Finding 1239435 (2025-003)

Material Weakness Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2025
Accepted
2026-09-30

AI Summary

  • Core Issue: The Medical Center failed to conduct required hindsight reviews of payroll allocations, which are necessary to ensure accurate reporting of employee work on federal grants.
  • Impacted Requirements: This finding violates 2 CFR §200.430(i), which mandates that compensation for services must be based on accurate records reflecting actual work performed.
  • Recommended Follow-Up: Update policies to mandate formal hindsight reviews of employee hours, ensuring they align with budgeted allocations and maintain documentation for compliance.

Finding Text

Agency: U.S. Department of Education and U.S. Department of the Treasury Federal Assistance Listing Number: 84.215N Innovative Approaches to Literacy; Promise Neighborhoods; Full-Service Community Schools; and Congressionally Directed Spending for Elementary and Secondary Education Community Projects; 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Year: 2025 Pass-Through Entity: State of Connecticut Judicial Branch Office, City of Hartford, State of Connecticut Department of Public Health, State of Connecticut Department of Social Services, State of Connecticut Department of Mental Health and Addiction Services, State of Connecticut Department of Children and Families, State of Connecticut Department of Housing Repeat finding and prior year finding number: 2024-002 Criteria: In accordance with 2 CFR §200.430(i) of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), compensation for personal services charged to federal awards must be based on records that accurately reflect the work performed. When budget estimates are used for interim accounting purposes, they must: produce reasonable approximations of the activity actually performed, be reconciled to actual effort on a regular basis, and be adjusted in a timely manner to reflect significant changes in work activity. Documentation may include timesheets, effort certifications, payroll distribution reports, and other personnel activity records, and must be reviewed and approved by authorized personnel. Condition and Context: During our testing of payroll costs charged to the major federal programs, we selected 51 payroll transactions and noted that a documented hindsight review comparing actual employee effort to budgeted payroll allocations was not completed for any of the 51 selections tested. While the required hindsight review was not completed for the selections tested, there was evidence that the employees performed work on the applicable federal awards, and the amounts allocated were generally consistent with budgeted allocations. The sample was statistically valid. Questioned Costs: We were unable to quantify an amount of questioned costs. While a time and effort reporting was lacking for the items included in our sample, there was evidence of work performed on the grants and the amounts allocated aligned closely to the budget. Therefore, we were unable to quantify the amount of questioned costs. Cause: The Medical Center changed its procedures for documenting employee time allocations; however, formal processes were not established to document and regularly reconcile actual hours worked to budgeted allocations. As a result, hindsight reviews were not formally maintained to verify that payroll allocations were supported by employees' actual work performed. Effect: The lack of documentation of hindsight review increases the risk of inaccurate payroll cost allocations and potential noncompliance with federal grant requirements. Recommendation: The Medical Center should update its policies and procedures to require and document a formal hindsight review of employee working hours. This review should verify that actual hours worked align with budgeted hours, particularly in cases where payroll costs are allocated across multiple grants. The updated procedures should include clear guidelines for conducting and retaining evidence of such reviews to support accurate cost allocations and ensure compliance with federal grant requirements.

Corrective Action Plan

Corrective Action Planned: Management acknowledges the finding related to the lack of formal documentation maintained evidencing a hindsight review of employee working hours to verify alignment between actual hours. The Effort Reporting requirement is now met with a revamped process that includes an updated institutional effort reporting policy and development of a newly developed effort reporting workflow that aligned with the relatively recent (April 2024) implementation of new ERP system Oracle. This new process applies to those team members who have effort either charged, in-kind or cost-shared, to a grant funded project. The new Effort Reporting workflow formally went live institution wide on October 1, 2025, with a pilot implementation done in September 2025. Effort reporting is conducted monthly and requires a preview of all team members with effort allocated to grants from an automated report. Each report is reviewed for accuracy and then each line item is entered into a Smartsheet format for automated delivery of an individual effort report to each team member. A mid-month report is automated to flag and identify upcoming end dates of grant funding in preparation of the next month effort report. This mid-month review is necessary to adjust for any edits needed in preparation for the next month effort report workflow. In addition, the new process allows for follow up with escalation if individual effort report(s) are not signed by respective team member(s) within the prescribed monthly due date. Name(s) of Contact Person(s) Responsible for Corrective Action: Director Office for Sponsored Programs Anticipated Completion Date: Completion September 30, 2025, active as of October 1, 2025

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1239425 2025-003
    Material Weakness Repeat
  • 1239426 2025-003
    Material Weakness Repeat
  • 1239427 2025-003
    Material Weakness Repeat
  • 1239428 2025-003
    Material Weakness Repeat
  • 1239429 2025-003
    Material Weakness Repeat
  • 1239430 2025-003
    Material Weakness Repeat
  • 1239431 2025-003
    Material Weakness Repeat
  • 1239432 2025-003
    Material Weakness Repeat
  • 1239433 2025-003
    Material Weakness Repeat
  • 1239434 2025-003
    Material Weakness Repeat
  • 1239436 2025-004
    Material Weakness Repeat
  • 1239437 2025-004
    Material Weakness Repeat
  • 1239438 2025-004
    Material Weakness Repeat
  • 1239439 2025-004
    Material Weakness Repeat
  • 1239440 2025-004
    Material Weakness Repeat
  • 1239441 2025-004
    Material Weakness Repeat
  • 1239442 2025-004
    Material Weakness Repeat
  • 1239443 2025-004
    Material Weakness Repeat
  • 1239444 2025-004
    Material Weakness Repeat
  • 1239445 2025-004
    Material Weakness Repeat
  • 1239446 2025-004
    Material Weakness Repeat
  • 1239447 2025-005
    Material Weakness Repeat
  • 1239448 2025-005
    Material Weakness Repeat
  • 1239449 2025-005
    Material Weakness Repeat
  • 1239450 2025-005
    Material Weakness Repeat
  • 1239451 2025-005
    Material Weakness Repeat
  • 1239452 2025-005
    Material Weakness Repeat
  • 1239453 2025-005
    Material Weakness Repeat
  • 1239454 2025-005
    Material Weakness Repeat
  • 1239455 2025-005
    Material Weakness Repeat
  • 1239456 2025-005
    Material Weakness Repeat
  • 1239457 2025-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $7.55M
84.215 INNOVATIVE APPROACHES TO LITERACY; PROMISE NEIGHBORHOODS; FULL-SERVICE COMMUNITY SCHOOLS; AND CONGRESSIONALLY DIRECTED SPENDING FOR ELEMENTARY AND SECONDARY EDUCATION COMMUNITY PROJECTS $6.85M
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $2.18M
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $1.56M
14.913 HEALTHY HOMES PRODUCTION PROGRAM $863,641
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $519,577
14.905 LEAD HAZARD REDUCTION DEMONSTRATION GRANT PROGRAM $419,674
93.398 CANCER RESEARCH MANPOWER $263,702
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $215,529
93.421 STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION€™S HEALTH $195,647
93.838 LUNG DISEASES RESEARCH $162,759
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $128,518
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $125,976
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $102,159
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $65,183
16.575 CRIME VICTIM ASSISTANCE $52,101
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $35,333
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $27,957
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $22,710
93.242 MENTAL HEALTH RESEARCH GRANTS $19,963
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $19,680
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $19,221
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $17,068
93.310 TRANS-NIH RESEARCH SUPPORT $16,609
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $11,688
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $10,619
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $8,963
93.395 CANCER TREATMENT RESEARCH $6,429
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $5,046
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $4,406