Finding 1228040 (2026-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2026
Accepted
2026-08-26
Audit: 409873
Organization: Family Health Centers (WA)
Auditor: DZA PLLC

AI Summary

  • Core Issue: The Organization failed to keep written proof of vendor checks against the SAM.gov exclusion list before signing contracts over $25,000.
  • Impacted Requirements: This violates Title 2 CFR 200.214 and Title 2 CFR 180.300, which mandate verification of vendor eligibility.
  • Recommended Follow-up: Implement controls to ensure documentation of exclusion checks is retained before entering into any covered transactions.

Finding Text

2026-001 Suspension and Debarment Program Information Federal Agency U.S. Department of Health and Human Services Assistance Listing Numbers 93.493 Congressionally Directives Award Numbers 1 CE2CS54401‐01‐00 Criteria Title 2 CFR 200.214 and Title 2 CFR 180.300 require that organizations “verify that the person with whom you intend to do business is not excluded or disqualified” before entering into covered transaction (procurement contracts, purchase orders, or agreements greater than or equal to $25,000) with persons or vendors. [ ] Compliance Finding [X ] Significant Deficiency [ ] Material Weakness Condition The Organization did not retain written evidence for its verification on SAM.gov for its Vendors. Cause The Organization did not follow its policy to document its verification that persons or entities contracted with were not listed on the exclusions list prior to entering into the contracts or purchase agreements. Effect The Organization does not have evidence its covered transactions are not with persons who have been suspended or debarred. Questioned Costs None noted. Context We sampled one of three vendors used in covered transactions for which the Organization did not retain evidence that an exclusion check was performed prior to signing the contract. Exclusions checks were performed after documentation was requested, and no excluded vendors were identified. Recommendation We recommend the Organization implement controls requiring that evidence of exclusion checks be retained prior to signing any contracts or purchase orders or agreements that are covered transactions. Views of responsible officials and planned corrective action Management agrees with the auditor’s narrative associated with Finding 2026-001. It has consistently been the Organization’s policy to verify that vendors and contractors are not suspended or debarred by checking SAM.gov prior to engagement. However, management acknowledges that written verification/documentation of these checks was not formally retained in the project files prior to entering into contracts.

Corrective Action Plan

2026-001 Suspension and Debarment Corrective action planned: To ensure full compliance with federal documentation standards moving forward: 1. Formalized Onboarding Control: In May 2026, the Organization updated its standard New Vendor Form to include a mandatory verification checkbox and documented sign-off confirming SAM.gov exclusion checks are completed prior to vendor setup or contract execution. 2. Existing Vendor Audit: Management is currently conducting a comprehensive review to document and retain SAM.gov exclusion verifications for all active vendors. Anticipated completion date: May 2026 Contact person responsible for corrective action: Scott Matlock

Categories

Procurement, Suspension & Debarment

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $5.32M
93.493 Congressional Directives $2.90M
93.788 OPIOID STR $432,444
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $417,037
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $368,272
93.211 TELEHEALTH PROGRAMS $111,205
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $38,244
93.217 FAMILY PLANNING SERVICES $23,866
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $9,750
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $9,000
32.006 COVID-19 TELEHEALTH PROGRAM $5,329