Finding 568744 (2024-003)

Significant Deficiency Repeat Finding
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2025-06-27
Audit: 360505
Organization: Bmc Health System, Inc. (MA)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: The Health System lacks effective internal controls over IT systems (Workday and Infor), leading to potential unauthorized changes and compliance risks.
  • Impacted Requirements: Non-compliance with 2 CFR 200.303(a) regarding maintaining effective internal controls and documentation for change management and user access reviews.
  • Recommended Follow-Up: Management should enhance change management policies, ensure proper documentation of reviews, and maintain accurate records for user access to mitigate risks.

Finding Text

Federal Agency: United States Department of Health and Human Services (HHS) Federal Program: Research & Development ALN Number: Various Federal Award Years: Various Criteria Internal Controls Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements of Federal Awards, (2 CFR 200) section 200.303(a) states, the non federal entity must establish 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 statues, 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). Condition The Health System utilizes Workday, a cloud based system, to provide human resources and payroll applications. The Health System’s management of Workday includes maintaining the application system layer of the information technology (IT) control environment. The Health System relies on the Workday vendor to support infrastructure layers through Service Organization Control (SOC) Type-1 reporting. Processes that support compliance and administration of the R&D program rely on Workday IT application controls. The Health System also utilizes Infor, a cloud based system, as the entity’s general ledger. The Health System's management of Infor includes maintaining the application system layer of the IT control environment and relies on the Infor vendor to support infrastructure layers through SOC 1 reporting. Processes that support compliance and administration of the R&D program rely on Infor IT application control. During our testing, we observed there were no inappropriate changes to the Workday and Infor application controls directly related to specific controls over compliance related to the R&D program, however we noted the following deficiencies in operating effectiveness of the Health System’s general IT controls environment: Workday 1) The Health System performed and documented a Workday change review during the fiscal year; however, the supporting document did not include sufficient appropriate evidence demonstrating such review. Specifically, management maintained an Excel spreadsheet that noted the changes to the business process definitions were appropriate; however, there were no screenshots to document the completeness and accuracy of the report from the system, or evidence of the sign off by the reviewer. Additionally, we noted appropriate evidence of testing and/or approval was not maintained for 4 of 25 sampled changes during the period. 2) The Health System performed a Workday User Access Review (UAR) during the fiscal year and maintained certain evidence demonstrating the UAR occurred, including required access updates; however, the Health System did not maintain specific evidence that all users were reviewed, approved and updated where necessary (i.e. evidence of the completeness & accuracy for pre and post user listing was not available). 3) With respect to our access removal testing, we noted that the Health System implemented automated controls to remove terminated user access in both Workday and Infor, following processing in Workday. We also tested a sample of 25 terminated users to determine whether their access was removed timely and noted that 9 of the sampled users were not removed timely prior processing in Workday. Cause The conditions above relate to the following, respectively: 1) The condition occurred because the Health System did not formally define the procedures to establish requirements for the change review, including retaining evidence of the completeness and accuracy of the review. Additionally, management does not have a centralized process for maintaining evidence of testing and approval for changes. 2) The condition occurred because the Health System did not formally define the procedures to document a complete and accurate UAR. 3) The exception occurred due to delays in supervisors’ timely reporting of terminations. Possible Asserted Effect Failure to have a reliable general IT control environment over logical access and change management may result in unauthorized changes being made to Workday, which may result in erroneous reliance on the operating effectiveness of automated IT controls, over allowability. Failure to have effective internal controls over allowability may result in federal awards being utilized for unallowable expenditures not in accordance with the federal statues, regulations, and terms and conditions of federal awards. Questioned Costs None. Statistical Sampling The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding Yes. Recommendation We recommend that management review and emphasize the change management policies and procedures with key personnel to help ensure that the Workday change review is performed to address change management risks for the system. In addition, we recommend that evidence related to the review, as well as the testing and approval of changes is maintained. Additionally, we recommend that management maintain documentation of the completeness and accuracy of the user access review to ensure that all users are reviewed, approved, and corrective actions taken. Views of Responsible Officials Recommendation accepted. Please refer to corrective action plan.

Categories

Allowable Costs / Cost Principles Internal Control / Segregation of Duties HUD Housing Programs Reporting

Other Findings in this Audit

  • 568230 2024-002
    Significant Deficiency Repeat
  • 568231 2024-002
    Significant Deficiency Repeat
  • 568232 2024-002
    Significant Deficiency Repeat
  • 568233 2024-002
    Significant Deficiency Repeat
  • 568234 2024-002
    Significant Deficiency Repeat
  • 568235 2024-002
    Significant Deficiency Repeat
  • 568236 2024-002
    Significant Deficiency Repeat
  • 568237 2024-002
    Significant Deficiency Repeat
  • 568238 2024-002
    Significant Deficiency Repeat
  • 568239 2024-002
    Significant Deficiency Repeat
  • 568240 2024-002
    Significant Deficiency Repeat
  • 568241 2024-002
    Significant Deficiency Repeat
  • 568242 2024-002
    Significant Deficiency Repeat
  • 568243 2024-002
    Significant Deficiency Repeat
  • 568244 2024-002
    Significant Deficiency Repeat
  • 568245 2024-002
    Significant Deficiency Repeat
  • 568246 2024-002
    Significant Deficiency Repeat
  • 568247 2024-002
    Significant Deficiency Repeat
  • 568248 2024-002
    Significant Deficiency Repeat
  • 568249 2024-002
    Significant Deficiency Repeat
  • 568250 2024-002
    Significant Deficiency Repeat
  • 568251 2024-002
    Significant Deficiency Repeat
  • 568252 2024-002
    Significant Deficiency Repeat
  • 568253 2024-002
    Significant Deficiency Repeat
  • 568254 2024-002
    Significant Deficiency Repeat
  • 568255 2024-002
    Significant Deficiency Repeat
  • 568256 2024-002
    Significant Deficiency Repeat
  • 568257 2024-002
    Significant Deficiency Repeat
  • 568258 2024-002
    Significant Deficiency Repeat
  • 568259 2024-002
    Significant Deficiency Repeat
  • 568260 2024-002
    Significant Deficiency Repeat
  • 568261 2024-002
    Significant Deficiency Repeat
  • 568262 2024-002
    Significant Deficiency Repeat
  • 568263 2024-002
    Significant Deficiency Repeat
  • 568264 2024-002
    Significant Deficiency Repeat
  • 568265 2024-002
    Significant Deficiency Repeat
  • 568266 2024-002
    Significant Deficiency Repeat
  • 568267 2024-002
    Significant Deficiency Repeat
  • 568268 2024-002
    Significant Deficiency Repeat
  • 568269 2024-002
    Significant Deficiency Repeat
  • 568270 2024-002
    Significant Deficiency Repeat
  • 568271 2024-002
    Significant Deficiency Repeat
  • 568272 2024-002
    Significant Deficiency Repeat
  • 568273 2024-002
    Significant Deficiency Repeat
  • 568274 2024-002
    Significant Deficiency Repeat
  • 568275 2024-002
    Significant Deficiency Repeat
  • 568276 2024-002
    Significant Deficiency Repeat
  • 568277 2024-002
    Significant Deficiency Repeat
  • 568278 2024-002
    Significant Deficiency Repeat
  • 568279 2024-002
    Significant Deficiency Repeat
  • 568280 2024-002
    Significant Deficiency Repeat
  • 568281 2024-002
    Significant Deficiency Repeat
  • 568282 2024-002
    Significant Deficiency Repeat
  • 568283 2024-002
    Significant Deficiency Repeat
  • 568284 2024-002
    Significant Deficiency Repeat
  • 568285 2024-002
    Significant Deficiency Repeat
  • 568286 2024-002
    Significant Deficiency Repeat
  • 568287 2024-002
    Significant Deficiency Repeat
  • 568288 2024-002
    Significant Deficiency Repeat
  • 568289 2024-002
    Significant Deficiency Repeat
  • 568290 2024-002
    Significant Deficiency Repeat
  • 568291 2024-002
    Significant Deficiency Repeat
  • 568292 2024-002
    Significant Deficiency Repeat
  • 568293 2024-002
    Significant Deficiency Repeat
  • 568294 2024-002
    Significant Deficiency Repeat
  • 568295 2024-002
    Significant Deficiency Repeat
  • 568296 2024-002
    Significant Deficiency Repeat
  • 568297 2024-002
    Significant Deficiency Repeat
  • 568298 2024-002
    Significant Deficiency Repeat
  • 568299 2024-002
    Significant Deficiency Repeat
  • 568300 2024-002
    Significant Deficiency Repeat
  • 568301 2024-002
    Significant Deficiency Repeat
  • 568302 2024-002
    Significant Deficiency Repeat
  • 568303 2024-002
    Significant Deficiency Repeat
  • 568304 2024-002
    Significant Deficiency Repeat
  • 568305 2024-002
    Significant Deficiency Repeat
  • 568306 2024-002
    Significant Deficiency Repeat
  • 568307 2024-002
    Significant Deficiency Repeat
  • 568308 2024-002
    Significant Deficiency Repeat
  • 568309 2024-002
    Significant Deficiency Repeat
  • 568310 2024-002
    Significant Deficiency Repeat
  • 568311 2024-002
    Significant Deficiency Repeat
  • 568312 2024-002
    Significant Deficiency Repeat
  • 568313 2024-002
    Significant Deficiency Repeat
  • 568314 2024-002
    Significant Deficiency Repeat
  • 568315 2024-002
    Significant Deficiency Repeat
  • 568316 2024-002
    Significant Deficiency Repeat
  • 568317 2024-002
    Significant Deficiency Repeat
  • 568318 2024-002
    Significant Deficiency Repeat
  • 568319 2024-002
    Significant Deficiency Repeat
  • 568320 2024-002
    Significant Deficiency Repeat
  • 568321 2024-002
    Significant Deficiency Repeat
  • 568322 2024-002
    Significant Deficiency Repeat
  • 568323 2024-002
    Significant Deficiency Repeat
  • 568324 2024-002
    Significant Deficiency Repeat
  • 568325 2024-002
    Significant Deficiency Repeat
  • 568326 2024-002
    Significant Deficiency Repeat
  • 568327 2024-002
    Significant Deficiency Repeat
  • 568328 2024-002
    Significant Deficiency Repeat
  • 568329 2024-002
    Significant Deficiency Repeat
  • 568330 2024-002
    Significant Deficiency Repeat
  • 568331 2024-002
    Significant Deficiency Repeat
  • 568332 2024-002
    Significant Deficiency Repeat
  • 568333 2024-002
    Significant Deficiency Repeat
  • 568334 2024-002
    Significant Deficiency Repeat
  • 568335 2024-002
    Significant Deficiency Repeat
  • 568336 2024-002
    Significant Deficiency Repeat
  • 568337 2024-002
    Significant Deficiency Repeat
  • 568338 2024-002
    Significant Deficiency Repeat
  • 568339 2024-002
    Significant Deficiency Repeat
  • 568340 2024-002
    Significant Deficiency Repeat
  • 568341 2024-002
    Significant Deficiency Repeat
  • 568342 2024-002
    Significant Deficiency Repeat
  • 568343 2024-002
    Significant Deficiency Repeat
  • 568344 2024-002
    Significant Deficiency Repeat
  • 568345 2024-002
    Significant Deficiency Repeat
  • 568346 2024-002
    Significant Deficiency Repeat
  • 568347 2024-002
    Significant Deficiency Repeat
  • 568348 2024-002
    Significant Deficiency Repeat
  • 568349 2024-002
    Significant Deficiency Repeat
  • 568350 2024-002
    Significant Deficiency Repeat
  • 568351 2024-002
    Significant Deficiency Repeat
  • 568352 2024-002
    Significant Deficiency Repeat
  • 568353 2024-002
    Significant Deficiency Repeat
  • 568354 2024-002
    Significant Deficiency Repeat
  • 568355 2024-002
    Significant Deficiency Repeat
  • 568356 2024-002
    Significant Deficiency Repeat
  • 568357 2024-002
    Significant Deficiency Repeat
  • 568358 2024-002
    Significant Deficiency Repeat
  • 568359 2024-002
    Significant Deficiency Repeat
  • 568360 2024-002
    Significant Deficiency Repeat
  • 568361 2024-002
    Significant Deficiency Repeat
  • 568362 2024-002
    Significant Deficiency Repeat
  • 568363 2024-002
    Significant Deficiency Repeat
  • 568364 2024-002
    Significant Deficiency Repeat
  • 568365 2024-002
    Significant Deficiency Repeat
  • 568366 2024-002
    Significant Deficiency Repeat
  • 568367 2024-002
    Significant Deficiency Repeat
  • 568368 2024-002
    Significant Deficiency Repeat
  • 568369 2024-002
    Significant Deficiency Repeat
  • 568370 2024-002
    Significant Deficiency Repeat
  • 568371 2024-002
    Significant Deficiency Repeat
  • 568372 2024-002
    Significant Deficiency Repeat
  • 568373 2024-002
    Significant Deficiency Repeat
  • 568374 2024-002
    Significant Deficiency Repeat
  • 568375 2024-002
    Significant Deficiency Repeat
  • 568376 2024-002
    Significant Deficiency Repeat
  • 568377 2024-002
    Significant Deficiency Repeat
  • 568378 2024-002
    Significant Deficiency Repeat
  • 568379 2024-002
    Significant Deficiency Repeat
  • 568380 2024-002
    Significant Deficiency Repeat
  • 568381 2024-002
    Significant Deficiency Repeat
  • 568382 2024-002
    Significant Deficiency Repeat
  • 568383 2024-002
    Significant Deficiency Repeat
  • 568384 2024-002
    Significant Deficiency Repeat
  • 568385 2024-002
    Significant Deficiency Repeat
  • 568386 2024-002
    Significant Deficiency Repeat
  • 568387 2024-002
    Significant Deficiency Repeat
  • 568388 2024-002
    Significant Deficiency Repeat
  • 568389 2024-002
    Significant Deficiency Repeat
  • 568390 2024-002
    Significant Deficiency Repeat
  • 568391 2024-002
    Significant Deficiency Repeat
  • 568392 2024-002
    Significant Deficiency Repeat
  • 568393 2024-002
    Significant Deficiency Repeat
  • 568394 2024-002
    Significant Deficiency Repeat
  • 568395 2024-002
    Significant Deficiency Repeat
  • 568396 2024-002
    Significant Deficiency Repeat
  • 568397 2024-002
    Significant Deficiency Repeat
  • 568398 2024-002
    Significant Deficiency Repeat
  • 568399 2024-002
    Significant Deficiency Repeat
  • 568400 2024-002
    Significant Deficiency Repeat
  • 568401 2024-002
    Significant Deficiency Repeat
  • 568402 2024-002
    Significant Deficiency Repeat
  • 568403 2024-002
    Significant Deficiency Repeat
  • 568404 2024-002
    Significant Deficiency Repeat
  • 568405 2024-002
    Significant Deficiency Repeat
  • 568406 2024-002
    Significant Deficiency Repeat
  • 568407 2024-002
    Significant Deficiency Repeat
  • 568408 2024-002
    Significant Deficiency Repeat
  • 568409 2024-002
    Significant Deficiency Repeat
  • 568410 2024-002
    Significant Deficiency Repeat
  • 568411 2024-002
    Significant Deficiency Repeat
  • 568412 2024-002
    Significant Deficiency Repeat
  • 568413 2024-002
    Significant Deficiency Repeat
  • 568414 2024-002
    Significant Deficiency Repeat
  • 568415 2024-002
    Significant Deficiency Repeat
  • 568416 2024-002
    Significant Deficiency Repeat
  • 568417 2024-002
    Significant Deficiency Repeat
  • 568418 2024-002
    Significant Deficiency Repeat
  • 568419 2024-002
    Significant Deficiency Repeat
  • 568420 2024-002
    Significant Deficiency Repeat
  • 568421 2024-002
    Significant Deficiency Repeat
  • 568422 2024-002
    Significant Deficiency Repeat
  • 568423 2024-002
    Significant Deficiency Repeat
  • 568424 2024-002
    Significant Deficiency Repeat
  • 568425 2024-002
    Significant Deficiency Repeat
  • 568426 2024-002
    Significant Deficiency Repeat
  • 568427 2024-002
    Significant Deficiency Repeat
  • 568428 2024-002
    Significant Deficiency Repeat
  • 568429 2024-002
    Significant Deficiency Repeat
  • 568430 2024-002
    Significant Deficiency Repeat
  • 568431 2024-002
    Significant Deficiency Repeat
  • 568432 2024-002
    Significant Deficiency Repeat
  • 568433 2024-002
    Significant Deficiency Repeat
  • 568434 2024-002
    Significant Deficiency Repeat
  • 568435 2024-002
    Significant Deficiency Repeat
  • 568436 2024-002
    Significant Deficiency Repeat
  • 568437 2024-002
    Significant Deficiency Repeat
  • 568438 2024-002
    Significant Deficiency Repeat
  • 568439 2024-002
    Significant Deficiency Repeat
  • 568440 2024-002
    Significant Deficiency Repeat
  • 568441 2024-002
    Significant Deficiency Repeat
  • 568442 2024-002
    Significant Deficiency Repeat
  • 568443 2024-002
    Significant Deficiency Repeat
  • 568444 2024-002
    Significant Deficiency Repeat
  • 568445 2024-002
    Significant Deficiency Repeat
  • 568446 2024-002
    Significant Deficiency Repeat
  • 568447 2024-002
    Significant Deficiency Repeat
  • 568448 2024-002
    Significant Deficiency Repeat
  • 568449 2024-002
    Significant Deficiency Repeat
  • 568450 2024-002
    Significant Deficiency Repeat
  • 568451 2024-002
    Significant Deficiency Repeat
  • 568452 2024-002
    Significant Deficiency Repeat
  • 568453 2024-002
    Significant Deficiency Repeat
  • 568454 2024-002
    Significant Deficiency Repeat
  • 568455 2024-002
    Significant Deficiency Repeat
  • 568456 2024-002
    Significant Deficiency Repeat
  • 568457 2024-002
    Significant Deficiency Repeat
  • 568458 2024-002
    Significant Deficiency Repeat
  • 568459 2024-002
    Significant Deficiency Repeat
  • 568460 2024-002
    Significant Deficiency Repeat
  • 568461 2024-002
    Significant Deficiency Repeat
  • 568462 2024-002
    Significant Deficiency Repeat
  • 568463 2024-002
    Significant Deficiency Repeat
  • 568464 2024-002
    Significant Deficiency Repeat
  • 568465 2024-002
    Significant Deficiency Repeat
  • 568466 2024-002
    Significant Deficiency Repeat
  • 568467 2024-002
    Significant Deficiency Repeat
  • 568468 2024-002
    Significant Deficiency Repeat
  • 568469 2024-002
    Significant Deficiency Repeat
  • 568470 2024-002
    Significant Deficiency Repeat
  • 568471 2024-002
    Significant Deficiency Repeat
  • 568472 2024-002
    Significant Deficiency Repeat
  • 568473 2024-002
    Significant Deficiency Repeat
  • 568474 2024-002
    Significant Deficiency Repeat
  • 568475 2024-002
    Significant Deficiency Repeat
  • 568476 2024-002
    Significant Deficiency Repeat
  • 568477 2024-002
    Significant Deficiency Repeat
  • 568478 2024-002
    Significant Deficiency Repeat
  • 568479 2024-002
    Significant Deficiency Repeat
  • 568480 2024-002
    Significant Deficiency Repeat
  • 568481 2024-002
    Significant Deficiency Repeat
  • 568482 2024-002
    Significant Deficiency Repeat
  • 568483 2024-002
    Significant Deficiency Repeat
  • 568484 2024-002
    Significant Deficiency Repeat
  • 568485 2024-002
    Significant Deficiency Repeat
  • 568486 2024-002
    Significant Deficiency Repeat
  • 568487 2024-002
    Significant Deficiency Repeat
  • 568488 2024-002
    Significant Deficiency Repeat
  • 568489 2024-002
    Significant Deficiency Repeat
  • 568490 2024-002
    Significant Deficiency Repeat
  • 568491 2024-002
    Significant Deficiency Repeat
  • 568492 2024-002
    Significant Deficiency Repeat
  • 568493 2024-002
    Significant Deficiency Repeat
  • 568494 2024-002
    Significant Deficiency Repeat
  • 568495 2024-002
    Significant Deficiency Repeat
  • 568496 2024-002
    Significant Deficiency Repeat
  • 568497 2024-002
    Significant Deficiency Repeat
  • 568498 2024-002
    Significant Deficiency Repeat
  • 568499 2024-002
    Significant Deficiency Repeat
  • 568500 2024-002
    Significant Deficiency Repeat
  • 568501 2024-002
    Significant Deficiency Repeat
  • 568502 2024-002
    Significant Deficiency Repeat
  • 568503 2024-002
    Significant Deficiency Repeat
  • 568504 2024-002
    Significant Deficiency Repeat
  • 568505 2024-002
    Significant Deficiency Repeat
  • 568506 2024-002
    Significant Deficiency Repeat
  • 568507 2024-002
    Significant Deficiency Repeat
  • 568508 2024-002
    Significant Deficiency Repeat
  • 568509 2024-002
    Significant Deficiency Repeat
  • 568510 2024-002
    Significant Deficiency Repeat
  • 568511 2024-002
    Significant Deficiency Repeat
  • 568512 2024-002
    Significant Deficiency Repeat
  • 568513 2024-002
    Significant Deficiency Repeat
  • 568514 2024-003
    Significant Deficiency Repeat
  • 568515 2024-003
    Significant Deficiency Repeat
  • 568516 2024-003
    Significant Deficiency Repeat
  • 568517 2024-003
    Significant Deficiency Repeat
  • 568518 2024-003
    Significant Deficiency Repeat
  • 568519 2024-003
    Significant Deficiency Repeat
  • 568520 2024-003
    Significant Deficiency Repeat
  • 568521 2024-003
    Significant Deficiency Repeat
  • 568522 2024-003
    Significant Deficiency Repeat
  • 568523 2024-003
    Significant Deficiency Repeat
  • 568524 2024-003
    Significant Deficiency Repeat
  • 568525 2024-003
    Significant Deficiency Repeat
  • 568526 2024-003
    Significant Deficiency Repeat
  • 568527 2024-003
    Significant Deficiency Repeat
  • 568528 2024-003
    Significant Deficiency Repeat
  • 568529 2024-003
    Significant Deficiency Repeat
  • 568530 2024-003
    Significant Deficiency Repeat
  • 568531 2024-003
    Significant Deficiency Repeat
  • 568532 2024-003
    Significant Deficiency Repeat
  • 568533 2024-003
    Significant Deficiency Repeat
  • 568534 2024-003
    Significant Deficiency Repeat
  • 568535 2024-003
    Significant Deficiency Repeat
  • 568536 2024-003
    Significant Deficiency Repeat
  • 568537 2024-003
    Significant Deficiency Repeat
  • 568538 2024-003
    Significant Deficiency Repeat
  • 568539 2024-003
    Significant Deficiency Repeat
  • 568540 2024-003
    Significant Deficiency Repeat
  • 568541 2024-003
    Significant Deficiency Repeat
  • 568542 2024-003
    Significant Deficiency Repeat
  • 568543 2024-003
    Significant Deficiency Repeat
  • 568544 2024-003
    Significant Deficiency Repeat
  • 568545 2024-003
    Significant Deficiency Repeat
  • 568546 2024-003
    Significant Deficiency Repeat
  • 568547 2024-003
    Significant Deficiency Repeat
  • 568548 2024-003
    Significant Deficiency Repeat
  • 568549 2024-003
    Significant Deficiency Repeat
  • 568550 2024-003
    Significant Deficiency Repeat
  • 568551 2024-003
    Significant Deficiency Repeat
  • 568552 2024-003
    Significant Deficiency Repeat
  • 568553 2024-003
    Significant Deficiency Repeat
  • 568554 2024-003
    Significant Deficiency Repeat
  • 568555 2024-003
    Significant Deficiency Repeat
  • 568556 2024-003
    Significant Deficiency Repeat
  • 568557 2024-003
    Significant Deficiency Repeat
  • 568558 2024-003
    Significant Deficiency Repeat
  • 568559 2024-003
    Significant Deficiency Repeat
  • 568560 2024-003
    Significant Deficiency Repeat
  • 568561 2024-003
    Significant Deficiency Repeat
  • 568562 2024-003
    Significant Deficiency Repeat
  • 568563 2024-003
    Significant Deficiency Repeat
  • 568564 2024-003
    Significant Deficiency Repeat
  • 568565 2024-003
    Significant Deficiency Repeat
  • 568566 2024-003
    Significant Deficiency Repeat
  • 568567 2024-003
    Significant Deficiency Repeat
  • 568568 2024-003
    Significant Deficiency Repeat
  • 568569 2024-003
    Significant Deficiency Repeat
  • 568570 2024-003
    Significant Deficiency Repeat
  • 568571 2024-003
    Significant Deficiency Repeat
  • 568572 2024-003
    Significant Deficiency Repeat
  • 568573 2024-003
    Significant Deficiency Repeat
  • 568574 2024-003
    Significant Deficiency Repeat
  • 568575 2024-003
    Significant Deficiency Repeat
  • 568576 2024-003
    Significant Deficiency Repeat
  • 568577 2024-003
    Significant Deficiency Repeat
  • 568578 2024-003
    Significant Deficiency Repeat
  • 568579 2024-003
    Significant Deficiency Repeat
  • 568580 2024-003
    Significant Deficiency Repeat
  • 568581 2024-003
    Significant Deficiency Repeat
  • 568582 2024-003
    Significant Deficiency Repeat
  • 568583 2024-003
    Significant Deficiency Repeat
  • 568584 2024-003
    Significant Deficiency Repeat
  • 568585 2024-003
    Significant Deficiency Repeat
  • 568586 2024-003
    Significant Deficiency Repeat
  • 568587 2024-003
    Significant Deficiency Repeat
  • 568588 2024-003
    Significant Deficiency Repeat
  • 568589 2024-003
    Significant Deficiency Repeat
  • 568590 2024-003
    Significant Deficiency Repeat
  • 568591 2024-003
    Significant Deficiency Repeat
  • 568592 2024-003
    Significant Deficiency Repeat
  • 568593 2024-003
    Significant Deficiency Repeat
  • 568594 2024-003
    Significant Deficiency Repeat
  • 568595 2024-003
    Significant Deficiency Repeat
  • 568596 2024-003
    Significant Deficiency Repeat
  • 568597 2024-003
    Significant Deficiency Repeat
  • 568598 2024-003
    Significant Deficiency Repeat
  • 568599 2024-003
    Significant Deficiency Repeat
  • 568600 2024-003
    Significant Deficiency Repeat
  • 568601 2024-003
    Significant Deficiency Repeat
  • 568602 2024-003
    Significant Deficiency Repeat
  • 568603 2024-003
    Significant Deficiency Repeat
  • 568604 2024-003
    Significant Deficiency Repeat
  • 568605 2024-003
    Significant Deficiency Repeat
  • 568606 2024-003
    Significant Deficiency Repeat
  • 568607 2024-003
    Significant Deficiency Repeat
  • 568608 2024-003
    Significant Deficiency Repeat
  • 568609 2024-003
    Significant Deficiency Repeat
  • 568610 2024-003
    Significant Deficiency Repeat
  • 568611 2024-003
    Significant Deficiency Repeat
  • 568612 2024-003
    Significant Deficiency Repeat
  • 568613 2024-003
    Significant Deficiency Repeat
  • 568614 2024-003
    Significant Deficiency Repeat
  • 568615 2024-003
    Significant Deficiency Repeat
  • 568616 2024-003
    Significant Deficiency Repeat
  • 568617 2024-003
    Significant Deficiency Repeat
  • 568618 2024-003
    Significant Deficiency Repeat
  • 568619 2024-003
    Significant Deficiency Repeat
  • 568620 2024-003
    Significant Deficiency Repeat
  • 568621 2024-003
    Significant Deficiency Repeat
  • 568622 2024-003
    Significant Deficiency Repeat
  • 568623 2024-003
    Significant Deficiency Repeat
  • 568624 2024-003
    Significant Deficiency Repeat
  • 568625 2024-003
    Significant Deficiency Repeat
  • 568626 2024-003
    Significant Deficiency Repeat
  • 568627 2024-003
    Significant Deficiency Repeat
  • 568628 2024-003
    Significant Deficiency Repeat
  • 568629 2024-003
    Significant Deficiency Repeat
  • 568630 2024-003
    Significant Deficiency Repeat
  • 568631 2024-003
    Significant Deficiency Repeat
  • 568632 2024-003
    Significant Deficiency Repeat
  • 568633 2024-003
    Significant Deficiency Repeat
  • 568634 2024-003
    Significant Deficiency Repeat
  • 568635 2024-003
    Significant Deficiency Repeat
  • 568636 2024-003
    Significant Deficiency Repeat
  • 568637 2024-003
    Significant Deficiency Repeat
  • 568638 2024-003
    Significant Deficiency Repeat
  • 568639 2024-003
    Significant Deficiency Repeat
  • 568640 2024-003
    Significant Deficiency Repeat
  • 568641 2024-003
    Significant Deficiency Repeat
  • 568642 2024-003
    Significant Deficiency Repeat
  • 568643 2024-003
    Significant Deficiency Repeat
  • 568644 2024-003
    Significant Deficiency Repeat
  • 568645 2024-003
    Significant Deficiency Repeat
  • 568646 2024-003
    Significant Deficiency Repeat
  • 568647 2024-003
    Significant Deficiency Repeat
  • 568648 2024-003
    Significant Deficiency Repeat
  • 568649 2024-003
    Significant Deficiency Repeat
  • 568650 2024-003
    Significant Deficiency Repeat
  • 568651 2024-003
    Significant Deficiency Repeat
  • 568652 2024-003
    Significant Deficiency Repeat
  • 568653 2024-003
    Significant Deficiency Repeat
  • 568654 2024-003
    Significant Deficiency Repeat
  • 568655 2024-003
    Significant Deficiency Repeat
  • 568656 2024-003
    Significant Deficiency Repeat
  • 568657 2024-003
    Significant Deficiency Repeat
  • 568658 2024-003
    Significant Deficiency Repeat
  • 568659 2024-003
    Significant Deficiency Repeat
  • 568660 2024-003
    Significant Deficiency Repeat
  • 568661 2024-003
    Significant Deficiency Repeat
  • 568662 2024-003
    Significant Deficiency Repeat
  • 568663 2024-003
    Significant Deficiency Repeat
  • 568664 2024-003
    Significant Deficiency Repeat
  • 568665 2024-003
    Significant Deficiency Repeat
  • 568666 2024-003
    Significant Deficiency Repeat
  • 568667 2024-003
    Significant Deficiency Repeat
  • 568668 2024-003
    Significant Deficiency Repeat
  • 568669 2024-003
    Significant Deficiency Repeat
  • 568670 2024-003
    Significant Deficiency Repeat
  • 568671 2024-003
    Significant Deficiency Repeat
  • 568672 2024-003
    Significant Deficiency Repeat
  • 568673 2024-003
    Significant Deficiency Repeat
  • 568674 2024-003
    Significant Deficiency Repeat
  • 568675 2024-003
    Significant Deficiency Repeat
  • 568676 2024-003
    Significant Deficiency Repeat
  • 568677 2024-003
    Significant Deficiency Repeat
  • 568678 2024-003
    Significant Deficiency Repeat
  • 568679 2024-003
    Significant Deficiency Repeat
  • 568680 2024-003
    Significant Deficiency Repeat
  • 568681 2024-003
    Significant Deficiency Repeat
  • 568682 2024-003
    Significant Deficiency Repeat
  • 568683 2024-003
    Significant Deficiency Repeat
  • 568684 2024-003
    Significant Deficiency Repeat
  • 568685 2024-003
    Significant Deficiency Repeat
  • 568686 2024-003
    Significant Deficiency Repeat
  • 568687 2024-003
    Significant Deficiency Repeat
  • 568688 2024-003
    Significant Deficiency Repeat
  • 568689 2024-003
    Significant Deficiency Repeat
  • 568690 2024-003
    Significant Deficiency Repeat
  • 568691 2024-003
    Significant Deficiency Repeat
  • 568692 2024-003
    Significant Deficiency Repeat
  • 568693 2024-003
    Significant Deficiency Repeat
  • 568694 2024-003
    Significant Deficiency Repeat
  • 568695 2024-003
    Significant Deficiency Repeat
  • 568696 2024-003
    Significant Deficiency Repeat
  • 568697 2024-003
    Significant Deficiency Repeat
  • 568698 2024-003
    Significant Deficiency Repeat
  • 568699 2024-003
    Significant Deficiency Repeat
  • 568700 2024-003
    Significant Deficiency Repeat
  • 568701 2024-003
    Significant Deficiency Repeat
  • 568702 2024-003
    Significant Deficiency Repeat
  • 568703 2024-003
    Significant Deficiency Repeat
  • 568704 2024-003
    Significant Deficiency Repeat
  • 568705 2024-003
    Significant Deficiency Repeat
  • 568706 2024-003
    Significant Deficiency Repeat
  • 568707 2024-003
    Significant Deficiency Repeat
  • 568708 2024-003
    Significant Deficiency Repeat
  • 568709 2024-003
    Significant Deficiency Repeat
  • 568710 2024-003
    Significant Deficiency Repeat
  • 568711 2024-003
    Significant Deficiency Repeat
  • 568712 2024-003
    Significant Deficiency Repeat
  • 568713 2024-003
    Significant Deficiency Repeat
  • 568714 2024-003
    Significant Deficiency Repeat
  • 568715 2024-003
    Significant Deficiency Repeat
  • 568716 2024-003
    Significant Deficiency Repeat
  • 568717 2024-003
    Significant Deficiency Repeat
  • 568718 2024-003
    Significant Deficiency Repeat
  • 568719 2024-003
    Significant Deficiency Repeat
  • 568720 2024-003
    Significant Deficiency Repeat
  • 568721 2024-003
    Significant Deficiency Repeat
  • 568722 2024-003
    Significant Deficiency Repeat
  • 568723 2024-003
    Significant Deficiency Repeat
  • 568724 2024-003
    Significant Deficiency Repeat
  • 568725 2024-003
    Significant Deficiency Repeat
  • 568726 2024-003
    Significant Deficiency Repeat
  • 568727 2024-003
    Significant Deficiency Repeat
  • 568728 2024-003
    Significant Deficiency Repeat
  • 568729 2024-003
    Significant Deficiency Repeat
  • 568730 2024-003
    Significant Deficiency Repeat
  • 568731 2024-003
    Significant Deficiency Repeat
  • 568732 2024-003
    Significant Deficiency Repeat
  • 568733 2024-003
    Significant Deficiency Repeat
  • 568734 2024-003
    Significant Deficiency Repeat
  • 568735 2024-003
    Significant Deficiency Repeat
  • 568736 2024-003
    Significant Deficiency Repeat
  • 568737 2024-003
    Significant Deficiency Repeat
  • 568738 2024-003
    Significant Deficiency Repeat
  • 568739 2024-003
    Significant Deficiency Repeat
  • 568740 2024-003
    Significant Deficiency Repeat
  • 568741 2024-003
    Significant Deficiency Repeat
  • 568742 2024-003
    Significant Deficiency Repeat
  • 568743 2024-003
    Significant Deficiency Repeat
  • 568745 2024-003
    Significant Deficiency Repeat
  • 568746 2024-003
    Significant Deficiency Repeat
  • 568747 2024-003
    Significant Deficiency Repeat
  • 568748 2024-003
    Significant Deficiency Repeat
  • 568749 2024-003
    Significant Deficiency Repeat
  • 568750 2024-003
    Significant Deficiency Repeat
  • 568751 2024-003
    Significant Deficiency Repeat
  • 568752 2024-003
    Significant Deficiency Repeat
  • 568753 2024-003
    Significant Deficiency Repeat
  • 568754 2024-003
    Significant Deficiency Repeat
  • 568755 2024-003
    Significant Deficiency Repeat
  • 568756 2024-003
    Significant Deficiency Repeat
  • 568757 2024-003
    Significant Deficiency Repeat
  • 568758 2024-003
    Significant Deficiency Repeat
  • 568759 2024-003
    Significant Deficiency Repeat
  • 568760 2024-003
    Significant Deficiency Repeat
  • 568761 2024-003
    Significant Deficiency Repeat
  • 568762 2024-003
    Significant Deficiency Repeat
  • 568763 2024-003
    Significant Deficiency Repeat
  • 568764 2024-003
    Significant Deficiency Repeat
  • 568765 2024-003
    Significant Deficiency Repeat
  • 568766 2024-003
    Significant Deficiency Repeat
  • 568767 2024-003
    Significant Deficiency Repeat
  • 568768 2024-003
    Significant Deficiency Repeat
  • 568769 2024-003
    Significant Deficiency Repeat
  • 568770 2024-003
    Significant Deficiency Repeat
  • 568771 2024-003
    Significant Deficiency Repeat
  • 568772 2024-003
    Significant Deficiency Repeat
  • 568773 2024-003
    Significant Deficiency Repeat
  • 568774 2024-003
    Significant Deficiency Repeat
  • 568775 2024-003
    Significant Deficiency Repeat
  • 568776 2024-003
    Significant Deficiency Repeat
  • 568777 2024-003
    Significant Deficiency Repeat
  • 568778 2024-003
    Significant Deficiency Repeat
  • 568779 2024-003
    Significant Deficiency Repeat
  • 568780 2024-003
    Significant Deficiency Repeat
  • 568781 2024-003
    Significant Deficiency Repeat
  • 568782 2024-003
    Significant Deficiency Repeat
  • 568783 2024-003
    Significant Deficiency Repeat
  • 568784 2024-003
    Significant Deficiency Repeat
  • 568785 2024-003
    Significant Deficiency Repeat
  • 568786 2024-003
    Significant Deficiency Repeat
  • 568787 2024-003
    Significant Deficiency Repeat
  • 568788 2024-003
    Significant Deficiency Repeat
  • 568789 2024-003
    Significant Deficiency Repeat
  • 568790 2024-003
    Significant Deficiency Repeat
  • 568791 2024-003
    Significant Deficiency Repeat
  • 568792 2024-003
    Significant Deficiency Repeat
  • 568793 2024-003
    Significant Deficiency Repeat
  • 568794 2024-003
    Significant Deficiency Repeat
  • 568795 2024-003
    Significant Deficiency Repeat
  • 568796 2024-003
    Significant Deficiency Repeat
  • 568797 2024-003
    Significant Deficiency Repeat
  • 1144672 2024-002
    Significant Deficiency Repeat
  • 1144673 2024-002
    Significant Deficiency Repeat
  • 1144674 2024-002
    Significant Deficiency Repeat
  • 1144675 2024-002
    Significant Deficiency Repeat
  • 1144676 2024-002
    Significant Deficiency Repeat
  • 1144677 2024-002
    Significant Deficiency Repeat
  • 1144678 2024-002
    Significant Deficiency Repeat
  • 1144679 2024-002
    Significant Deficiency Repeat
  • 1144680 2024-002
    Significant Deficiency Repeat
  • 1144681 2024-002
    Significant Deficiency Repeat
  • 1144682 2024-002
    Significant Deficiency Repeat
  • 1144683 2024-002
    Significant Deficiency Repeat
  • 1144684 2024-002
    Significant Deficiency Repeat
  • 1144685 2024-002
    Significant Deficiency Repeat
  • 1144686 2024-002
    Significant Deficiency Repeat
  • 1144687 2024-002
    Significant Deficiency Repeat
  • 1144688 2024-002
    Significant Deficiency Repeat
  • 1144689 2024-002
    Significant Deficiency Repeat
  • 1144690 2024-002
    Significant Deficiency Repeat
  • 1144691 2024-002
    Significant Deficiency Repeat
  • 1144692 2024-002
    Significant Deficiency Repeat
  • 1144693 2024-002
    Significant Deficiency Repeat
  • 1144694 2024-002
    Significant Deficiency Repeat
  • 1144695 2024-002
    Significant Deficiency Repeat
  • 1144696 2024-002
    Significant Deficiency Repeat
  • 1144697 2024-002
    Significant Deficiency Repeat
  • 1144698 2024-002
    Significant Deficiency Repeat
  • 1144699 2024-002
    Significant Deficiency Repeat
  • 1144700 2024-002
    Significant Deficiency Repeat
  • 1144701 2024-002
    Significant Deficiency Repeat
  • 1144702 2024-002
    Significant Deficiency Repeat
  • 1144703 2024-002
    Significant Deficiency Repeat
  • 1144704 2024-002
    Significant Deficiency Repeat
  • 1144705 2024-002
    Significant Deficiency Repeat
  • 1144706 2024-002
    Significant Deficiency Repeat
  • 1144707 2024-002
    Significant Deficiency Repeat
  • 1144708 2024-002
    Significant Deficiency Repeat
  • 1144709 2024-002
    Significant Deficiency Repeat
  • 1144710 2024-002
    Significant Deficiency Repeat
  • 1144711 2024-002
    Significant Deficiency Repeat
  • 1144712 2024-002
    Significant Deficiency Repeat
  • 1144713 2024-002
    Significant Deficiency Repeat
  • 1144714 2024-002
    Significant Deficiency Repeat
  • 1144715 2024-002
    Significant Deficiency Repeat
  • 1144716 2024-002
    Significant Deficiency Repeat
  • 1144717 2024-002
    Significant Deficiency Repeat
  • 1144718 2024-002
    Significant Deficiency Repeat
  • 1144719 2024-002
    Significant Deficiency Repeat
  • 1144720 2024-002
    Significant Deficiency Repeat
  • 1144721 2024-002
    Significant Deficiency Repeat
  • 1144722 2024-002
    Significant Deficiency Repeat
  • 1144723 2024-002
    Significant Deficiency Repeat
  • 1144724 2024-002
    Significant Deficiency Repeat
  • 1144725 2024-002
    Significant Deficiency Repeat
  • 1144726 2024-002
    Significant Deficiency Repeat
  • 1144727 2024-002
    Significant Deficiency Repeat
  • 1144728 2024-002
    Significant Deficiency Repeat
  • 1144729 2024-002
    Significant Deficiency Repeat
  • 1144730 2024-002
    Significant Deficiency Repeat
  • 1144731 2024-002
    Significant Deficiency Repeat
  • 1144732 2024-002
    Significant Deficiency Repeat
  • 1144733 2024-002
    Significant Deficiency Repeat
  • 1144734 2024-002
    Significant Deficiency Repeat
  • 1144735 2024-002
    Significant Deficiency Repeat
  • 1144736 2024-002
    Significant Deficiency Repeat
  • 1144737 2024-002
    Significant Deficiency Repeat
  • 1144738 2024-002
    Significant Deficiency Repeat
  • 1144739 2024-002
    Significant Deficiency Repeat
  • 1144740 2024-002
    Significant Deficiency Repeat
  • 1144741 2024-002
    Significant Deficiency Repeat
  • 1144742 2024-002
    Significant Deficiency Repeat
  • 1144743 2024-002
    Significant Deficiency Repeat
  • 1144744 2024-002
    Significant Deficiency Repeat
  • 1144745 2024-002
    Significant Deficiency Repeat
  • 1144746 2024-002
    Significant Deficiency Repeat
  • 1144747 2024-002
    Significant Deficiency Repeat
  • 1144748 2024-002
    Significant Deficiency Repeat
  • 1144749 2024-002
    Significant Deficiency Repeat
  • 1144750 2024-002
    Significant Deficiency Repeat
  • 1144751 2024-002
    Significant Deficiency Repeat
  • 1144752 2024-002
    Significant Deficiency Repeat
  • 1144753 2024-002
    Significant Deficiency Repeat
  • 1144754 2024-002
    Significant Deficiency Repeat
  • 1144755 2024-002
    Significant Deficiency Repeat
  • 1144756 2024-002
    Significant Deficiency Repeat
  • 1144757 2024-002
    Significant Deficiency Repeat
  • 1144758 2024-002
    Significant Deficiency Repeat
  • 1144759 2024-002
    Significant Deficiency Repeat
  • 1144760 2024-002
    Significant Deficiency Repeat
  • 1144761 2024-002
    Significant Deficiency Repeat
  • 1144762 2024-002
    Significant Deficiency Repeat
  • 1144763 2024-002
    Significant Deficiency Repeat
  • 1144764 2024-002
    Significant Deficiency Repeat
  • 1144765 2024-002
    Significant Deficiency Repeat
  • 1144766 2024-002
    Significant Deficiency Repeat
  • 1144767 2024-002
    Significant Deficiency Repeat
  • 1144768 2024-002
    Significant Deficiency Repeat
  • 1144769 2024-002
    Significant Deficiency Repeat
  • 1144770 2024-002
    Significant Deficiency Repeat
  • 1144771 2024-002
    Significant Deficiency Repeat
  • 1144772 2024-002
    Significant Deficiency Repeat
  • 1144773 2024-002
    Significant Deficiency Repeat
  • 1144774 2024-002
    Significant Deficiency Repeat
  • 1144775 2024-002
    Significant Deficiency Repeat
  • 1144776 2024-002
    Significant Deficiency Repeat
  • 1144777 2024-002
    Significant Deficiency Repeat
  • 1144778 2024-002
    Significant Deficiency Repeat
  • 1144779 2024-002
    Significant Deficiency Repeat
  • 1144780 2024-002
    Significant Deficiency Repeat
  • 1144781 2024-002
    Significant Deficiency Repeat
  • 1144782 2024-002
    Significant Deficiency Repeat
  • 1144783 2024-002
    Significant Deficiency Repeat
  • 1144784 2024-002
    Significant Deficiency Repeat
  • 1144785 2024-002
    Significant Deficiency Repeat
  • 1144786 2024-002
    Significant Deficiency Repeat
  • 1144787 2024-002
    Significant Deficiency Repeat
  • 1144788 2024-002
    Significant Deficiency Repeat
  • 1144789 2024-002
    Significant Deficiency Repeat
  • 1144790 2024-002
    Significant Deficiency Repeat
  • 1144791 2024-002
    Significant Deficiency Repeat
  • 1144792 2024-002
    Significant Deficiency Repeat
  • 1144793 2024-002
    Significant Deficiency Repeat
  • 1144794 2024-002
    Significant Deficiency Repeat
  • 1144795 2024-002
    Significant Deficiency Repeat
  • 1144796 2024-002
    Significant Deficiency Repeat
  • 1144797 2024-002
    Significant Deficiency Repeat
  • 1144798 2024-002
    Significant Deficiency Repeat
  • 1144799 2024-002
    Significant Deficiency Repeat
  • 1144800 2024-002
    Significant Deficiency Repeat
  • 1144801 2024-002
    Significant Deficiency Repeat
  • 1144802 2024-002
    Significant Deficiency Repeat
  • 1144803 2024-002
    Significant Deficiency Repeat
  • 1144804 2024-002
    Significant Deficiency Repeat
  • 1144805 2024-002
    Significant Deficiency Repeat
  • 1144806 2024-002
    Significant Deficiency Repeat
  • 1144807 2024-002
    Significant Deficiency Repeat
  • 1144808 2024-002
    Significant Deficiency Repeat
  • 1144809 2024-002
    Significant Deficiency Repeat
  • 1144810 2024-002
    Significant Deficiency Repeat
  • 1144811 2024-002
    Significant Deficiency Repeat
  • 1144812 2024-002
    Significant Deficiency Repeat
  • 1144813 2024-002
    Significant Deficiency Repeat
  • 1144814 2024-002
    Significant Deficiency Repeat
  • 1144815 2024-002
    Significant Deficiency Repeat
  • 1144816 2024-002
    Significant Deficiency Repeat
  • 1144817 2024-002
    Significant Deficiency Repeat
  • 1144818 2024-002
    Significant Deficiency Repeat
  • 1144819 2024-002
    Significant Deficiency Repeat
  • 1144820 2024-002
    Significant Deficiency Repeat
  • 1144821 2024-002
    Significant Deficiency Repeat
  • 1144822 2024-002
    Significant Deficiency Repeat
  • 1144823 2024-002
    Significant Deficiency Repeat
  • 1144824 2024-002
    Significant Deficiency Repeat
  • 1144825 2024-002
    Significant Deficiency Repeat
  • 1144826 2024-002
    Significant Deficiency Repeat
  • 1144827 2024-002
    Significant Deficiency Repeat
  • 1144828 2024-002
    Significant Deficiency Repeat
  • 1144829 2024-002
    Significant Deficiency Repeat
  • 1144830 2024-002
    Significant Deficiency Repeat
  • 1144831 2024-002
    Significant Deficiency Repeat
  • 1144832 2024-002
    Significant Deficiency Repeat
  • 1144833 2024-002
    Significant Deficiency Repeat
  • 1144834 2024-002
    Significant Deficiency Repeat
  • 1144835 2024-002
    Significant Deficiency Repeat
  • 1144836 2024-002
    Significant Deficiency Repeat
  • 1144837 2024-002
    Significant Deficiency Repeat
  • 1144838 2024-002
    Significant Deficiency Repeat
  • 1144839 2024-002
    Significant Deficiency Repeat
  • 1144840 2024-002
    Significant Deficiency Repeat
  • 1144841 2024-002
    Significant Deficiency Repeat
  • 1144842 2024-002
    Significant Deficiency Repeat
  • 1144843 2024-002
    Significant Deficiency Repeat
  • 1144844 2024-002
    Significant Deficiency Repeat
  • 1144845 2024-002
    Significant Deficiency Repeat
  • 1144846 2024-002
    Significant Deficiency Repeat
  • 1144847 2024-002
    Significant Deficiency Repeat
  • 1144848 2024-002
    Significant Deficiency Repeat
  • 1144849 2024-002
    Significant Deficiency Repeat
  • 1144850 2024-002
    Significant Deficiency Repeat
  • 1144851 2024-002
    Significant Deficiency Repeat
  • 1144852 2024-002
    Significant Deficiency Repeat
  • 1144853 2024-002
    Significant Deficiency Repeat
  • 1144854 2024-002
    Significant Deficiency Repeat
  • 1144855 2024-002
    Significant Deficiency Repeat
  • 1144856 2024-002
    Significant Deficiency Repeat
  • 1144857 2024-002
    Significant Deficiency Repeat
  • 1144858 2024-002
    Significant Deficiency Repeat
  • 1144859 2024-002
    Significant Deficiency Repeat
  • 1144860 2024-002
    Significant Deficiency Repeat
  • 1144861 2024-002
    Significant Deficiency Repeat
  • 1144862 2024-002
    Significant Deficiency Repeat
  • 1144863 2024-002
    Significant Deficiency Repeat
  • 1144864 2024-002
    Significant Deficiency Repeat
  • 1144865 2024-002
    Significant Deficiency Repeat
  • 1144866 2024-002
    Significant Deficiency Repeat
  • 1144867 2024-002
    Significant Deficiency Repeat
  • 1144868 2024-002
    Significant Deficiency Repeat
  • 1144869 2024-002
    Significant Deficiency Repeat
  • 1144870 2024-002
    Significant Deficiency Repeat
  • 1144871 2024-002
    Significant Deficiency Repeat
  • 1144872 2024-002
    Significant Deficiency Repeat
  • 1144873 2024-002
    Significant Deficiency Repeat
  • 1144874 2024-002
    Significant Deficiency Repeat
  • 1144875 2024-002
    Significant Deficiency Repeat
  • 1144876 2024-002
    Significant Deficiency Repeat
  • 1144877 2024-002
    Significant Deficiency Repeat
  • 1144878 2024-002
    Significant Deficiency Repeat
  • 1144879 2024-002
    Significant Deficiency Repeat
  • 1144880 2024-002
    Significant Deficiency Repeat
  • 1144881 2024-002
    Significant Deficiency Repeat
  • 1144882 2024-002
    Significant Deficiency Repeat
  • 1144883 2024-002
    Significant Deficiency Repeat
  • 1144884 2024-002
    Significant Deficiency Repeat
  • 1144885 2024-002
    Significant Deficiency Repeat
  • 1144886 2024-002
    Significant Deficiency Repeat
  • 1144887 2024-002
    Significant Deficiency Repeat
  • 1144888 2024-002
    Significant Deficiency Repeat
  • 1144889 2024-002
    Significant Deficiency Repeat
  • 1144890 2024-002
    Significant Deficiency Repeat
  • 1144891 2024-002
    Significant Deficiency Repeat
  • 1144892 2024-002
    Significant Deficiency Repeat
  • 1144893 2024-002
    Significant Deficiency Repeat
  • 1144894 2024-002
    Significant Deficiency Repeat
  • 1144895 2024-002
    Significant Deficiency Repeat
  • 1144896 2024-002
    Significant Deficiency Repeat
  • 1144897 2024-002
    Significant Deficiency Repeat
  • 1144898 2024-002
    Significant Deficiency Repeat
  • 1144899 2024-002
    Significant Deficiency Repeat
  • 1144900 2024-002
    Significant Deficiency Repeat
  • 1144901 2024-002
    Significant Deficiency Repeat
  • 1144902 2024-002
    Significant Deficiency Repeat
  • 1144903 2024-002
    Significant Deficiency Repeat
  • 1144904 2024-002
    Significant Deficiency Repeat
  • 1144905 2024-002
    Significant Deficiency Repeat
  • 1144906 2024-002
    Significant Deficiency Repeat
  • 1144907 2024-002
    Significant Deficiency Repeat
  • 1144908 2024-002
    Significant Deficiency Repeat
  • 1144909 2024-002
    Significant Deficiency Repeat
  • 1144910 2024-002
    Significant Deficiency Repeat
  • 1144911 2024-002
    Significant Deficiency Repeat
  • 1144912 2024-002
    Significant Deficiency Repeat
  • 1144913 2024-002
    Significant Deficiency Repeat
  • 1144914 2024-002
    Significant Deficiency Repeat
  • 1144915 2024-002
    Significant Deficiency Repeat
  • 1144916 2024-002
    Significant Deficiency Repeat
  • 1144917 2024-002
    Significant Deficiency Repeat
  • 1144918 2024-002
    Significant Deficiency Repeat
  • 1144919 2024-002
    Significant Deficiency Repeat
  • 1144920 2024-002
    Significant Deficiency Repeat
  • 1144921 2024-002
    Significant Deficiency Repeat
  • 1144922 2024-002
    Significant Deficiency Repeat
  • 1144923 2024-002
    Significant Deficiency Repeat
  • 1144924 2024-002
    Significant Deficiency Repeat
  • 1144925 2024-002
    Significant Deficiency Repeat
  • 1144926 2024-002
    Significant Deficiency Repeat
  • 1144927 2024-002
    Significant Deficiency Repeat
  • 1144928 2024-002
    Significant Deficiency Repeat
  • 1144929 2024-002
    Significant Deficiency Repeat
  • 1144930 2024-002
    Significant Deficiency Repeat
  • 1144931 2024-002
    Significant Deficiency Repeat
  • 1144932 2024-002
    Significant Deficiency Repeat
  • 1144933 2024-002
    Significant Deficiency Repeat
  • 1144934 2024-002
    Significant Deficiency Repeat
  • 1144935 2024-002
    Significant Deficiency Repeat
  • 1144936 2024-002
    Significant Deficiency Repeat
  • 1144937 2024-002
    Significant Deficiency Repeat
  • 1144938 2024-002
    Significant Deficiency Repeat
  • 1144939 2024-002
    Significant Deficiency Repeat
  • 1144940 2024-002
    Significant Deficiency Repeat
  • 1144941 2024-002
    Significant Deficiency Repeat
  • 1144942 2024-002
    Significant Deficiency Repeat
  • 1144943 2024-002
    Significant Deficiency Repeat
  • 1144944 2024-002
    Significant Deficiency Repeat
  • 1144945 2024-002
    Significant Deficiency Repeat
  • 1144946 2024-002
    Significant Deficiency Repeat
  • 1144947 2024-002
    Significant Deficiency Repeat
  • 1144948 2024-002
    Significant Deficiency Repeat
  • 1144949 2024-002
    Significant Deficiency Repeat
  • 1144950 2024-002
    Significant Deficiency Repeat
  • 1144951 2024-002
    Significant Deficiency Repeat
  • 1144952 2024-002
    Significant Deficiency Repeat
  • 1144953 2024-002
    Significant Deficiency Repeat
  • 1144954 2024-002
    Significant Deficiency Repeat
  • 1144955 2024-002
    Significant Deficiency Repeat
  • 1144956 2024-003
    Significant Deficiency Repeat
  • 1144957 2024-003
    Significant Deficiency Repeat
  • 1144958 2024-003
    Significant Deficiency Repeat
  • 1144959 2024-003
    Significant Deficiency Repeat
  • 1144960 2024-003
    Significant Deficiency Repeat
  • 1144961 2024-003
    Significant Deficiency Repeat
  • 1144962 2024-003
    Significant Deficiency Repeat
  • 1144963 2024-003
    Significant Deficiency Repeat
  • 1144964 2024-003
    Significant Deficiency Repeat
  • 1144965 2024-003
    Significant Deficiency Repeat
  • 1144966 2024-003
    Significant Deficiency Repeat
  • 1144967 2024-003
    Significant Deficiency Repeat
  • 1144968 2024-003
    Significant Deficiency Repeat
  • 1144969 2024-003
    Significant Deficiency Repeat
  • 1144970 2024-003
    Significant Deficiency Repeat
  • 1144971 2024-003
    Significant Deficiency Repeat
  • 1144972 2024-003
    Significant Deficiency Repeat
  • 1144973 2024-003
    Significant Deficiency Repeat
  • 1144974 2024-003
    Significant Deficiency Repeat
  • 1144975 2024-003
    Significant Deficiency Repeat
  • 1144976 2024-003
    Significant Deficiency Repeat
  • 1144977 2024-003
    Significant Deficiency Repeat
  • 1144978 2024-003
    Significant Deficiency Repeat
  • 1144979 2024-003
    Significant Deficiency Repeat
  • 1144980 2024-003
    Significant Deficiency Repeat
  • 1144981 2024-003
    Significant Deficiency Repeat
  • 1144982 2024-003
    Significant Deficiency Repeat
  • 1144983 2024-003
    Significant Deficiency Repeat
  • 1144984 2024-003
    Significant Deficiency Repeat
  • 1144985 2024-003
    Significant Deficiency Repeat
  • 1144986 2024-003
    Significant Deficiency Repeat
  • 1144987 2024-003
    Significant Deficiency Repeat
  • 1144988 2024-003
    Significant Deficiency Repeat
  • 1144989 2024-003
    Significant Deficiency Repeat
  • 1144990 2024-003
    Significant Deficiency Repeat
  • 1144991 2024-003
    Significant Deficiency Repeat
  • 1144992 2024-003
    Significant Deficiency Repeat
  • 1144993 2024-003
    Significant Deficiency Repeat
  • 1144994 2024-003
    Significant Deficiency Repeat
  • 1144995 2024-003
    Significant Deficiency Repeat
  • 1144996 2024-003
    Significant Deficiency Repeat
  • 1144997 2024-003
    Significant Deficiency Repeat
  • 1144998 2024-003
    Significant Deficiency Repeat
  • 1144999 2024-003
    Significant Deficiency Repeat
  • 1145000 2024-003
    Significant Deficiency Repeat
  • 1145001 2024-003
    Significant Deficiency Repeat
  • 1145002 2024-003
    Significant Deficiency Repeat
  • 1145003 2024-003
    Significant Deficiency Repeat
  • 1145004 2024-003
    Significant Deficiency Repeat
  • 1145005 2024-003
    Significant Deficiency Repeat
  • 1145006 2024-003
    Significant Deficiency Repeat
  • 1145007 2024-003
    Significant Deficiency Repeat
  • 1145008 2024-003
    Significant Deficiency Repeat
  • 1145009 2024-003
    Significant Deficiency Repeat
  • 1145010 2024-003
    Significant Deficiency Repeat
  • 1145011 2024-003
    Significant Deficiency Repeat
  • 1145012 2024-003
    Significant Deficiency Repeat
  • 1145013 2024-003
    Significant Deficiency Repeat
  • 1145014 2024-003
    Significant Deficiency Repeat
  • 1145015 2024-003
    Significant Deficiency Repeat
  • 1145016 2024-003
    Significant Deficiency Repeat
  • 1145017 2024-003
    Significant Deficiency Repeat
  • 1145018 2024-003
    Significant Deficiency Repeat
  • 1145019 2024-003
    Significant Deficiency Repeat
  • 1145020 2024-003
    Significant Deficiency Repeat
  • 1145021 2024-003
    Significant Deficiency Repeat
  • 1145022 2024-003
    Significant Deficiency Repeat
  • 1145023 2024-003
    Significant Deficiency Repeat
  • 1145024 2024-003
    Significant Deficiency Repeat
  • 1145025 2024-003
    Significant Deficiency Repeat
  • 1145026 2024-003
    Significant Deficiency Repeat
  • 1145027 2024-003
    Significant Deficiency Repeat
  • 1145028 2024-003
    Significant Deficiency Repeat
  • 1145029 2024-003
    Significant Deficiency Repeat
  • 1145030 2024-003
    Significant Deficiency Repeat
  • 1145031 2024-003
    Significant Deficiency Repeat
  • 1145032 2024-003
    Significant Deficiency Repeat
  • 1145033 2024-003
    Significant Deficiency Repeat
  • 1145034 2024-003
    Significant Deficiency Repeat
  • 1145035 2024-003
    Significant Deficiency Repeat
  • 1145036 2024-003
    Significant Deficiency Repeat
  • 1145037 2024-003
    Significant Deficiency Repeat
  • 1145038 2024-003
    Significant Deficiency Repeat
  • 1145039 2024-003
    Significant Deficiency Repeat
  • 1145040 2024-003
    Significant Deficiency Repeat
  • 1145041 2024-003
    Significant Deficiency Repeat
  • 1145042 2024-003
    Significant Deficiency Repeat
  • 1145043 2024-003
    Significant Deficiency Repeat
  • 1145044 2024-003
    Significant Deficiency Repeat
  • 1145045 2024-003
    Significant Deficiency Repeat
  • 1145046 2024-003
    Significant Deficiency Repeat
  • 1145047 2024-003
    Significant Deficiency Repeat
  • 1145048 2024-003
    Significant Deficiency Repeat
  • 1145049 2024-003
    Significant Deficiency Repeat
  • 1145050 2024-003
    Significant Deficiency Repeat
  • 1145051 2024-003
    Significant Deficiency Repeat
  • 1145052 2024-003
    Significant Deficiency Repeat
  • 1145053 2024-003
    Significant Deficiency Repeat
  • 1145054 2024-003
    Significant Deficiency Repeat
  • 1145055 2024-003
    Significant Deficiency Repeat
  • 1145056 2024-003
    Significant Deficiency Repeat
  • 1145057 2024-003
    Significant Deficiency Repeat
  • 1145058 2024-003
    Significant Deficiency Repeat
  • 1145059 2024-003
    Significant Deficiency Repeat
  • 1145060 2024-003
    Significant Deficiency Repeat
  • 1145061 2024-003
    Significant Deficiency Repeat
  • 1145062 2024-003
    Significant Deficiency Repeat
  • 1145063 2024-003
    Significant Deficiency Repeat
  • 1145064 2024-003
    Significant Deficiency Repeat
  • 1145065 2024-003
    Significant Deficiency Repeat
  • 1145066 2024-003
    Significant Deficiency Repeat
  • 1145067 2024-003
    Significant Deficiency Repeat
  • 1145068 2024-003
    Significant Deficiency Repeat
  • 1145069 2024-003
    Significant Deficiency Repeat
  • 1145070 2024-003
    Significant Deficiency Repeat
  • 1145071 2024-003
    Significant Deficiency Repeat
  • 1145072 2024-003
    Significant Deficiency Repeat
  • 1145073 2024-003
    Significant Deficiency Repeat
  • 1145074 2024-003
    Significant Deficiency Repeat
  • 1145075 2024-003
    Significant Deficiency Repeat
  • 1145076 2024-003
    Significant Deficiency Repeat
  • 1145077 2024-003
    Significant Deficiency Repeat
  • 1145078 2024-003
    Significant Deficiency Repeat
  • 1145079 2024-003
    Significant Deficiency Repeat
  • 1145080 2024-003
    Significant Deficiency Repeat
  • 1145081 2024-003
    Significant Deficiency Repeat
  • 1145082 2024-003
    Significant Deficiency Repeat
  • 1145083 2024-003
    Significant Deficiency Repeat
  • 1145084 2024-003
    Significant Deficiency Repeat
  • 1145085 2024-003
    Significant Deficiency Repeat
  • 1145086 2024-003
    Significant Deficiency Repeat
  • 1145087 2024-003
    Significant Deficiency Repeat
  • 1145088 2024-003
    Significant Deficiency Repeat
  • 1145089 2024-003
    Significant Deficiency Repeat
  • 1145090 2024-003
    Significant Deficiency Repeat
  • 1145091 2024-003
    Significant Deficiency Repeat
  • 1145092 2024-003
    Significant Deficiency Repeat
  • 1145093 2024-003
    Significant Deficiency Repeat
  • 1145094 2024-003
    Significant Deficiency Repeat
  • 1145095 2024-003
    Significant Deficiency Repeat
  • 1145096 2024-003
    Significant Deficiency Repeat
  • 1145097 2024-003
    Significant Deficiency Repeat
  • 1145098 2024-003
    Significant Deficiency Repeat
  • 1145099 2024-003
    Significant Deficiency Repeat
  • 1145100 2024-003
    Significant Deficiency Repeat
  • 1145101 2024-003
    Significant Deficiency Repeat
  • 1145102 2024-003
    Significant Deficiency Repeat
  • 1145103 2024-003
    Significant Deficiency Repeat
  • 1145104 2024-003
    Significant Deficiency Repeat
  • 1145105 2024-003
    Significant Deficiency Repeat
  • 1145106 2024-003
    Significant Deficiency Repeat
  • 1145107 2024-003
    Significant Deficiency Repeat
  • 1145108 2024-003
    Significant Deficiency Repeat
  • 1145109 2024-003
    Significant Deficiency Repeat
  • 1145110 2024-003
    Significant Deficiency Repeat
  • 1145111 2024-003
    Significant Deficiency Repeat
  • 1145112 2024-003
    Significant Deficiency Repeat
  • 1145113 2024-003
    Significant Deficiency Repeat
  • 1145114 2024-003
    Significant Deficiency Repeat
  • 1145115 2024-003
    Significant Deficiency Repeat
  • 1145116 2024-003
    Significant Deficiency Repeat
  • 1145117 2024-003
    Significant Deficiency Repeat
  • 1145118 2024-003
    Significant Deficiency Repeat
  • 1145119 2024-003
    Significant Deficiency Repeat
  • 1145120 2024-003
    Significant Deficiency Repeat
  • 1145121 2024-003
    Significant Deficiency Repeat
  • 1145122 2024-003
    Significant Deficiency Repeat
  • 1145123 2024-003
    Significant Deficiency Repeat
  • 1145124 2024-003
    Significant Deficiency Repeat
  • 1145125 2024-003
    Significant Deficiency Repeat
  • 1145126 2024-003
    Significant Deficiency Repeat
  • 1145127 2024-003
    Significant Deficiency Repeat
  • 1145128 2024-003
    Significant Deficiency Repeat
  • 1145129 2024-003
    Significant Deficiency Repeat
  • 1145130 2024-003
    Significant Deficiency Repeat
  • 1145131 2024-003
    Significant Deficiency Repeat
  • 1145132 2024-003
    Significant Deficiency Repeat
  • 1145133 2024-003
    Significant Deficiency Repeat
  • 1145134 2024-003
    Significant Deficiency Repeat
  • 1145135 2024-003
    Significant Deficiency Repeat
  • 1145136 2024-003
    Significant Deficiency Repeat
  • 1145137 2024-003
    Significant Deficiency Repeat
  • 1145138 2024-003
    Significant Deficiency Repeat
  • 1145139 2024-003
    Significant Deficiency Repeat
  • 1145140 2024-003
    Significant Deficiency Repeat
  • 1145141 2024-003
    Significant Deficiency Repeat
  • 1145142 2024-003
    Significant Deficiency Repeat
  • 1145143 2024-003
    Significant Deficiency Repeat
  • 1145144 2024-003
    Significant Deficiency Repeat
  • 1145145 2024-003
    Significant Deficiency Repeat
  • 1145146 2024-003
    Significant Deficiency Repeat
  • 1145147 2024-003
    Significant Deficiency Repeat
  • 1145148 2024-003
    Significant Deficiency Repeat
  • 1145149 2024-003
    Significant Deficiency Repeat
  • 1145150 2024-003
    Significant Deficiency Repeat
  • 1145151 2024-003
    Significant Deficiency Repeat
  • 1145152 2024-003
    Significant Deficiency Repeat
  • 1145153 2024-003
    Significant Deficiency Repeat
  • 1145154 2024-003
    Significant Deficiency Repeat
  • 1145155 2024-003
    Significant Deficiency Repeat
  • 1145156 2024-003
    Significant Deficiency Repeat
  • 1145157 2024-003
    Significant Deficiency Repeat
  • 1145158 2024-003
    Significant Deficiency Repeat
  • 1145159 2024-003
    Significant Deficiency Repeat
  • 1145160 2024-003
    Significant Deficiency Repeat
  • 1145161 2024-003
    Significant Deficiency Repeat
  • 1145162 2024-003
    Significant Deficiency Repeat
  • 1145163 2024-003
    Significant Deficiency Repeat
  • 1145164 2024-003
    Significant Deficiency Repeat
  • 1145165 2024-003
    Significant Deficiency Repeat
  • 1145166 2024-003
    Significant Deficiency Repeat
  • 1145167 2024-003
    Significant Deficiency Repeat
  • 1145168 2024-003
    Significant Deficiency Repeat
  • 1145169 2024-003
    Significant Deficiency Repeat
  • 1145170 2024-003
    Significant Deficiency Repeat
  • 1145171 2024-003
    Significant Deficiency Repeat
  • 1145172 2024-003
    Significant Deficiency Repeat
  • 1145173 2024-003
    Significant Deficiency Repeat
  • 1145174 2024-003
    Significant Deficiency Repeat
  • 1145175 2024-003
    Significant Deficiency Repeat
  • 1145176 2024-003
    Significant Deficiency Repeat
  • 1145177 2024-003
    Significant Deficiency Repeat
  • 1145178 2024-003
    Significant Deficiency Repeat
  • 1145179 2024-003
    Significant Deficiency Repeat
  • 1145180 2024-003
    Significant Deficiency Repeat
  • 1145181 2024-003
    Significant Deficiency Repeat
  • 1145182 2024-003
    Significant Deficiency Repeat
  • 1145183 2024-003
    Significant Deficiency Repeat
  • 1145184 2024-003
    Significant Deficiency Repeat
  • 1145185 2024-003
    Significant Deficiency Repeat
  • 1145186 2024-003
    Significant Deficiency Repeat
  • 1145187 2024-003
    Significant Deficiency Repeat
  • 1145188 2024-003
    Significant Deficiency Repeat
  • 1145189 2024-003
    Significant Deficiency Repeat
  • 1145190 2024-003
    Significant Deficiency Repeat
  • 1145191 2024-003
    Significant Deficiency Repeat
  • 1145192 2024-003
    Significant Deficiency Repeat
  • 1145193 2024-003
    Significant Deficiency Repeat
  • 1145194 2024-003
    Significant Deficiency Repeat
  • 1145195 2024-003
    Significant Deficiency Repeat
  • 1145196 2024-003
    Significant Deficiency Repeat
  • 1145197 2024-003
    Significant Deficiency Repeat
  • 1145198 2024-003
    Significant Deficiency Repeat
  • 1145199 2024-003
    Significant Deficiency Repeat
  • 1145200 2024-003
    Significant Deficiency Repeat
  • 1145201 2024-003
    Significant Deficiency Repeat
  • 1145202 2024-003
    Significant Deficiency Repeat
  • 1145203 2024-003
    Significant Deficiency Repeat
  • 1145204 2024-003
    Significant Deficiency Repeat
  • 1145205 2024-003
    Significant Deficiency Repeat
  • 1145206 2024-003
    Significant Deficiency Repeat
  • 1145207 2024-003
    Significant Deficiency Repeat
  • 1145208 2024-003
    Significant Deficiency Repeat
  • 1145209 2024-003
    Significant Deficiency Repeat
  • 1145210 2024-003
    Significant Deficiency Repeat
  • 1145211 2024-003
    Significant Deficiency Repeat
  • 1145212 2024-003
    Significant Deficiency Repeat
  • 1145213 2024-003
    Significant Deficiency Repeat
  • 1145214 2024-003
    Significant Deficiency Repeat
  • 1145215 2024-003
    Significant Deficiency Repeat
  • 1145216 2024-003
    Significant Deficiency Repeat
  • 1145217 2024-003
    Significant Deficiency Repeat
  • 1145218 2024-003
    Significant Deficiency Repeat
  • 1145219 2024-003
    Significant Deficiency Repeat
  • 1145220 2024-003
    Significant Deficiency Repeat
  • 1145221 2024-003
    Significant Deficiency Repeat
  • 1145222 2024-003
    Significant Deficiency Repeat
  • 1145223 2024-003
    Significant Deficiency Repeat
  • 1145224 2024-003
    Significant Deficiency Repeat
  • 1145225 2024-003
    Significant Deficiency Repeat
  • 1145226 2024-003
    Significant Deficiency Repeat
  • 1145227 2024-003
    Significant Deficiency Repeat
  • 1145228 2024-003
    Significant Deficiency Repeat
  • 1145229 2024-003
    Significant Deficiency Repeat
  • 1145230 2024-003
    Significant Deficiency Repeat
  • 1145231 2024-003
    Significant Deficiency Repeat
  • 1145232 2024-003
    Significant Deficiency Repeat
  • 1145233 2024-003
    Significant Deficiency Repeat
  • 1145234 2024-003
    Significant Deficiency Repeat
  • 1145235 2024-003
    Significant Deficiency Repeat
  • 1145236 2024-003
    Significant Deficiency Repeat
  • 1145237 2024-003
    Significant Deficiency Repeat
  • 1145238 2024-003
    Significant Deficiency Repeat
  • 1145239 2024-003
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.279 Drug Abuse and Addiction Research Programs $17.85M
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $4.54M
93.940 Hiv Prevention Activities Health Department Based $3.47M
93.855 Allergy and Infectious Diseases Research $3.42M
93.273 Alcohol Research Programs $2.72M
93.213 Research and Training in Complementary and Integrative Health $1.92M
93.242 Mental Health Research Grants $1.91M
93.945 Assistance Programs for Chronic Disease Prevention and Control $1.64M
93.110 Maternal and Child Health Federal Consolidated Programs $1.48M
93.839 Blood Diseases and Resources Research $1.46M
93.226 Research on Healthcare Costs, Quality and Outcomes $1.39M
93.837 Cardiovascular Diseases Research $1.32M
93.997 Assisted Outpatient Treatment $1.01M
93.732 Mental and Behavioral Health Education and Training Grants $912,672
93.121 Oral Diseases and Disorders Research $781,277
12.420 Military Medical Research and Development $777,634
93.865 Child Health and Human Development Extramural Research $683,686
93.396 Cancer Biology Research $639,308
93.959 Block Grants for Prevention and Treatment of Substance Abuse $638,382
93.884 Primary Care Training and Enhancement $576,992
93.604 Assistance for Torture Victims $423,079
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $372,876
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $369,507
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $362,184
93.928 Special Projects of National Significance $351,018
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $347,219
93.788 Opioid Str $328,526
93.989 International Research and Research Training $306,781
93.117 Preventive Medicine Residency $306,337
93.186 National Research Service Award in Primary Care Medicine $288,326
16.753 Congressionally Recommended Awards $285,351
93.088 Advancing System Improvements for Key Issues in Women's Health $277,234
93.225 National Research Service Awards Health Services Research Training $253,419
93.394 Cancer Detection and Diagnosis Research $184,584
93.136 Injury Prevention and Control Research and State and Community Based Programs $167,874
93.RD Centers for Disease Control and Prevention $162,926
93.217 Family Planning Services $159,618
93.113 Environmental Health $149,008
93.866 Aging Research $129,541
12.RD National Defense, Emergency Preparedness, and Energy Program $118,676
10.569 Emergency Food Assistance Program (food Commodities) $109,957
93.307 Minority Health and Health Disparities Research $97,140
93.958 Block Grants for Community Mental Health Services $96,999
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $94,336
93.994 Maternal and Child Health Services Block Grant to the States $86,450
93.RD National Institutes of Health $82,526
94.013 Americorps Volunteers in Service to America 49.013 $74,931
10.331 Gus Schumacher Nutrition Incentive Program $65,539
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $58,391
10.001 Agricultural Research Basic and Applied Research $58,351
93.926 Healthy Start Initiative $56,777
47.074 Biological Sciences $56,204
94.006 Americorps State and National 94.006 $49,575
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 $43,646
93.395 Cancer Treatment Research $41,300
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $29,833
93.310 Trans-Nih Research Support $29,696
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $29,046
93.592 Family Violence Prevention and Services/discretionary $26,286
93.778 Medical Assistance Program $25,755
93.173 Research Related to Deafness and Communication Disorders $22,772
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $16,986
93.397 Cancer Centers Support Grants $13,285
93.368 21st Century Cures Act - Precision Medicine Initiative $12,767
93.172 Human Genome Research $12,582
47.049 Mathematical and Physical Sciences $10,387
93.365 Sickle Cell Treatment Demonstration Program $8,705
93.239 Policy Research and Evaluation Grants $5,593
93.838 Lung Diseases Research $5,046
93.877 Autism Collaboration, Accountability, Research, Education, and Support $3,008
93.194 Community Prevention Coalitions (partnership) Demonstration Grant $2,472
10.253 Consumer Data and Nutrition Research $1,133
93.011 National Organizations of State and Local Officials $651
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $577
93.360 Biomedical Advanced Research and Development Authority (barda), Biodefense Medical Countermeasure Development $101
93.361 Nursing Research $17
94.021 Americorps Volunteer Generation Fund 94.021 $-6
93.914 Hiv Emergency Relief Project Grants $-117
16.575 Crime Victim Assistance $-909
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $-2,198
93.350 National Center for Advancing Translational Sciences $-5,734
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $-6,253
16.588 Violence Against Women Formula Grants $-6,666
14.231 Emergency Solutions Grant Program $-12,642
93.495 Community Health Workers for Public Health Response and Resilient $-13,947
93.867 Vision Research $-15,894
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $-17,661
93.393 Cancer Cause and Prevention Research $-24,472
19.040 Public Diplomacy Programs $-58,955