2021-005 – Reporting
Corrective Action: CBNHC will implement the following corrective actions:
• CBNHC will immediately complete the annual narrative reports for all fiscal years through September 30, 2023.
• CBNHC will immediately complete the SF-425 financial reports for all fiscal years through September 30, 2023, and thereafter, every quarter through the current fiscal year.
• CBNHC will actively communicate its status with the IHS Area Office regarding its progress towards the required deliverables.
• CBNHC will implement an executive leadership team who are collectively responsible for assuring regulatory compliance for the entity, which will be achieved through the timely sharing of important information.
• CBNHC’s Board of Directors will serve as governance over these requirements.
Person Responsible: The following individuals will be responsible for the above corrective action plan:
• Chief Executive Officer (Derrick Watchman) – Is responsible for ensuring that the annual narrative reports are submitted to IHS according to the AFA. In addition, the CEO will initiate monthly progress meetings with IHS.
• Interim Finance Director (Volelle Zamora) – Is responsible for ensuring that the SF-425 financial reports are submitted to IHS according to the AFA.
• Chief Executive Officer (Derrick Watchman), Chief Medical Officer (Sheryl O’Shea MD), Chief Operations Officer (Volelle Zamora), Executive Administrative Assistant (Ophelia Mace), and Human Resource Director (Christina Chavez) – Will serve as the CBNHC executive leadership team and are collectively responsible for assuring that the required reporting and other compliance are achieved.
• Board of Directors (Kimberly Bruce, Harrison Platero, Lester Secatero) – Are responsible for CBNHC’s governance and will monitor required completion of reporting.
Completion Date: The annual narrative reports for fiscal years 2021, 2022, and 2023 were completed as of December 31, 2023. The SF-425 reports will be completed and submitted to IHS by March 31, 2024. CBNHC is conducting monthly progress meetings with IHS regarding its requirements for financial reporting. CBNHC has implemented an executive leadership team, and they meet regularly, to share information and establish timelines for the completion and submission of its required reporting.