Finding 1205357 (2025-001)

Material Weakness Repeat Finding
Requirement
E
Questioned Costs
-
Year
2025
Accepted
2026-03-31
Audit: 397052
Auditor: UHY LLP

AI Summary

  • Core Issue: The Health Department failed to keep necessary documentation for verifying participant eligibility, leading to potential compliance risks.
  • Impacted Requirements: The lack of documentation violates Uniform Guidance, which mandates maintaining evidence for compliance with program eligibility.
  • Recommended Follow-Up: Management should enhance procedures for documenting eligibility and implement stronger oversight to ensure only eligible individuals receive services.

Finding Text

2025-001 U.S. Department of Health and Human Services, AL No. 10.557 Eligibility MATERIAL WEAKNESS AND NONCOMPLIANCE Condition: Lack of adequate supporting documentation. No supporting income, residential and other eligibility documentation was maintained by the Health Department after certifying the individual and entering the data directly in the State’s reporting website. As a result, we were unable to perform testing procedures over eligibility compliance requirements. Criteria: LCHD is required to maintain adequate documentation to provide evidence of their compliance with requirements applicable to each program funded under the Uniform Guidance. Cause: LCHD lacked adequate procedures over the maintenance of documentation to verify program participants met all eligibility requirements; Categorical, Identity & Residence, Income, and Nutritional Risk. This was a result of miscommunication in identifying the documentation that should be kept and maintained during a participant’s Certification and length of time records should be maintained after entering the information in the State’s reporting website. Effect: Services may have been provided to ineligible participants. Recommendation: Management should continue to evaluate procedures for capturing, reporting, and maintaining personnel, expense, and participant eligibility documentation, related to their various federal award programs. In order to ensure services are only provided to eligible individuals. Procedures should include additional oversight and monitoring over original source data. Grantee’s Response: Management concurs and will implement additional procedures, oversight, and monitoring over required eligibility documentation.

Corrective Action Plan

2025-001 Material Weakness Internal Control / Noncompliance – Eligibility A. Comments on Findings and Recommendations: We concur with the auditor’s suggestions for maintaining supporting documentation to provide evidence of LCHD’s compliance with requirements applicable to each program funded under Uniform Guidance requirements. B. Actions Taken or Planned: Management implemented changes to the capturing and files maintained for documenting a participant’s eligibility for participation in program services. Management will continue to evaluate their controls with respect to current federal awards and requirements to ensure accurate information captured, reported and maintained. Anticipated completion date: Already implemented, ongoing Contact information for this finding: Michelle Walsh, 636-528-6117

Categories

Eligibility Subrecipient Monitoring Material Weakness Reporting

Other Findings in this Audit

  • 1205358 2025-002
    Material Weakness Repeat
  • 1205359 2025-002
    Material Weakness Repeat
  • 1205360 2025-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $179,536
10.557 SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $148,952
93.276 DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS $127,945
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $121,378
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $78,573
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $54,477
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $50,715
93.967 CDC'S COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $36,227
93.008 MEDICAL RESERVE CORPS SMALL GRANT PROGRAM $26,460
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $14,610
93.366 STATE ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES AND PARTNER ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES $14,206
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $2,580
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $1,773
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $361