Finding 1149437 (2024-002)

Significant Deficiency Repeat Finding
Requirement
C
Questioned Costs
-
Year
2024
Accepted
2025-08-07
Audit: 363862
Organization: La Clinica Tepeyac (CO)

AI Summary

  • Core Issue: Lack of documented management approval for federal fund drawdowns, leading to potential errors in fund amounts.
  • Impacted Requirements: Non-compliance with §200.303, which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Review and strengthen internal controls to ensure all approvals for fund drawdowns are documented and verified.

Finding Text

Criteria or Specific Requirement According to §200.303 Internal controls of 2 CFR Part 200, 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 the terms and conditions of the Federal award. Condition and Context During our testing, we noted the department was unable to provide documentation to support management approval prior to the drawdown of federal funds for 3 selections. Effect The Organization may drawdown the incorrect amount of federal funds. Questioned Costs None identified. Cause Management oversight. Approvals were done verbally and no documentation was recorded. Recommendation We recommend the Organization to review internal controls in regards to the approval of federal fund drawdown requests.Views of Responsible Officials We have reviewed all our internal controls to ensure all approvals are documented. The procedure has been updated to include preparing the draw documentation, entering the accounts receivable invoice into the accounting system, which now requires an approval for all accounts receivable invoices. Once the accounts receivable invoices are approved in the accounting system then a draw down can be requested in the payment management system. This new process to ensure the documented approval of federal fund drawdown's was implemented mid-year 2024, after the three selections in this finding were completed.

Categories

Cash Management Internal Control / Segregation of Duties Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 572992 2024-001
    Material Weakness Repeat
  • 572993 2024-002
    Significant Deficiency Repeat
  • 572994 2024-001
    Material Weakness Repeat
  • 572995 2024-002
    Significant Deficiency Repeat
  • 572996 2024-001
    Material Weakness Repeat
  • 572997 2024-002
    Significant Deficiency Repeat
  • 1149434 2024-001
    Material Weakness Repeat
  • 1149435 2024-002
    Significant Deficiency Repeat
  • 1149436 2024-001
    Material Weakness Repeat
  • 1149438 2024-001
    Material Weakness Repeat
  • 1149439 2024-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Center, Affordable Care Act for New and Expanded Services $895,748
93.224 Covid-19: American Rescue Plan Act Funding for Health Centers $327,467
93.914 Hiv Emergency Relief Project Grants $182,220
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds $161,400
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $47,352
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $35,235
93.527 Fy 2023 Bridge Access Program $21,919
93.744 Pphf: Breast and Cervical Cancer Screening Opportunities for States, Tribes and Territories Solely Financed by Prevention and Public Health Funds $19,563
93.526 Covid-19: Health Center Infrastructure Support $5,040