Finding 1179011 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-03-11

AI Summary

  • Core Issue: The Center failed to adequately review vendors for suspension and debarment, violating federal guidelines.
  • Impacted Requirements: Noncompliance with §200.213 and §180.300 regarding vendor eligibility for federal assistance.
  • Recommended Follow-Up: Implement stronger internal controls for vendor reviews and ensure staff are trained on compliance procedures.

Finding Text

Finding 2025.001: Procurement, Suspension and Debarment - Significant Deficiency Name of Federal Agency: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless and Public Housing Primary Care) Grants for New and Expanded Services under the Health Center Program COVID-19 Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H8012843 - 2025 and 2024, H8L51743 - 2023 and H2E50081 2024 and 2023 Criteria In accordance with §200.213 and §180.300, nonfederal entities cannot enter into awards, subawards, or contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in federal assistance programs or activities. Condition The Center did not have adequate evidence that they reviewed vendors for suspension and debarment in accordance with the Uniform Guidance requirements. Cause The Center did not have adequate internal controls in place to illustrate a review for suspended or debarred vendors. Effect or Potential Effect The Center may have vendors that have been suspended or debarred from doing business with the federal government. Questioned costs None. Context A selection of four vendors was made for suspension and debarment testing. For three of the vendors tested, management did not provide adequate supporting documentation for the review and approval of the vendors as to whether they have been suspended or debarred. Identification as a Repeat Finding This finding is not a repeat finding. Recommendation The Center should establish a system of internal controls to review vendors in accordance with the Uniform Guidance requirements for suspension and debarment. These procedures should be reviewed with the appropriate staff to ensure compliance with requirements. Views of Responsible Officials Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

Corrective Action Plan

Recommendation The Center should establish a system of internal controls to review vendors in accordance with the Uniform Guidance requirements for suspension and debarment. These procedures should be reviewed with the appropriate staff to ensure compliance with requirements Action Taken Community Health and Wellness Center has a contract management process in place to review contracts, vendors and employees in accordance with Uniform Guidance requirements for suspension and debarment. The following action will be taken: 1. We will review the list of vendors and contractors quarterly to ensure the list is updated with active contractors or vendors. 2. We will include Disbarment checks on an annual basis or more frequently as new contracts are executed, on the Sam.Gov portal for all contractors and vendors so as not to miss any contracts that are supported with federal dollars. Having this process will also alleviate challenges and barriers of administrative oversight of having to carve out federal contracts and create greater efficiencies. 3. We will maintain the documentation of all the annual disbursement checks. If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call: Joanne Borduas, CEO at (860) 387-0425

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1179009 2025-001
    Material Weakness Repeat
  • 1179010 2025-001
    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) $2.39M
93.493 CONGRESSIONAL DIRECTIVES $232,000
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $66,002
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $65,373
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $8,229