Finding 1181351 (2025-003)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-03-18

AI Summary

  • Core Issue: Seven cases lacked required signatures or dates, and twelve had missing documentation, impacting eligibility verification.
  • Impacted Requirements: Compliance with Food and Nutrition Services documentation standards, as outlined in the Certification Manual, was not met.
  • Recommended Follow-Up: Conduct internal reviews of case files, retrain staff on documentation requirements, and implement second-party reviews for accuracy.

Finding Text

Criteria: Food and Nutrition Services case files to require proper documentation be contained in the case record to verify eligibility. The case file should contain a completed, signed (telephonic signature is allowable) and dated Food and Nutrition Services application (DSS-8207 or electronically generated ePASS application). The form must be signed by an adult household member (or an authorized representative), and NC FAST captures the user ID which serves as the worker’s electronic signature. Additionally, employment program participation is required for specified applicants. Eligibility criteria further outlined in Food and Nutrition Services Certification Manual, Section 305 through Section 350. Condition: There were Seven (7) cases lacking the required signature or date certifying the documentation, Twelve (12) cases in which the proper documentation was not provided for the client, Six (6) cases of NC FAST evidence input error, and Three (3) cases of incomplete or incorrect income verifications. Questioned Costs: While there was an affect to eligibility, there were no questioned costs. Context: We examined 60 out of 3,761 Food and Nutrition Services case files active during the fiscal year to ensure verifications used to determine eligibility were properly documented. Effect: For the active cases, there was a chance that information was not adequately documented or were not accessible NC FAST which affect general adherence to prescribed guidelines. Identification of a repeat finding: This is a repeat finding from the immediate previous audit, 2024-003. Cause: Ineffective record keeping and ineffective case review process, incomplete documentation, and incorrect application of rules for purposes of determining eligibility. Recommendation: Files should be reviewed internally to ensure proper documentation is in place for eligibility. Workers should be retrained on what files should contain and the importance of complete and accurate record keeping. We recommend that all supporting documentation used for eligibility verification be reviewed for completeness and reconciled to the information provided in worker dictation. Views of responsible officials and planned corrective actions: The County agrees with the finding. Supervisors will perform second party reviews to ensure proper documentation is contained in files to support eligibility determinations. Workers will be retrained on what information should be maintained in case files, the importance of complete and accurate record keeping, and reserve calculations. The County finance office will also participating in the review process.

Corrective Action Plan

Name of contact Person: Brittany Naylor, Director of Social Services Corrective action: This finding is listed as a repeat finding on the Food and Nutrition Services program and was a citedfindinginpreviousaudit2024-003.LenoirCountyhasdiscoveredtherootcausesforthesecontinuedfindings and have made the following updates to alleviate these issues. The root causes for these findings stems from ineffective processes from the time documentation is received to when it is transferred to the worker, staff in training and worker oversight and error when documenting case actions. Lenoir County will implement the following for theFood and Nutrition Servicescaseactionscited for theSingleCounty Audit Fiscal Year ending June 30, 2025. Staff meeting will be held Wednesday, February 18, 2026 and the following training materials will be discussed and provided to the Food and Nutrition staff to ensure continued understanding and knowledge of program requirements. With new staff in training, the following documentation from prior year will be provided again. This will include documentation and guidance of policy/DSS Administrative letter. The DSS Administrative letter EFS_FNS_AL-35-2020 will be provided detailing the Telephonic Signature for Food and Nutrition Services Applications and Recertifications (amended) as of September I, 2020. (Where to document on applications and recertifications and must have a standalone note and cannot contain any additional characters or spaces). Verbally explain and provide the DSS-8569 form and ensure that staff are creating and mailing required documents to clients as required by policy. Training will include explanation and guidance on how the case file must be documented with the date the notice was verbally explained, how the notice was given, if by hand deliver or mailed. Verbally explain and provide policy 130.01 Documentation/Record Retention and policy 130.03 Case Record Documentation to ensure that staff understand how to correctly document case actions, attach documents in NCF AST and provide detailed information on how income was verified. Providing staff with copies of the Single County Audit findings, the Corrective Action plan and staff expectations to ensure that staff is well informed of the findings and what is expected from the Corrective Action Plan implementation. Front Desk Staff will train on how to effectively complete Telephonic Signature Standalone verifications correctly before submitting to ongoing workers. Staff will be required to check documentation and case notes thoroughly before proceeding with case disposition to ensure Telephonic Standalone Signature has been added, if applicable. Supervisors and/or Lead Worker will complete 100% 2nd party reviews on all new hires until each worker receives a 98% or higher accuracy processing rating and will complete a minimum of 5 2nd party reviews for each existing worker to target these key areas of concern until all workers reach and maintain a 98% or higher accuracy processing rating. Supervisors and Lead Workers will continue to monitor case actions and provide monthly statistical data detailing case findings. The Supervisor and Lead Worker will provide a list of findings and maintain scheduled monthly meetings with staff to provide feedback and coaching to ensure continued compliance of program requirements. The meetings held will consist of staff unit meetings and/or individual conferences provided by the Supervisors in an effort to effectively catch and manage error trends that have been discovered from 2nd party review findings. All documentation will be submitted to the Administrator for review and will be discussed and reviewed with the Supervisors during monthly conference meetings. The Administrator will provide monthly updates on case actions and findings to the Director. Proposed Completion Date: Training will be held with Food and Nutrition Staff on Wednesday, February 18, 2026 for eligibility issues cited. Corrective Action Plan will be implemented immediately after training and significant improvement of all areas cited must be maintained by June 30, 2026

Categories

Eligibility

Other Findings in this Audit

  • 1181349 2025-001
    Material Weakness Repeat
  • 1181350 2025-002
    Material Weakness Repeat
  • 1181352 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.778 MEDICAL ASSISTANCE PROGRAM $2.14M
93.563 CHILD SUPPORT SERVICES $1.23M
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $807,809
97.044 ASSISTANCE TO FIREFIGHTERS GRANT $491,874
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $456,752
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND OTHER SUBSTANCES USE PROGRAM $354,827
20.526 BUSES AND BUS FACILITIES FORMULA, COMPETITIVE, AND LOW OR NO EMISSIONS PROGRAMS $301,200
20.509 FORMULA GRANTS FOR RURAL AREAS AND TRIBAL TRANSIT PROGRAM $236,792
16.585 TREATMENT COURT DISCRETIONARY GRANT PROGRAM $164,119
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $146,978
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $128,073
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $116,858
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $68,322
93.217 FAMILY PLANNING SERVICES $55,528
93.917 HIV CARE FORMULA GRANTS $53,337
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $49,859
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $40,000
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $35,958
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $33,804
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $30,741
93.667 SOCIAL SERVICES BLOCK GRANT $24,556
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $24,251
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $14,800
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $13,126
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $8,125
93.658 FOSTER CARE TITLE IV-E $4,646
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $3,411
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $3,000
16.606 STATE CRIMINAL ALIEN ASSISTANCE PROGRAM $2,219
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $2,000
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $1,500
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $100