Finding 398269 (2023-003)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-05-22

AI Summary

  • Core Issue: MVCHS failed to screen vendors for compliance with federal suspension and debarment regulations, leading to a significant deficiency in internal controls over federal awards.
  • Impacted Requirements: Noncompliance with federal procurement standards as outlined in 45 CFR Part 75 and 2 CFR Part 200, risking contracts with ineligible contractors.
  • Recommended Follow-Up: Implement a verification process for contractor eligibility by May 6, 2024, and ensure contracts include necessary suspension and debarment clauses.

Finding Text

(E) Significant Deficiency in Internal Control Over Compliance of Federal. Awards (F) Instance of noncompliance of Federal Awards Federal Agency: US Department of Health and Human Services Program Name: Health Centers Cluster Compliance Requirement: Procurement and Suspension and Debarment Questioned Costs: None Assistance Listing Number: 93.224, 93.527 Statement of Condition MVCHS did not follow federal procurement and suspension and debarment regulation nor its federal procurement policy. During our test work, it was noted that 4 out of 4 tests of internal control over compliance, MVCHS did not screen vendors for compliance with suspension and debarment requirements. Criteria MVCHS is required to verify that entities it plans to do business with are not excluded or disqualified under the non-procurement common rule, or otherwise declared ineligible under statutory or regulatory authority. According to §75.303 Internal controls of 45 CFR Part 75, the nonfederal 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. According to §75.327 general procurement standards of 45 CFR Part 75, the nonfederal entity must maintain records sufficient to detail the history of procurement. These records will include but are not necessarily limited to the following: rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. According to §200.303 Internal controls of 2 CFR Part 200, the nonfederal entity MVCHS must establish and maintain effective internal control over the Federal award that provides reasonable assurance MVCHS is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). According to §180.300 of Subpart C–Responsibilities of Participants Regarding Transactions Doing Business With Other Persons of 2 CFR Part 180, when you enter into a covered transaction with another person at the next lower tier, you must verify that the person with whom you intend to do business is not excluded or disqualified. This can been done by: (a) Checking SAM Exclusions; or (b) Collecting a certification from that person; or (c) Adding a clause or condition to the covered transaction with that person. Cause Internal controls over compliance do not appear to have been adequately implemented due to lack of training, oversight, or resources. Effect The Institute may have entered into contracts with ineligible contractors and exposed itself to potential liability and loss of federal funds. Recommendation We recommend that the organization: View of Responsible Officials MVCHS acknowledges the need to implement procedures to verify the suspension and debarment status of contractors prior to using federal funds. The Finance Department will develop a process to check for suspension and debarment prior to issuing a purchase order. This process will be completed by May 6, 2024. Carla Melendez, Chief Financial Officer will be responsible for developing and implementing this process. • follow its policies and procedures to verify the suspension and debarment status of contractors before awarding contracts using federal funds. • include the required suspension and debarment clause in its contracts with contractors using federal funds.

Corrective Action Plan

MVCHS acknowledges the need to implement procedures to verify the suspension and debarment status of contractors prior to using federal funds. The Finance Department will develop a process to check for suspension and debarment prior to issuing a purchase order. This process will be completed by May 6, 2024. Carla Melendez, Chief Financial Officer will be responsible for developing and implementing this process.

Categories

Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 398267 2023-001
    Significant Deficiency Repeat
  • 398268 2023-001
    Significant Deficiency Repeat
  • 398270 2023-003
    Significant Deficiency
  • 974709 2023-001
    Significant Deficiency Repeat
  • 974710 2023-001
    Significant Deficiency Repeat
  • 974711 2023-003
    Significant Deficiency
  • 974712 2023-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.67M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $120,381
93.498 Provider Relief Fund $88,093
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $58,020
93.667 Social Services Block Grant $57,447
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $27,624
93.778 Medical Assistance Program $7,123
10.558 Child and Adult Care Food Program $2,949