Finding 1226469 (2024-005)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2026-08-13

AI Summary

  • Core Issue: The Organization failed to provide essential reports for the Title V program, impacting compliance with federal requirements.
  • Impacted Requirements: Records must identify the source and application of federal funds, as per Uniform Guidance 2 CFR § 200.302 and 2 CFR § 200.333.
  • Recommended Follow-Up: Implement stronger recordkeeping procedures, conduct regular internal reviews, and train staff on compliance obligations.

Finding Text

Finding 2024 – 005: Reporting (Compliance; Internal Controls Over Compliance) (Repeat Finding: 2021-005, 2022-005, and 2023-005) Material Weakness – 93.U01 Title V Criteria: Per Uniform Guidance 2 CFR § 200.302 and 2 CFR § 200.333, entities must maintain records that adequately identify the source and application of federal funds and retain documentation to support compliance with program requirements. Condition: The Organization was unable to provide any of the required reports for the Title V program, including the financial report, activity narrative, third-party income report, GPRA/GPRAMA, urban data standards, and property inventory. Without these reports, we were unable to perform the necessary audit procedures to assess compliance with federal requirements. Questioned Costs: None. Cause: The Organization lacked sufficient record retention policies and failed to maintain the required documentation needed for reporting compliance. Effect: The Organization was unable to produce key reports necessary for compliance with grant and audit requirements. Recommendation: We recommend that the Organization implement stronger documentation and recordkeeping procedures to ensure compliance with federal reporting requirements. This should include: • ensuring that all required reports (e.g., financial reports, activity narratives, third-party income reports) are generated and retained according to Uniform Guidance, • establishing a process for regular internal reviews to verify the completeness and accuracy of required federal reports, and • providing staff with training on record retention and reporting obligations to ensure timely and accurate submissions. Views of Responsible Officials: See the corrective action plan that accompanies the schedule of findings and questioned costs.

Corrective Action Plan

Finding 2024-005: Reporting (Title V, CFDA 93.U01) Material Weakness (Repeat Finding: 2021-005, 2022-005, 2023-005) Condition: The Organization could not provide required Title Vreports, including the financial report, activity narrative, third-party income report, GPRA/GPRAMA, urban data standards report, and property inventory. Corrective Action: • Build a federal reportingcalendar listing every required Title Vreport, its due date, data source, and responsible preparer. • Assign a designated preparer and a second-level reviewer for each report prior to submission. • Retain a copy of each submitted report, with the submission confirmation, in a centralized compliance file. • Provide staff training on Title V reporting obligations and the underlying contract requirements. Responsible Party: Chief Financial Officer/ Grant Director Anticipated Completion Date: Reporting calendar in place by October 15, 2026; first fully compliant reporting cycle Q1 2027

Categories

Questioned Costs Material Weakness Reporting Equipment & Real Property Management Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1226464 2024-003
    Material Weakness Repeat
  • 1226465 2024-003
    Material Weakness Repeat
  • 1226466 2024-004
    Material Weakness Repeat
  • 1226467 2024-004
    Material Weakness Repeat
  • 1226468 2024-005
    Material Weakness Repeat
  • 1226470 2024-006
    Material Weakness Repeat
  • 1226471 2024-006
    Material Weakness Repeat
  • 1226472 2024-007
    Material Weakness Repeat
  • 1226473 2024-007
    Material Weakness Repeat
  • 1226474 2024-008
    Material Weakness Repeat
  • 1226475 2024-008
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.U01 TITLE V, URBAN INDIAN HEALTH SERVICES $3.17M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $431,850
93.653 INDIAN HEALTH SERVICE DOMESTIC VIOLENCE PREVENTION PROGRAMS $240,383
93.933 DEMONSTRATION PROJECTS FOR INDIAN HEALTH $208,333
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $150,078
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $87,942
93.318 PROTECTING AND IMPROVING HEALTH GLOBALLY: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY $30,465
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $20,000
93.217 FAMILY PLANNING SERVICES $5,694