Finding 539532 (2024-004)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-03-28
Audit: 350061
Organization: Community Care (ME)

AI Summary

  • Core Issue: Documentation requirements for participant services under contract CFS-23-8314 are not being met, leading to potential funding risks.
  • Impacted Requirements: Key documentation, including HMIS entry, service plans, and NavSEA tool completion, is missing or incomplete.
  • Recommended Follow-Up: Revise processes to ensure all necessary documentation is collected and maintained for compliance with contract terms.

Finding Text

Program(s) Affected AL #93.558 Temporary Assistance for Needy Families, and CFS-23-8314 Homeless Youth Services, U.S. Department of Health and Human Services, pass-through Maine Department of Health and Human Services, agreement period July 1, 2022 – June 30, 2024. Criteria While this contract has low barrier eligibility criteria, the state requires the following documentation: the participant must be entered in HMIS within 72 hours of placement into the shelter, a service plan must be developed within 30 days of intake, and the NavSEA tool must be completed within 15 days of placement in the shelter. Furthermore, the Organization is responsible for designing, implementing, and maintaining effective internal control over financial reporting that provides reasonable assurance that the internal controls will prevent misstatements, intentional or unintentional, from occurring, or detect and correct misstatements on a timely basis. Condition and Context For contract CFS-23-8314, out of a nonstatistical sample of nine selected for testing, we identified: There was no auditable evidence to test whether the participants were entered into HMIS within 72 hours. Four participants did not have a service plan developed within 30 days. The client was unable to provide the NavSEA for three participants. The service plan for one participant did not have documented review. Questioned Costs N/A Cause and Effect There are insufficient procedures for ensuring timely and adequate documentation. If contract requirements are not met, funding could be restricted or reduced. Repeat Finding? Yes, Finding 2023-004. Recommendation We recommend the Organization redesign processes to be sure all documentation is maintained for each participant and auditable evidence is retained for verification in line with the contract requirements. Views of Responsible Officials and Planned Corrective Actions Management agrees with finding. See attached Planned Corrective Actions.

Corrective Action Plan

Corrective Action Plan for Finding 2024-004 Community Care agrees with this finding. There are four bullets in this finding. We will be making a formal request to have the HMIS 72 hour data entry removed from our contract. The HMIS system does not have the capability to measure data entry timeframes because of this we would need to design a data entry tracking process to track the timeframes. If our request is denied, we will create an entry tracking process. Bullets 2-4 are results of providing services in from the perspective of a low barrier service. Our priority is to have youth come to a safe place that is warm and where they are provided with a place to sleep, food, healthcare, and services to aid them. Staying in the program is not contingent on completing assessments or engaging in a service planning process. Each time a youth is in a program they are provided with the opportunity to participate in an assessment and are offered an organized service plan. Most participate but some do not. We will continue to offer the same level of support and opportunity for assessments and service planning to each youth. • There was no auditable evidence to test whether the participants were entered into HMIS within 72 hours. • Four participants did not have a service plan developed within 30 days. • The client was unable to provide the NavSEA for three participants. • The service plan for one participant did not have documented review. Responsible Official: David McCluskey, Executive Director Date of Corrective Action: Systems are in place and efforts will continue to encourage youth to participate in assessments and service planning practices. Regarding the HMIS data entry request will be made Friday the 21st March, 2025. If denied we will build a tracking process within 30 days.

Categories

Eligibility Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 539530 2024-002
    Material Weakness Repeat
  • 539531 2024-003
    Material Weakness Repeat
  • 1115972 2024-002
    Material Weakness Repeat
  • 1115973 2024-003
    Material Weakness Repeat
  • 1115974 2024-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.558 Temporary Assistance for Needy Families $380,731
93.575 Child Care and Development Block Grant $246,132
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $246,131
93.557 Education and Prevention Grants to Reduce Sexual Abuse of Runaway, Homeless and Street Youth $157,154
14.267 Continuum of Care Program $146,893
84.425 Education Stabilization Fund $73,460
14.231 Emergency Solutions Grant Program $67,410
97.024 Emergency Food and Shelter National Board Program $20,000
10.558 Child and Adult Care Food Program $14,695