Finding 574887 (2024-004)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2024
Accepted
2025-08-28
Audit: 365147
Auditor: Terry Horne CPA

AI Summary

  • Core Issue: Monthly time/activity reports and I-9 forms for salaried employees were not maintained as required by federal guidelines.
  • Impacted Requirements: Non-compliance with Uniform Guidance and federal cost principles could lead to reduced grant funding.
  • Recommended Follow-Up: Revise processes to ensure timely maintenance of time reports and complete I-9 forms, with certifications prepared monthly.

Finding Text

Finding: 2024-004 Monthly Time/Activity Reports not Maintained for Salaried Employees Federal Program Identification: U.S. Department of Health and Human Services Health Center Cluster Assistance Listing No. - 93.527 & 93.224 Criteria: Uniform Guidance Compliance Supplement, Grant Policy Statements, 45 CFR, 75.430 Condition: Time/activity reports (time sheets) and /or I-9 forms are not maintained for certain employees as required by federal cost principles. Cause: The Organization failed to follow its policy to maintain time and effort reports that coincide with the Organization’s payroll cycle (at least on a monthly basis) and failed to maintain complete I-9 forms for all employees. Effect: Failure to comply with federal requirements regarding personnel cost and time and effort could result in a reduction of grant funds. Questioned Costs: None Context/Sampling: A test of payroll disbursements revealed that time and effort certifications for 21 employees were not maintained, and 4 employees had missing or incomplete I-9 forms. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: The Organization should evaluate and revise its processes and procedures to ensure that it maintains documentation of personnel time and efforts in accordance with federal cost principles and that I-9 forms are maintained for all employees. It is recommended that time and effort certifications be prepared no less than monthly and coincide with the Organization’s payroll cycle. Views of Responsible Officials: Management concurs. This was corrected after the audit for the fiscal year ended November 30, 2023, which was completed after the fiscal year ended November 30, 2024. Contact Person: Suzanne Freeman, CEO Anticipated Date of Completion: October 31, 2025

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 574884 2024-004
    Material Weakness Repeat
  • 574885 2024-004
    Material Weakness Repeat
  • 574886 2024-004
    Material Weakness Repeat
  • 574888 2024-005
    Material Weakness Repeat
  • 574889 2024-005
    Material Weakness Repeat
  • 574890 2024-005
    Material Weakness Repeat
  • 574891 2024-005
    Material Weakness Repeat
  • 574892 2024-006
    Material Weakness Repeat
  • 574893 2024-006
    Material Weakness Repeat
  • 574894 2024-006
    Material Weakness Repeat
  • 574895 2024-006
    Material Weakness Repeat
  • 574896 2024-007
    Material Weakness
  • 574897 2024-007
    Material Weakness
  • 574898 2024-007
    Material Weakness
  • 574899 2024-007
    Material Weakness
  • 1151326 2024-004
    Material Weakness Repeat
  • 1151327 2024-004
    Material Weakness Repeat
  • 1151328 2024-004
    Material Weakness Repeat
  • 1151329 2024-004
    Material Weakness Repeat
  • 1151330 2024-005
    Material Weakness Repeat
  • 1151331 2024-005
    Material Weakness Repeat
  • 1151332 2024-005
    Material Weakness Repeat
  • 1151333 2024-005
    Material Weakness Repeat
  • 1151334 2024-006
    Material Weakness Repeat
  • 1151335 2024-006
    Material Weakness Repeat
  • 1151336 2024-006
    Material Weakness Repeat
  • 1151337 2024-006
    Material Weakness Repeat
  • 1151338 2024-007
    Material Weakness
  • 1151339 2024-007
    Material Weakness
  • 1151340 2024-007
    Material Weakness
  • 1151341 2024-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.21M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $214,399
93.959 Block Grants for Prevention and Treatment of Substance Abuse $81,523
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $79,797
16.838 Comprehensive Opioid Abuse Site-Based Program $68,116
93.988 Cooperative Agreements for State-Based Diabetes Control Programs and Evaluation of Surveillance Systems $12,148