Finding Text
Program Information: U.S. Department of Health and Human Services Regional Youth Primary Residential Treatment Program/COVID-19 Cares Test Related Activities/COVID-19 Cares Telehealth/COVID-19 ARPA Related Funding? AL #93.441 Award Number: 248-96-0020 Award Period: 1/1/2021 ? 12/31/2022 Criteria: ?Internal control is a process, effected by an entity?s?[governing body], management, and other personnel, designed to provide reasonable assurance regarding the achievement of objectives in the following categories related to operations, reporting, and compliance. (Internal Control ? Integrated Framework, Committee of Sponsoring Organizations of the Treadway Commission, May 2013, p.1)? The Healing Lodge requires applicants to pass a drug screen and background investigation before any offer of employment as required by DHHS. Condition/Context: [ X ] Compliance Finding [ X ] Significant Deficiency [ ] Material Weakness During testing, the following was noted to not be included in employee file or provided by client: ? Checklist for Employee File form for 5 out of 12 samples. ? Personnel Action Notices for 3 out of 12 samples. ? Drug Screenings for 2 out of 12 samples. ? Background checks for 4 out of 12 samples. Cause: The Healing Lodge had turnover in key personnel, as well as lack of management oversight to ensure all information is documented and retained. Effect: Without obtaining and retaining all information for the special test requirements, the Healing Lodge may be out of compliance with federal guidelines. Questioned Costs: Not applicable. Repeat Finding: No. Recommendation: We recommend that management ensure that all documentation is obtained and properly retained to ensure all the proper documentation was received and verified. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding and has prepared corrective action as detailed in its Corrective Action Plan.