Finding 1136533 (2024-004)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-05-12
Audit: 356058
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Organization has not conducted an annual risk assessment or tested its emergency disaster recovery plan since 2021, which is a violation of LSC requirements.
  • Impacted Requirements: Compliance with LSC's security policies, including annual risk assessments and emergency preparedness, is essential to safeguard physical and digital assets.
  • Recommended Follow-Up: Management should review the 2023 LSC Financial Guide and implement necessary assessments and testing to ensure compliance and enhance security readiness.

Finding Text

Legal Services Corporation FFAL #09‐742018 Legal Services Corporation – Basic Field – Basic FFAL #09‐742018 Legal Services Corporation – Basic Field – Native American Special Tests & Provisions – Accounting Requirements Material Weakness in Internal Control over Compliance Criteria: Per Section 2.5.3 of the LSC Financial Guide, recipients are required to have written security policies and procedures for physical and digital assets including all financial data and records in any form (e.g., electronic data processing (EDP) and cybersecurity policies and procedures). These policies and practices should be part of an overall data and records security policy and an annual overall risk‐assessment process. LSC recommends obtaining guidance from qualified experts in data and records security, including cybersecurity. LSC also recommends including in the risk assessment process consideration of appropriate insurance policies or determining if the recipient is sufficiently self‐insured. Recipients must establish physical, administrative, technical, and virtual/remote access controls and other measures to safeguard physical and digital assets (e.g., office space, computers, information systems, sensitive information, and financial data/records), including modifications to assets and systems. The policies should specifically address cybersecurity and the risks from cyber incidents such as data breaches, business interruption, and network damage. Recipients should also consider what actions (including notification) to take in the event of such cyber incidents. Policies and procedures must include the following requirements: - Perform (and document) an annual risk assessment - Resolve any risk findings or conclusions - Maintain physical access controls for servers and storage rooms - Develop and periodically test an emergency disaster prevention and recovery plan - Perform regular back up of electronic records and systems stored offsite or in a virtual environment with easy‐to‐use restoration options - Formally assign computer and data security responsibilities Recipients should implement these policies and regularly check that they are followed. Recipients should evaluate these policies and update them as appropriate through an annual risk assessment process. These controls will vary with the type of software used, size of the organization, and the number of personnel involved in making, processing, and approving financial transactions. Risk assessment procedures will vary by recipient. However, at minimum, the process should: • Identify the physical and digital assets susceptible to cyberattacks • Identify risks to those assets (risks should be evaluated annually for changes) • Evaluate the risks (e.g., high, medium, or low) based on likelihood and impact • Document the results of the risk assessment, including the development and implementation of appropriate controls Condition: The Organization has not performed an annual risk assessment since 2021, nor tested an emergency disaster prevention and recovery plan. Cause: Management became aware of these compliance requirements during the Organization’s audit for the year ended December 31, 2023; however, no annual risk assessment and testing of an emergency disaster prevention and recovery plan was completed during 2024. Effect: Without completing a written evaluation detailing the identified risks and the resolution of any prior risk findings or conclusion, the Organization may be less prepared for a security incident. Questioned Costs: None reported. Context/Sampling: Sampling was not used. Repeat Finding from Prior Year: Yes. 2023‐005 reported a similar finding. Recommendation: We recommend management review the requirements of the 2023 LSC Financial Guide to ensure compliance. Views of Responsible Officials: Management is in agreement.

Categories

Special Tests & Provisions Subrecipient Monitoring Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 560087 2024-002
    Significant Deficiency
  • 560088 2024-002
    Significant Deficiency
  • 560089 2024-003
    Material Weakness Repeat
  • 560090 2024-003
    Material Weakness Repeat
  • 560091 2024-004
    Material Weakness Repeat
  • 560092 2024-004
    Material Weakness Repeat
  • 1136529 2024-002
    Significant Deficiency
  • 1136530 2024-002
    Significant Deficiency
  • 1136531 2024-003
    Material Weakness Repeat
  • 1136532 2024-003
    Material Weakness Repeat
  • 1136534 2024-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
09.U02 Basic Field Grant - Native American $1.56M
09.U01 Basic Field Grant - Basic $656,405
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $58,079
16.815 Tribal Civil and Criminal Legal Assistance Grants, Training and Technical Assistance $52,306
16.021 Justice Systems Response to Families $12,787