Finding 52068 (2022-003)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-03-05

AI Summary

  • Core Issue: There is a lack of effective internal controls over small purchase procurements, leading to potential noncompliance with federal requirements.
  • Impacted Requirements: Key procurement standards (200.303, 200.318(i), 200.320(a)(2)(i)) were not met, specifically regarding obtaining adequate price quotations.
  • Recommended Follow-Up: Management should establish and implement stronger internal controls to ensure compliance with procurement documentation and vendor selection processes.

Finding Text

Finding 2022-003: Internal control deficiency and noncompliance over small purchase procurement requirements. Identification of the federal program: Assistance Listing Number 93.918: ? Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease ? COVID-19 ? Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease ? U.S. Department of Health and Human Services ? Federal award identification numbers and award years: o 5 H76HA00151-31-00 ? January 1, 2018 to December 31, 2021 o 6 H76HA00151-31-01 ? January 1, 2018 to December 31, 2021 o 2 H76HA00151-32-00 ? January 1, 2022 to December 31, 2024 o 6 H76HA00151-32-01 ? January 1, 2022 to December 31, 2024 Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A Chapter II Part 200 Subpart D 200.303 Internal controls states: ?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).? Title 2, Subtitle A Chapter II Part 200 Subpart D 200.318(i) General procurement standards state: ?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.? Title 2, Subtitle A Chapter II Part 200 Subpart D 200.320(a)(2)(i) Small purchase procedures state: ?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: During our testing over small purchase procurements, we observed management did not have effective internal controls in place to ensure that price or rate quotations were obtained from an adequate number of qualified sources at the time of procurement. Cause: Management did not have effective internal controls in place over the compliance requirement as stated in the criteria or specific requirement section above. Effect or potential effect: Small purchase procurements were not supported by effective internal controls and could potentially include unreasonable prices or rates. Questioned costs: None. Context: We tested the entire population of small purchase procurements, which consisted of two purchases totaling $25,353. Price or rate quotations were not obtained from an adequate number of qualified sources at the time of procurement for the two purchases. Identification as a repeat finding, if applicable: No. Recommendation: We recommend that management develop and implement internal controls to support the performance and documentation of small purchase procurement transactions. Views of responsible officials: Valleywise Health management will develop and implement additional layer of review regarding vendor selection and pricing quote for supplies and services to ensure compliance with federal guidelines on expenditures.

Corrective Action Plan

Finding 2022-003: Grant Program/ALN #: Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease/ALN # 93.918 Federal Agency/Pass-Through Entity: U.S. Department of Health and Human Services Federal Award ID#: 5H76HA00151-31-00; 6H76HA00151-31-01; 2H76HA00151-32-00; 6H76HA00151-32-01 Name of Contract Person: Lito Landas, Controller, Paul Dereadt, VP Supply Chain Management Response: Valleywise Health management will develop and implement additional layer of review regarding vendor selection and pricing quote for supplies and services to ensure compliance with federal guidelines on expenditures. Proposed Completion Date: March 31, 2023

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 52066 2022-001
    Material Weakness Repeat
  • 52067 2022-002
    Material Weakness Repeat
  • 52069 2022-002
    Material Weakness Repeat
  • 52070 2022-003
    Significant Deficiency
  • 628508 2022-001
    Material Weakness Repeat
  • 628509 2022-002
    Material Weakness Repeat
  • 628510 2022-003
    Significant Deficiency
  • 628511 2022-002
    Material Weakness Repeat
  • 628512 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $12.10M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.26M
93.917 Hiv Care Formula Grants $2.22M
93.461 Covid-19 - Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $2.14M
93.914 Hiv Emergency Relief Project Grants $1.55M
93.224 Covid-19 - Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $687,951
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $652,201
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $622,198
93.940 Hiv Prevention Activities Health Department Based $498,398
93.959 Block Grants for Prevention and Treatment of Substance Abuse $449,237
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $430,613
93.217 Family Planning_services $242,515
93.994 Maternal and Child Health Services Block Grant to the States $229,430
93.576 Refugee and Entrant Assistance Discretionary Grants $181,768
93.889 National Bioterrorism Hospital Preparedness Program $99,872
93.527 Grants for New and Expanded Services Under the Health Center Program $88,321
93.650 Accountable Health Communities $42,808
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $20,228
93.767 Children's Health Insurance Program $19,902
93.153 Covid-19 - Coordinated Services and Access to Research for Women, Infants, Children, and Youth $18,212
93.918 Covid-19 - Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $14,365
20.600 State and Community Highway Safety $13,085
93.530 Teaching Health Center Graduate Medical Education Payment $9,359
32.006 Covid-19 - Covid-19 Telehealth Program $3,657