Finding 1175026 (2025-002)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-02-23
Audit: 388651
Organization: Lifelong Medical Care (CA)

AI Summary

  • Core Issue: Timesheets for hourly employees lack documented supervisory approval, leading to a significant deficiency in internal controls over payroll costs charged to federal grants.
  • Impacted Requirements: Compliance with 2 CFR 200.430(i) and internal policies, which mandate accurate records and supervisory review for labor cost allowability.
  • Recommended Follow-Up: Implement a standardized process for supervisory review and approval of timesheets, including guidelines for timely reviews and retention of documentation; consider periodic audits to ensure compliance.

Finding Text

Finding 2025-002 – Inadequate Documentation of Timesheet Approval for Payroll Costs Charged to the Grant – Significant Deficiency in Internal Control over Compliance Federal Program: U.S. Department of Health and Human Services Health Center Program Cluster (Federal Assistance Listing # 93.224/93.527) and Substance Abuse and Mental Health Services Projects of Regional and National Significance (Federal Assistance Listing # 93.243) Federal Agency: U.S. Department of Health and Human Services Award Year: 2024-2025 Criteria: Per 2 CFR 200.430(i) and LifeLong’s internal timekeeping policies, charges to federal awards must be supported by records that accurately reflect the work performed and must be reviewed and approved by an appropriate supervisor to ensure allowability, allocability, and reasonableness of labor costs. Condition: During our allowability testing of payroll costs charged to the Health Center Program Cluster and Substance Abuse and Mental Health Services Projects of Regional and National Significance, it was identified that timesheets for hourly employees lacked evidence of supervisory approval. For 4 out of 40 hourly employee samples tested, management was unable to provide documentation demonstrating that the related timesheets were reviewed and approved prior to payroll processing. Potential effect: Without documented supervisory approval, the internal control over payroll costs charged to the federal program may not be adequately supported. This represents a significant deficiency in the operation of internal controls that is important enough to merit the attention of those charged with governance. Questioned costs: No questioned costs are reported because payroll hours worked could be substantiated through alternative documentation; while not an instance of material noncompliance, the lack of approval documentation represents a significant deficiency in internal control over timekeeping requirements. Context: We selected a sample of 80 employee pay periods from a statistically valid population of employees eligible for payroll disbursement under the expenditures of federal awards during the fiscal year ended June 30, 2025, of which 40 employees are hourly employees. In 4 out of 40 samples tested, LifeLong was unable to provide documentation demonstrating that the related timesheets were reviewed and approved prior to payroll processing. Repeat Finding: This is not a repeat finding. Recommendation: We recommend that LifeLong implements a standardized process requiring supervisory review and documented approval of all employee timesheets prior to payroll processing. This process should include clear guidelines for supervisors on timely review and approval, as well as retention of approved timesheets as supporting documentation. Additionally, periodic internal audits or spot checks could be conducted to verify adherence to these procedures and promptly address any discrepancies. Views of responsible officials: LifeLong concurs with the finding. LifeLong is working on strengthening its timekeeping and payroll approval controls to ensure that all hourly employees’ timesheets include documented supervisory approval prior to processing payroll or charging costs to any federal award.

Corrective Action Plan

2025-002 Inadequate Documentation of Timesheet Approval for Payroll Costs Charged to the Grant - Significant deficiency in Internal Control over Compliance Name of Contact Person: Daphne Chan, Interim Head of Finance Corrective Action: Lifelong Medical Care will: - Continue to update configuration of the newly implemented payroll system to adequately support processes - Revise the payroll and timekeeping policy to clearly require electronic or manual supervisory approval for all hourly timesheets before payroll processing. - Provide refresher training to supervisors on federal grant requirements related to allowable payroll costs and the necessity of timely timesheet approval. - Implement a periodic monitoring process to review samples of timesheets each pay period to confirm that approvals are documented and retained. - Maintain approved timesheets in accordance with the Lifelong's document retention policy and federal grant requirements. Estimated Completion Date: June 30, 2026 Signed by Daphne Chan Interim Head of Finance

Categories

Allowable Costs / Cost Principles Significant Deficiency

Other Findings in this Audit

  • 1175011 2025-001
    Material Weakness Repeat
  • 1175012 2025-001
    Material Weakness Repeat
  • 1175013 2025-001
    Material Weakness Repeat
  • 1175014 2025-001
    Material Weakness Repeat
  • 1175015 2025-001
    Material Weakness Repeat
  • 1175016 2025-002
    Material Weakness Repeat
  • 1175017 2025-002
    Material Weakness Repeat
  • 1175018 2025-002
    Material Weakness Repeat
  • 1175019 2025-002
    Material Weakness Repeat
  • 1175020 2025-002
    Material Weakness Repeat
  • 1175021 2025-002
    Material Weakness Repeat
  • 1175022 2025-002
    Material Weakness Repeat
  • 1175023 2025-002
    Material Weakness Repeat
  • 1175024 2025-002
    Material Weakness Repeat
  • 1175025 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $960,000
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $704,689
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $436,376
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $337,773
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $267,661
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $225,961
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $215,000
94.006 AMERICORPS STATE AND NATIONAL 94.006 $166,966
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $150,000
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $145,000
93.917 HIV CARE FORMULA GRANTS $120,929
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $112,691
93.172 HUMAN GENOME RESEARCH $97,636
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $78,784
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $73,582
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $73,333
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $61,091
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $51,288
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $37,129
93.778 MEDICAL ASSISTANCE PROGRAM $29,070
14.267 CONTINUUM OF CARE PROGRAM $17,535
93.113 ENVIRONMENTAL HEALTH $16,694