Finding 1165326 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2025-12-18
Audit: 375917
Auditor: BT&CO P A

AI Summary

  • Core Issue: KANZA failed to provide documentation showing that suspension and debarment checks were conducted for vendors before procurement, leading to a significant deficiency in internal controls.
  • Impacted Requirements: Compliance with 2 CFR 180.300, which prohibits contracting with suspended or debarred entities, was not met for five vendors tested.
  • Recommended Follow-Up: KANZA should obtain vendor certifications or maintain documentation of SAM checks to ensure compliance and improve contract review processes.

Finding Text

Type of Finding: Significant Deficiency in Internal Control Over Compliance, Other Matters Federal Agency: U.S. Department of Health and Human Services Federal Program: Certified Community Behavioral Health Clinic, ALN No. 93.696, Award Period 9/30/2023 – 9/29/2027 Compliance Requirement: Suspension and Debarment Repeat Finding: Yes, 2024-002 Condition: During our fiscal year 2024 testing of five covered transactions (all vendors), we noted that management was not able to provide supporting documentation that suspension and debarment procedures were performed before the start of the procurement activity. The same vendors were used in fiscal year 2025. Questioned Costs: None Context: For five of the five vendors tested for suspension and debarment, management was not able to provide the required supporting documentation showing proper procedures were taken to ensure the vendors were not suspended or debarred. KANZA confirmed that the SAM check had been done but the documentation was not maintained at the time of the check. Our 2025 testing revealed that the one new vendor selected for testing was verified as not suspended or debarred prior to payment to the new vendor. Criteria: 2 CFR 180.300 prohibits entities from contracting under covered transactions to parties that are suspended or debarred from doing business with the federal government. A contract for goods or services is a covered transaction if awarded as a grant or payment for specified use and if the amount of the contract is expected to equal or exceed $25,000. In order to comply with federal suspension and debarment requirements, KANZA can perform a search in the federal System of Award Management (SAM) website, which tracks the entities that the federal government has determined are ineligible to receive federal funding; collect a certification from the entity; or add a clause or condition to the contract. Cause: The grant was new to KANZA in fiscal year 2024 and requirements were not communicated to KANZA by the grantor. Effect: The finding indicates that there could be some process improvements in how contracts are reviewed, documented and maintained to provide evidence the compliance requirements are being met. Recommendation: We recommend that KANZA either obtain certifications from vendors stating their organization is not suspended, debarred, or otherwise excluded from participation in federal assistance programs or document the procedures performed to verify the vendor is not identified as suspended or debarred on the SAM website. We understand procedures have been implemented to address the recommendation since the 2024 audit.

Corrective Action Plan

Management’s Response/Corrective Action Plan (Unaudited): Management concurs with the finding. While procedures for verifying vendor eligibility are in place, KANZA acknowledges that documentation of suspension and debarment checks was not consistently retained during the audit period. Management recognizes the importance of maintaining complete and verifiable documentation in accordance with federal procurement requirements. KANZA will implement the following actions to remediate the identified deficiency and strengthen compliance with suspension and debarment regulations: 1. Revision of Internal Procedures: Procurement policies will be updated to explicitly require suspension and debarment verification for all vendors prior to engagement and annually thereafter. Verification will be completed through SAM.gov. 2. Standardized Documentation Protocol: A standardized verification form will be implemented and required for all vendor files. The form will document the verification method, date, and staff member responsible. 3. Centralized Tracking and Monitoring: KANZA will maintain a centralized log of all suspension and debarment verifications. The log will be reviewed quarterly by the Director of Operations to ensure compliance with established procedures. 4. Staff Training: All staff involved in procurement, purchasing, and vendor management will receive training on suspension and debarment requirements and documentation standards. Training completion will be recorded. 5. Internal Compliance Reviews: Semiannual reviews of vendor files will be conducted to confirm the presence and completeness of required verification documentation. Corrective measures will be taken immediately for any identified deficiencies. Planned Completion Date: March 31, 2026 Contact Person Responsible for Correction Action: Shelby Donahoo, Director of Finance and Operations

Categories

Procurement, Suspension & Debarment

Programs in Audit

ALN Program Name Expenditures
93.696 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS $934,883
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $472,610
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $34,977