Finding 1168359 (2025-003)

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

AI Summary

  • Core Issue: LBUCC improperly drew down $190,688 for salary expenses incurred before the grant's budget period, violating federal requirements.
  • Impacted Requirements: Costs must be incurred within the specified period of performance as per 2 CFR Part 200 and HRSA guidelines.
  • Recommended Follow-Up: LBUCC should establish controls to ensure compliance with grant periods and provide staff training on these requirements.

Finding Text

Item 2025-003 - Period of Performance - 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: Per the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 CFR Part 200), specifically §200.77 and §200.309, costs must be incurred during the period of performance stated in the federal award. The HRSA Notice of Award for Section 330 grants also explicitly defines the budget period and restricts reimbursement to allowable costs incurred within the said timeframe. Statement of Condition: During our audit, we noted that LBUCC drew down $190,688 of federal grant funds under the Section 330 program for the budget period beginning June 1, 2024 to reimburse salary expenses incurred in May 2024. Cause: LBUCC did not have adequate controls in place to ensure that expenses reimbursed under the Section 330 grant aligned with the grant’s defined period of performance, which resulted in salary costs incurred prior to the start of the budget period to be improperly included in the drawdown request. Effect: Failure to draw funds for eligible expenses incurred within the period of performance expose LBUCC to potential repayment obligations or restrictions on future grant funding. Questioned Costs: None. Although LBUCC drew down $190,688 of salaries incurred in May 2024 from the budget period that began on June 1, 2024, LBUCC still had more than $190,688 worth of salaries of employees who worked on the Health Center Program Cluster but have not been charged to the Health Center Program Cluster. Since LBUCC is able to replace the May 2024 salaries with salaries that were incurred within the program period we do not deem that there is any questioned cost in relation to this finding. Context: There are 67 employees whose salaries were incurred in May 2024 and charged to the budget period that began June 1, 2024. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that LBUCC implement procedures to ensure that all drawdowns are supported by expenses incurred strictly within the grant’s approved period of performance and train staff on grant compliance requirements. Management Response: Management agrees with the finding and will implement these measures to strengthen their grant management practices and to prevent future noncompliance.

Corrective Action Plan

Material Weakness Item 2025-003 - Period of Performance - 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 H8/-ICS46163-03-01 During our audit, we noted that LBUCC drew down $190,688 of federal grant funds under the Section 330 program for the budget period beginning June 1, 2024 to reimburse salary expenses incurred in May 2024. Recommendation: We recommend that LBUCC implement procedures to ensure that all drawdowns are supported by expenses incurred strictly within the grant's approved period of performance and train staff on grant compliance requirements. Action Taken: A change in the process to draw down funds has been implemented to determine that the funds were incurred in the proper funding period rather than the period it was paid. Effectivity Date: Process change was implemented 12/1/2025.

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness Period of Performance

Other Findings in this Audit

  • 1168351 2025-001
    Material Weakness Repeat
  • 1168352 2025-001
    Material Weakness Repeat
  • 1168353 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
  • 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