Finding 547359 (2024-007)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-03-31

AI Summary

  • Core Issue: The Department of Health & Human Services failed to submit the SF-425 financial report on time, leading to noncompliance with federal regulations.
  • Impacted Requirements: Compliance with 2 CFR Part 200 Sections 328 and 303 regarding timely reporting and effective internal controls over federal awards.
  • Recommended Follow-up: Management should implement stronger internal controls to ensure timely report submissions or obtain necessary waivers to avoid future compliance issues.

Finding Text

Finding Number: 2024-007 Agency: Department of Health & Human Services Federal Program: Maternal and Child Health Services Block Grant to the State ALN: 93.994 Grant Number: 23B04MC47443 Compliance Requirement: Reporting Category: Material Weakness on Internal Control and Noncompliance Criteria 2 CFR Part 200 Section 328 established unless otherwise approved by OMB, the Federal awarding agency must solicit only the OMB-approved governmentwide data elements for collection of financial information (at time of publication the Federal Financial Report or such future, OMB-approved, governmentwide data elements available from the OMB-designated standards lead. This information must be collected with the frequency required by the terms and conditions of the Federal award, but no less frequently than annually nor more frequently than quarterly except in unusual circumstances, for example where more frequent reporting is necessary for the effective monitoring of the Federal award or could significantly affect program outcomes, and preferably in coordination with performance reporting. The Federal awarding agency must use OMB-approved common information collections, as applicable, when providing financial and performance reporting information. 2 CFR Part 200 Section 303 states that the entity must be established 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). Comply with the U.S. Constitution, Federal statutes, regulations, and the terms and conditions of the Federal awards. Evaluate and monitor the non-Federal entity's compliance with statutes, regulations and the terms and conditions of Federal awards. Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. Take reasonable measures to safeguard protected personally identifiable information and other information the Federal awarding agency or pass-through entity designates as sensitive or the non-Federal entity considers sensitive consistent with applicable Federal, State, local, and tribal laws regarding privacy and responsibility over confidentiality. Condition We could not observe the SF-425 reports for the grant 23B04MC47443. According to the program accountant, the SF-425 report for the current period was due on December 30, 2024, as specified in the Notice of Award. The program requested a waiver to submit the report on January 31, 2025. The Department of Health's Office of External Resources submitted the request through the Payment Management System on January 9, 2025. As of now, the federal government has not responded to this waiver request. Cause The PRDH has not established effective procedures for the timely filing of the required financial reports. Effect The PRDH is not in compliance with the federal regulations on reporting. The inaccurate and untimely reporting prevents the Federal awarding agency and PRDF’s management from monitoring the program financial activities, assessing the achievements of the program, and evaluating the grant award for subsequent years. Questioned Costs None Perspective Information As part of our audit procedures over reporting requirements, we evaluated Federal Financial Reports (SF-425) for the quarter ended on July 31, 2024. The test revealed that the report was not in compliance. Prior Year Audit Finding None Recommendation Management should take appropriate actions to implement internal controls procedures should be enforced to ascertain that required reports are timely filed; otherwise, a waiver or extension of time must be obtained. Views of responsible officials PRDH agrees with the finding. In this case there were three (3) more reports submitted for extension to the federal government, however, with this particular report the PRDH did not receive an answer. However, we have procedures in place in order to meet the reporting requirements to all federal programs be submitted on time. The PRDH is working with the Division of External Resources (Federal Program) to establish and strengthen our internal controls to ensure all federal reports comply with the guidelines established by the Federal Government. Responsible Officials Dr. Manuel Vargas Bernier Program Director 787-765-2929 ext. 4583 Mrs. Diana Ferrer Rivera Senior Accountant 787-765-2929 ext. 4551 Mrs. Lydia Magaly Cabrera Accountant 787-765-2929 ext. 4587 Estimated Completion Date Estimated date of completion immediately.

Corrective Action Plan

PRDH agrees with the finding. In this case there were three (3) more reports submitted for extension to the federal government, however, with this particular report the PRDH did not receive an answer. However, we have procedures in place in order to meet the reporting requirements to all federal programs be submitted on time. The PRDH is working with the Division of External Resources (Federal Program) to establish and strengthen our internal controls to ensure all federal reports comply with the guidelines established by the Federal Government.

Categories

Reporting Subrecipient Monitoring

Other Findings in this Audit

  • 547353 2024-004
    Significant Deficiency
  • 547354 2024-004
    Significant Deficiency
  • 547355 2024-006
    Significant Deficiency
  • 547356 2024-006
    Significant Deficiency
  • 547357 2024-003
    Material Weakness Repeat
  • 547358 2024-005
    Significant Deficiency
  • 1123795 2024-004
    Significant Deficiency
  • 1123796 2024-004
    Significant Deficiency
  • 1123797 2024-006
    Significant Deficiency
  • 1123798 2024-006
    Significant Deficiency
  • 1123799 2024-003
    Material Weakness Repeat
  • 1123800 2024-005
    Significant Deficiency
  • 1123801 2024-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $2.88B
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $176.17M
93.767 Children's Health Insurance Program $77.96M
93.917 Hiv Care Formula Grants $28.44M
93.994 Maternal and Child Health Services Block Grant to the States $14.28M
93.268 Immunization Cooperative Agreements $6.89M
93.069 Public Health Emergency Preparedness $6.73M
93.940 Hiv Prevention Activities Health Department Based $6.26M
93.889 National Bioterrorism Hospital Preparedness Program $3.61M
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $3.12M
84.181 Special Education-Grants for Infants and Families $2.88M
93.255 Children's Hospitals Graduate Medical Education Payment Program $2.71M
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $2.62M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $2.17M
93.991 Preventive Health and Health Services Block Grant $2.08M
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $1.91M
93.235 Title V State Sexual Risk Avoidance Education (title V State Srae) Program $1.31M
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $922,175
93.377 Prevention and Control of Chronic Disease and Associated Risk Factors in the U.s. Affiliated Pacific Islands, U.s. Virgin Islands, and P. R. $885,340
66.432 State Public Water System Supervision $785,668
66.468 Drinking Water State Revolving Fund $743,105
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $662,275
93.008 Medical Reserve Corps Small Grant Program $615,049
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $559,592
93.998 Autism and Other Developmental Disabilities, Surveillance, Research, and Prevention $486,151
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $477,375
10.578 Wic Grants to States (wgs) $350,224
20.607 Alcohol Open Container Requirements $348,856
93.070 Environmental Public Health and Emergency Response $332,066
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $323,531
93.197 Childhood Lead Poisoning Prevention Projects, State and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $311,629
93.270 Viral Hepatitis Prevention and Control $304,885
93.251 Early Hearing Detection and Intervention $279,264
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $239,207
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $234,342
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $170,739
93.791 Money Follows the Person Rebalancing Demonstration $167,381
93.110 Maternal and Child Health Federal Consolidated Programs $121,289
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $121,114
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $84,934
93.387 National and State Tobacco Control Program $78,030
14.241 Housing Opportunities for Persons with Aids $64,329
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $60,012
93.236 Grants to States to Support Oral Health Workforce Activities $55,547
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $52,483
93.334 The Healthy Brain Initiative: Technical Assistance to Implement Public Health Actions Related to Cognitive Health, Cognitive Impairment, and Caregiving at the State and Local Levels $25,684
93.336 Behavioral Risk Factor Surveillance System $5,903
93.945 Assistance Programs for Chronic Disease Prevention and Control $5,728
93.136 Injury Prevention and Control Research and State and Community Based Programs $5,300
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $-5,882