Finding 1238353 (2025-002)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-09-29

AI Summary

  • Core Issue: Inadequate documentation for payroll and personnel files, including missing I-9 forms and time sheets, leading to unsupported salary payments.
  • Impacted Requirements: Compliance with Uniform Guidance Allowable Costs/Cost Principles for federal grants, specifically regarding accurate documentation of time and payroll.
  • Recommended Follow-Up: Strengthen enforcement of time sheet requirements and implement a checklist for document review to ensure all necessary files are complete.

Finding Text

Assistance Living Number 93.224 Community Health Centers Grant Award Number H80CS00112 US Department of Health and Human Services Finding 2025-002 Compliance Requirement: Allowable Cost/Cost Principles Type of Finding: Material Weakness Criteria: Uniform Guidance Allowable Costs/Cost Principles addresses activities related to payroll and personnel which should be supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and are incorporated into the official records of the recipient organization. Condition: A walkthrough of fourteen individuals was performed to review personnel files and payroll related to salary for the Organization. Of the fourteen files reviewed, one did not contain a signed I-9 Form and one was missing an application/resume. Also, there was no time sheet provided to support the time charged to the federal grant for two of the fourteen individuals tested. Cause: Management of the Organization’s human resources area turned over several times during the past few years and personnel files were not prioritized during those years. The current human resources manager was tasked with restructuring and automating personnel files to keep them in good order and in accordance with the Organization’s policy. During this process it appears that a few documents may have escaped attention. Previously, new administrators were unaware that salaried employees who are paid with federal funds must maintain documentation to support time allocated to the federal grant. Although this requirement was adopted in 2025, enforcement was not sufficient to prevent some unsupported payments of salary. Effect or Potential Effect: Without proper documentation, it is not possible to support the appropriate wage rate being paid to an individual. Also, it is not possible to prove an accurate allocation of time charged to a federal grant without time sheets, in accordance with the system that was in use. Questioned Costs: $177,488 Repeat Finding: The finding is a repeat finding (see prior year finding number 2024-003). Recommendation: We recommend that management enhance enforcement of its policy that all salaried staff prepare time sheets to meet the time and effort reporting requirement. Also, consideration should be given to having a second review of the checklist in place to ensure that all necessary documents have been included in each file. Views of Responsible Officials: Management agrees with the recommendation and will implement the use of a checklist to improve compliance.

Corrective Action Plan

Finding 2025-002: Compliance Requirement: Allowable Cost/Cost Principles Material Weakness Assistance Living Number 93.224 Community Health Centers Grant Award Number H80CS00112 US Department of Health and Human Services Condition: A walkthrough of fourteen individuals was performed to review personnel files and payroll related to salary for the Organization. Of the fourteen files reviewed, one file did not contain a signed I-9 Form, and one was missing application/resume. Also, there was no time sheet provided to support the time charged to the federal grant for two of the fourteen individuals tested. Action Planned in Response to the Finding: The action plan for the first two conditions are addressed in Finding 2025-001. The condition of the missing time sheet occurred on a timesheet that was completed before the committed 2024 audit finding corrective action completion date of December 2025 which was an issue for salaried employees, many of whom are not claimed for HRSA personnel support. In the current timecard approval process, actual hours are reported for all employees as appropriate. Official Responsible for Ensuring the CAP: Marilyn Powers-Campbell Planned Completion Date: December 2025

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1238351 2025-002
    Material Weakness Repeat
  • 1238352 2025-002
    Material Weakness Repeat
  • 1238354 2025-003
    Material Weakness Repeat
  • 1238355 2025-003
    Material Weakness Repeat
  • 1238356 2025-003
    Material Weakness Repeat
  • 1238357 2025-004
    Material Weakness Repeat
  • 1238358 2025-004
    Material Weakness Repeat
  • 1238359 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $2.72M
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $593,555
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $23,555