Finding 1055213 (2023-002)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2023
Accepted
2024-07-18

AI Summary

  • Core Issue: There was a discrepancy between timesheet hours and time study hours, indicating a lack of control over reporting.
  • Impacted Requirements: This finding violates the 2023 Compliance Supplement and 2 CFR 200.403(h) regarding allowable costs during the federal award period.
  • Recommended Follow-Up: Management should review and update policies to ensure consistency between timesheets and time studies to prevent future inaccuracies.

Finding Text

Finding Number 2023-002: Timesheet vs. Time Study Hours (Significant Deficiency over Internal Control and Instance of Noncompliance – Allowable Costs/Cost Principles) FALN Number 93.778 Alameda Health Care Services Agency - Medical Assistance Program (Medi-Cal Administrative Activities), Award Number MAA MOU 2022-2023, Award Year 2022-2023 Criteria: 2023 Compliance Supplement and 2 CFR 200.403(h) stated that a non-federal entity may charge only allowable costs incurred during the approved budget period of a federal award’s period of performance. Condition/Context: As a result of our audit procedures, we noted 1 of 40 timesheets tested in which the hours on the employee’s timesheet did not agree to the hours reported on the time study. We identified 2.5 hours of steward leave being reported on the timesheet but not the time study. Repeat Finding from Prior Year(s): No Cause and Effect: The Health System did not have proper controls in place to ensure hours reported on the timesheet agree to the hours on the time study, which could lead to inaccurate hours being reported and disbursed to employees. Questioned Cost: None Recommendation: We recommend management review policies and procedures to ensure the hours reported on the timesheet agree to the hours on the time study. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System will review, modify, and implement policies and procedures over the program to ensure that costs incurred are appropriately charged based on the contracts’ performance periods.

Categories

Allowable Costs / Cost Principles Period of Performance

Other Findings in this Audit

  • 478771 2023-002
    Significant Deficiency
  • 478772 2023-003
    Significant Deficiency
  • 478773 2023-004
    Significant Deficiency
  • 478774 2023-005
    Significant Deficiency
  • 478775 2023-006
    Significant Deficiency
  • 478776 2023-007
    Significant Deficiency Repeat
  • 478777 2023-008
    Significant Deficiency Repeat
  • 478778 2023-009
    Significant Deficiency Repeat
  • 478779 2023-010
    Significant Deficiency Repeat
  • 1055214 2023-003
    Significant Deficiency
  • 1055215 2023-004
    Significant Deficiency
  • 1055216 2023-005
    Significant Deficiency
  • 1055217 2023-006
    Significant Deficiency
  • 1055218 2023-007
    Significant Deficiency Repeat
  • 1055219 2023-008
    Significant Deficiency Repeat
  • 1055220 2023-009
    Significant Deficiency Repeat
  • 1055221 2023-010
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.50M
93.778 Medical Assistance Program (medicaid; Title Xix) - Medi-Cal Administrative Activities (maa) $3.00M
16.575 Crime Victim Assistance $863,250
93.959 Block Grants for Prevention and Treatment of Substance Abuse $710,746
93.917 Hiv Care Formula Grants (ryan White Hiv/aids Program Part B) $440,062
93.279 Drug Abuse and Addiction Research Programs $319,616
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $318,099
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $259,093
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease (ryan White Hiv/aids Program Part C) $202,903
17.259 Wia Youth Activities $155,545
93.914 Hiv Emergency Relief Project Grants (ryan White Hiv/aids Program Part A) $69,010
93.732 Mental and Behavioral Health Education and Training Grants $57,238
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth (ryan White Hiv/aids Program Part D Women, Infants, Children, and Youth (wicy) Program) $13,592
93.497 Family Violence Prevention and Services $4,974