Finding 1182535 (2025-004)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-03-24
Audit: 393956
Organization: Durham County (NC)

AI Summary

  • Core Issue: The County failed to conduct required second party reviews for the Work First Program, only reviewing 5% of cases instead of the mandated 25%.
  • Impacted Requirements: This non-compliance with the DSS Administrative Letter for Economic and Family Service 07-2018 increases the risk of ineligible individuals receiving benefits.
  • Recommended Follow-up: The County should adhere to state policies for case reviews and document procedures to ensure compliance and proper follow-up on identified deficiencies.

Finding Text

2025-004 Material Weakness – Eligibility Second Party Reviews Information on the Federal Program: Temporary Assistance for Needy Families, Assistance Listing Number 93.558, U.S. Department of Health and Human Services, passed through the N.C. Department of Health and Human Services (NCDHHS), Division of Social Service. Criteria: Per the DSS Administrative Letter for Economic and Family Service 07-2018, Work First Program Second Party Review Checklists must be completed at application and recertification for no less than 25% of the monthly ongoing Work First cases. The protocol must outline the persons responsible for completing the reviews and the process for follow-up as required. If second party reviews identify a trend in deficiencies; the County process for providing necessary training must also be outlined. Condition: The County was not abiding by the State policy and procedures outlined above. Reviews were not taking place at the frequency level based on number of cases. The County only reviewed 5% of the required cases during the 2025 fiscal year. Cause: The County completed second party reviews for 93 out of 1,875 cases during fiscal year 2025. The County did not meet the proper policy procedures of examining no less than 25% of cases. Effect: Lack of appropriate levels of review occurring during the year increases the risk that the County could provide benefits to individuals that are not eligible to receive those benefits. Recommendation: We recommend that the County abide by the State policies in terms of the frequency and amount of case reviews each month. We also recommend that policies and procedures are documented surrounding second party reviews and be reinforced to ensure that reviews are being completed and followed up as necessary. Auditee’s Response: The County agrees with this finding.

Corrective Action Plan

Finding 2025-004 Material Weakness – Eligibility Name of Contact Person(s): Lashonda Bacote and Latonya Chambers Management agrees with the findings. Recommendation: We recommend that the County abide by the State policies in terms of the frequency and amount of case reviews each month. We also recommend that policies and procedures are documented surrounding second party reviews and be reinforced to ensure that reviews are completed and followed up as necessary. Corrective Action: The Work First program has now implemented requirements that align with policy by ensuring a minimum review of 25% second party reviews are met monthly for all Work First cases. All reviews are documented in the Quality Control (QC) tool. The Assistant Director for QAT, will monitor monthly to ensure we meet the requirements. In addition, this tool is accessible to The Assistant Director for Work First, who will also monitor monthly and ensure that all benchmarks are met. 1. Review Process: • QAT Supervisor and Staff Development Specialist (SDS): 25% of all applications completed in the month, 25% of all recertifications completed in the month, and 25% of all employment services cases completed in the month. • Additionally, the Work First Cash Supervisor, Lead Worker, and Employment Supervisor will do monthly reviews to guarantee that we are above the 25%threshold. • During vacancies, Work First staff listed above will have increased cases to review. The QAT Supervisor will identify other staff to assist. The QAT Staff Development Specialist will train other SDS staff on WF policies and procedures by April 1, 2026. 2. Policy/Training: • Candice Leathers, Program Manager for QAT, reviewed the policy for the 25%threshold requirement for WF cases and reviewed the DSS ADMINISTRATIVE LETTER NO. ECONOMIC AND FAMILY SERVICES 7-2018 EFS_WF_AL-7-2018 Policy & Procedures with WF QAT Staff on both 09/04/25 and 10/9/2025.Implementation Date: Effective immediately and on-going.

Categories

Procurement, Suspension & Debarment Eligibility Material Weakness

Other Findings in this Audit

  • 1182530 2025-004
    Material Weakness Repeat
  • 1182531 2025-004
    Material Weakness Repeat
  • 1182532 2025-004
    Material Weakness Repeat
  • 1182533 2025-004
    Material Weakness Repeat
  • 1182534 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.563 CHILD SUPPORT SERVICES $3.69M
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $1.80M
93.667 SOCIAL SERVICES BLOCK GRANT $1.54M
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $1.21M
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $1.10M
93.658 FOSTER CARE TITLE IV-E $1.09M
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $1.08M
93.778 MEDICAL ASSISTANCE PROGRAM $924,263
93.045 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART C, NUTRITION SERVICES $813,003
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $768,663
97.052 EMERGENCY OPERATIONS CENTER $637,195
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $301,831
16.753 CONGRESSIONALLY RECOMMENDED AWARDS $244,315
93.917 HIV CARE FORMULA GRANTS $232,256
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $207,377
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $203,841
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $198,074
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $193,449
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $148,430
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $131,353
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $123,170
93.217 FAMILY PLANNING SERVICES $120,392
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $114,011
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $111,324
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $99,938
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $92,286
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $71,634
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $67,289
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $61,164
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $60,060
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $60,000
20.703 INTERAGENCY HAZARDOUS MATERIALS PUBLIC SECTOR TRAINING AND PLANNING GRANTS $54,878
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $46,113
16.606 STATE CRIMINAL ALIEN ASSISTANCE PROGRAM $25,090
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $24,257
16.922 EQUITABLE SHARING PROGRAM $15,784
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $14,217
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $11,723
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $11,721
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $8,803
21.016 EQUITABLE SHARING $8,511
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $8,125
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $7,186
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND OTHER SUBSTANCES USE PROGRAM $6,906
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $5,935
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $2,880
45.312 NATIONAL LEADERSHIP GRANTS $2,279
93.659 ADOPTION ASSISTANCE $1,308
81.128 ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM (EECBG) $887
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $0
97.067 HOMELAND SECURITY GRANT PROGRAM $0