Finding 1168371 (2025-007)

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

AI Summary

  • Core Issue: Lack of documented review and approval for cash drawdowns from the Health Center Program Cluster.
  • Impacted Requirements: Non-compliance with internal control requirements outlined in 2 CFR sections 200.302(b)(6) and 200.305.
  • Recommended Follow-Up: Establish a policy for reviewing and documenting all drawdowns and their supporting records.

Finding Text

Item 2025-007 - Cash Management - 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 - (Significant Deficiency) Criteria: Non-federal entities other than states are required to have internal controls in place to ensure compliance with the requirements of cash management that are contained in 2 CFR sections 200.302(b)(6) and 200,305, 31 CFR Part 205, 48 CFR sections 52.216-7(b) and 52.232-12. Statement of Condition: During our audit, we noted that there is no evidence of review and approval of drawdowns from the Health Center Program Cluster and the supporting records. Cause: LBUCC does not have a policy in place requiring the review and approval of drawdowns from the Health Center Program Cluster to be documented. Effect: Failure to document review and approval of drawdowns may result in unauthorized or incorrect drawdowns from the Health Center Program Cluster. Questioned Costs: None. Context: Although there is no evidence of review and approval of the drawdowns, the amounts of all 8 sample drawdowns tested agreed to the underlying records and supporting documents. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that LBUCC implement a policy that requires all drawdowns and supporting documents to be reviewed and that such review and approval be documented. Management Response: Management agrees with the finding and will implement these steps to ensure compliance with the federal cost principles, strengthen internal controls, and reduce the risk of questioned costs.

Corrective Action Plan

Significant Deficiency Item 2025-007 - Cash Management - 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 HBHCS46163-03-01 During our audit, we noted that there is no evidence of review and approval of drawdowns from the Health Center Program Cluster and the supporting records. Recommendation: We recommend that LBUCC implement a policy that requires all drawdowns and supporting documents to be reviewed and that such review and approval be documented. Action Taken: LBUCC revised the drawdown policy which now includes a review and approval from the CFO and the process is documented. Effectivity Date: Implemented 12/3/2025.

Categories

Cash Management Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking

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
  • 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

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