Finding 1170548 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-01-26

AI Summary

  • Core Issue: Monthly meal counts for the School Breakfast Program were not fully supported by documentation, leading to inaccuracies in claims.
  • Impacted Requirements: Failure to maintain accurate records as per 7 CFR 225.15 (c)(1) and 7 CFR 226.10 (c) may result in denial of reimbursement.
  • Recommended Follow-Up: Strengthen controls over meal counting and claims to ensure accuracy and compliance with federal regulations.

Finding Text

Criteria Per 7 CFR 225.15 (c)(1), “Sponsors shall maintain accurate records justifying all meals claimed and documenting that all program funds were spent only on allowable Child Nutrition Program costs. Failure to maintain such records may be grounds for denial of reimbursement for meals served and/or administrative costs claimed during the period covered by the records in question. The sponsor's records shall be available at all times for inspection and audit by representatives of the Secretary, the Comptroller General of the United States, and the State agency for a period of three years following the date of submission of the final claim for reimbursement for the fiscal year.” Per 7 CFR 226.10 (c), “Claims for Reimbursement shall report information in accordance with the financial management system established by the State agency, and in sufficient detail to justify the reimbursement claimed… In submitting a Claim for Reimbursement, each institution shall certify that the claim is correct and that records are available to support that claim.” Condition During the procedures performed over meals claimed under the School Breakfast Program in the fiscal year 2025, it was noted that monthly meal counts recorded in the District’s Cafeteria Management System (CMS) were not fully supported by underlying documentation (e.g., meal count sheets). We sampled a total 25 daily meal counts from the months of September 2024, November 2024, and February 2025. We then validated that the meal counts recorded in the CMS for Breakfast and Lunch were supported by either meal count sheets used at the school sites or by the point-of-sale (POS) system data. As a result of our testing, we noted variances in four (4) daily meal counts between the CMS count and the meal count sheets for Breakfast in Class. Breakfast counts were overclaimed by 111 based on a total sample of 3,793 meals tested from a total reported population of 12,688,107 meals. Our samples were statistically valid samples. Cause and Effect The condition is as a result of human error while manually counting the paper meal count sheets for Breakfast in Class. Inaccurate claims of meal counts could lead to questioned costs. Questioned Costs Federal regulation 2 CFR 200.516 (a)(3) requires the auditor to report questioned costs when likely questioned costs exceed $25,000. An overclaim of $315 was identified, resulting from overclaimed quantities of 111 breakfasts multiplied by the reimbursement rate of $2.84 under the School Breakfast Program – Severe Need. Recommendation We recommend the District continue to strengthen its controls over the meal claim process to ensure that meals are accurately counted, input into CMS, and claimed for reimbursement.

Corrective Action Plan

The Food Services Division is committed to providing great food and maintaining rigorous internal controls and continuous monitoring to safeguard program integrity. The discrepancy found at one school is not representative of our program, as we do ongoing random audits of submitted claims to verify the accuracy of submitted data. These layered oversight measures provide multiple levels of verification to minimize and eliminate the likelihood of reporting errors and ensure compliance with applicable state and federal program requirements. At Annalee El, the school with an overclaim of 104 meals, we found that the manager had moved from the school, and in the interim, our review protocol fell short. Given the large volume of meals served annually across the District, the over-claim discrepancy identified during the FY 24-25 audit represents an isolated incident rather than a systemic deficiency in LAUSD Food Services operations. The claim verification process followed at schools is stated below: • The Food Service Manager conducts a weekly review of the prior week’s daily meal count documents to identify and correct any discrepancies. • The Food Service Manager generates and reviews a weekly Meal Counts Report from the Cafeteria Management System (CMS) to verify recorded data. • The Food Service Manager compares the daily meal count documents against the five-day Meal Counts Report to ensure data alignment and accuracy. • The Manager performs an additional verification by reconciling daily meal count documents with the five-day Meal Counts Report from CMS. Any identified errors are corrected immediately in CMS. This reconciliation process is completed prior to the submission of claims to the Child Nutrition Information and Payment System. • The Area Food Services Supervisor (AFSS) and Regional Manager (RM) conduct random weekly reviews of meal counts for accuracy, utilizing reports provided by Central Office staff to support this verification process. • Central Office staff perform a monthly audit of meal count records and prepare a draft report for review by the AFSS and RM to validate findings and confirm accuracy. Retraining of the staff at Annalee El has been completed, and the manager and supervisor teams are verifying that the above protocol is being followed consistently at all schools. Name: Manish Singh Title: Director, Food Services Division Telephone: (213) 241-2993

Categories

School Nutrition Programs Cash Management

Other Findings in this Audit

  • 1170549 2025-002
    Material Weakness Repeat
  • 1170550 2025-003
    Material Weakness Repeat
  • 1170551 2025-002
    Material Weakness Repeat
  • 1170552 2025-003
    Material Weakness Repeat
  • 1170553 2025-002
    Material Weakness Repeat
  • 1170554 2025-003
    Material Weakness Repeat
  • 1170555 2025-002
    Material Weakness Repeat
  • 1170556 2025-003
    Material Weakness Repeat
  • 1170557 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.553 SCHOOL BREAKFAST PROGRAM $120.33M
84.367 SUPPORTING EFFECTIVE INSTRUCTION STATE GRANTS (FORMERLY IMPROVING TEACHER QUALITY STATE GRANTS) $35.24M
84.424 STUDENT SUPPORT AND ACADEMIC ENRICHMENT PROGRAM $27.05M
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $10.77M
84.010 TITLE I GRANTS TO LOCAL EDUCATIONAL AGENCIES $7.25M
10.559 SUMMER FOOD SERVICE PROGRAM FOR CHILDREN $5.98M
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $4.06M
84.334 GAINING EARLY AWARENESS AND READINESS FOR UNDERGRADUATE PROGRAMS $3.93M
10.555 NATIONAL SCHOOL LUNCH PROGRAM $2.87M
10.558 CHILD AND ADULT CARE FOOD PROGRAM $2.79M
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $2.65M
84.002 ADULT EDUCATION - BASIC GRANTS TO STATES $2.43M
84.184 SCHOOL SAFELY NATIONAL ACTIVITIES $1.97M
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $1.87M
12.U01 RESERVE OFFICER TRAINING CORPS VITALIZATION ACT $1.70M
17.259 WIOA YOUTH ACTIVITIES $1.45M
84.048 CAREER AND TECHNICAL EDUCATION -- BASIC GRANTS TO STATES $1.25M
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $1.18M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $832,667
84.173 SPECIAL EDUCATION PRESCHOOL GRANTS $770,145
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $716,348
93.079 COOPERATIVE AGREEMENTS TO PROMOTE ADOLESCENT HEALTH THROUGH SCHOOL-BASED HIV/STD PREVENTION AND SCHOOL-BASED SURVEILLANCE $440,085
84.287 TWENTY-FIRST CENTURY COMMUNITY LEARNING CENTERS $287,299
17.258 WIOA ADULT PROGRAM $263,680
93.600 HEAD START $256,983
84.196 EDUCATION FOR HOMELESS CHILDREN AND YOUTH $254,052
97.039 HAZARD MITIGATION GRANT $160,805
84.060 INDIAN EDUCATION GRANTS TO LOCAL EDUCATIONAL AGENCIES $121,157
84.365 ENGLISH LANGUAGE ACQUISITION STATE GRANTS $115,683
93.778 MEDICAL ASSISTANCE PROGRAM $82,840
17.245 TRADE ADJUSTMENT ASSISTANCE $60,329
84.011 MIGRANT EDUCATION STATE GRANT PROGRAM $51,759
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $22,620
10.665 SCHOOLS AND ROADS - GRANTS TO STATES $21,766
84.425 EDUCATION STABILIZATION FUND $11,741
84.027 SPECIAL EDUCATION GRANTS TO STATES $6,501
10.574 TEAM NUTRITION GRANTS $5,226
84.422 AMERICAN HISTORY AND CIVICS EDUCATION $3,765