Finding 35548 (2022-003)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2022-12-22
Audit: 25106
Organization: Family First Health Corporation (PA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: Time and effort attestations for grant employees were not completed until the audit, indicating a significant internal control deficiency.
  • Impacted Requirements: Compliance with activities allowed/unallowed and allowable costs/cost principles under DHHS and PA DOH grants.
  • Recommended Follow-up: Implement a process to ensure timely signing of attestations by both employees and supervisors to prevent unallowed payroll costs.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster, COVID-19 Immunization Cooperative Agreements Federal Assistance Listing Number: 93.224, 93.527, 93.268 Compliance Requirements: Activities allowed or unallowed, Allowable costs/Cost Principles Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: The time and effort attestations are to be prepared and signed by the employees who work on the grants and their supervisor on a timely basis. Condition/Context: In connection with the Activities allowed or unallowed, and Allowable Costs/Cost Principles compliance requirements for the DHHS 330 grant and the PA DOH COVID vaccine grant, we noted that the time and effort attestations for all employees were not done until the time of the audit. Cause: Due to turnover in the finance department, the attestations were not completed until they were requested by the auditors. Effect or Potential Effect: The deficiency in the Center's controls over compliance with activities allowed or unallowed, and allowable cost/cost principles could result in unallowed payroll costs being charged to the grant. Questioned Costs: None Identification as a Repeat Finding No Auditor's Recommendation: The Center should ensure that the time and effort attestations are signed by both employee and supervisor timely.

Categories

Allowable Costs / Cost Principles Significant Deficiency

Other Findings in this Audit

  • 35547 2022-003
    Significant Deficiency
  • 35549 2022-003
    Significant Deficiency
  • 35550 2022-004
    Significant Deficiency
  • 35551 2022-003
    Significant Deficiency
  • 611989 2022-003
    Significant Deficiency
  • 611990 2022-003
    Significant Deficiency
  • 611991 2022-003
    Significant Deficiency
  • 611992 2022-004
    Significant Deficiency
  • 611993 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $2.65M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.77M
93.268 Immunization Cooperative Agreements $751,980
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $547,851
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $433,034
32.006 Covid-19 Telehealth Program $414,519
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $229,291
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $168,548
93.556 Promoting Safe and Stable Families $168,548
93.217 Family Planning_services $158,535
93.667 Social Services Block Grant $83,324
93.994 Maternal and Child Health Services Block Grant to the States $57,504
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $8,440