Finding 1206312 (2022-005)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2026-04-10
Audit: 398372
Organization: Island Health, Inc. (MA)
Auditor: COHNREZNICK

AI Summary

  • Core Issue: The Center failed to check vendors for suspension and debarment, violating federal procurement standards.
  • Impacted Requirements: Non-compliance with §200.318 and §200.213, which mandate proper vendor review processes.
  • Recommended Follow-Up: Create and implement a written procedure for vendor reviews, ensuring staff are trained on compliance.

Finding Text

Finding 2022.005: Procurement, Suspension and Debarment - Material Weakness 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) COVID-19 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 Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS26638 - 2022 and 2023, H8DCS35487 - 2021, and H8F40829 - 2023 Criteria In accordance with §200.318(a), General Procurement Standards, a non-federal entity must use its own documented procurement procedures which reflect applicable state, local, and tribal laws and regulations, provided that the procurements conform to applicable federal law and the standards identified in General Procurement Standards. Additionally, §200.318(i) states that the non-federal entity must maintain records sufficient to detail the history of the procurement. In addition, in accordance with §200.213 and §180.300, non-federal 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 There was no evidence that the Center reviewed vendors for suspension and debarment in accordance with the Uniform Guidance requirements. Cause The Center did not have adequate controls to illustrate review of vendors for any suspensions or debarment. Effect or Potential Effect The Center may procure goods and services from vendors that have been suspended or debarred from doing business with the federal government. Questioned Costs None. Context We selected a sample of 4 vendors for suspension and debarment for testing. For 3 of the 4 vendors tested, management did not provide adequate supporting documentation for the review and approval of each vendor as to whether they have been suspended or debarred. Identification of Repeat Finding Yes, see finding 2021-005. Recommendation The Center should develop a written procedure to review all vendors and individuals in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure vendors are being reviewed for suspension and debarment and there is evidence of a formal review being performed.

Corrective Action Plan

Item 2022.005 - Procurement. suspension and debarment Recommendation The Center should develop a written procedure to review all vendors and individuals in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Repeat Finding Yes Action Taken Island Health Care will take the following actions to address this recommendation: • As part of our vendor and individual review process, we will ensure that we will document the date and result of the SAM database search, maintaining the results in a centralized file, ensuring records are easily accessible for audit and compliance purposes. • Require approval during the procurement process for new vendors before entering into contracts or agreements • Conduct regular internal reviews to ensure compliance

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1206298 2022-007
    Material Weakness Repeat
  • 1206299 2022-006
    Material Weakness Repeat
  • 1206300 2022-005
    Material Weakness Repeat
  • 1206301 2022-004
    Material Weakness Repeat
  • 1206302 2022-003
    Material Weakness Repeat
  • 1206303 2022-006
    Material Weakness Repeat
  • 1206304 2022-007
    Material Weakness Repeat
  • 1206305 2022-005
    Material Weakness Repeat
  • 1206306 2022-004
    Material Weakness Repeat
  • 1206307 2022-003
    Material Weakness Repeat
  • 1206308 2022-003
    Material Weakness Repeat
  • 1206309 2022-007
    Material Weakness Repeat
  • 1206310 2022-006
    Material Weakness Repeat
  • 1206311 2022-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $1.50M
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $913,971
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $50,000
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $2,000