Finding 1239126 (2025-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-09-30
Audit: 413997
Organization: Aids Healthcare Foundation (CA)

AI Summary

  • Core Issue: Inconsistent documentation of employee time charges led to discrepancies between timesheets and reimbursement requests, indicating weak internal controls.
  • Impacted Requirements: Compliance with 2 CFR Part 200.430 (g)(1) and Uniform Guidance on internal controls over federal awards was not met.
  • Recommended Follow-up: Implement a documented reconciliation process for timesheets and invoices, and enforce timely reviews of payroll allocations to ensure accuracy and compliance.

Finding Text

Finding SA 2025-001: Allowable Cost/Cost Principles – Internal Controls Over the Documentation of Cost Allocation (Repeat Finding) Federal Program Information Assistance Listing Number: 93.914 Federal Program Name: HIV Emergency Relief Project Grants (Ryan White HIV/AIDS Program Part A) Federal Agency: U.S. Department of Health and Human Services Pass-through Entities: County of Los Angeles, CA Department of Public Health, RW Part A Contract Number and Name: PH-003738 Medical Care Coordination; PH-005706 Medical Care Coordination; PH-003799 Oral Health Care Services Compliance Requirement: Allowable Cost/Cost Principles Criteria or Specific Requirements Per 2 CFR Part 200.430 (g)(1), charges to Federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must support the distribution of the employee's salary or wages among specific activities or cost objectives. Per Uniform Guidance Compliance Supplement part 6 – Internal Control, non-federal entities are required to establish and maintain internal control over the federal awards that provides reasonable assurance that the non-federal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Condition Summary Description A. Improved Documentation for Basis of Cost Allocation for Employee Time Charges For 5 of the 60 employees selected for allowable costs / cost principles testing, the timesheet hours did not agree with the hours billed on the related reimbursement request invoice. In each case, the invoice hours exceeded the timesheet hours. B. Improved Documentation of Routinary Reviews of Employee Hours Charged to the Grants For 1 of the 60 employees selected for allowable costs/cost principles testing, the review of tracked hours was performed more than 90 days after the reimbursement month. Questioned Costs A. Improved Documentation for Basis of Cost Allocation for Employee Time Charges None. The Foundation corrected the noted discrepancies for the related employees in subsequent monthly reimbursement requests. We consider this an internal control finding. B. Improved Documentation of Routinary Reviews of Employee Hours Charged to Grants None. We consider this an internal control finding. Cause and Effect A. Improved Documentation for Basis of Cost Allocation for Employee Time Charges Although procedures were in place to review payroll costs charged to grants, the control activities were not consistently performed or sufficiently documented to ensure that hours billed on reimbursement requests agreed to supporting timesheets and that related payroll reallocations were completed timely. Documentation supporting certain employee time charges was therefore not consistently maintained or reconciled to reimbursement requests. The Foundation should improve how it demonstrates that payroll costs charged to federal awards are complete, accurate, and supportable. B. Improved Documentation of Routinary Reviews of Employees' Hours Charged to Grants. This exception related to one employee occurred before the Foundation's corrective action plan and formal policy were implemented effective August 1, 2025. The formal policy requires timely review of payroll allocations and related reclassifications. For this employee, the review and reclassification were not completed within the timeframe required under the policy effective August 1, 2025. Recommendation A. Improved Documentation for Basis of Cost Allocation for Employee Time Charges We recommend that the Foundation require a documented reconciliation of employee timesheets, payroll allocation records, and reimbursement invoices before each reimbursement request is submitted. The reconciliation should evidence preparation and supervisory review and identify the timely resolution of any differences. Management should also ensure that payroll reallocations and cost transfers are completed timely and supported by appropriate documentation. These procedures will help support the accuracy, completeness, and supportability of personnel costs charged to federal awards. B. Improved Documentation of Routinary Reviews of Employee Hours Charged to Grants We recommend that the Foundation enforce its established review policy and retain documentation demonstrating that employee hours and related payroll reclassifications are reviewed and completed within the required timeframe. This will help support the accuracy and allowability of payroll costs charged to grant programs.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Actions A. Improved Documentation for Basis of Cost Allocation for Employee Time Charges Noted discrepancies were subsequently identified and corrected through the Foundation's internal review process; The Foundation will continue to review and enhance its existing procedures as outlined below: 1. Prior to submission of reimbursement requests to the funder, the Contracts Manager for each grant will review the supporting documents and invoice template to ensure only final and fully supported data is invoiced. 2. Continue the practice of reviewing salary costs allocated to each grant in the payroll system, with the percentage charged to the funder to ensure only fully supported costs are billed. B. Improved Documentation of Routinary Reviews of Employee Hours Charged to Grants The Foundation will continue to review and enhance the process to review staff allocated to a grant to ensure that hours and salary costs are allocated correctly at least quarterly, but also additional adjustments and reclassifications may be posted at year-end to ensure completeness and accurate SEFA reporting. Personnel responsible for implementation: Shibu Sam Position of responsible personnel: National Director of Contracts Administration Date of Implementation: October 1, 2026

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1239123 2025-001
    Material Weakness Repeat
  • 1239124 2025-001
    Material Weakness Repeat
  • 1239125 2025-001
    Material Weakness Repeat
  • 1239127 2025-002
    Material Weakness Repeat
  • 1239128 2025-002
    Material Weakness Repeat
  • 1239129 2025-002
    Material Weakness Repeat
  • 1239130 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $865,537
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $572,647
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA €” RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $218,874
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $202,812
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $163,000
14.267 CONTINUUM OF CARE PROGRAM $149,871
93.917 HIV CARE FORMULA GRANTS $125,614
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $120,322
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $87,473
93.940 HIV PREVENTION AND SURVEILLANCE ACTIVITIES-HEALTH DEPARTMENT BASED $54,781
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $53,179
93.242 MENTAL HEALTH RESEARCH GRANTS $36,683
14.322 TENANT EDUCATION AND OUTREACH PROGRAM $28,980
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $26,550
98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS $18,869