Finding 609379 (2022-001)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-07-06

AI Summary

  • Core Issue: The Organization failed to conduct required suspension and debarment checks before engaging with vendors, leading to significant internal control deficiencies.
  • Impacted Requirements: Compliance with 2 CFR Part 200 is essential to prevent federal funds from being misallocated to ineligible vendors.
  • Recommended Follow-Up: Implement a robust process for conducting and documenting suspension and debarment checks prior to vendor transactions, and retrain staff on existing procurement policies.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program: Consolidated Health Centers Grant AL Number: 93.224 & 93.527 Award Period: 1/1/22 - 12/31/22 Type of Finding: Significant deficiency in Internal Control over Compliance and Compliance Criteria or Specific Requirement 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards requires compliance with the provisions of procurement and suspension and debarment. The Organization should have internal controls designed to ensure compliance with these provisions. Condition and Context During our testing over suspension and debarment, we noted the two instances in which the Organization did not perform the suspension and debarment check prior to entering into a transaction with a vendor. Effect The auditor noted instances of noncompliance. Noncompliance could result in possible federal funds being provided to ineligible vendors. Questioned Costs None identified. Cause The Organization lacks established internal controls and procedures over financial grant management. The Organization did not perform the suspension and debarment check prior to entering into the transactions. Recommendation We recommend the Organization implement a process to ensure suspension and debarment checks are performed and documentation to show that the checks are occurring prior to entering into transactions with vendors. Views of Responsible Officials The Organization will retrain staff to follow the current Procurement Policy. The current policy does state: ?Federal exclusions list: the SCCC staff initiating the purchase or department which is seeking purchase from a particular vendor shall screen the vendor name against the Office of Inspector General?s (OIG) List of Excluded Individuals and Entities http://oig.hhs.gov/exclusions/exclusions_list.asp and the General Service Administration?s (GSA) Excluded Parties List System https://www.sam.gov/portal/SAM/#1 (together referred to as the Excluded Lists).

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 32933 2022-001
    Significant Deficiency
  • 32934 2022-002
    Significant Deficiency
  • 32935 2022-001
    Significant Deficiency
  • 32936 2022-002
    Significant Deficiency
  • 32937 2022-001
    Significant Deficiency
  • 32938 2022-002
    Significant Deficiency
  • 32939 2022-001
    Significant Deficiency
  • 32940 2022-002
    Significant Deficiency
  • 609375 2022-001
    Significant Deficiency
  • 609376 2022-002
    Significant Deficiency
  • 609377 2022-001
    Significant Deficiency
  • 609378 2022-002
    Significant Deficiency
  • 609380 2022-002
    Significant Deficiency
  • 609381 2022-001
    Significant Deficiency
  • 609382 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Center, Affordable Care Act for New and Expanded Services $1.50M
93.224 Covid-19: American Rescue Plan Act Funding for Health Centers $1.18M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $210,684
93.217 Title X Family Planning Services $189,629
32.006 Covid-19: Telehealth Program $127,856
93.526 Covid-19: Grants for Capital Development in Health Centers $84,620
93.498 Covid-19: Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $74,198
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $73,185
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $24,603
93.800 Organized Approaches to Increase Colorectal Cancer Screening $15,826
93.461 Covid-19: Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $13,211
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds $11,029
93.224 Covid-19: Fy 2020 Expanding Capacity for Coronavirus Testing (ect) $9,302
93.991 Preventive Health and Health Services Block Grant $3,515
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $2,962
93.366 State Actions to Improve Oral Health Outcomes and Partner Actions to Improve Oral Health Outcomes $500
93.439 State Physical Activity and Nutrition (span) $264
93.527 Consolidated Health Center, Affordable Care Act for New and Expanded Services $0