporting the same expenditures. Within the procedures created, there needs to be checks and balances to ensure that the recording is occurring before reporting figures to the State. Views of Responsible Officials and Planned Corrective Actions: The District agrees with the finding. See separate document for planned corrective actions.
Federal agency: Department of Education Federal program title: Student Financial Assistance Cluster Assistance Listing Number: 84.268 Federal Award Identification Number and Year: P268K243215 - 2023 Award Period: July 1, 2023, to June 30, 2024 Type of Finding: Compliance, Other Matter Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 34 CFR 668.21(a) states that the institution must return all title IV, HEA program funds that were credited to the student's account at the institution or disbursed directly to the student for the payment period. The institution must return those funds no later than 30 days after the date that the institution becomes aware that the student will not or has not begun attendance. Per 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: Oklahoma State University Oklahoma City (OSU OKC) incorrectly calculated Return to Title IV (R2T4) calculations. Context: During our testing of 5 students at OSU OKC, we identified 2 students had incorrect number of break days used in R2T4 calculation. Questioned costs: $65 Cause: OSU OKC was incorrectly calculating the appropriate number of scheduled break days in Fall Semester. Effect: The University could return incorrect amounts based off of their calculations and incorrect calculations could affect student repayment amounts based off of amount earned. Repeat finding: No Recommendation: We recommend OSU-OKC review its current process for determination of break days and ensure that their calculations are following compliance requirements. Views of responsible official: Management agrees with the finding and has developed a plan to correct the finding.
Federal Agency: US Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063, 84.268, Federal Award Identification Number and Year: P268K242046 - 2024, P063P232046 - 2024, P268K246759 - 2024 Award Period: July 1, 2023, to June 30, 2024 Type of Finding: Compliance, Other Matter Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Additionally, 34 CFR 682.610, states that institutions must report accurately the enrollment status of all students regardless of if they receive aid from the institution or not. Changes to said status are required to be reported within 30 days of becoming aware of the status change, or with the next scheduled transmission of statuses if the scheduled transmission is within 60 days. Condition: The Oklahoma State University Center for Health Sciences (OSU CHS) did not properly report student enrollment changes for students who received federal student aid to the National Student Loan Data System (NSLDS). Context: During our testing of 2 students at OSU CHS, we identified 1 student that had incorrect program enrollment effective date. Questioned costs: None Cause: OSU CHS did not have proper procedures in place to verify students' status in NSLDS matched the institutions records in a timely manner. Effect: The University was not in compliance with the requirements to properly report student enrollment data correctly. Repeat finding: No Recommendation: We recommend OSU CHS review current processes for reporting to NSLDS and implement procedures to ensure program enrollment submissions are reported accurately. View of responsible official: Management agrees with the finding and has developed a plan to correct the finding.
Federal Agency: US Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063, 84.268, Federal Award Identification Number and Year: P268K242046 - 2024, P063P232046 - 2024, P268K246759 - 2024 Award Period: July 1, 2023, to June 30, 2024 Type of Finding: Compliance, Other Matter Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Additionally, 34 CFR 682.610, states that institutions must report accurately the enrollment status of all students regardless of if they receive aid from the institution or not. Changes to said status are required to be reported within 30 days of becoming aware of the status change, or with the next scheduled transmission of statuses if the scheduled transmission is within 60 days. Condition: The Oklahoma State University Center for Health Sciences (OSU CHS) did not properly report student enrollment changes for students who received federal student aid to the National Student Loan Data System (NSLDS). Context: During our testing of 2 students at OSU CHS, we identified 1 student that had incorrect program enrollment effective date. Questioned costs: None Cause: OSU CHS did not have proper procedures in place to verify students' status in NSLDS matched the institutions records in a timely manner. Effect: The University was not in compliance with the requirements to properly report student enrollment data correctly. Repeat finding: No Recommendation: We recommend OSU CHS review current processes for reporting to NSLDS and implement procedures to ensure program enrollment submissions are reported accurately. View of responsible official: Management agrees with the finding and has developed a plan to correct the finding.
Federal Agency: US Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.063, 84.268, Federal Award Identification Number and Year: P268K242046 - 2024, P063P232046 - 2024, P268K246759 - 2024 Award Period: July 1, 2023, to June 30, 2024 Type of Finding: Compliance, Other Matter Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Per 2 CFR 200.303, nonfederal entities receiving federal awards are required to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Additionally, 34 CFR 682.610, states that institutions must report accurately the enrollment status of all students regardless of if they receive aid from the institution or not. Changes to said status are required to be reported within 30 days of becoming aware of the status change, or with the next scheduled transmission of statuses if the scheduled transmission is within 60 days. Condition: The Oklahoma State University Center for Health Sciences (OSU CHS) did not properly report student enrollment changes for students who received federal student aid to the National Student Loan Data System (NSLDS). Context: During our testing of 2 students at OSU CHS, we identified 1 student that had incorrect program enrollment effective date. Questioned costs: None Cause: OSU CHS did not have proper procedures in place to verify students' status in NSLDS matched the institutions records in a timely manner. Effect: The University was not in compliance with the requirements to properly report student enrollment data correctly. Repeat finding: No Recommendation: We recommend OSU CHS review current processes for reporting to NSLDS and implement procedures to ensure program enrollment submissions are reported accurately. View of responsible official: Management agrees with the finding and has developed a plan to correct the finding.