Finding 1226475 (2024-008)

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

AI Summary

  • Core Issue: Inadequate documentation for employee compliance with Title V contract requirements, specifically missing background checks and confidentiality agreements.
  • Impacted Requirements: Compliance with personnel requirements under Title V and Public Law 101-630, including background investigations and confidentiality agreements.
  • Recommended Follow-Up: Strengthen internal controls by implementing documented procedures and supervisory reviews to ensure all required documentation is completed and maintained.

Finding Text

Finding 2024 – 008: Special Tests and Provisions (Compliance; Internal Controls Over Compliance) Significant Deficiency – 93.U01 Title V Criteria: The Title V contract requires the Organization to ensure employees whose duties involve regular contact with or control over Indian children comply with the personnel requirements established under the contract and Public Law 101-630, The Indian Child Protection and Family Violence Prevention Act. These requirements include completing required background investigations and maintaining executed confidentiality agreements, as applicable. Condition: During testing of ten employees subject to the Title V contract requirements, we noted that documentation supporting compliance with certain personnel requirements was not consistently maintained. Specifically, documentation of required background checks was not provided for two employees, and a signed confidentiality agreement was not provided for one employee. Questioned Costs: None. Cause: The Organization did not have adequate internal controls to ensure compliance with the Title V contract requirements, including procedures to verify that required personnel documentation was completed, maintained, and subject to supervisory review. Effect: Without adequate controls and supporting documentation, the Organization cannot demonstrate compliance with the Special Tests and Provisions of the Title V contract. As a result, there is an increased risk of noncompliance with the terms and conditions of the federal award. Recommendation: We recommend management review the Title V contract requirements and strengthen internal controls over compliance by implementing documented procedures and supervisory reviews to ensure required background checks and confidentiality agreements are completed, retained, and periodically monitored in accordance with the contract requirements. Views of Responsible Officials: See the corrective action plan that accompanies the schedule of findings and questioned costs.

Corrective Action Plan

Finding 2024-008:Special Tests and Provisions: Personnel Requirements (Title V, CFDA 93.U01) Significant Deficiency (New Finding) Condition: Of ten employees tested under Title V personnel requirements (Public Law 101-630, Indian Child Protection and Family Violence Prevention Act), background check documentation was missingfor two employees and a signed confidentialityagreement was missingfor one employee. Corrective Action: Obtain and file the missing background check documentation and confidentiality agreement for the identified employees. Implement a personnel compliance checklist requiring completed background checks and signed confidentiality agreements before any employee begins duties involving contact with or control over Indian children. Assign HR sign-off responsibility confirming checklist completion, retained in each personnel file. Conduct a one-time look-back review of all current Title V-relevant personnel files to confirm completeness. Responsible Party: Human Resources/ Chief Executive Officer Anticipated Completion Date: Checklist process in effect by October 15, 2026

Categories

Special Tests & Provisions Questioned Costs Significant Deficiency 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
  • 1226469 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

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