Finding 541824 (2024-001)

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Requirement
I
Questioned Costs
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Year
2024
Accepted
2025-03-31

AI Summary

  • Core Issue: JHHS lacked effective procedures to check if vendors were suspended or debarred before transactions from Q1 to Q3 FY2024.
  • Impacted Requirements: Compliance with 2 CFR 200.214, which mandates verification of vendor eligibility for covered transactions.
  • Recommended Follow-Up: JHHS should maintain the quarterly reconciliation process with PaymentWorks to ensure all vendors are properly reviewed.

Finding Text

2024-001: Suspension and Debarment Control Design Deficiency Grantor: Department of the Treasury Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Name: American Rescue Plan Act (“ARPA”) - Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund, Coronavirus State and Local Fiscal Recovery Funds (HVIP) Award Numbers: GRT000755, GRT000759 Assistance Listing Titles: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Award Years: May 1, 2023 – December 31, 2024, July 1, 2023 – September 30, 2024 Passthrough Entities: Baltimore City Health Department, Mayor and City Council of Baltimore Criteria Per 2 CFR 200.214, when entering into a covered transaction with an entity, the auditee must have established procedures to verify that the entity is not suspended, debarred or otherwise excluded from participating in the transaction. Condition JHHS did not have robust procedures and controls in place from Q1 through Q3 FY2024 to ensure that an upfront suspension and debarment check was performed on all external vendors prior to entering into a covered transaction with JHHS. Cause Since 2018, JHHS has relied on a third-party service provider, PaymentWorks, to perform suspension and debarment checks on external vendors, which requires a setup process to be completed by the vendor. There were some vendors that did not complete setup in PaymentWorks, for which management did not perform a separate suspension and debarment check manually. Starting in Q4 2024, management implemented a quarterly control procedure to reconcile all vendors with expenditures in the federal grant cost center to the PaymentWorks listing to identify vendors for which a manual suspension and debarment check must be performed. Effect There was a period of time, Q1 through Q3, in which JHHS may have entered into covered transactions with suspended or debarred entities. When management performed the new control in Q4 2024, they identified 11 vendors that had not been previously reviewed and performed a manual check for suspension and debarment via Sam.gov. None of these 11 vendors manually checked were suspended or debarred. There were no instances of noncompliance identified as a result of this control design deficiency in our FY2024 audit work. Questioned Costs There are no questioned costs associated with this finding. Recommendation JHHS should continue the quarterly process of reconciling the complete vendor listing with PaymentWorks to ensure all necessary vendors are reviewed for suspension and debarment prior to entering into covered transactions. Management’s Views and Corrective Action Plan Refer to Management’s View’s and Corrective Action Plan at the end of the report.

Corrective Action Plan

Finding 2024-001: Suspension and Debarment Control Design Deficiency Grantor: Department of the Treasury Program Title: COVID-19 American Rescue Plan Act Coronavirus State and Local Fiscal Recovery Funds Award Name: American Rescue Plan Act (“ARPA”) - Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund, Coronavirus State and Local Fiscal Recovery Funds (HVIP) Award Numbers: GRT000755, GRT000759 Assistance Listing Titles: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Award Years: May 1, 2023 – December 31, 2024, July 1, 2023 – September 30, 2024 Passthrough Entities: Baltimore City Health Department, Mayor and City Council of Baltimore Management agrees with the finding and recommendation. Management utilizes a vendor inventory system, Payment Works, for all new vendor set ups. Payment Works utilizes a sanctions list check, which is a third-party service that functions as an aggregator from multiple sources, including SAM.gov. Additionally, management performs an alternate procedure to manually check SAM.gov for vendors not set up in Payment Works. Management will continue to quarterly reconcile the federal grants vendor listing with Payment Works to ensure all necessary vendors are being reviewed for suspension and debarment prior to entering into covered transactions. Furthermore, management will collaborate with the procurement team to determine what revisions are necessary to our current grant accounting policy related to suspension and debarment in order to be in compliance with the Uniform Guidance requirements. Management has remediated this finding with the enhanced control process that started at the end of fiscal year 2024.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
84.181 Special Education-Grants for Infants and Families $2.23M
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.04M
93.926 Healthy Start Initiative $1.03M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.01M
93.RD National Institute of Neurological Disorders & Stroke Direct Award $513,131
93.493 Consolidated Appropriations Act $321,225
93.958 Block Grants for Community Mental Health Services $287,801
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $250,000
93.865 Child Health and Human Development Extramural Research $193,807
93.994 Maternal and Child Health Services Block Grant to the States $121,735
93.839 Blood Diseases and Resources Research $114,275
93.310 Trans-Nih Research Support $104,069
93.395 Cancer Treatment Research $103,975
93.788 Opioid Str $71,989
93.969 Pphf Geriatric Education Centers $65,163
93.959 Block Grants for Prevention and Treatment of Substance Abuse $49,243
10.558 Child and Adult Care Food Program $45,056
93.889 National Bioterrorism Hospital Preparedness Program $32,629
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $30,000
93.110 Maternal and Child Health Federal Consolidated Programs $16,646
93.838 Lung Diseases Research $15,903
10.559 Summer Food Service Program for Children $7,371
93.226 Research on Healthcare Costs, Quality and Outcomes $4,444
93.855 Allergy and Infectious Diseases Research $4,000
93.837 Cardiovascular Diseases Research $225
93.461 Covid-19 Hrsa Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $-434,379