Finding 1098650 (2024-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-02-06

AI Summary

  • Core Issue: Significant non-compliance in required training for employees, with 92% failing HIPAA training, 16% failing Security Awareness, and 60% failing Service Delivery training.
  • Impacted Requirements: Internal controls over training compliance are inadequate, risking noncompliance with federal regulations and potential penalties.
  • Recommended Follow-Up: Improve tracking and monitoring of training completion, assign responsibility for compliance, and consider a rolling-year training schedule to enhance efficiency.

Finding Text

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.

Categories

Internal Control / Segregation of Duties Subrecipient Monitoring Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 522208 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.556 Promoting Safe and Stable Families $544,700
93.658 Foster Care - Title IV-E $543,952
93.870 Maternal, Infant, and Early Childhood Home Visiting Grant Program $210,121
16.575 Victim of Crimes Act $155,636
93.667 Social Services Block Grant $534