Finding 479586 (2023-002)

Material Weakness
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2024-07-29
Audit: 316128
Organization: Care Alliance Health Center (CT)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Organization failed to check vendors for suspension and debarment, violating federal procurement standards.
  • Impacted Requirements: Non-compliance with §200.318 and §200.213, which mandate proper vendor review processes.
  • Recommended Follow-Up: Create and implement a written procedure for vendor reviews, ensuring staff are trained on compliance requirements.

Finding Text

Finding 2023.002: Procurement, Suspension and Debarment - Material Weakness Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program, COVID-19 - Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria In accordance with §200.318(a), General Procurement Standards, a non-federal entity must use its own documented procurement procedures which reflect applicable state, local, and tribal laws and regulations, provided that the procurements conform to applicable federal law and the standards identified in General Procurement Standards. Additionally, §200.318(i) states that the non-federal entity must maintain records sufficient to detail the history of the procurement. In addition, in accordance with §200.213 and §180.300, non-federal entities cannot enter into awards, subawards, or contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in federal assistance programs or activities. Condition There was no evidence that the Organization reviewed vendors for suspension and debarment in accordance with Uniform Guidance requirements. Cause The Organization did not have adequate controls to illustrate review of vendors for any suspensions or debarment. Effect or Potential Effect The Organization may procure goods and services from vendors that have been suspended or debarred from doing business with the Federal government. Questioned Costs None. Context We selected a sample of 6 vendors for suspension and debarment testing. For all 6 vendors tested, management did not provide adequate supporting documentation to support that the vendors were not suspended or debarred. Identification of Repeat Finding Not a repeat finding. Recommendation The Organization should develop a written procedure to review all vendors in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Views of Responsible Officials and Planned Corrective Actions Management and the Board of Directors agree with the finding and will implement additional controls to ensure vendors are being reviewed for suspension and debarment and there is evidence of a formal review being performed.

Corrective Action Plan

Finding 2023.002 - Procurement, Suspension and Debarment Recommendation The Organization should develop a written procedure to review all vendors in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Action Taken We acknowledge the audit finding 2023.002 regarding the need for a written procedure to review all vendors in accordance with the Uniform Guidance requirements for suspension and debarment. Immediate Actions Taken: 1. Conducted an immediate review of all vendors applied to the HBO grant in FY23 to ensure none are on the suspension and debarment list. 2. Initiated an immediate review of all current vendors to ensure compliance with suspension and debarment requirements. 3. Informed all relevant administrative staff about the importance of complying with suspension and debarment requirements. Future Actions: 1. Develop Written Procedure: Create a comprehensive procedure to review all vendors in accordance with the Uniform Guidance requirements for suspension and debarment. 2. Training Program: Implement a training program to educate relevant staff on the new procedure. 3. Integration: Integrate the new vendor review procedure into Care Alliance's overall procurement policy. Responsible Parties: 1. The Controller will develop the written procedure and ensure alignment with Uniform Guidance requirements. 2. The Controller will oversee the training program. 3. The Controller or CFO will monitor adherence to the procedure and conduct regular audits. Timeline: 1. Procedure draft completion: August 15, 2024 2. Review and approval by senior management: August 31, 2024 3. Initial staff training session: September 15, 2024 4. Follow-up training sessions: As needed 5. Quarterly compliance audits: Starting January 1, 2025 Monitoring and Reporting: 1. The Controller or CFO will conduct quarterly audits and provide reports to the executive team. If there are any question regarding this plan, please e-mail Anna Kacki at akacki@carealliance.org.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 479582 2023-001
    Material Weakness Repeat
  • 479583 2023-001
    Material Weakness Repeat
  • 479584 2023-001
    Material Weakness Repeat
  • 479585 2023-001
    Material Weakness Repeat
  • 479587 2023-002
    Material Weakness
  • 479588 2023-002
    Material Weakness
  • 479589 2023-002
    Material Weakness
  • 1056024 2023-001
    Material Weakness Repeat
  • 1056025 2023-001
    Material Weakness Repeat
  • 1056026 2023-001
    Material Weakness Repeat
  • 1056027 2023-001
    Material Weakness Repeat
  • 1056028 2023-002
    Material Weakness
  • 1056029 2023-002
    Material Weakness
  • 1056030 2023-002
    Material Weakness
  • 1056031 2023-002
    Material Weakness

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) $1.72M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $150,776