Finding 42574 (2022-001)

Significant Deficiency
Requirement
E
Questioned Costs
-
Year
2022
Accepted
2023-03-30

AI Summary

  • Core Issue: Five out of 25 client samples lacked necessary intake assessments and referrals, while nine did not have independent living plans completed within the required timeframe.
  • Impacted Requirements: Eligibility documentation for supportive housing, including referral letters and intake assessments, must be properly maintained to ensure clients are rightly served.
  • Recommended Follow-Up: Implement stronger internal controls to ensure all required documentation is collected and maintained, and conduct regular self-audits to verify compliance.

Finding Text

U.S. Department of Health and Human Services, Temporary Assistance for Needy Families (Assistance Listing Number 93.558) Item 2022-001 - Eligibility Criteria Supportive housing and ancillary services is provided to eligible individuals or families (clients). All clients must be referred by either Human Resources Administration or Department of Homeless Services (DHS), and depending on the type of supportive housing needed, clients must be either with HIV/AIDS, veteran, medically eligible or homeless families with child/children. The Organization?s employees are required to follow the established processes and policies to determine eligibility of the clients. Statement of Condition and Context During our test of compliance related to eligibility, it was noted that 5 out of 25 samples tested did not have the required intake assessment package and did not have the referral from DHS. Moreover, 9 out of 25 samples tested, did not have an independent living plan document which should be completed within 48 hours of client admittance to the program. Questioned Costs None. Cause The condition can be attributed to human error and the lack of internal controls to review and ensure that required documentation is being maintained and applied. Effect Without proper support and approval, although a client is eligible to receive supportive housing under the program, there is no documented evidence that clients are rightful recipients of supportive housing. It allows the opportunity for ineligible clients to be awarded the supportive housing. Identification as a Repeat Finding No. Recommendation We recommend that management implement controls to maintain all the documentation required for determining eligibility of supportive housing clients. These documents should, at a minimum, include the referral letter from Human Resource Administration or Department of Homeless Services, completed intake assessment package that show client's income, status as to whether they are veteran or not, medically eligible, homeless or at risk of being homeless, or families with children, and an independent living plan. Views of responsible official Management has ensured that under the new management team at the New Broadway shelter, all required documentation is being maintained and filed on-site, including referral letters, completed intake assessments, and independent living plans. To ensure compliance, management is conducting regular self-audits, to occur at least quarterly, to verify that these documents have been completed and are readily available for all active clients. In addition, management is scanning these required documents and saving them to an internal shared drive for easy access.

Corrective Action Plan

U.S. Department of Health and Human Services Harlem United Community AIDS Center, Inc. and Affiliates respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs is discussed below. The findings are numbered consistently with the number in the schedule. FINDING - FEDERAL AWARDS PROGRAM AUDIT U.S. Department of Health and Human Services, Temporary Assistance For Needy Families (TANF): Assistance Listing Number 93.558 SIGNIFICANT DEFICIENCIES Finding 2022-001 - Eligibility Recommendation: We recommend that management implement controls to maintain all the documentation required for determining eligibility of supportive housing clients. These documents should, at a minimum, include the referral letter from Human Resource Administration or Department of Homeless Services, completed intake assessment package that show client's income, status as to whether they are veteran or not, medically eligible, homeless or at risk of being homeless, or families with children, and an independent living plan. Action Taken Harlem United has ensured that under the new management team at the New Broadway shelter, all required documentation is being maintained and filed on-site, including referral letters, completed intake assessments, and independent living plans. To ensure compliance, Harlem United is conducting regular self-audits, to occur at least quarterly, to verify that these documents have been completed and are readily available for all active clients. In addition, management is scanning these required documents and saving them to an internal shared drive for easy access. Completion Date July 1, 2022 If the U.S Department of Health and Human Services has questions regarding this plan, please call Laura Grund at 646-462-8298.

Categories

Eligibility

Other Findings in this Audit

  • 42575 2022-001
    Significant Deficiency
  • 42576 2022-001
    Significant Deficiency
  • 42577 2022-001
    Significant Deficiency
  • 619016 2022-001
    Significant Deficiency
  • 619017 2022-001
    Significant Deficiency
  • 619018 2022-001
    Significant Deficiency
  • 619019 2022-001
    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 $2.41M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $980,753
14.267 Continuum of Care Program $934,029
14.241 Housing Opportunities for Persons with Aids $463,039
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $398,272
93.914 Hiv Emergency Relief Project Grants $156,093
93.940 Hiv Prevention Activities_health Department Based $141,652
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $141,131
93.268 Immunization Cooperative Agreements $103,125
93.558 Temporary Assistance for Needy Families $56,404
93.974 Family Planning_service Delivery Improvement Research Grants $12,000