Finding 554890 (2024-001)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-04-11

AI Summary

  • Core Issue: The Center failed to submit the single audit reporting package on time, violating federal requirements.
  • Impacted Requirements: Non-compliance with Section 200.512(a)(1) of the Uniform Guidance, risking funding and high-risk status.
  • Recommended Follow-Up: Implement centralized controls to track report deadlines and ensure timely preparation and submission.

Finding Text

2024-001 Internal Controls and Compliance over Reporting (Significant Deficiency) - Repeated (Prior Year Finding 2023-002) Federal Program Information: Funding Agency Name of Federal Program or Cluster ALN Numbers U.S. Department of Health & Human Services Health Centers Program Cluster 93.224/93.527 U.S. Department of Health & Human Services STAHR Comprehensive High-Impact HIV Prevention Program for Young Transgender Persons of Color 93.939 Criteria or Specific Requirement Section 200.512(a)(1) Report Submission of the Office of Management and Budget’s Uniform Guidance outlines the following requirement: “The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor’s report(s), or nine months after the end of the audit period.” In addition, federal regulations and grant and contract conditions require that applicable reports be properly supported by accounting records and submitted. Condition The Center did not submit the single audit reporting package to the Federal Audit Clearinghouse within nine months following their fiscal year-end as required. In addition, for the annual federal financial reports selected, the Center could not locate supporting documentation for the amounts presented in the report. Further, we noted that the reports were not submitted on time. Cause The turnover of key finance staff caused a delay in the audit preparation, which impacted the timely submission of the report. Effect: Non-compliance with the Office of Management and Budget’s Uniform Guidance. Potential reduction or delay in federal and state funding as well as the effects of being placed on high-risk status by a federal and/or state agency. Auditor's Recommendation: The Center should establish centralized controls, which includes the identification of all required reports and their due dates, effective controls over the preparation of reports, and a monitoring function to ensure that controls are in place and operating effectively for report submission.

Corrective Action Plan

2024‐001 Compliance Over Reporting Asian and Pacific Islander Wellness Center Inc. dba San Francisco Community Health Center [SFCHC] accepts this finding. A new CFO is hired in November 2024 with over 30 years of high‐level nonprofit experience in reporting compliance and finance and business operations. The new CFO has over 10 years as CFO/COO for two federally qualified health centers and immediately reviewed existing policies and procedures with focus on federal grants and compliance reporting. The next single audit submission for fiscal year ended March 31, 2025, will be submitted to the Federal Audit Clearinghouse [FAC] without delay. We are now planning timeline to commence independent review starting mid‐July. The estimated field audit will be completed by October 15. We are anticipating submission to FAC and other regulatory agencies no later than December 15, 2025, within 9 months from fiscal year [March 31]. At SFCHC, we re‐enforced the centralization of documents and records and secured sensitive information, reviewing access and rights of users to avoid compromising data. We also enabled the ‘attachment’ feature at MIP Fund Accounting. Accounting transactions along with documentation lived in digital files. A compliance calendar is now disseminated quarterly and shared with programs. We will be posting the same to SFCHC intra‐net and will be renewed each quarter. Anticipated Completion Date: At this time, the condition noted by our auditor is now addressed and will be tracked for progress. We are hiring additional staff to support grants and contracts administration, monitoring and reporting compliance. Responsible party: Rosalia Aquino Chief Financial & Compliance Officer April 9, 2025

Categories

Reporting Subrecipient Monitoring Significant Deficiency

Other Findings in this Audit

  • 554891 2024-001
    Significant Deficiency
  • 554892 2024-001
    Significant Deficiency
  • 1131332 2024-001
    Significant Deficiency Repeat
  • 1131333 2024-001
    Significant Deficiency
  • 1131334 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.53M
93.834 Capacity Building Assistance (cba) for High-Impact Hiv Prevention $1.06M
93.527 Grants for New and Expanded Services Under the Health Center Program $717,344
93.939 Hiv Prevention Activities Non-Governmental Organization Based $586,957
93.914 Hiv Emergency Relief Project Grants $552,942
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $292,485
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $186,611
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $129,545