Finding 499142 (2023-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-09-27

AI Summary

  • Core Issue: Akron Children's procurement policy did not meet Uniform Guidance requirements for small purchases until updated in November 2023.
  • Impacted Requirements: Non-compliance with Sections 200.320(a) regarding procurement thresholds and quotation requirements.
  • Recommended Follow-Up: Ensure ongoing alignment of procurement policies with Uniform Guidance and monitor for compliance in future purchases.

Finding Text

Identification of the federal program: Federal Agencies: U.S. Department of Health and Human Services Pass-Through Entities: Ohio Department of Health Assistance Listing No: 93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response, 93.493 Congressional Directives, and 21.027 COVID-19 Coronavirus State and Local Recovery Funds Award Period: 2023 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: a) 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. 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).” Section 200.318(i) of the Uniform Guidance states the following regarding general procurement standards: “The non-Federal 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.” Section 200.320(a)(1)(iii) of the Uniform Guidance states the following regarding formal procurement methods to be followed: “The non-Federal entity is responsible for determining and documenting an appropriate micro-purchase threshold based on internal controls, an evaluation of risk, and its documented procurement procedures.” Section 200.320(a)(2)(i) refers to small purchases as: “The acquisition of property or services, the aggregate dollar amount of which is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If small purchase procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources as determined appropriate by the non-Federal entity.” Condition: For most of 2023, Akron Children’s Procurement Policy for Federal Grant Agreements and Contracts did not align with the Uniform Guidance requirements within Section 200.320 in that the requirements for price or rate quotations from an adequate number of sources for small purchases between the micro purchase and simplified acquisition thresholds are not defined. Akron Children’s updated the procurement policy to align with the Uniform Guidance requirements in November 2023. Cause: The small purchase procurement threshold within Akron Children’s Procurement Policy for Federal Grant Agreements and Contracts did not align with the procurement thresholds established under Uniform Guidance Section 200.320, until the policy was updated in November 2023. Effect or potential effect: Akron Children’s procurement policies were not designed in accordance with Section 2.00.320(a). As such, Akron Children’s purchases may not have been in accordance with the Uniform Guidance procurement standards. Questioned costs: None Context: Akron Children’s updated its procurement policy in November 2023. Procurements prior to this date may not have followed the required Uniform Guidance. Total Federal expenditures for the programs were $10,888,195 for the year ended December 31, 2023. Identification as a repeat finding, if applicable: The finding is a repeat finding from the prior year – 2022-001, as it relates to 93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response. Recommendation: Akron Children’s should review and update its federal procurement policies to align with the procurement standards. Views of responsible officials: Akron Children's remediated this finding in November 2023 with the update and issuance of a modified Procurement Policy for Federal Grant Agreements and Contracts that aligns with the standards of Uniform Guidance.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 499140 2023-001
    Material Weakness Repeat
  • 499141 2023-001
    Material Weakness Repeat
  • 499143 2023-002
    Material Weakness Repeat
  • 499144 2023-002
    Material Weakness Repeat
  • 499145 2023-002
    Material Weakness Repeat
  • 499146 2023-003
    Material Weakness Repeat
  • 499147 2023-005
    Material Weakness
  • 499148 2023-004
    Significant Deficiency
  • 1075582 2023-001
    Material Weakness Repeat
  • 1075583 2023-001
    Material Weakness Repeat
  • 1075584 2023-001
    Material Weakness Repeat
  • 1075585 2023-002
    Material Weakness Repeat
  • 1075586 2023-002
    Material Weakness Repeat
  • 1075587 2023-002
    Material Weakness Repeat
  • 1075588 2023-003
    Material Weakness Repeat
  • 1075589 2023-005
    Material Weakness
  • 1075590 2023-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $7.00M
93.493 Congressional Directives $2.00M
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $1.89M
16.575 Crime Victim Assistance $251,186
93.213 Research and Training in Complementary and Integrative Health $154,423
93.991 Preventive Health and Health Services Block Grant $124,843
93.395 Cancer Treatment Research $61,974
93.889 National Bioterrorism Hospital Preparedness Program $60,920
20.600 State and Community Highway Safety $50,121
93.994 Maternal and Child Health Services Block Grant to the States $48,914
93.558 Temporary Assistance for Needy Families $44,168
93.732 Mental and Behavioral Health Education and Training Grants $33,304
93.855 Allergy, Immunology and Transplantation Research $25,912
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $19,818
93.778 Medical Assistance Program $18,617
93.110 Maternal and Child Health Federal Consolidated Programs $16,941
93.837 Cardiovascular Diseases Research $12,449
93.838 Lung Diseases Research $12,095
93.360 Biomedical Advanced Research and Development Authority (barda), Biodefense Medical Countermeasure Development $10,683
93.865 Child Health and Human Development Extramural Research $7,934
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $6,456
93.350 National Center for Advancing Translational Sciences $5,867
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $5,814
93.839 Blood Diseases and Resources Research $5,291
93.439 State Physical Activity and Nutrition (span $4,981
93.867 Vision Research $4,907
93.070 Environmental Public Health and Emergency Response $1,701
93.361 Nursing Research $845
93.242 Mental Health Research Grants $259