Finding 1164813 (2025-007)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2025-12-15
Audit: 374614
Auditor: TERRY HORNE CPA

AI Summary

  • Core Issue: Monthly time/activity reports for salaried employees are not being maintained, violating federal cost principles.
  • Impacted Requirements: Compliance with Uniform Guidance and federal regulations (45 CFR, 75.430) is at risk, potentially leading to reduced grant funding.
  • Recommended Follow-Up: Revise policies to mandate monthly time and effort documentation for salaried employees and establish procedures to ensure compliance.

Finding Text

Finding: 2025-007 Monthly Time/Activity Reports not Maintained for Salaried Employees Federal Program Identification: U.S. Department of Health and Human Services Health Center Program Cluster Assistance Listing No. 93.224 and 93.527 Criteria: Uniform Guidance Compliance Supplement, Grant Policy Statements, 45 CFR, 75.430 Condition: Time/activity reports (time sheets) are not maintained for salaried employees as required by federal cost principles. Cause: The Organization’s policy did not require that salaried employees maintain time and effort reports that coincide with the Organization’s payroll cycle (at least on a monthly basis). Effect: Failure to comply with federal requirements regarding personnel cost and time and effort could result in a reduction of grant funds. Questioned Costs: None Context/Sampling: A test of payroll disbursements revealed that time and effort certifications for salaried employees were not maintained. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: The Organization should evaluate and revise its policies to ensure that the policies require personnel to document time and efforts in accordance with federal cost principles. Procedures should subsequently be established to ensure that all salaried employees maintain time and effort reports in accordance with the revised policy. It is recommended that time and effort certifications be prepared no less than monthly and coincide with the Organization’s payroll cycle. Views of Responsible Officials: Policies and procedures will be established to ensure that salaried employees maintain time and effort reports that coincide with the Organization’s payroll cycle. Contact Person: Amanda Duke, COO Anticipated Date of Completion: January 31, 2026

Corrective Action Plan

salaried employees. The Organization’s operating processes in place do not require salaried employees to certify time and efforts on a monthly basis. In response to Finding 2025-007, policies will be established to require maintenance of time and effort certifications by all salaried employees. Procedures will be established to ensure that salaried employees certify time and effort that coincide with the Organization’s payroll cycle (at least on a monthly basis).

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1164808 2025-005
    Material Weakness Repeat
  • 1164809 2025-005
    Material Weakness Repeat
  • 1164810 2025-006
    Material Weakness Repeat
  • 1164811 2025-006
    Material Weakness Repeat
  • 1164812 2025-007
    Material Weakness Repeat
  • 1164814 2025-008
    Material Weakness Repeat
  • 1164815 2025-008
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $2.88M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $355,956
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $58,049
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $35,799
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES $3,738
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $0