Finding 1179808 (2020-012)

Material Weakness Repeat Finding
Requirement
F
Questioned Costs
-
Year
2020
Accepted
2026-03-16

AI Summary

  • Core Issue: CHCC is not complying with federal requirements for managing and documenting capital assets, specifically under 2 CFR 200.313.
  • Impacted Requirements: Lack of physical inventory documentation, incomplete maintenance records, and inadequate asset management policies.
  • Recommended Follow-Up: CHCC should enhance their capital asset policies, ensure proper documentation and retrieval processes, and establish clear links between maintenance records and asset listings.

Finding Text

Federal Agency: U.S. Department of Health and Human Services CFDA Program: 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases Award Number: 1NU50CK0004990100 and 6NU50CK0004990104 Area: Equipment and Real Property Management Questioned Costs: Undeterminable Criteria: In accordance with 2 CFR 200.313(b), a state must use, manage, and dispose of equipment acquired under a federal award in accordance with state laws and regulations. The CHCC Operating Policy: Fixed Asset/Property Changes requires the CHCC Property Management Branch to perform an annual physical inventory of all fixed assets/property and to document and control all changes in fixed assets/property. Further, in accordance with 2 CFR 200.313(d)(1), property records must include a description of the property, a serial number or another identification number, the source of funding for the property (including the FAIN), the title holder, the acquisition date, the cost of the property, the percentage of the Federal agency contribution towards the original purchase, the location, use and condition of the property, and any disposition data including the date of disposal and sale price of the property. The recipient and subrecipient are responsible for maintaining and updating property records when there is a change in the status of the property. Lastly, 2 CFR 200.313(d)(3) requires that adequate maintenance procedures must be developed to keep the property in good condition. Condition: For eight (or 100%) of eight capital assets selected for testing, the following were noted: 1. CHCC did not provide any supporting documentation that a physical inventory count was performed in FY2020. No questioned costs are presented as we are not able to quantify the extent of noncompliance. 2. CHCC’s capital assets listing does include all the required information for equipment and real property that is in accordance with 2 CFR 200.313(d)(1). No questioned costs are presented as we are not able to quantify the extent of noncompliance. 3. Capital asset items could not be traced to the results of the periodic maintenance procedures performed. No questioned costs are presented as we are not able to quantify the extent of noncompliance Cause: 1. CHCC’s current policy and procedure for capital asset listing management and maintenance are not in accordance with the federal requirements stated in 2 CFR 200.313(d)(1). 2. CHCC’s document maintenance and retention controls did not operate as designed to ensure that the recorded results of the physical inventory and maintenance procedures are stored properly and that documents are easily retrieved. 3. The results of CHCC’s periodic maintenance procedures lack unique identifiers necessary to trace the selected samples between the capital assets listing and the maintenance results. Effect: CHCC is in noncompliance with applicable Equipment and Real Property Management requirements. Questioned costs are undetermined as we are unable to quantify the extent of noncompliance. Recommendation: 1. CHCC should update the structure and contents of their current capital asset listing to include all the information required by 2 CFR 200.313(d)(1). Additionally, CHCC should improve their policies and procedures on management and maintenance of their capital asset listing. 2. CHCC should implement more stringent policies and procedures in relation to their document maintenance and retention to ensure that documents are easily retrieved and provided in a timely manner. Views of Responsible Officials: CHCC concurs with the findings. CHCC will update its Capital Assets policy to comply with the requirements of 2 CFR 200.313. Furthermore, CHCC will ensure that there is a clear crosswalk between the Preventive Maintenance Record with our Facilities Department and the Capital Assets listing that is revised pursuant to the requirements of 2 CFR 200.313. CHCC would like to clarify that although the documentation fell short of the Uniform Guidance documentation, all the physical existence and working conditions were verifiable during the audit.

Corrective Action Plan

Finding No.: 2020-012 CFDA Program: 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases Area: Equipment and Real Property Management Questioned Costs: Undeterminable Contact Person(s): Director of Procurement and Supply and Chief Financial Officer Corrective Action Plan: CHCC concurs with the findings. CHCC will update its Capital Assets policy to comply with the requirements of 2 CFR 200.313. Furthermore, CHCC will ensure that there is a clear crosswalk between the Preventive Maintenance Record with our Facilities Department and the Capital Assets listing that is revised pursuant to the requirements of 2 CFR 200.313. CHCC would like to clarify that although the documentation fell short of the Uniform Guidance documentation, all the physical existence and working conditions were verifiable during the audit. Proposed Completion Date: 09/30/2026

Categories

Equipment & Real Property Management

Other Findings in this Audit

  • 1179797 2020-004
    Material Weakness Repeat
  • 1179798 2020-005
    Material Weakness Repeat
  • 1179799 2020-006
    Material Weakness Repeat
  • 1179800 2020-004
    Material Weakness Repeat
  • 1179801 2020-005
    Material Weakness Repeat
  • 1179802 2020-006
    Material Weakness Repeat
  • 1179803 2020-007
    Material Weakness Repeat
  • 1179804 2020-008
    Material Weakness Repeat
  • 1179805 2020-009
    Material Weakness Repeat
  • 1179806 2020-010
    Material Weakness Repeat
  • 1179807 2020-011
    Material Weakness Repeat
  • 1179809 2020-013
    Material Weakness Repeat
  • 1179810 2020-014
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $3.54M
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $2.73M
15.875 ECONOMIC, SOCIAL, AND POLITICAL DEVELOPMENT OF THE TERRITORIES $1.28M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $1.09M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $867,903
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $830,826
93.982 MENTAL HEALTH DISASTER ASSISTANCE AND EMERGENCY MENTAL HEALTH $616,525
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $575,366
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $527,553
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $523,298
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $511,398
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $440,199
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $406,798
93.236 GRANTS TO STATES TO SUPPORT ORAL HEALTH WORKFORCE ACTIVITIES $394,060
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $386,129
97.088 DISASTER ASSISTANCE PROJECTS $383,157
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $311,866
93.217 FAMILY PLANNING SERVICES $307,887
93.788 OPIOID STR $285,432
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $224,726
93.377 PREVENTION AND CONTROL OF CHRONIC DISEASE AND ASSOCIATED RISK FACTORS IN THE U.S. AFFILIATED PACIFIC ISLANDS, U.S. VIRGIN ISLANDS, AND P. R. $162,175
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $131,753
93.251 EARLY HEARING DETECTION AND INTERVENTION $131,198
93.165 GRANTS TO STATES FOR LOAN REPAYMENT $125,000
93.504 FAMILY TO FAMILY HEALTH INFORMATION CENTERS $81,866
93.917 HIV CARE FORMULA GRANTS $56,747
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $54,367
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $48,878
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $44,182
93.644 ADULT MEDICAID QUALITY: IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES IN MEDICAID AND CHIP $33,438
93.314 EARLY HEARING DETECTION AND INTERVENTION INFORMATION SYSTEM (EHDI-IS) SURVEILLANCE PROGRAM $21,160
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $20,000
93.665 EMERGENCY GRANTS TO ADDRESS MENTAL AND SUBSTANCE USE DISORDERS DURING COVID-19 $9,691
16.575 CRIME VICTIM ASSISTANCE $5,730
93.817 HOSPITAL PREPAREDNESS PROGRAM (HPP) EBOLA PREPAREDNESS AND RESPONSE ACTIVITIES $3,573