Finding 20129 (2022-009)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-02-19
Audit: 22511
Organization: Edgecombe County (NC)

AI Summary

  • Core Issue: Inadequate documentation in case files led to errors in verifying eligibility for the Food and Nutrition Services program.
  • Impacted Requirements: Compliance with federal guidelines for internal controls and documentation as outlined in Food and Nutrition Services policies.
  • Recommended Follow-Up: Provide training for staff on eligibility requirements and improve internal review processes to prevent future errors.

Finding Text

US Department of Health and Human Services Passed through the NC Dept. of Health and Human Services Program Name: Food and Nutrition Services (FNS) Cluster CFDA # 10.551 and 10.561 Finding: 2022-009 Inadequate Documentation in case files SIGNIFICANT DEFICIENCY "Criteria: Per Section 200.303 of the Uniform Grant Guidance, a non-federal entity must 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. The State has provided policies and procedures to ensure that the County is meeting the federal guidance, relevant policies are: Food and Nutrition Services Policy 305 describes the verification sources and requirements and the FNS units primary responsibility for providing documentary evidence to support statements on applications and recertifications and procedures required if the statements by applicant/beneficiary are questionable. Food and Nutrition Services Policy 300 describes the sources of income countable and not countable to the household for determining financial eligibility.. Food and Nutrition Services Policy 310 describes the procedures related to verifying changes in income (i.e. termination, end of contract, temporary, etc.)." Condition: There were a total of 7 errors found in our testing: 1 instance where an OVS report was not included in the case file, 1 instance where Unemployment Income Benefits were not included in NCFAST, 1 instance where Social Security Disability Income was not included in NCFAST, 1 instance where child support income was not included in NCFAST, and 3 instances where there was no evidence that required income verifications were completed. Questioned Costs: There was no known affect to eligibility and there were no known questioned costs. Context: We examined 25 of 7,940 FNS recipients from the a report of all FNS beneficiaries provided by NC DHHS. The finding is being reported with the financial statement audit as it relates to FNS administrative cost compliance audit. Effect: Due to the errors noted, eligibility cannot be sufficiently substantiated and there is a risk that the County could provide funding and/or benefits to individuals who are not program eligible. Cause: Ineffective documentation/recordkeeping and case review process. Recommendation: The County should provide training of management and staff on the program's eligibility requirements, proper case review process, and required verifications for eligibility. Also, the County should ensure that their formal internal review process is adequately completed to identify and correct errors in case reviews. Views of responsible officials and planned corrective actions: The County agrees with the finding and is implementing actions to correct these issues, which are further discussed in the corrective action plan.

Corrective Action Plan

Finding: 2022-009 Significant Deficiency over Eligibility Name of contact person: Donna Barnes and Linda Jackson, FNS Supervisors Corrective Action: Files will be reviewed internally by FNS Supervisors an Quality Control Workers to ensure that records containt all required evidence and is received and documented properly. Workers will be retrained on what files should contain and the importance of complete and accurate record keeping. Workers will be retrained to ensure all files will include verifications, documented sources of income and verify that those amounts will match information in NCFAST. The workers will be retrained to ensure that results found or documentation in case notes will clearly indicate what actions were performed and the results of those actions. Proposed Completion Date: Training and corrections will be completed by March 1, 2023. Case record reviews are currently being conducted and will be ongoing.

Categories

Allowable Costs / Cost Principles Eligibility Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 20130 2022-010
    Significant Deficiency
  • 20131 2022-008
    Significant Deficiency
  • 20132 2022-003
    Significant Deficiency Repeat
  • 20133 2022-004
    Significant Deficiency Repeat
  • 20134 2022-005
    Significant Deficiency Repeat
  • 20135 2022-006
    Significant Deficiency Repeat
  • 20136 2022-007
    Significant Deficiency Repeat
  • 596571 2022-009
    Significant Deficiency
  • 596572 2022-010
    Significant Deficiency
  • 596573 2022-008
    Significant Deficiency
  • 596574 2022-003
    Significant Deficiency Repeat
  • 596575 2022-004
    Significant Deficiency Repeat
  • 596576 2022-005
    Significant Deficiency Repeat
  • 596577 2022-006
    Significant Deficiency Repeat
  • 596578 2022-007
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $3.07M
93.778 Medical Assistance Program $2.08M
93.563 Child Support Enforcement $1.02M
93.658 Foster Care_title IV-E $368,086
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $327,658
93.994 Maternal and Child Health Services Block Grant to the States $191,759
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $157,596
93.568 Low-Income Home Energy Assistance $155,681
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $125,663
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $125,431
21.019 Coronavirus Relief Fund $110,338
93.000 Foster Care $107,485
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $61,173
93.217 Family Planning_services $53,723
10.760 Water and Waste Disposal Systems for Rural Communities $48,196
16.001 Law Enforcement Assistance_narcotics and Dangerous Drugs_laboratory Analysis $40,140
93.991 Preventive Health and Health Services Block Grant $35,560
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $32,003
93.069 Public Health Emergency Preparedness $28,998
93.053 Nutrition Services Incentive Program $22,933
93.767 Children's Health Insurance Program $22,313
93.558 Temporary Assistance for Needy Families $21,187
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $19,187
93.645 Stephanie Tubbs Jones Child Welfare Services Program $16,124
93.556 Promoting Safe and Stable Families $14,931
20.600 State and Community Highway Safety $14,922
97.042 Emergency Management Performance Grants $12,696
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $10,685
93.268 Immunization Cooperative Agreements $10,585
93.667 Social Services Block Grant $9,786
93.659 Adoption Assistance $8,806
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $6,993
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $1,625
93.297 Teenage Pregnancy Prevention Program $1,384
97.067 Homeland Security Grant Program $574
93.000 IV-E Adoption $234
97.039 Hazard Mitigation Grant $142
93.566 Refugee and Entrant Assistance_state Administered Programs $-839