Finding 1165231 (2025-001)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2025
Accepted
2025-12-17
Audit: 375620
Organization: Porter-Leath (TN)

AI Summary

  • Core Issue: Daily and monthly meal count forms were not properly reconciled to claims for reimbursement, leading to discrepancies in reported meals served.
  • Impacted Requirements: Compliance with Title 7 of the Code of Federal Regulations, Section 226.10(c), which mandates accurate claims supported by proper records.
  • Recommended Follow-Up: Implement stronger controls, including documented reviews and training for staff on meal count and reimbursement processes, to ensure accuracy and compliance.

Finding Text

22025-001 – Meal Count Forms Not Reconciled to Claim for Reimbursement U.S. Department of Agriculture Child and Adult Care Food Program (CACFP) – AL #10.558 TN Department of Human Services Compliance Requirement – Activities Allowed Condition: We noted several instances in which the daily and monthly meal count forms were not reconciled to the claim for reimbursement for the month. In addition, there were instances in which the number of meals reported as served on a particular day exceeded the number of students in attendance. Criteria: Title 7 of the Code of Federal Regulations, Section 226.10(c) states, “In submitting a claim for reimbursement, the institution shall certify that the claim is correct and that records are available to support the claim.” Cause: There is a lack of documented controls in place relating to reconciling daily and monthly meal count information to the claim for reimbursement. Additionally, as this is a manual process as opposed to an automated process, errors are more likely to occur. Effect: Lack of proper reconciliation to the claim for reimbursement forms could ultimately result in funds to be returned to the State. Context: A sample of forty (40) daily meal count forms and twenty monthly meal count forms (20) were selected for testing. While the daily census data was reviewed by the Site Manager, the number of meals served for the individual day exceeded the number of students in attendance for four (4) selections. Additionally, while the claim for reimbursement was prepared by the Lead Cook and reviewed by the Site Manager, the claim did not agree to the monthly and daily meal count census data for eight (8) selections. This resulted in both known and projected questioned costs that were well below the reportable $25,000 and are not material to the program. Recommendation: We recommend that management implement additional controls over the CACFP meal count and reimbursement process. This should include implementing documented review procedures in which daily and monthly meal count forms are compared to attendance records and reconciled to the site’s claim for reimbursement by multiple program personnel prior to submission. Reviewers should document their review and approval. Management should also provide additional training to personnel responsible for completing and reviewing meal count forms, preparing claims for reimbursement, and performing reconciliations between these records. In addition, management should establish a separate supervisory review to verify that: the number of meals claimed does not exceed participant attendance, totals reporting on the site’s claim form agree to supporting meals count documentation, and any discrepancies identified are investigated and resolved in a timely manner. Management’s Response: See accompanying management’s corrective action plan.

Corrective Action Plan

2025-001: Meal Count Forms Not Reconciled to Claim for Reimbursement Issue: Daily and monthly meal count forms were not reconciled to the claim for reimbursement, and in several instances meals claimed exceeded participant attendance. Supervisory review was not documented, and meal count reconciliation occurred through manual processes that increased the likelihood of error. Corrective Actions: Porter-Leath will implement a unified reconciliation process for CACFP meal counts that requires attendance, point-of-service meal counts, and delivery counts to be reviewed together before the monthly claim is submitted. 1. Site Managers will verify that meals served never exceed daily attendance and that all claims agree to supporting census and meal documentation. 2. The Food Service Lead will prepare the monthly claim only after attendance data from ChildPlus or ProCare and meal count forms are validated and matched. 3. A supervisory review will be required at each site and documented prior to submission to CACFP leadership. 4. The CACFP Coordinator will conduct a final reconciliation to confirm accuracy and resolve discrepancies before Finance processes the claim. Responsible Personnel: CACFP Coordinator, Site Managers, Food Service Lead, Health, Disabilities & Nutrition Manager Timeline: Procedures finalized within 10 days; staff trained within 30 days; full implementation with the next monthly claim cycle after training is complete. Monitoring: Quarterly monitoring will verify adherence to reconciliation and review requirements, including documented supervisory approval.

Categories

Cash Management Reporting

Other Findings in this Audit

  • 1165232 2025-002
    Material Weakness Repeat
  • 1165233 2025-003
    Material Weakness Repeat
  • 1165234 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.600 HEAD START $7.75M
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $2.93M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $923,139
10.558 CHILD AND ADULT CARE FOOD PROGRAM $798,633
94.011 AMERICORPS SENIORS FOSTER GRANDPARENT PROGRAM (FGP) 94.011 $769,383
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $451,371
94.006 AMERICORPS STATE AND NATIONAL 94.006 $428,900
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $299,600
94.017 AMERICORPS SENIORS SENIOR DEMONSTRATION PROGRAM (FGP) 94.017 $258,473
10.555 NATIONAL SCHOOL LUNCH PROGRAM $3,107