Finding 1090703 (2024-003)

Significant Deficiency Repeat Finding
Requirement
G
Questioned Costs
-
Year
2024
Accepted
2024-12-13

AI Summary

  • Core Issue: The Health System failed to maintain proper documentation for compliance with earmarking requirements, leading to a significant deficiency in internal controls.
  • Impacted Requirements: Non-compliance with the 2024 Compliance Supplement and 2 CFR 200.303(a) regarding effective internal control over federal awards.
  • Recommended Follow-Up: Management should finalize and implement the drafted policy to ensure clear identification of earmarking requirements and proper documentation retention by fiscal year 2025.

Finding Text

Finding Number 2024-003: Contract Requirements - Earmarking (Significant Deficiency in Internal Control over compliance and Instance of Noncompliance – Matching, Level of Effort, and Earmarking) FALN Number 93.959; Federal Agency/Pass-through Entity – Program Name Block Grants for Prevention and Treatment of Substance Abuse; Award Number 900077; Award Year 2023-2024 Criteria: 2024 Compliance Supplement and 2 CFR 200.303(a) stated that 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 terms and conditions of the federal award. Condition/Context: As a result of our audit procedures, we noted management did not have evidence retained to support its compliance with the program’s earmarking requirements related to Process Objectives, Quality Objectives and Impact Objectives. Repeat Finding from Prior Year(s): Yes, Finding Number 2023-004 Cause and Effect: The Health System did not have proper controls in place to ensure the fulfillment of the earmarking requirements are properly documented, which led to non-compliance with program requirements. Questioned Cost: None Recommendation: We recommend management implement policies and procedures to clearly identify the earmarking requirements of the program and retain proper documentations to support how the requirements are fulfilled. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has drafted the policy titled, Alameda Health System Reports Policies – SUD Program, to ensure earmarking requirements of the program and proper documentation is retained to evidence fulfilled requirements. The policy will be finalized in fiscal year 2025.

Categories

Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 514260 2024-002
    Significant Deficiency Repeat
  • 514261 2024-003
    Significant Deficiency Repeat
  • 514262 2024-004
    Significant Deficiency Repeat
  • 514263 2024-005
    Significant Deficiency Repeat
  • 514264 2024-006
    Significant Deficiency
  • 514265 2024-007
    Significant Deficiency
  • 1090702 2024-002
    Significant Deficiency Repeat
  • 1090704 2024-004
    Significant Deficiency Repeat
  • 1090705 2024-005
    Significant Deficiency Repeat
  • 1090706 2024-006
    Significant Deficiency
  • 1090707 2024-007
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $3.81M
16.575 Crime Victim Assistance $1.23M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.07M
93.224 Community Health Centers $950,721
93.959 Block Grants for Prevention and Treatment of Substance Abuse $884,692
93.917 Hiv Care Formula Grants $420,048
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $407,659
17.259 Wioa Youth Activities $155,141
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $147,124
93.924 Ryan White Hiv/aids Dental Reimbursements $69,688
93.145 Aids Education and Training Centers $64,181
93.914 Hiv Emergency Relief Project Grants $62,662
93.732 Mental and Behavioral Health Education and Training Grants $62,287
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $23,131
93.279 Drug Abuse and Addiction Research Programs $14,614