Finding 1221607 (2024-048)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-06-30

AI Summary

  • Core Issue: ACUDEN failed to conduct required inspections of child care providers, leading to potential noncompliance with health and safety regulations.
  • Impacted Requirements: Compliance with 2 CFR Part 200 and CCDF regulations, specifically regarding health and safety certifications for providers serving subsidized children.
  • Recommended Follow-Up: Strengthen internal controls and ensure adequate resources for inspections to verify compliance with health and safety standards.

Finding Text

FINDING REFERENCE NUMBER 2024-048 FEDERAL PROGRAMS (ALN – 93.489; 93.575; AND 93.596) CHILD CARE AND DEVELOPMENT FUND CLUSTER U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AWARD NUMBERS G2101PRCCDD, G2201PRCCDD, G2201PRCCDT & G2301PRCCDT (Federal Award Years: 2021 through 2023) ADMINISTRATION ADMINISTRATION FOR THE CARE AND COMPREHENSIVE DEVELOPMENT OF CHILDREN (ACUDEN, BY ITS SPANISH ACRONYM) COMPLIANCE REQUIREMENT SPECIAL TESTS & PROVISIONS – HEALTH AND SAFETY REQUIREMENTS TYPE OF FINDING INTERNAL CONTROL AND COMPLIANCE – SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE CRITERIA According to the 2 CFR Part 200, Appendix XI, as part of their CCDF plans, Lead Agencies must certify that procedures are in effect (e.g., monitoring and enforcement) to ensure that providers serving children who receive subsidies comply with all applicable health and safety requirements. This includes verifying and documenting that child care providers (unless they meet an exception, e.g., family members who are caregivers or individuals who object to immunization on certain grounds) serving children who receive subsidies meet requirements pertaining to health and safety. These requirements must address eleven specific areas-including first aid and CPR, safe sleeping practices, and administration of medication-and child care workers must be trained in these areas (42 USC 9858c(c)(2)(1); 45 CFR section 98.41). STATEMENT OF CONDITION In order to assess the compliance and internal control in place to ensure the compliance with Special Test and Provision – Health and Safety Requirements, we selected a sample of thirteen (13) subawards from a population of one hundred twenty-seven (127) subawards. Then for one subrecipient we noted that it did not have the Eligibility Certificate issued by ACUDEN indicating that the subrecipient is in compliance with the health and safety requirements. Also, there was no evidence of visit binnacle form indicating that ACUDEN has been visiting the subrecipient in order to validate the compliance with the health and safety requirements. QUESTIONED COSTS None. PERSPECTIVE INFORMATION ACUDEN has an internal regulations known as "Manual of Procedures for Determination of Eligibility of the Care Service Provider" and “Regulation No. 8687” establishing in the Article 4.14 Inspection of Suppliers indicating that prior to the issuance of the CCDF Certification of Compliance, all providers will be required to comply with the orientation and training process offered by the Child Care Program. For the granting of the CCDF Certification of Compliance, it will be a requirement that they meet the quality, health, and safety standards established by the Child Care Program. An evaluation sheet will be used during supplier inspections and their findings and recommendations will be documented. The scope of the inspections will be as follows: A. Health and Safety Aspects – 1. Current license from the Licensing Office of the Department of Family. 2. Current certification from the Fire Prevention Division of the Puerto Rico Fire Department. 3. Permit for use by the Permit Management Office (OGPe), the Regulation and Permits Administration (ARPE) or the Urban Permits Office (OPU). 4. Valid license, issued by the Department of Health's Division of Environmental Health. 5. Certification from the Public Service Commission, if applicable Also, in these internal regulations are established other documentation required by ACUDEN to be provided by the service provider as part of the Health and Safety determination. In addition, according to Monitoring performed by the US Department of Health and Human Services (HHS) on February 12-16, 2024 to determine compliance with Child Care and Development Fund (CCDF), this finding was detected and reported by the Federal agency. CCDF regulations require Lead Agencies to maintain compliance with all provisions of the Child Care and Development Block Grant Act, regulations, and the Territory's approved CCDF Plan during the administration of their program. STATEMENT OF CAUSE ACUDEN did not perform the required visits to the service provider’s facilities in order to make an inspection and request documentation to verify that the service provider was in compliance with the health and safety requirements. POSSIBLE ASSERTED EFFECT The not performance by ACUDEN of the required visits to the services provider to validate its compliance with the health and safety requirements could provoke this service provider could perform an unsafe and dangerous services to the participants. Also, this eligibility determination not performed could increase the risk of noncompliance and may result in improper use of funds. IDENTIFICATION OF REPEAT FINDING No reported as prior audit finding. RECOMMENDATIONS We recommend ACUDEN to strengthen internal controls related to the Health and Safety Certification of Compliance awards. ACUDEN should have all the human resources necessary to performs all the inspections required for consideration and the implementation of the internal regulation “Manual of Procedures for Determination of Eligibility of the Care Service Provider" and “Regulation No. 8687” to ensure that the participant be able to receive a safe childcare service.

Corrective Action Plan

VIEWS OF RESPONSIBLE OFFICIALS The following corrective actions will be implemented: 1. ACUDEN will conduct a minimum of four (4) monitoring visits per program year to each childcare provider receiving CCDF subsidies, during which compliance with health and safety requirements will be verified and documented prior to the issuance of the CCDF Certification of Compliance. 2. ACUDEN will ensure adequate staffing levels to carry out all required provider inspections in accordance with Regulation No. 8687, Article 4.14, and the Manual of Procedures for the Determination of Eligibility of the Care Service Provider. 3. A visit log will be maintained for each provider to document inspection dates, findings, and follow-up actions, thereby establishing an audit trail for ongoing monitoring of compliance with applicable health and safety standards IMPLEMENTATION DATE September 2026 RESPONSIBLE PERSON Marisel Felix Director of Licensing, Health, and Safety

Categories

Subrecipient Monitoring Special Tests & Provisions

Other Findings in this Audit

  • 1221540 2024-020
    Material Weakness Repeat
  • 1221541 2024-021
    Material Weakness Repeat
  • 1221542 2024-022
    Material Weakness Repeat
  • 1221543 2024-023
    Material Weakness Repeat
  • 1221544 2024-023
    Material Weakness Repeat
  • 1221545 2024-023
    Material Weakness Repeat
  • 1221546 2024-023
    Material Weakness Repeat
  • 1221547 2024-024
    Material Weakness Repeat
  • 1221548 2024-024
    Material Weakness Repeat
  • 1221549 2024-025
    Material Weakness Repeat
  • 1221550 2024-025
    Material Weakness Repeat
  • 1221551 2024-026
    Material Weakness Repeat
  • 1221552 2024-027
    Material Weakness Repeat
  • 1221553 2024-028
    Material Weakness Repeat
  • 1221554 2024-029
    Material Weakness Repeat
  • 1221555 2024-030
    Material Weakness Repeat
  • 1221556 2024-030
    Material Weakness Repeat
  • 1221557 2024-030
    Material Weakness Repeat
  • 1221558 2024-030
    Material Weakness Repeat
  • 1221559 2024-031
    Material Weakness Repeat
  • 1221560 2024-032
    Material Weakness Repeat
  • 1221561 2024-033
    Material Weakness Repeat
  • 1221562 2024-034
    Material Weakness Repeat
  • 1221563 2024-035
    Material Weakness Repeat
  • 1221564 2024-035
    Material Weakness Repeat
  • 1221565 2024-035
    Material Weakness Repeat
  • 1221566 2024-035
    Material Weakness Repeat
  • 1221567 2024-035
    Material Weakness Repeat
  • 1221568 2024-035
    Material Weakness Repeat
  • 1221569 2024-035
    Material Weakness Repeat
  • 1221570 2024-035
    Material Weakness Repeat
  • 1221571 2024-035
    Material Weakness Repeat
  • 1221572 2024-035
    Material Weakness Repeat
  • 1221573 2024-035
    Material Weakness Repeat
  • 1221574 2024-035
    Material Weakness Repeat
  • 1221575 2024-035
    Material Weakness Repeat
  • 1221576 2024-036
    Material Weakness Repeat
  • 1221577 2024-036
    Material Weakness Repeat
  • 1221578 2024-036
    Material Weakness Repeat
  • 1221579 2024-036
    Material Weakness Repeat
  • 1221580 2024-036
    Material Weakness Repeat
  • 1221581 2024-036
    Material Weakness Repeat
  • 1221582 2024-036
    Material Weakness Repeat
  • 1221583 2024-036
    Material Weakness Repeat
  • 1221584 2024-036
    Material Weakness Repeat
  • 1221585 2024-036
    Material Weakness Repeat
  • 1221586 2024-036
    Material Weakness Repeat
  • 1221587 2024-036
    Material Weakness Repeat
  • 1221588 2024-036
    Material Weakness Repeat
  • 1221589 2024-037
    Material Weakness Repeat
  • 1221590 2024-038
    Material Weakness Repeat
  • 1221591 2024-038
    Material Weakness Repeat
  • 1221592 2024-038
    Material Weakness Repeat
  • 1221593 2024-038
    Material Weakness Repeat
  • 1221594 2024-039
    Material Weakness Repeat
  • 1221595 2024-040
    Material Weakness Repeat
  • 1221596 2024-041
    Material Weakness Repeat
  • 1221597 2024-042
    Material Weakness Repeat
  • 1221598 2024-043
    Material Weakness Repeat
  • 1221599 2024-044
    Material Weakness Repeat
  • 1221600 2024-044
    Material Weakness Repeat
  • 1221601 2024-045
    Material Weakness Repeat
  • 1221602 2024-046
    Material Weakness Repeat
  • 1221603 2024-046
    Material Weakness Repeat
  • 1221604 2024-047
    Material Weakness Repeat
  • 1221605 2024-048
    Material Weakness Repeat
  • 1221606 2024-048
    Material Weakness Repeat
  • 1221608 2024-049
    Material Weakness Repeat
  • 1221609 2024-050
    Material Weakness Repeat
  • 1221610 2024-051
    Material Weakness Repeat
  • 1221611 2024-052
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $92.49M
93.596 CHILD CARE MANDATORY AND MATCHING FUNDS OF THE CHILD CARE AND DEVELOPMENT FUND $56.25M
93.658 FOSTER CARE TITLE IV-E $52.54M
93.568 LOW-INCOME HOME ENERGY ASSISTANCE $30.11M
10.542 PANDEMIC EBT FOOD BENEFITS $29.17M
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $28.11M
93.560 PAYMENTS TO TERRITORIES €“ ADULTS $26.26M
93.563 CHILD SUPPORT SERVICES $25.32M
93.667 SOCIAL SERVICES BLOCK GRANT $17.75M
96.001 SOCIAL SECURITY DISABILITY INSURANCE $13.48M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $6.43M
93.659 ADOPTION ASSISTANCE $4.37M
10.568 EMERGENCY FOOD ASSISTANCE PROGRAM (ADMINISTRATIVE COSTS) $4.35M
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $3.38M
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $3.12M
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $3.02M
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $2.87M
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $2.36M
93.356 HEAD START DISASTER RECOVERY $1.81M
93.747 ELDER ABUSE PREVENTION INTERVENTIONS PROGRAM $1.30M
93.434 EVERY STUDENT SUCCEEDS ACT/PRESCHOOL DEVELOPMENT GRANTS $1.24M
93.600 HEAD START $941,560
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $829,081
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $712,602
93.090 GUARDIANSHIP ASSISTANCE $691,532
10.566 NUTRITION ASSISTANCE FOR PUERTO RICO $686,567
93.674 JOHN H. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD $656,571
10.565 COMMODITY SUPPLEMENTAL FOOD PROGRAM $628,994
93.669 CHILD ABUSE AND NEGLECT STATE GRANTS $492,642
10.558 CHILD AND ADULT CARE FOOD PROGRAM $467,546
10.649 PANDEMIC EBT ADMINISTRATIVE COSTS $364,443
93.643 CHILDREN'S JUSTICE GRANTS TO STATES $300,072
14.267 CONTINUUM OF CARE PROGRAM $299,310
93.499 LOW INCOME HOUSEHOLD WATER ASSISTANCE PROGRAM $295,355
93.599 CHAFEE EDUCATION AND TRAINING VOUCHERS PROGRAM (ETV) $172,527
93.489 CHILD CARE DISASTER RELIEF $102,530
93.597 GRANTS TO STATES FOR ACCESS AND VISITATION PROGRAMS $18,065