Finding 1241637 (2021-010)

Material Weakness Repeat Finding
Requirement
F
Questioned Costs
-
Year
2021
Accepted
2026-11-04

AI Summary

  • Core Issue: CHCC's property records do not meet federal requirements, lacking essential details like location, condition, and use of equipment.
  • Impacted Requirements: Noncompliance with 2 CFR 200.313(d)(1) and CHCC's own policies, leading to ineffective internal controls over property management.
  • Recommended Follow-Up: Revise property management policies, implement monitoring controls for accuracy, and establish documented review procedures for inventory inspections.

Finding Text

Finding No. 2021-010 - Equipment and Real Property Management Identification of the federal program: Federal Agency: Department of Health and Human Services - Centers for Diseases and Control Prevention (HHS-CDC) AL Program: 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Award Number: NU50CK000499 Criteria or specific requirement (including statutory, regulatory or other citation): In accordance with 2 CFR Section 200.313(d)(1), property records must be maintained that include a description of the property, a serial number or another identification number, the source of funding for the property (including the Federal award identification number), the title holder, the acquisition date, the cost of the property, the percentage of the Federal agency contribution towards the original purchase, the location, use and condition of the property, and any disposition data including the date of disposal and sale price of the property. Additionally, as stated in CHCC Grants Management Policies and Administration Procedures section Procurement and Property Management Standards 13(a), property records must be maintained which include a description of the property, a serial number or other identification number, the source of property, the name of the titleholder, the acquisition date, the cost of the property, the percentage of federal or state participation in the cost of the property, and the disposition data including the date of disposal and sale price. Approval for disposal of property obtained with grant funds must be obtained by Medical Supplies Office (MSO) prior to actual disposal. In accordance with 2 CFR 200.303(a), the recipient and subrecipient must establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient or subrecipient is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Condition: 1. CHCC’s current policy and procedure for property records maintenance did not include all the requirement information as prescribed by 2 CFR 200.313(d)(1). 2. CHCC’s fixed assets registry (FAR) did not include all the required information prescribed by 2 CFR 200.313(d)(1). 3. CHCC performed a physical inventory inspection during fiscal year 2021. However, the physical inventory documentation did not contain evidence that the inventory results and related reconciliation were reviewed and approved by authorized personnel. Cause: 1. CHCC did not appropriately design its property records maintenance procedures to ensure compliance with all the requirements of 2 CFR 200.313(d)(1). 2. CHCC lacks monitoring controls to ensure that the information required by 2 CFR 200.313(d)(1) is included in the FAR for all federally funded property. 3. CHCC has not implemented documented review and approval procedures over physical inventory results and the related reconciliation to property records. Effect or potential effect: The CNMI is in noncompliance with applicable equipment and real property management requirements. Questioned Costs: $0; Undetermined. Conditions 1 and 3 relate to ineffective internal controls over compliance resulting in questioned costs of $0. Condition 2 is not determined. The noncompliance relates to incomplete equipment records that did not contain all information required under the equipment management requirements. While the net book value of the affected equipment is provided in the context section, the auditors were unable to reasonably determine or estimate the portion of Federal expenditures affected by the missing recordkeeping elements. Audit procedures did not identify unsupported, unallowable, or improperly used equipment associated with the items tested. Context: 1. The currently established policy and procedures for property record maintenance lacks the requirement to include the location, use and condition. 2. For seven (or 100%) of seven federal capital asset additions selected for testing, CHCC’s FAR did not include the assets’ location, use and condition, as required by 2 CFR 200.313.(d)(1). 3. The documentation supporting the inventory count inspection during FY 2021 did not contain evidence of review or approval by the program managers or the procurement director. Identification as a repeat finding, if applicable: Finding No. 2020-012. Recommendation: 1. CHCC should revise their property records management policy to include all information required by 2 CFR 200.313(d)(1) particularly the location, condition and use. 2. CHCC should establish monitoring controls to verify that required property information is complete and accurate, including when assets are acquired, inspected or disposed of. 3. CHCC should establish and document its review and approval procedures over the result of the annual physical inventory inspection, including related reconciliations, to ensure that differences identified are resolved and reconciled to the property records of each program. Views of Responsible Officials: CHCC concurs with the findings. CHCC updated its Capital Assets policy on June 10, 2026, to comply with the requirements of 2 CFR 200.313. Pursuant to the revised policy, CHCC will update the fixed assets listing for all the required components and proper documentation reconciliation results.

Corrective Action Plan

Finding No.: 2021-010 AL Program: 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Area: Equipment and Real Property Questioned Costs: $-0- Undetermined Contact Person(s): Procurement Director Corrective Action Plan: CHCC concurs with the findings. CHCC updated its Capital Assets policy on June 10, 2026, to comply with the requirements of 2 CFR 200.313. Pursuant to the revised policy, CHCC will update the fixed assets listing for all the required components and proper documentation reconciliation results. Responsible Official: Director of Procurement and Supply, Director of DGFI and Chief Financial Officer Proposed Completion Date: 12/31/2026

Categories

Equipment & Real Property Management Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 1241631 2021-004
    Material Weakness Repeat
  • 1241632 2021-005
    Material Weakness Repeat
  • 1241633 2021-006
    Material Weakness Repeat
  • 1241634 2021-007
    Material Weakness Repeat
  • 1241635 2021-008
    Material Weakness Repeat
  • 1241636 2021-009
    Material Weakness Repeat
  • 1241638 2021-011
    Material Weakness Repeat
  • 1241639 2021-012
    Material Weakness Repeat
  • 1241640 2021-013
    Material Weakness Repeat
  • 1241641 2021-014
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $5.21M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $5.01M
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $3.63M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $3.62M
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $3.51M
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $1.92M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $1.02M
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $1.00M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $869,181
15.875 ECONOMIC, SOCIAL, AND POLITICAL DEVELOPMENT OF THE TERRITORIES $687,143
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $596,181
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $528,358
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $462,618
93.982 MENTAL HEALTH DISASTER ASSISTANCE AND EMERGENCY MENTAL HEALTH $438,257
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $432,556
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $422,872
93.236 GRANTS TO STATES TO SUPPORT ORAL HEALTH WORKFORCE ACTIVITIES $400,328
93.217 FAMILY PLANNING SERVICES $343,159
97.088 DISASTER ASSISTANCE PROJECTS $341,416
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $337,474
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $328,371
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $290,825
93.251 EARLY HEARING DETECTION AND INTERVENTION $240,262
93.665 EMERGENCY GRANTS TO ADDRESS MENTAL AND SUBSTANCE USE DISORDERS DURING COVID-19 $214,228
93.377 PREVENTION AND CONTROL OF CHRONIC DISEASE AND ASSOCIATED RISK FACTORS IN THE U.S. AFFILIATED PACIFIC ISLANDS, U.S. VIRGIN ISLANDS, AND P. R. $179,144
93.788 OPIOID STR $168,753
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $147,842
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $143,060
93.165 GRANTS TO STATES FOR LOAN REPAYMENT $125,000
93.817 HOSPITAL PREPAREDNESS PROGRAM (HPP) EBOLA PREPAREDNESS AND RESPONSE ACTIVITIES $123,359
10.855 DISTANCE LEARNING AND TELEMEDICINE GRANTS $120,717
93.504 FAMILY TO FAMILY HEALTH INFORMATION CENTERS $119,371
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $69,403
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $45,076
93.917 HIV CARE FORMULA GRANTS $44,846
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $43,612
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $41,888
93.314 EARLY HEARING DETECTION AND INTERVENTION INFORMATION SYSTEM (EHDI-IS) SURVEILLANCE PROGRAM $26,630
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $5,817
16.575 CRIME VICTIM ASSISTANCE $5,696
93.644 ADULT MEDICAID QUALITY: IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES IN MEDICAID AND CHIP $3,089
93.495 COMMUNITY HEALTH WORKERS FOR PUBLIC HEALTH RESPONSE AND RESILIENT $732