Finding Text
Health Center Program Cluster
AL No. 93.224 and 93.527
U.S. Department of Health and Human Services
Award No. H80CS00438, H8FCS40427, H8GCS47600
Healthy Start Initiative
AL No. 93.926
Us. Department of Health and Human Services
Award No. H49MC00156
Criteria: The Organization is required to create a written procurement, suspension and
debarment policy that complies with applicable federal requirements as indicated in 2 CFR
200.318 -200.326 and to follow this policy when procuring goods and services.Condition: During the testing performed, it was determined that documentation to support
quotes, estimates, or closed bids was not maintained prior to entering into contracts.
Additionally, documentation was not maintained to support that the vendors were not
suspended or debarred.
Cause: The Organization has designed internal controls over these areas; however, the controls
did not operate as designed.
Effect: Purchases were made that did not adhere to the Organization’s procurement, suspension
and debarment policy.
Questioned costs: n/a
Context: The Organization did not maintain supporting documentation that management
obtained price or rate quotes for purchases above the micro-purchase threshold. In addition,
the Health Center did not maintain documentation to support that the vendors were not
suspended or debarred, however subsequent testing verified that none of the vendors selected
for review were suspended or debarred.
Repeat Finding: Yes, 2023-003
Recommendation: The Organization should review and update the procurement and suspension
and debarment policies. Additionally, the Organization should provide training to staff on
transactions that are covered by the procurement, suspension and debarment policies.
Views of Responsible Officials: Management agrees with this finding. Staff will be trained to
ensure future procurement, suspension and debarment transactions are identified and
documentation is maintained to support the evaluation.