Finding 1217974 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-06-19

AI Summary

  • Core Issue: The Organization failed to document a required suspension and debarment check before engaging a vendor, indicating a significant deficiency in internal controls.
  • Impacted Requirements: Compliance with 2 CFR Part 200 is essential to ensure federal funds are not provided to ineligible vendors.
  • Recommended Follow-Up: Implement a robust process for retaining procurement and suspension/debarment documentation, and utilize the new compliance monitoring system for ongoing vendor screenings.

Finding Text

Federal Agency: US Department of Health and Human Services Federal Program: Congressionally Delegated Spending for Construction Projects AL Number: 93.493 Award Period: 1/1/25 – 12/31/25 Type of Finding: Significant deficiency in Internal Control Over Compliance and Compliance Criteria or Specific Requirement 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award requires compliance with the provisions of procurement and suspension and debarment. The Organization should have internal controls designed to ensure compliance with these provisions. Condition and Context During our testing over Suspension and Debarment, noted one instance in which the Organization was unable to locate documentation that a suspension and debarment check was performed prior to entering into a transaction with a vendor. Effect Noncompliance results in possible Federal funds provided to ineligible vendors. Questioned Costs None identified. Cause The Organization does not have internal controls in place to ensure compliance with Federal regulations or the terms and conditions of the Federal award. Recommendation We recommend the Organization implement a process to ensure that procurement and suspension and debarment documentation is retained. Views of Responsible Officials The Organization acknowledges that, in one instance, documentation evidencing that a suspension and debarment check was performed prior to engaging a vendor could not be located. While this appears to be an isolated occurrence, we recognize the importance of maintaining complete and auditable documentation to demonstrate compliance with 2 CFR Part 200 requirements. In response, the Organization has strengthened its internal controls to ensure that all vendors are properly screened and that such screenings are consistently documented. We have implemented the use of a compliance monitoring system (Compliatric), which maintains a centralized vendor registry and performs monthly screenings against federal exclusion and debarment databases, including SAM.gov and OIG exclusion lists. This system provides an auditable log of all screening activity. These enhanced controls were implemented effective June 9, 2025. Additionally, the Organization has completed a retrospective review of all active vendors to confirm that appropriate suspension and debarment screenings have been performed and documented. Going forward, any potential matches identified through the screening process will be escalated to the Risk and Compliance Manager and/or CFO for review and validation. If a match is confirmed, the Organization will immediately discontinue use of the vendor and terminate the relationship in accordance with federal requirements.

Corrective Action Plan

Federal Program: Congressionally Delegated Spending for Construction Projects Assistance Listing No. 93.493 Recommendation: Our auditors recommend the Organization implement a process to ensure that procurement and suspension and debarment documentation is retained. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization acknowledges that, in one instance, documentation evidencing that a suspension and debarment check was performed prior to engaging a vendor could not be located. While this appears to be an isolated occurrence, we recognize the importance of maintaining complete and auditable documentation to demonstrate compliance with 2 CFR Part 200 requirements. In response, the Organization has strengthened its internal controls to ensure that all vendors are properly screened and that such screenings are consistently documented. We have implemented the use of a compliance monitoring system (Compliatric), which maintains a centralized vendor registry and performs monthly screenings against federal exclusion and debarment databases, including SAM.gov and OIG exclusion lists. This system provides an auditable log of all screening activity. These enhanced controls were implemented effective June 9, 2025. Additionally, the Organization has completed a retrospective review of all active vendors to confirm that appropriate suspension and debarment screenings have been performed and documented. Going forward, any potential matches identified through the screening process will be escalated to the Risk and Compliance Manager and/or CFO for review and validation. If a match is confirmed, the Organization will immediately discontinue use of the vendor and terminate the relationship in accordance with federal requirements.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1217975 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.493 Congressionally Directed Spending $2.14M
93.224 Health Center Program $1.07M
93.224 FY 2024 Behavioral Health Service Expansion $765,151
93.526 COVID-19: Grants for Capital Development in Health Centers $239,618
93.959 Block Grants for Prevention and Treatment of Substance Abuse $49,712
93.898 Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations $36,353