Finding 1168353 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-01-08

AI Summary

  • Core Issue: LBUCC did not conduct required exclusion searches for employees charged to HHS grants, risking compliance with federal regulations.
  • Impacted Requirements: Non-compliance with procurement, suspension, and debarment regulations under Executive Orders and 2 CFR part 180.
  • Recommended Follow-Up: Develop a formal exclusion search policy to ensure compliance and document procedures for addressing any issues found.

Finding Text

Item 2025-001 - Procurement, Suspension and Debarment - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224/93.527) Notice of Award Number 6 H80CS00505-23-04, 6 H2ECS45602-02-04, 1 H8LCS50772-01-00 and 6 H8HCS46163-03-01 - (Material Weakness) Criteria: Recipients and subrecipients are subject to the procurement, suspension and debarment regulations implementing Executive Orders 12549 and 12689, as well as 2 CFR part 180. The regulations in 2 CFR part 180 restrict making Federal awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from receiving or participating in Federal awards. The U.S. Department of Health and Human Services (HHS) Grants Policy Statement indicates that charges made to HHS grants for the salary of individuals who have been debarred, suspended or declared ineligible or who have been voluntarily excluded from covered transactions are unallowable. Statement of Condition: During our audit, we noted that there is no evidence that any exclusion search was conducted in 2025 for all sample employees tested. Cause: LBUCC did not have a policy in place to perform exclusion searches for employees whose salaries are being charged to HHS grants. Effect: Failure in conducting exclusion searches raises the risk that salaries of employees who are suspended or debarred may be charged to federally-funded programs. Questioned Costs: None Context: Although LBUCC did not conduct exclusion searches in 2025, none of the sixty samples tested were found to be suspended or debarred. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that LBUCC develop and implement a formal exclusion search policy for employees whose salaries are charged to HHS grants to ensure compliance with federal and state regulations. The policy should include documentation procedures and procedures for investigating and resolving any exceptions found during the search. Management Response: Management agrees with the finding and will develop and implement a screening policy to mitigate the risk of charging the salaries of excluded individuals to HHS grants.

Corrective Action Plan

Material Weakness Item 2025-001 - Procurement, Suspension and Debarment - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224/93.527) Notice of Award Number 6 HB0CS00505-23-04, 6 H2ECS45602-02-04, 1 H8LCS50772-01-00 and 6 H8HCS46163-03-01 During our audit, we noted that there is no evidence that any exclusion search was conducted in 2025 for all sample employees tested. Recommendation: We recommend that LBUCC develop and implement a formal exclusion search policy for employees whose salaries are charged to HHS grants to ensure compliance with federal and state regulations. The policy should include documentation procedures and procedures for investigating and resolving any exceptions found during the search. Action Taken: LBU has subscribed to the software platform Verify Comply which will allow us to upload a list of all employees and vendors in bulk for exclusion monitoring in OIG, SAM and other federal and state exclusion lists. Ongoing monitoring will occur to include all new hires and new vendors. A report will be available to support and validate monitoring. Effectivity Date: Software implementation and training is scheduled for 1/7/2026 with the expectation that all vendors and employees will be monitored by 1/30/2026.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 1168351 2025-001
    Material Weakness Repeat
  • 1168352 2025-001
    Material Weakness Repeat
  • 1168354 2025-002
    Material Weakness Repeat
  • 1168355 2025-002
    Material Weakness Repeat
  • 1168356 2025-002
    Material Weakness Repeat
  • 1168357 2025-003
    Material Weakness Repeat
  • 1168358 2025-003
    Material Weakness Repeat
  • 1168359 2025-003
    Material Weakness Repeat
  • 1168360 2025-004
    Material Weakness Repeat
  • 1168361 2025-004
    Material Weakness Repeat
  • 1168362 2025-004
    Material Weakness Repeat
  • 1168363 2025-005
    Material Weakness Repeat
  • 1168364 2025-005
    Material Weakness Repeat
  • 1168365 2025-005
    Material Weakness Repeat
  • 1168366 2025-006
    Material Weakness Repeat
  • 1168367 2025-006
    Material Weakness Repeat
  • 1168368 2025-006
    Material Weakness Repeat
  • 1168369 2025-007
    Material Weakness Repeat
  • 1168370 2025-007
    Material Weakness Repeat
  • 1168371 2025-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $6.32M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $993,718
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $690,594
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $626,094
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $62,444
32.006 COVID-19 TELEHEALTH PROGRAM $309