Finding 1168244 (2025-003)

Material Weakness Repeat Finding
Requirement
M
Questioned Costs
-
Year
2025
Accepted
2026-01-07

AI Summary

  • Core Issue: The Sponsoring Organization failed to conduct initial on-site reviews for 10% of new subrecipients within the required 28-day timeframe.
  • Impacted Requirements: This oversight violates the Uniform Guidance and internal policies, risking compliance and program integrity.
  • Recommended Follow-Up: Strengthen internal controls by formalizing review processes, implementing tracking systems, and training staff on the importance of timely reviews.

Finding Text

Finding 2025-003: Subrecipient Monitoring Criteria: The Uniform Guidance (2 CFR §200.332) requires a non-Federal entity to monitor the activities of its subrecipients as necessary to ensure that Federal awards are used for authorized purposes in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Furthermore, the Organization's policy and/or CACFP regulations governing the Sponsoring Organization require an initial on-site review of each new center or Family Child Care (FCC) provider within the first 28 calendar days of program operation. This is a critical component of initial subrecipient monitoring to ensure program integrity and compliance with Federal requirements. Condition: The Sponsoring Organization did not consistently perform the required initial on-site review for new subrecipients (centers and FCC providers) within the mandatory 28-day timeframe. A sample of 40 new centers/FCC providers was selected for testing. Four (4) of the 40 subrecipients (10%) did not have their initial on-site review completed within the first 28 days of operation. The delays in conducting the initial reviews ranged from 6 to 23 days past the required 28-day deadline. Cause: The cause appears to be an inadequate internal control or process to ensure initial review scheduling and completion are prioritized and managed to meet the 28-day deadline, potentially due to competing demands or staffing limitations. Effect: Failure to conduct initial on-site reviews within the required timeframe weakens the Sponsoring Organization's internal controls over subrecipient monitoring and oversight. Timely initial reviews are essential for early identification and correction of compliance issues, proper training, and ensuring new centers/FDCH providers operate in accordance with Federal CACFP requirements from the outset. Questioned Costs: None noted. Context: This is the first time this issue has been noted as a finding. The Sponsoring Organization performed the required reviews; however, they were completed after the regulatory deadline. Repeat Finding: No. This is the first time this specific finding has been identified. Recommendation: The Sponsoring Organization should strengthen its internal controls and monitoring procedures to ensure that all new centers and FCC providers receive the required initial on-site review within the 28-day mandatory timeframe. This should include: 1. Establishing a formal process with documented timeframes for assigning and completing initial reviews immediately upon a new site's approval. 2. Implementing a system to track and alert monitoring staff of the 28-day deadline for each new subrecipient. 3. Providing targeted training to monitoring staff to emphasize the importance of timely initial reviews and the associated regulatory deadlines.

Corrective Action Plan

Finding 2025-003: Subrecipient Monitoring Condition: The Sponsoring Organization did not consistently perform the required initial on-site review for new subrecipients (centers and FCC providers) within the mandatory 28-day timeframe. View of Responsible Officials: 4C agrees with the audit finding. Corrective Action Plan: 4C will implement a new process of requiring the first visit for new providers to be conducted by the 20th of the month with notes required in kidcare system related to scheduling and rescheduling of visit. Responsible Party: Pagie Runion, Strategic Director of Business Services Anticipated Completion Date: June 30, 2026

Categories

Subrecipient Monitoring Internal Control / Segregation of Duties HUD Housing Programs

Other Findings in this Audit

  • 1168239 2025-001
    Material Weakness Repeat
  • 1168240 2025-001
    Material Weakness Repeat
  • 1168241 2025-002
    Material Weakness Repeat
  • 1168242 2025-002
    Material Weakness Repeat
  • 1168243 2025-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.558 CHILD AND ADULT CARE FOOD PROGRAM $2.04M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $493,327
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $16,520
93.434 EVERY STUDENT SUCCEEDS ACT/PRESCHOOL DEVELOPMENT GRANTS $4,386
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $4,000