Finding 1224018 (2023-003)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2026-07-20
Audit: 407429
Organization: LAND MANOR, INC. (TX)

AI Summary

  • Core Issue: Missing documentation in client files, including discharge summaries and follow-ups, affects compliance with program requirements.
  • Impacted Requirements: Intensive Residential Program mandates client follow-up 60-90 days post-treatment, which was not met in several cases.
  • Recommended Follow-Up: Management should reinforce the importance of completing and documenting all program requirements to ensure compliance and track success rates.

Finding Text

Block Grant for Prevention and Treatment of Substance Abuse (CFDA 93.959) U.S. Department of Health and Human Services, Passed through Texas Health and Human Services Commission, Contract No. HHS000663700139, Treatment Adult Services (TRA) Outpatient and Residential and Contract No. HHS000663700187, Treatment Female Services (TRF) Outpatient and Residential. Compliance – Special Testing Criteria: TRA and TRF– Intensive Residential Program requires client follow up 60-90 days after plan completion. Condition and Context: Of 20 client files reviewed, (which represented 209 required components) 3 contained no discharge summary, 8 contained no discharge follow-up and 7 lacked a checklist that allows for monitoring. Cause: See explanation of Findings 2023-001. Effect: Lack of documentation of progress notes and discharge summary prevents accumulation of meaningful success rate statistics. Recommendation: Management should emphasize the need to complete and document each program requirement. View of Responsible Party: Management concurs with recommendation. See Corrective Action Plan.

Corrective Action Plan

Block Grant for Prevention and Treatment of Substance Abuse (CFDA 93.959) - Compliance - Special Testing Corrective Action Plan: Quality Management Coordinator has conducted in-service training with staff members at the TRA and TRF facilities. Management will continue to emphasize, with the appropriate individuals, the need to complete and document, contemporaneously, each program requirement. Anticipated Completion Date: July 15, 2026 Responsible Party: Land Manor Executive Director, Quality Management Coordinator and Program Directors.

Categories

Subrecipient Monitoring Allowable Costs / Cost Principles HUD Housing Programs

Other Findings in this Audit

  • 1224015 2023-003
    Material Weakness Repeat
  • 1224016 2023-004
    Material Weakness Repeat
  • 1224017 2023-005
    Material Weakness Repeat
  • 1224019 2023-004
    Material Weakness Repeat
  • 1224020 2023-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $307,094