Finding 1216961 (2025-002)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2026-06-08
Audit: 403260
Organization: Clinica Sierra Vista (CA)
Auditor: DZA PLLC

AI Summary

  • Core Issue: The Organization failed to document cash draws from the Payment Management System, leading to potential delays in fund disbursement.
  • Impacted Requirements: Non-compliance with 2 CFR 200.305, which mandates minimizing the time between fund transfers and expenditures.
  • Recommended Follow-Up: Implement controls to ensure all draws are supported by detailed expenditure reports and retain necessary documentation for review.

Finding Text

2025-002 Cash Management Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS00540-23, H8GCS48292, H8LCS51370 Criteria Title 2 CFR 200.305 requires that organizations “must minimize the time elapsing between the transfer of funds from the United States Treasury or the pass-through entity and the disbursement by the non-federal entity whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means.” [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Condition The Organization was not able to provide documentation for certain cash draws made from the Payment Management System (PMS) to show that expenditures were incurred or expected to be incurred within a minimal amount of time. This finding appears to be a systemic issue. Cause The Organization did not always maintain documentation of the qualifying expenditures used to support amounts drawn from the payment management system. Effect The Organization may not have minimized the timing between draws from the PMS and the related payments for expenditures incurred as required. Questioned Costs $0. Although the auditee did not retain documentation of the expenditures supporting certain draws, our testing indicated that the total program expenditures for the period were sufficient to cover all draws of federal funds under the program in the period. Context For two of six draws tested, the Organization was not able to provide documentation to show that expenses were incurred prior to or within a reasonable time after the draws. Recommendation We recommend the Organization implement controls requiring all draws from the PMS to be based on detailed reports of expenditures claimed for reimbursement and retain this documentation, along with the supporting invoices and payroll reports supporting the expenditures. In addition, we recommend that the listing of expenditures be reviewed by appropriate personnel to ensure that the expenditures claimed are allowable and cash payments for the expenditures are made before the date of the draw or within a reasonable time after the draw. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Corrective Action Plan

2025-002 Cash Management Corrective action planned: Management will implement controls over all draws from the Payment Management System to minimize the time elapsed between the drawdown of funds from PMS and the payment for expenditures. The controls will incorporate the following: Prepare a detailed listing of expenditures claimed for reimbursement for each drawdown request. The expenditures listing will be reviewed by appropriate personnel to ensure cash payments for the expenditure are made before the date of the draw or within a reasonable time after the draw. Drawdowns are authorized and approved by the appropriate personnel before the drawdown is made and will be tracked and summarized in a ledger. Anticipated completion date: June 2026 Contact person responsible for corrective action: Harjeet Sidhu, Chief Financial Officer

Categories

Cash Management Subrecipient Monitoring Material Weakness Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1216959 2025-002
    Material Weakness Repeat
  • 1216960 2025-002
    Material Weakness Repeat
  • 1216962 2025-003
    Material Weakness Repeat
  • 1216963 2025-003
    Material Weakness Repeat
  • 1216964 2025-003
    Material Weakness Repeat
  • 1216965 2025-003
    Material Weakness Repeat
  • 1216966 2025-004
    Material Weakness Repeat
  • 1216967 2025-004
    Material Weakness Repeat
  • 1216968 2025-004
    Material Weakness Repeat
  • 1216969 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $22.75M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $9.13M
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $611,514
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $510,152
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $381,375
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $373,833
93.917 HIV CARE FORMULA GRANTS $251,436
14.267 CONTINUUM OF CARE PROGRAM $185,987
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $152,314
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $118,953
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $109,230
93.788 OPIOID STR $26,851
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $25,171