Finding 50166 (2022-002)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-09-27

AI Summary

  • Core Issue: Akron Children's lacks proper validation and documentation processes for suspension and debarment checks performed by a third-party vendor, risking compliance with federal regulations.
  • Impacted Requirements: Internal control standards under Section 200.303 of the Uniform Guidance and debarment regulations in 2 CFR Part 180 are not being met.
  • Recommended Follow-Up: Implement controls to validate third-party search results and establish documentation retention processes for vendor checks and reconciliations.

Finding Text

Finding 2022-002 ? Procurement and Suspension and Debarment 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 Award Period: 2022 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).? The Uniform Guidance 2 CFR Section 200.213 states, ?Non-federal entities are subject to the non- procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR Part 180. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended or otherwise excluded from or ineligible for participation in Federal assistance programs or activities?. Condition: We identified the following matters during our testing of suspension and debarment control processes: (a) A third-party vendor performed the suspension and debarment validation process for Akron Children?s. The third-party vendor does not have a SOC 1 (System and Organization Controls) Report. Akron Children?s relied on the suspension and debarment checks performed by the third-party vendor for results concluding no match without completing a validation control to ensure the results provided by the third party were accurate. (b) Akron Children?s conducts preventive controls in its vendor setup and monitoring process to ensure new vendors and active vendors are not suspended or debarred. A consistent vendor setup process is followed for each new vendor that Akron Children?s transacts with, regardless of whether the vendor transactions are funded through federal grant funding or through other sources. To prevent a suspended or debarred vendor from being added as a new vendor, the vendor is checked against the suspension and debarment database electronically before completion of the vendor setup. Akron Children?s does not retain the supporting documentation that the vendor setup check resulted in no match in the suspension and debarment database indicating the vendor is not suspended or debarred (c) Akron Children?s did not retain the supporting documentation of the reconciliation of the vendor list that is received from the third-party vendor that is used to perform the suspension and debarment checks after the suspension and debarment checks are performed to ensure the listing is complete and agrees to the vendor list provided by Akron Children?s to the third-party vendor. Cause: Akron Children?s does not have policies and procedures that require a validation of the third party?s controls be performed to ensure that the suspension and debarment checks performed by the third-party vendor aligned with the governmental suspension and debarment database when the search resulted in no match. Akron Children?s did not have policies and procedures in place to require that documentation is retained of its suspension and debarment checks performed when a new vendor is set up in the procurement system. In addition, Akron Children?s did not have policies and procedures in place to require that documentation is retained to support the reconciliations performed between the vendor list sent to the third-party vendor and the results provided by the third-party vendor. Effect or potential effect: Akron Children?s screening for suspension and debarment through the third-party vendor results may not be accurate. By failing to retain the documentation of the reconciliation of vendor files to the third-party vendor search results, sufficient evidence was not retained to prove that the reconciliation took place. As a result, there was not sufficient evidence to validate the appropriate internal controls took place to prevent Akron Children?s from transacting with a vendor that was suspended or debarred, which was ultimately charged to a federal program. Questioned costs: None. Context: The federal portion of expenditures subject to suspension and debarment represents approximately 16% of total federal expenditures for the program of $1,085,801 for the year ended December 31, 2022. Identification as a repeat finding, if applicable: The finding is not a repeat finding from the prior year. Recommendation: Management should add controls to validate the accuracy of the suspension and debarment search results performed by the third-party vendor when the search results in no match. Management should implement documentation retention processes to provide evidence over the suspension and debarment search for ?new? vendors. In addition, management should implement documentation retention processes over the reconciliation between the vendor list sent to the third-party vendor to document completeness of the suspension and debarment check. Views of responsible officials: The third-party vendor used for this service does not have a system and organizational controls report available that would have been relevant to this requirement. Therefore, Akron Children?s will implement a periodic independent review of a sample of vendors sent to the third-party vendor to ensure that the processes employed by third-party vendor are accurate. Akron Children?s will also develop a retention process for all vendor searches and file submissions to evidence compliance with the Federal regulations. Further, a contract management system has been installed in 2023 that holds the validation of new vendors as acceptable for federal procurements.

Corrective Action Plan

Akron Children?s will implement a periodic independent review of a sample of vendors sent to the third-party vendor to ensure that the processes employed by third-party vendor are accurate. Akron Children?s will also develop a retention process for all vendor searches and file submissions to evidence compliance with the Federal regulations.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 50165 2022-001
    Material Weakness
  • 50167 2022-003
    Material Weakness
  • 626607 2022-001
    Material Weakness
  • 626608 2022-002
    Material Weakness
  • 626609 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $3.99M
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $1.09M
16.575 Crime Victim Assistance $236,397
93.213 Research and Training in Complementary and Integrative Health $179,300
93.991 Preventative Health and Health Services Block Grant $131,670
93.395 Cancer Treatment Research $58,697
93.558 Temporary Assistance for Needy Families $53,354
93.590 Community-Based Child Abuse Prevention Grants $36,553
20.616 National Priority Safety Programs $26,376
93.361 Nursing Research $25,504
93.110 Maternal and Child Health Federal Consolidated Programs $23,064
93.080 Blood Disorder Program: Prevention, Surveillance and Research $20,115
93.889 National Bioterrorism Hospital Preparedness Program $17,537
93.732 Mental and Behavioral Health Education and Training Grants $15,204
93.778 Medical Assistance Program $13,511
93.837 Cardiovascular Diseases Research $10,920
93.855 Allergy and Infectious Diseases Research $10,115
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $9,165
93.839 Blood Diseases and Resources Research $7,513
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $6,485
93.994 Maternal and Child Health Services Block Grant to the States $5,846
84.325 Special Education - Personnel Development to Improve Services and Results for Children with Disabilities $5,558
93.867 Vision Research $4,814
93.838 Lung Diseases Research $3,784
93.360 Biomedical Advanced Research and Development Authority (barda), Biodefense Medical Countermeasure Development $2,653
93.859 Biomedical Research and Research Training $787
93.865 Child Health and Human Development Extramural Research $218