Finding 1171920 (2024-005)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2024
Accepted
2026-02-02
Audit: 384963
Organization: Community Benefit Solutions (PA)

AI Summary

  • Core Issue: Incomplete eligibility documentation for participants in the CACFP, with 2 out of 40 cases lacking valid records.
  • Impacted Requirements: Federal guidelines mandate that all eligibility documentation must be current, complete, and available for audit review.
  • Recommended Follow-Up: Strengthen documentation procedures, implement a standardized intake process, and train staff on compliance requirements.

Finding Text

2024-005 Federal Agencies: U.S. Department of Agriculture Federal Program Names: Child and Adult Care Food Program Assistance Listing Numbers: 10.558 Pass-Through Agency: Commonwealth of Pennsylvania, Department of Education Pass-Through Number: 359-46-477-8 Award Period: July 1, 2023 through June 30, 2024 Type of Finding: • Material Weakness in Internal Control over Compliance Criteria: Under CACFP program requirements, participating organizations must maintain complete and accurate eligibility documentation for all individuals receiving free or reduced price meals. Eligibility must be supported by appropriate verification of household income or evidence that the participant receives assistance from another qualifying federal program. These records must be current, complete, and available for audit review. Condition: During our testing of participant eligibility, we selected a sample of 40 participants receiving meals at centers contracted with the CBS Food Program. For 2 of the 40 participants, management was unable to provide complete and valid eligibility documentation. In one instance, the only available eligibility form had been prepared in a future fiscal year, and in another instance, the eligibility form could not be located at all. Questioned Costs: None Cause: The organization’s existing process for maintaining and managing CACFP eligibility documentation is not sufficiently controlled to ensure that all required forms are collected, retained, and maintained in accordance with federal program requirements. Contributing factors may include inadequate file management procedures, insufficient staff oversight, or the absence of a documented monitoring and follow up process for missing or inconsistent forms. Effect: Failure to maintain complete and accurate eligibility documentation increases the risk of ineligible participants being claimed for reimbursement, which could result in questioned costs, repayment obligations, or findings by federal or pass through oversight agencies. In addition, incomplete participant files limit management’s ability to demonstrate compliance with federal eligibility requirements and may affect future program funding. Recommendation: We recommend that management strengthen its CACFP eligibility documentation procedures to ensure that all required forms are properly completed, collected, and retained for every participant. This should include implementing a standardized intake process, maintaining timely reviews to confirm completeness of eligibility files, and developing a tracking or monitoring system to identify missing or outdated documentation. Management should also reinforce internal expectations for timely updating of eligibility files and ensure staff are trained on CACFP documentation requirements. Views of Responsible Officers and Corrective Action Plan: Please refer to Community Benefit Solutions dba CBS Food Program’s Corrective Action Plan.

Corrective Action Plan

2024-005 Material Weakness in Internal Control over Compliance 10.558 – Child and Adult Care Food Program Commonwealth of Pennsylvania, Department of Education Contract Number: 359-46-477-8 Condition: During our testing of participant eligibility, we selected a sample of 40 participants receiving meals at centers contracted with the CBS Food Program. For 2 of the 40 participants, management was unable to provide complete and valid eligibility documentation. In one instance, the only available eligibility form had been prepared in a future fiscal year, and in another instance, the eligibility form could not be located at all. Recommendation: We recommend that management strengthen its CACFP eligibility documentation procedures to ensure that all required forms are properly completed, collected, and retained for every participant. This should include implementing a standardized intake process, maintaining timely reviews to confirm completeness of eligibility files, and developing a tracking or monitoring system to identify missing or outdated documentation. Management should also reinforce internal expectations for timely updating of eligibility files and ensure staff are trained on CACFP documentation requirements. Repeat Finding: No Explanation of Disagreement with Audit Finding There is no disagreement with the audit finding. Action taken in response to finding: On February 1, 2025, Community Benefit Solutions rolled out the KidKare software system wide. KidKare is a CACFP software that allows Community Benefit Solutions to digitally process all eligibility-documentation, standardize the enrollment procedures, ensure forms are completed in accordance with the relevant regulations, request updated documentation upon the expiration of enrollment forms, and digitally store all the eligibility related information for all participants. Planned completion date for corrective action plan: June 30, 2025

Categories

Eligibility Internal Control / Segregation of Duties Subrecipient Monitoring Cash Management Material Weakness

Other Findings in this Audit

  • 1171903 2024-004
    Material Weakness Repeat
  • 1171904 2024-006
    Material Weakness Repeat
  • 1171905 2024-007
    Material Weakness Repeat
  • 1171906 2024-008
    Material Weakness Repeat
  • 1171907 2024-009
    Material Weakness Repeat
  • 1171908 2024-010
    Material Weakness Repeat
  • 1171909 2024-011
    Material Weakness Repeat
  • 1171910 2024-012
    Material Weakness Repeat
  • 1171911 2024-004
    Material Weakness Repeat
  • 1171912 2024-006
    Material Weakness Repeat
  • 1171913 2024-007
    Material Weakness Repeat
  • 1171914 2024-008
    Material Weakness Repeat
  • 1171915 2024-009
    Material Weakness Repeat
  • 1171916 2024-010
    Material Weakness Repeat
  • 1171917 2024-011
    Material Weakness Repeat
  • 1171918 2024-012
    Material Weakness Repeat
  • 1171919 2024-004
    Material Weakness Repeat
  • 1171921 2024-006
    Material Weakness Repeat
  • 1171922 2024-007
    Material Weakness Repeat
  • 1171923 2024-009
    Material Weakness Repeat
  • 1171924 2024-010
    Material Weakness Repeat
  • 1171925 2024-011
    Material Weakness Repeat
  • 1171926 2024-012
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.558 CHILD AND ADULT CARE FOOD PROGRAM $5.69M
10.555 NATIONAL SCHOOL LUNCH PROGRAM $780,169
10.559 SUMMER FOOD SERVICE PROGRAM FOR CHILDREN $16,260