Finding 1124058 (2024-001)

Material Weakness
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2025-03-31
Audit: 351799
Auditor: Uhy LLP

AI Summary

  • Core Issue: The Health Department did not keep necessary documentation to verify participant eligibility, impacting compliance testing.
  • Impacted Requirements: LCHD must maintain adequate records as per Uniform Guidance for all funded programs.
  • Recommended Follow-Up: Management should enhance procedures for documentation oversight to ensure only eligible individuals receive services.

Finding Text

Condition: Lack of adequate supporting documentation. No supporting income, residential and other eligibility documentation was maintained by the Health Department after certifying the individual and entering the data directly in the State’s reporting website. As a result, we were unable to perform testing procedures over eligibility compliance requirements. Criteria: LCHD is required to maintain adequate documentation to provide evidence of their compliance with requirements applicable to each program funded under the Uniform Guidance. Cause: LCHD lacked adequate procedures over the maintenance of documentation to verify program participants met all eligibility requirements; Categorical, Identity & Residence, Income, and Nutritional Risk. This was a result of miscommunication in identifying the documentation that should be kept and maintained during a participant’s Certification and length of time records should be maintained after entering the information in the State’s reporting website. Effect: Services may have been provided to ineligible participants. Recommendation: Management should continue to evaluate procedures for capturing, reporting, and maintaining personnel, expense, and participant eligibility documentation, related to their various federal award programs. In order to ensure services are only provided to eligible individuals. Procedures should include additional oversight and monitoring over original source data. Grantee’s Response: Management concurs and will implement additional procedures, oversight, and monitoring over required eligibility documentation.

Categories

Eligibility Subrecipient Monitoring Reporting

Other Findings in this Audit

  • 547614 2024-001
    Material Weakness
  • 547615 2024-002
    Significant Deficiency
  • 547616 2024-001
    Material Weakness
  • 547617 2024-002
    Significant Deficiency
  • 1124056 2024-001
    Material Weakness
  • 1124057 2024-002
    Significant Deficiency
  • 1124059 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.967 Cdc's Collaboration with Academia to Strengthen Public Health $204,680
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $144,279
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $130,907
93.276 Drug-Free Communities Support Program Grants $68,353
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $65,854
93.268 Immunization Cooperative Agreements $38,824
93.767 Children's Health Insurance Program $38,320
93.008 Medical Reserve Corps Small Grant Program $16,020
93.069 Public Health Emergency Preparedness $13,591
93.136 Injury Prevention and Control Research and State and Community Based Programs $10,842
93.366 State Actions to Improve Oral Health Outcomes and Partner Actions to Improve Oral Health Outcomes $9,239
93.575 Child Care and Development Block Grant $1,870
93.994 Maternal and Child Health Services Block Grant to the States $832
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $507