Finding 563819 (2024-005)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-06-04
Audit: 358045
Organization: Waimanalo Health Center (HI)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: In 2024, some employees lacked records of required exclusion searches, risking payments to suspended or debarred individuals.
  • Impacted Requirements: Compliance with procurement regulations under Executive Orders 12549 and 12689, as well as 2 CFR part 180, was not consistently met.
  • Recommended Follow-Up: Train staff on exclusion screening and documentation, and implement regular reviews to ensure compliance.

Finding Text

Item 2024-005 - Procurement, Suspension and Debarment - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224/93.527) Notice of Award Number 6 H80CS00646-22-03, 2 H80CS005646-23-00, 4 H8GCS48213-01-01, 1 H8LCS51923-01-00 for 2023 and 2024 - (Significant Deficiency) Criteria: Recipients and subrecipients are subject to the procurement, suspension and debarment regulations implementing Executive Orders 12549 and 12689, as well as 2 CFR part 180. The regulations in 2 CFR part 180 restrict making Federal awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from receiving or participating in Federal awards. The Center's policy is to conduct a monthly exclusion search for all its employees and contractors and requires that all searches are documented within the personnel file in the Human Resource system.   Statement of condition: During our audit, we noted that certain employees have no record of an exclusion search conducted during 2024. There were also certain employees for whom an exclusion search was not consistently conducted on a monthly basis. Cause: Inconsistent application of the internal control. Effect: Failure in implementing the exclusion search raises the risk that salaries of employees who are suspended or debarred may be charged to the program. Questioned costs: None Context: Five out of forty samples tested did not have any exclusion searches on file during 2024. Three out of forty samples did not have exclusion searches done on a monthly basis in 2024. Identification as a repeat finding: This is not a repeat finding. Recommendation: We recommend that the Center train its personnel in relation to the exclusion screening and proper documentation thereof and that the Center conduct regular reviews to ensure the completeness of exclusion search documentation. Management response: Management agrees with the finding and will be conducting training for its personnel to help ensure the accuracy, completeness and timeliness of exclusion searches.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 563814 2024-004
    Material Weakness
  • 563815 2024-004
    Material Weakness
  • 563816 2024-004
    Material Weakness
  • 563817 2024-005
    Significant Deficiency
  • 563818 2024-005
    Significant Deficiency
  • 1140256 2024-004
    Material Weakness
  • 1140257 2024-004
    Material Weakness
  • 1140258 2024-004
    Material Weakness
  • 1140259 2024-005
    Significant Deficiency
  • 1140260 2024-005
    Significant Deficiency
  • 1140261 2024-005
    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) $1.41M
93.932 Native Hawaiian Health Care Systems $267,466
93.107 Area Health Education Centers $218,788
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $172,364
93.217 Family Planning Services $115,485
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $68,602
93.527 Grants for New and Expanded Services Under the Health Center Program $38,992
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $36,575
84.362 Native Hawaiian Education $26,339
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $24,682
93.268 Immunization Cooperative Agreements $16,763
93.011 National Organizations for State and Local Officials $444