Finding 29811 (2022-003)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-06-29

AI Summary

  • Core Issue: The Agency failed to meet 2 out of 10 performance objectives for the Healthy Start Initiative, indicating a significant deficiency in compliance.
  • Impacted Requirements: The Agency did not submit a complete performance report within the required 90 days, violating the terms of the grant agreement and 45 CFR Part 74.
  • Recommended Follow-Up: The Agency should enhance internal controls and monitoring to ensure compliance with performance measures and achieve set objectives in future reports.

Finding Text

2022-003 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Questioned Costs ? None Identification of a Repeat Finding- This is not a repeat finding from the previous audit. Cause/Effect ? Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.

Corrective Action Plan

2022-003 Auditors Findings:- During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Corrective Action:- 2022-003 During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.

Categories

Subrecipient Monitoring Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 29812 2022-004
    Significant Deficiency Repeat
  • 606253 2022-003
    Significant Deficiency
  • 606254 2022-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.926 Healthy Start Initiative $1.23M
93.224 American Rescue Plan Act (arpa) Funding for Health Centers $769,970
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $699,142
93.268 Immunization Cooperative Agreements $193,306