Finding 1238649 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-09-30
Audit: 413573
Organization: Johnson County (IN)

AI Summary

  • Core Issue: The County failed to verify vendor suspension and debarment status before entering into covered transactions, risking noncompliance with federal requirements.
  • Impacted Requirements: Compliance with 2 CFR 200.303 and 2 CFR 180.300, which mandate effective internal controls and verification of vendor eligibility for federal programs.
  • Recommended Follow-Up: Management should implement robust procedures to ensure vendor verification is consistently performed and maintain documentation to demonstrate compliance.

Finding Text

FINDING 2025-001 Subject: WIC Special Supplemental Nutrition Program for Women, Infants, and Children - Suspension and Debarment Federal Agency: Department of Agriculture Federal Program: WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listings Number: 10.557 Federal Award Number and Year (or Other Identifying Number): Contract #88733 Pass-Through Entity: Indiana Department of Health Compliance Requirement: Procurement and Suspension and Debarment Audit Findings: Significant Deficiency, Other Matters Condition and Context Suspension and Debarment Prior to entering into subawards and covered transactions with federal award funds, recipients are required to verify that such contractors and subrecipients are not suspended, debarred, or otherwise excluded from participation in federal programs. "Covered transactions" include, but are not limited to, contracts for goods or services awarded under a nonprocurement transaction (i.e., grant agreement) that are expected to equal or exceed $25,000. Verification may be performed by checking the System for Awarded Management (SAM), collecting a certification from that person, or adding a clause or condition to the covered transaction with that person. The County had established policies and procedures intended to ensure that an entity it intended to do business with was not suspended, debarred, or otherwise excluded prior to entering into a covered transaction. However, these procedures were not operating effectively, as not all vendors were verified. The County entered into two covered transactions totaling $119,706, both of which were selected for testing. For one of these transactions, totaling $72,656, the County did not verify the vendor's suspension and debarment status prior to entering into the covered transaction or making payment. The ineffective internal controls and noncompliance were isolated to the covered transactions described above. Criteria 2 CFR 200.303 states in part: "The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in 'Standards for Internal Control in the Federal Government' issued by the Comptroller General of the United States or the 'Internal Control Integrated Framework', issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). . . ." INDIANA STATE BOARD OF ACCOUNTS 16 JOHNSON COUNTY SCHEDULE OF FINDINGS AND QUESTIONED COSTS (Continued) 2 CFR 180.300 states: "When you enter into a covered transaction with another person at the next lower tier, you must verify that the person with whom you intend to do business is not excluded or disqualified. You do this by: (a) Checking SAM Exclusions; or (b) Collecting a certification from that person; or (c) Adding a clause or condition to the covered transaction with that person." Cause The County had policies and procedures in place to verify that vendors were not suspended or debarred or otherwise excluded from participating in federal programs which included obtaining a certification from vendors regarding their exclusion status. However, there were no procedures in place to ensure this was not unintentionally omitted for any vendor contracts. Effect Without the proper implementation of an effectively designed system of internal controls, the County cannot ensure that vendors paid with federal funds are eligible to participate in federal programs. Noncompliance with the suspension and debarment requirements could result in the repayment or loss of future federal funding to the County. Questioned Costs There were no questioned costs identified. Recommendation Management should develop procedures to ensure vendors are not suspended or debarred when expending federal funds. Appropriate documentation should be obtained and maintained to ensure compliance with suspension and debarment. Views of Responsible Officials For the views of responsible officials, refer to the Corrective Action Plan that is part of this report.

Corrective Action Plan

CORRECTIVE ACTION PLAN-FINDING 2025-001 Finding Subject: WIC Special Supplemental Nutrition Program for Women, Infants, and Children – Suspension and Debarment Contact Persons Responsible for Corrective Action: Tiffany Costley and Tracy Smith Contact Phone Numbers and Email Addresses: Tiffany Costley: 317-346-4302 tcostley@johnsoncounty.in.gov Tracy Smith: 317-736-6628 tsmith@JohnsonCounty.in.gov Views of Responsible Officials: We agree with this current year’s audit finding, conclusions and recommendations. Description of Corrective Action Plan: As a result, we have requested lease agreement addendums for the leases in question. One of which has already been executed and the other is expected by August 21, 2026. Both will be kept in our contract files per the Indiana County records retention schedule. In addition to the aforementioned immediate corrective action, we have drafted a lease agreement addendum for suspension and debarment verification in compliance with 2 CFR 180.300 that is required for all county lease agreements effective immediately. This addendum will be kept in the County Attorney’s shared drive and will be added to the lease agreement checklist. Both efforts, in conjunction with the County’s already in effect ordinance covering federal procurement, will ensure no repeat findings. Anticipated Completion Date: The lease agreement addendums covering suspension and debarment have already been approved at the County Commissioners’ meeting on July 27, 2026, with complete execution expected by August 21, 2026. The required lease agreement addendum is effective immediately and is now available in the attorney shared drive.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $1.81M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $1.40M
93.563 CHILD SUPPORT SERVICES $979,073
20.507 FEDERAL TRANSIT FORMULA GRANTS $805,125
16.585 TREATMENT COURT DISCRETIONARY GRANT PROGRAM $268,773
20.205 HIGHWAY PLANNING AND CONSTRUCTION $150,909
16.710 PUBLIC SAFETY PARTNERSHIP AND COMMUNITY POLICING GRANTS $119,035
97.042 EMERGENCY MANAGEMENT PERFORMANCE GRANTS $67,531
16.575 CRIME VICTIM ASSISTANCE $62,635
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $56,379
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $50,310
93.788 OPIOID STR $46,963
10.555 NATIONAL SCHOOL LUNCH PROGRAM $35,246
10.553 SCHOOL BREAKFAST PROGRAM $21,304
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $18,750
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $12,600
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $9,310
20.608 MINIMUM PENALTIES FOR REPEAT OFFENDERS FOR DRIVING WHILE INTOXICATED $6,778
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $5,890
10.558 CHILD AND ADULT CARE FOOD PROGRAM $5,101