Finding 399862 (2023-002)

Significant Deficiency

Requirement

Questioned Costs

Year

2023

Accepted

2024-06-03

Audit: 307966

Organization: Weese Providers, INC (LA)

Auditor: Roslyn J Johnson LLC

AI Summary

Core Issue: The organization failed to document compliance with 7 CFR.16 regarding required facility reviews.
Impacted Requirements: Each facility must be reviewed three times a year, but monitoring forms were missing for all nine facilities examined.
Recommended Follow-up: Ensure that Sponsor Monitoring Forms are properly filed and maintained to demonstrate compliance with the regulation.

Finding Text

The Organization could not document its compliance with 7 CFR.16, Frequency and Type of Required Facility Reviews. I noted during my examination of nine (9) facilities, that the Sponsor Monitoring Forms which are utilized to document the date, time, and type of meal monitored was not on file. 7 CFR.16 states sponsoring organizations must review each facility three times each year. Sponsor monitoring forms utilized to document compliance with 7 CFR 16 were not on file for the nine facilites selected for testing. As a result the organization did not sufficiently document its compliance with 7 CFR 16.

Corrective Action Plan

We are currently in the process of obtaining additional staff to ensure all documentation of facility reviews is timely prepared and file to support future compliance with 7 CFR 16. In addition, will prepare and update our monitoring log of facility visits in a timely manner.

Other Findings in this Audit

976304 2023-002

Significant Deficiency

Programs in Audit

ALN	Program Name	Expenditures
10.558	Child and Adult Care Food Program	$1.14M