Finding 512924 (2024-003)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2024
Accepted
2024-12-03
Audit: 330686
Organization: Wake County, North Carolina (NC)

AI Summary

  • Core Issue: There is a significant deficiency in tracking employee time for federal programs, leading to discrepancies between day sheets and approved timesheets.
  • Impacted Requirements: Compliance with NCDHHS policy on allowable costs is compromised, affecting reimbursement accuracy for Foster Care, Medicaid, and SNAP programs.
  • Recommended Follow-Up: Implement a review control process for weekly timesheets to ensure all program time is accurately reflected from day sheets.

Finding Text

2024-003 Significant Deficiency over Activities Allowed and Unallowed and Allowable Costs/Cost Principle Information on the federal program: Foster Care -Title IV-E (Foster Care), Assistance Listing Number 93.658, U.S. Department of Health and Human Services, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Social Services Medicaid Cluster (Medicaid), Assistance Listing Number 93.778, U.S. Department of Health and Human Services, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Medical Assistance. Supplemental Nutrition Assistance Program (SNAP) Cluster, Assistance Listing Number 10.561, 10.561-COVID, U.S. Department of Agriculture, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Social Services Criteria: Per the NCDHHS policy manual, salaries, wages, and fringe benefits of Department of Social Service employees hired under the state merit system are allowable. Salaries shall be allocated to programs by time distribution methods and supported by payroll and attendance records for individuals. Condition: Employee’s time is tracked through the use of day sheets in which employees track their time by service code in 6-minute increments. Day sheets are used to complete weekly timesheets which are approved by supervisors. We noted nine out of forty day sheets selected for Foster Care, one out of forty day sheets selected for Medicaid, and four out of forty day sheets selected for SNAP had more program minutes than what was reported on the employee’s approved time sheet. Context/Cause: As the day sheets included more program time than was included on the employee’s approved timesheet, the time spent on this program was understated during the 1571 monthly reimbursement request to the State. We noted the above condition in nine out of forty day sheets selected for Foster Care, one out of forty day sheets selected for Medicaid, and four out of forty day sheets selected for SNAP. Effects: Inaccurate reporting of time coded to programs affects the total federal and state reimbursement for the program. Recommendation: We recommend that the County implements a review control over weekly timesheets to ensure the timesheets include all program time coded on the day sheets. Auditee’s Response: We concur with the finding.

Corrective Action Plan

Finding 2024-003 Significant Deficiency over Activities Allowed and Unallowed and Allowable Costs/Cost Principle; Foster Care -Title IV-E (Foster Care), Assistance Listing Number 93.658, U.S. Department of Health and Human Services, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Social Services. Medicaid Cluster (Medicaid), Assistance Listing Number 93.778, U.S. Department of Health and Human Services, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Medical Assistance. Supplemental Nutrition Assistance Program (SNAP) Cluster, Assistance Listing Number 10.561, 10.561-COVID, U.S. Department of Agriculture, passed through the N.C Department of Health and Human Services (NCDHHS), Division of Social Services. Recommendation: We recommend that the County implements a review control over weekly timesheets to ensure the timesheets include all program time coded on the day sheets. Corrective Action Plan: The county will conduct training on day sheet and time sheet processes. The county will complete random monthly reviews of day sheets and timesheets. For those staff identified by the random monthly review with discrepancies, supervisors will provide refresher training on day sheet and timesheet procedures. Additional targeted reviews will be completed monthly until the deficiencies are corrected. Proposed Completion Date: 1/31/2025 for initial department training 2/28/2025 initiate random monthly reviews of day sheets and timesheets 7/31/2025 for additional reviews as needed for identified staff and refresher trainings Name of Contact Person: Yolanda Mcinnis, Economic Services Division Director and Sheila Donaldson Child Welfare Division Director

Categories

Allowable Costs / Cost Principles Reporting Student Financial Aid Cash Management Significant Deficiency

Other Findings in this Audit

  • 512923 2024-002
    Significant Deficiency Repeat
  • 512925 2024-003
    Significant Deficiency
  • 512926 2024-003
    Significant Deficiency
  • 512927 2024-003
    Significant Deficiency
  • 1089365 2024-002
    Significant Deficiency Repeat
  • 1089366 2024-003
    Significant Deficiency
  • 1089367 2024-003
    Significant Deficiency
  • 1089368 2024-003
    Significant Deficiency
  • 1089369 2024-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $22.99M
93.563 Child Support Services $6.99M
93.658 Foster Care Title IV-E $5.81M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $4.38M
21.023 Emergency Rental Assistance Program $3.31M
93.917 Hiv Care Formula Grants $2.79M
17.258 Wioa Adult Program $2.61M
20.507 Federal Transit Formula Grants $2.51M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $2.48M
17.259 Wioa Youth Activities $2.34M
93.137 Community Programs to Improve Minority Health Grant Program $2.05M
93.667 Social Services Block Grant $1.91M
17.278 Wioa Dislocated Worker Formula Grants $1.52M
16.922 Equitable Sharing Program $1.24M
14.241 Housing Opportunities for Persons with Aids $1.01M
93.767 Children's Health Insurance Program $982,703
93.659 Adoption Assistance $758,634
17.270 Reentry Employment Opportunities $736,545
17.277 Wioa National Dislocated Worker Grants / Wia National Emergency Grants $724,081
97.052 Emergency Operations Center $699,000
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $642,267
93.994 Maternal and Child Health Services Block Grant to the States $587,181
10.916 Watershed Rehabilitation Program $585,602
14.239 Home Investment Partnerships Program $485,356
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $353,564
93.645 Stephanie Tubbs Jones Child Welfare Services Program $335,645
21.027 Coronavirus State and Local Fiscal Recovery Funds $334,242
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $309,680
93.217 Family Planning Services $250,985
20.509 Formula Grants for Rural Areas and Tribal Transit Program $220,954
20.205 Highway Planning and Construction $214,053
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $201,862
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $194,546
93.940 Hiv Prevention Activities Health Department Based $177,577
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $154,559
93.268 Immunization Cooperative Agreements $144,522
20.530 Public Transportation Innovation $141,203
14.267 Continuum of Care Program $128,924
95.001 High Intensity Drug Trafficking Areas Program $123,880
14.218 Community Development Block Grants/entitlement Grants $113,391
84.184 School Safely National Activities $88,161
16.738 Edward Byrne Memorial Justice Assistance Grant Program $79,993
93.103 Food and Drug Administration Research $79,032
93.069 Public Health Emergency Preparedness $77,659
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $76,000
16.710 Public Safety Partnership and Community Policing Grants $75,321
93.568 Low-Income Home Energy Assistance $73,710
93.558 Temporary Assistance for Needy Families $62,361
93.387 National and State Tobacco Control Program $55,265
14.231 Emergency Solutions Grant Program $49,338
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $47,372
20.600 State and Community Highway Safety $45,296
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $43,369
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $39,968
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $30,000
93.136 Injury Prevention and Control Research and State and Community Based Programs $29,000
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $26,219
94.013 Americorps Volunteers in Service to America 94.013 $20,148
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $20,005
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $16,972
97.042 Emergency Management Performance Grants $13,893
16.606 State Criminal Alien Assistance Program $5,972
93.837 Cardiovascular Diseases Research $4,800
93.991 Preventive Health and Health Services Block Grant $3,775
93.556 Marylee Allen Promoting Safe and Stable Families Program $-22,504