Finding 1174260 (2025-003)

Material Weakness Repeat Finding
Requirement
G
Questioned Costs
-
Year
2025
Accepted
2026-02-18

AI Summary

  • Core Issue: Management lacks documentation to prove compliance with federal award earmarking requirements.
  • Impacted Requirements: Failure to meet compliance with 2 CFR 200.303(a) and related program objectives.
  • Recommended Follow-Up: Implement clear policies to identify earmarking requirements and ensure proper documentation is maintained.

Finding Text

Criteria: Compliance Supplement and 2 CFR 200.303(a) stated that the non-federal entity must establish and maintain effective internal control over the federal award that provides reasonable assurance that the nonfederal entity is managing the federal award in compliance with federal statutes, regulations, and terms and conditions of the federal award. Condition/Context: As a result of our audit procedures, we noted management did not have evidence retained to support its compliance with the program’s earmarking requirements related to Process Objectives, Quality Objectives, and Impact Objectives. Cause and Effect: Management has not implemented corrective actions to address prior year finding related to this compliance requirement, which led to non-compliance with program requirements. Questioned Cost: None Repeat Finding from Prior Year(s): Yes, Finding Number 2024-003 Recommendation: We recommend management implement policies and procedures to clearly identify the earmarking requirements of the program and retain proper documentations to support how the requirements are fulfilled. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. The Health System has implemented the policy titled, Alameda Health System Reports Policies – SUD Program, to ensure program earmarking requirements and proper documentation is retained to evidence fulfilled requirements. Management will continue to refine internal data collection processes to sufficiently monitor earmarking requirements.

Corrective Action Plan

Management agrees with the finding. The Health System has implemented the policy titled, Alameda Health System Reports Policies – SUD Program, to ensure program earmarking requirements and proper documentation is retained to evidence fulfilled requirements. Management will continue to refine internal data collection processes to sufficiently monitor earmarking requirements.

Categories

Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1174255 2025-004
    Material Weakness Repeat
  • 1174256 2025-004
    Material Weakness Repeat
  • 1174257 2025-004
    Material Weakness Repeat
  • 1174258 2025-004
    Material Weakness Repeat
  • 1174259 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $5.83M
93.778 MEDICAL ASSISTANCE PROGRAM $3.92M
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $578,277
93.917 HIV CARE FORMULA GRANTS $439,644
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $257,010
17.259 WIOA YOUTH ACTIVITIES $153,726
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $122,824
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $45,035
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $36,278
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $26,611
16.575 CRIME VICTIM ASSISTANCE $25,778
93.924 RYAN WHITE HIV/AIDS DENTAL REIMBURSEMENT AND COMMUNITY BASED DENTAL PARTNERSHIP GRANTS $19,621
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $0