Finding 1241299 (2026-002)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2026
Accepted
2026-10-28
Audit: 415424
Organization: Clinica Sierra Vista (CA)
Auditor: DZA PLLC

AI Summary

  • Core Issue: The Organization failed to verify that vendors were not excluded from federal contracts before entering into agreements, indicating a systemic compliance problem.
  • Impacted Requirements: This finding violates Title 2 CFR 200.214 and Title 2 CFR 180.300, which mandate verification of vendor eligibility for transactions over $25,000.
  • Recommended Follow-Up: Ensure vendor checks are completed before contracts are signed and maintain documentation of these checks; perform annual updates to the verification process.

Finding Text

2026-002 Suspension and Debarment (repeat of finding 2025-004) Program Information Federal Organizations U.S Department of Agriculture (passed through California Department of Public Health) Assistance Listing Numbers 10.557 WIC Special Supplemental Nutrition Program for Women, Infants, and Children Award Numbers 25-10160, 22-10237 A05 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 transactions (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 entered into covered transactions without verification that vendors/contractors were not excluded from doing business with the federal government. This finding appears to be a systemic issue. Cause The Organization did not maintain documentation evidencing its compliance with its policy to verify that persons or entities contracted with were not listed on the exclusions list prior to entering into the contracts or purchase agreements. Suspension and debarment check were performed, but not until after the prior year’s audit was completed and this issue was identified. Effect The Organization may have entered into covered transactions with persons who have been suspended or debarred. Questioned Costs None noted. Context We tested four vendors with “covered transactions” under assistance listing number 10.557. All vendor suspension and debarment checks were performed after the initial transaction had already been entered into, due to the timing of the transaction compared to the timing of the completion of the prior year’s audit. Recommendation We recommend the Organization perform vendor checks prior to entering into procurements meeting the covered transaction criteria and retain documentation that the checks were performed and when they were performed. In addition, we recommend that the Organization update these checks on an annual basis. Views of responsible officials and planned corrective action Management concurs with Finding 2026-002 and reports that the related corrective actions have been completed. The finding carried over from the prior audit period and has been resolved by management through implementation of the vendor verification and documentation procedures described in the corrective action outlined on page 39.

Corrective Action Plan

2026-002 Suspension and Debarment Corrective action planned: CSV verifies each vendor’s exclusion status in SAM.gov before entering into any contract, purchase order, or agreement of $25,000 or more paid with federal funds. Each verification is documented, and active vendors are re-verified annually. Initial verification records for new vendors are retained in the Vendor Record within CSV’s general ledger system. Annual vendor verification records are documented and maintained in CSV’s electronic files. These procedures apply to all federal awards received by the organization Anticipated completion date: Completed in June 2026 Contact person responsible for corrective action: Harjeet Sidhu, Chief Financial Officer

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1241298 2026-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $22.75M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $9.83M
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $537,130
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $382,691
93.917 HIV CARE FORMULA GRANTS $230,586
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $222,569
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $197,067
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $63,500