Finding 403701 (2023-001)

Significant Deficiency
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2024-06-28

AI Summary

  • Core Issue: One employee's time and effort documentation was insufficient, leading to discrepancies between reported hours and accounting records.
  • Impacted Requirements: Compliance with 2 CFR part 200.430, which mandates accurate records for salary charges to federal awards.
  • Recommended Follow-Up: Management should establish procedures to ensure comprehensive documentation of time and effort for all employees involved in federal programs.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Compliance Requirement: Activities Allowed, Allowable Costs (Payroll) Type of Finding: Significant Deficiency in Internal Control over Compliance Federal Program: 93.696 – Certified Community Behavioral Health Clinics Grant Award: 1H79SM086741-01 Condition/Context During testing over payroll, we noted that out of ten (10) employees selected for testing, documentation of time and effort for one employee was not sufficiently documented, as the allocation of time and effort spent on program-related and general and administrative activities according to the time reporting system did not agree with the related accounting records. Criteria 2 CFR part 200.430 of the Uniform Guidance requires that “charges to federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must….be incorporated into the official records and…support the distribution of the employee’s salary or wages among specific activities.” Cause Sufficient documentation related to time and effort was not maintained by management for the above employee. Effect It could not be determined if the excess time and effort was related to the federal award programs and, therefore, appropriately included as federal expenditures. Questioned Costs Not determinable since it was not clear if the employee partially or fully worked on program-related activities. Recommendation We recommend that management implement procedures to ensure that all time and effort spent on federal award programs be adequately documented with underlying contracts, offer letters, personnel action forms, and time sheets. Views of Responsible Officials and Planned Corrective Actions See corrective actions plans section.

Corrective Action Plan

We acknowledge the findings from the audit of our federal grants award, specifically the insufficient documentation of time and effort for one of our employees. We understand the importance of adhering to 2 CFR part 200.430 of the Uniform Guidance and regret any discrepancies that occurred. The single discrepancy noted related to a new employee that was hired for the federal grant a month and half before the end of the grant year. The variance resulted from an inadvertent payroll coding error in the payroll system, where the employee’s time and effort for the grant was miscoded. We appreciate the opportunity to address this finding and are committed to preventing its recurrence. Below, please find the detailed corrective action plan with timelines and responsible parties. Corrective Action Plan 1 Review and Correction: - We wish to assure you that this was an isolated incident resulting from a clerical oversight. As soon as the discrepancy was brought to our attention, corrective measures were promptly taken. The incorrect coding has been rectified in the payroll system. - Further, we have reviewed the documentation for the employee in question to established that the employee subsequent records accurately reflected the time and effort spent on the federal program. 2 Policy Review and Update: - We have reviewed our time and effort documentation procedures to ensure they align with federal requirements and would consistently lead to a fair and accurate time and effort allocation. - We noted that our current policy and procedures are adequate but can be strengthened further by a more effective supervisory review of time sheets for each employee assigned to a federal grant. - Nevertheless, all changes in policies and procedures that result in our continuous review will be documented and communicated to relevant personnel. - Updated procedures will be incorporated into our organizational handbook and made accessible to all staff members. - Further, we will ensure federal program managers are aware of any changes in regulations or requirements. This proactive approach will help us stay updated and adjust our procedures accordingly. 3 Staff Training: - We will, additionally, require all staff involved in federal grants to undergo quarterly training to reinforce the importance of accurate time and effort reporting. This training will cover the proper use of our time reporting system and the necessity of aligning it with accounting records. Our training sessions will cover the requirements of 2 CFR part 200.430 and the specific procedures that must be followed to maintain compliance. 4 Enhanced Oversight and Monitoring: - A system of regular internal audits will be established to monitor the compliance of time and effort documentation. - These audits will be conducted quarterly, and any discrepancies will be promptly addressed to ensure continuous compliance. 5 Continuous Improvement: - We commit to continuously improving our processes and controls related to federal grant management. This will include seeking feedback from our staff and auditors to identify areas for further enhancement. We believe that these corrective actions address the identified deficiency and goes beyond with additional effort to enhance our compliance environment. As a company, we are committed to maintaining the highest standards of accuracy and accountability to manage our federal funds.

Categories

Allowable Costs / Cost Principles Reporting Significant Deficiency

Other Findings in this Audit

  • 980143 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.696 Certified Community Behavioral Health Clinic Expansion Grants $880,676
93.788 Opioid Str $464,795
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $206,279
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $110,227
93.959 Block Grants for Prevention and Treatment of Substance Abuse $9,955