Finding 519151 (2023-004)

Significant Deficiency Repeat Finding
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2025-01-14
Audit: 337692
Auditor: Cbiz CPAS PC

AI Summary

  • Core Issue: Employee hours were incorrectly allocated to the federal program, indicating a failure in internal controls.
  • Impacted Requirements: Compliance with 2 CFR § 200.430 on allowable activities and costs was not met.
  • Recommended Follow-Up: Improve review processes and controls to ensure accurate expense submissions before billing.

Finding Text

Item: 2023-004 Assistance Listing Number: 93.940 Programs: HIV Prevention Activities Health Department Based Federal Agency: U.S. Department of Health and Human Services Pass-Through Agencies: Arizona Department of Health Services Pass-Through Grantor Identifying Number: CTR069364, CTR067201, CTR045489, ADHS19-207305 Award Year: April 1, 2022 to March 31, 2023; August 1, 2022 to July 31, 2023; January 1, 2023 to December 31, 2023; April 1, 2023 to March 31, 2024; August 1, 2023 to July 31, 2024 Compliance Requirement: Allowable Activities and Costs Criteria: In accordance with 2 CFR § 200.430 – Compensation – charges to federal programs for salaries and wages should be supported by a system of internal controls which provides reasonable assurance the amounts charged are accurate, allowable and properly allocated. Condition: Incorrect allocation of employee hours were charged to the federal program. Questioned Costs: n/a Context: In a population of over 250 payroll costs charged to the program, we conducted a non-statistical sample of 40 payroll costs charged to the program. In our sample of 40, we noted that 1 selection in which the employee was paid at an outdated pay rate and paid overtime that was not supported by the employee timesheet. The variances between the amount charged and the amount supported, as well as the projected impact to the entire population, was trivial in nature. This is deemed to be a significant deficiency in internal control over compliance. Effect: The system of internal controls was not properly implemented. Cause: The entity’s system of internal controls did detect, or document the rationale for, instances in which the amounts charged to a federal program did not agree to the underlying supporting documentation maintained by the Organization. Identification as a Repeat Finding: Repeat finding – prior year 2022-004 Recommendation: The Organization should enhance its processes and controls to ensure that expenses are appropriately reviewed before submission of billing. Views of Responsible Officials: Management of the Organization concurs with the finding. See Corrective Action Plan.

Corrective Action Plan

Item: 2023-004 Assistance Listing Number: 93.940 Programs: HIV Prevention Activities Health Department Based Federal Agency: U.S. Department of Health and Human Services Pass-Through Agency: Arizona Department of Health Services Compliance Requirement: Allowable Activities and Costs Criteria or Specific Requirement: In accordance with 2 CFR § 200.430 – Compensation – charges to federal programs for salaries and wages should be supported by a system of internal controls which provides reasonable assurance the amounts charged are accurate, allowable and properly allocated. Condition: Incorrect allocation of employee hours were charged to the federal program. Name of Contact Person: Rosalie Johnson, Chief Financial Officer Phone Number: (602) 595-8109 Anticipated Completion Date: January 1, 2024 Views of Responsible Officials and Corrective Actions: Management agrees with the finding. Billings are reviewed by supervisors, including a review of the underlying supporting documentation, prior to submission of the billing. Additional training and record retention practices will be added and/or enhanced to ensure there is evidence of supervisory review of the underlying supporting documentation. Such review and record retention processes will include documentation of noted discrepancies and rationale for such discrepancies if not corrected.

Categories

Allowable Costs / Cost Principles Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 519149 2023-002
    Material Weakness
  • 519150 2023-003
    Material Weakness
  • 519152 2023-005
    Material Weakness
  • 1095591 2023-002
    Material Weakness
  • 1095592 2023-003
    Material Weakness
  • 1095593 2023-004
    Significant Deficiency Repeat
  • 1095594 2023-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.940 Hiv Prevention Activities Health Department Based $1.24M
93.914 Hiv Emergency Relief Project Grants $1.07M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.00M
93.939 Hiv Prevention Activities Non-Governmental Organization Based $448,106
93.217 Family Planning Services $286,295
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $73,194
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $38,642