Finding 1226484 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-08-14

AI Summary

  • Core Issue: FLCH failed to conduct required exclusion searches for debarred or suspended individuals from January to May 2025.
  • Impacted Requirements: This oversight violates procurement regulations under Executive Orders 12549 and 12689, and 2 CFR part 180, which prohibit funding for ineligible parties.
  • Recommended Follow-Up: FLCH should provide training on exclusion screening policies and implement new internal controls to ensure compliance starting June 2025.

Finding Text

Item 2025-001 - Procurement, Suspension and Debarment - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224) Notice of Award Number 6 H80CS00849-23-05 and 6 H8NCS53876-01-03 - (Significant Deficiency) Criteria: Recipients and subrecipients are subject to the procurement, suspension and debarment regulations implementing Executive Orders 12549 and 12689, as well as 2 CFR part 180. The regulations in 2 CFR part 180 restrict making Federal awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from receiving or participating in Federal awards. The U.S. Department of Health and Human Services Grants Policy Statement indicates that charges made to HHS grants for the salary of individuals who have been debarred, suspended or declared ineligible or who have been voluntarily excluded from covered transactions are unallowable. Statement of Condition: During our audit, we noted that there is no evidence that any exclusion search was conducted from January 2025 to May 2025. Cause: The FLCH's internal control procedures over suspension and debarment were not consistently followed. Effect: Failure in conducting exclusion searches raises the risk that salaries of employees who are suspended or debarred may be charged to federally-funded programs which is not allowed. Questioned Costs: None. Context: Although FLCH did not consistently conduct exclusion searches in 2025, none of the sample employees tested were found to be suspended or debarred. Identification as a Repeat Finding: This is a repeat of prior year's finding (Finding 2024-001). Recommendation: We recommend that FLCH train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Management Response: Management agrees with the finding and will be conducting training for its personnel to help ensure the accuracy, completeness and timeliness of exclusion searches. Effective June 2025, a new internal control procedure was implemented to ensure that verification of suspension and debarment is consistently done.

Corrective Action Plan

Health Resources and Services Administration Mary Zelazny, CEO respectfully submits the following corrective action plan for the year ended December 31, 2025: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2025 The findings from the December 31, 2025, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS FEDERAL AWARD PROGRAM AUDITS Item 2025-001 Procurement, Suspension and Debarment (Significant Deficiency) During our audit, we noted that there is no evidence that any exclusion search was conducted from January 2025 to May 2025. Recommendation We recommend that FLCH train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Action Taken Management agrees with the finding. As of the effectivity date below, procedures have been revised and personnel have been trained to help ensure the accuracy, completeness and timeliness of exclusion searches. The Compliance department has added periodic internal auditing of the process to their calendar. Effective Date: June 1, 2025 Sincerely yours, Name: Mary Zelazny Title: CEO. Finger Lakes Community Health, Inc. (f/k/a Finger Lakes Migrant Health Care Project, Inc.)

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $6.73M
93.778 GRANTS TO STATES FOR MEDICAID $340,426
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $151,226
93.217 FAMILY PLANNING SERVICES $141,275
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $96,801
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $61,240
93.912 RURAL HEALTHCARE SERVICES PROGRAM $33,514
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $26,321
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $7,000
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $5,000
93.211 TELEHEALTH PROGRAMS $2,633
93.600 HEAD START $518