Finding 1225399 (2025-002)

Material Weakness Repeat Finding
Requirement
ABL
Questioned Costs
-
Year
2025
Accepted
2026-07-31

AI Summary

  • Core Issue: There is a significant deficiency in internal controls affecting the entire organization, particularly regarding compliance with federal awards.
  • Impacted Requirements: The organization lacks formal processes for reviewing and approving journal entries, expenditure adjustments, and account reconciliations, risking inaccuracies in reported costs.
  • Recommended Follow-Up: Management should establish a documented review process that includes clear roles, dated evidence of reviews, and resolution of exceptions before submitting grant reports.

Finding Text

Type of finding: Significant Deficiency in Internal Control over Compliance - Reporting Summary: This finding is considered to be a significant deficiency in internal controls which affects the entity as a whole, including its federal awards. Refer to the Financial Statement Findings section above for further information regarding this finding. Questioned costs: None. Criteria: The objective of the Assistance Listing 93.912, RHSP, is to improve services for substance use disorder (SUD) and opioid use disorder (OUD) through prevention, treatment, and recovery services. Management is responsible for establishing and maintaining internal controls, including formal policies and procedures for the review and approval of journal entries, adjustments to expenditures, and account reconciliations, to ensure expenditures reported to granting agencies are complete, accurate, allowable, and properly supported. Context: During our audit, we noted that the Organization did not maintain a formal, documented process for the review and approval of manual journal entries, expenditure adjustments, or account reconciliations. Although certain review procedures may have been performed, the reviews were informal and not consistently documented to evidence who reviewed the items, when the review occurred, or whether exceptions were resolved. Cause: The Organization had limited staffing and did not formally assign or document independent review responsibilities for journal entries, expenditure adjustments, and account reconciliations, which limited its ability to maintain adequate segregation of duties and consistent evidence of review. Effect: The absence of formal review and approval controls over journal entries, expenditure adjustments, and account reconciliations increases the risk that unallowable, unsupported, inaccurate, or improperly classified costs may be reported to federal agencies and not be detected in a timely manner. Recommendation: We recommend that management implement and document a formal review and approval process for manual journal entries, expenditure adjustments, and account reconciliations. The process should identify the preparer and reviewer, require dated evidence of review, document resolution of exceptions, and include a final review before grant reports are submitted. View of Responsible Officials: There is no disagreement with this audit finding.

Corrective Action Plan

Criteria: The objective of the Assistance Listing 93.912 is to improve services for substance use disorder (SUD) and opioid use disorder (OUD) through prevention, treatment, and recovery services. Management is responsible for establishing and maintaining internal controls, including formal policies and procedures for the review and approval of journal entries, adjustments to expenditures, and account reconciliations, to ensure expenditures reported to granting agencies are complete, accurate, allowable, and properly supported. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Containment -Once we were made aware of this finding through the audit, we began thinking of the most efficient way to document the Board’s knowledge and approvals of journal entries, including adjustments to expenditures and account reconciliations. Root Cause -HOPE is currently revising all policies and procedures. This was HOPE’s first federal single audit, so once we heard of the finding we prioritized revisions of fiscal policies and procedures to address the finding. Action Taken- The first board meeting after learning of this finding will be held on July 27th, 2026. Beginning with that meeting, the Board’s approval of the statement of activity detail, consisting of all charges and journal entries entered into HOPE’s accounting system since the date of the last Board meeting, will be approved via motion and seconded and noted as such in the Board meeting minutes. Most journal entries made during the month are currently entered into the system by HOPE’s CPA. The remaining journal entries are entered by HOPE’s Executive Director. To ensure that the Board is aware of the adjustments made in the system, all journal entries made since the last Board meeting will be approved via a motion and a second as a separate agenda item to ensure that the Board is reviewing these items particularly. All approvals will be noted in the Board meeting minutes. The list of journal entries viewed during the meeting will be initialed by a Board member and kept on file as documentation of internal controls.

Categories

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Reporting Significant Deficiency

Other Findings in this Audit

  • 1225394 2025-001
    Material Weakness Repeat
  • 1225395 2025-001
    Material Weakness Repeat
  • 1225396 2025-002
    Material Weakness Repeat
  • 1225397 2025-002
    Material Weakness Repeat
  • 1225398 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
90.100 DENALI COMMISSION PROGRAM $451,347
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $316,586
16.524 LEGAL ASSISTANCE FOR VICTIMS $124,380
16.736 TRANSITIONAL HOUSING ASSISTANCE FOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, STALKING, OR SEXUAL ASSAULT $96,513
21.023 EMERGENCY RENTAL ASSISTANCE PROGRAM $32,622
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $28,660
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $26,071
16.589 RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING ASSISTANCE PROGRAM $19,434
16.587 VIOLENCE AGAINST WOMEN DISCRETIONARY GRANTS FOR INDIAN TRIBAL GOVERNMENTS $9,592
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $3,784
16.841 VOCA TRIBAL VICTIM SERVICES SET-ASIDE PROGRAM $299
14.251 ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS $131