Finding 619628 (2022-001)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-08-10
Audit: 48323
Organization: La Clinica Tepeyac (CO)

AI Summary

  • Core Issue: The Organization failed to conduct suspension and debarment checks before engaging with vendors, risking compliance with federal funding requirements.
  • Impacted Requirements: Noncompliance with 2 CFR Part 200, which mandates internal controls for procurement and vendor eligibility checks.
  • Recommended Follow-Up: Implement a robust process for suspension and debarment checks, including documentation and quarterly reviews of existing vendors to ensure compliance.

Finding Text

2022 ? 001 Procurement and Suspension and Debarment Federal Agency: U.S. Department of Health and Human Services Federal Program: Consolidated Health Centers Grant and Community Project Funding/Congressionally Directed Spending - Construction AL Number: 93.224 & 93.527 and 93.493 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 an instance 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 transaction. 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. Section III ? Findings and Questioned Costs ? Major Federal Programs (Continued) 2022 ? 001 Procurement and Suspension and Debarment (Continued) Views of Responsible Officials The Organization has updated is procurement and suspension and debarment processes to include the following procedures and internal controls: ? The Organization has implemented a process to ensure suspension and debarment checks are performed prior to entering into a transaction with new vendors. The Organization utilizes Sam.gov to perform the suspension and debarment checks. In addition to completing the suspension and debarment checks with new vendors, the accounting and compliance departments will also verify quarterly that existing vendors are not on the suspended and debarred listing. ? An Approved Vendor List will be added on the Organization?s Public Sharepoint. The approved vendor list will be added as of July 31, 2023. Before a new vendor is selected by internal management staff, they must refer to the approved vendor list to see if goods or services can be acquired from one of the approved vendors. If a new vendor must be selected, the manager must send documentation that a suspension and debarment check has occurred and a copy of the RFP (when applicable) before using the vendor for goods or services. The accounting manager will review the new vendor selection to verify that the suspension and debarment check occurred. Once this has been verified the accounts payable coordinator will be given the approval to add the new vendor to the accounting software. The accounts payable coordinator will add screen shots of the verification in the accounting software under each vendor. The accounts payable coordinator will also retain Vendor Files in Sharepoint, which include, verifications, vendor invoices, and any vendor contracts.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 43186 2022-001
    Significant Deficiency
  • 43187 2022-002
    Significant Deficiency Repeat
  • 43188 2022-001
    Significant Deficiency
  • 43189 2022-002
    Significant Deficiency Repeat
  • 43190 2022-001
    Significant Deficiency
  • 43191 2022-002
    Significant Deficiency Repeat
  • 43192 2022-001
    Significant Deficiency
  • 43193 2022-002
    Significant Deficiency Repeat
  • 43194 2022-001
    Significant Deficiency
  • 619629 2022-002
    Significant Deficiency Repeat
  • 619630 2022-001
    Significant Deficiency
  • 619631 2022-002
    Significant Deficiency Repeat
  • 619632 2022-001
    Significant Deficiency
  • 619633 2022-002
    Significant Deficiency Repeat
  • 619634 2022-001
    Significant Deficiency
  • 619635 2022-002
    Significant Deficiency Repeat
  • 619636 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.493 Community Project Funding/congressionally Directed Spending - Construction $2.00M
93.224 American Rescue Plan Act Funding for Health Centers $657,771
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $633,008
93.526 Health Center Infrastructure Support $316,882
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $182,432
93.914 Hiv Emergency Relief Project Grants $153,563
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $57,775
93.527 Fy 2023 Expanding Covid-19 Vaccination $26,088
93.000 Miscellaneous Administrative Expenses $19,460
93.800 Organized Approaches to Increase Colorectal Cancer Screening $14,389
93.991 Preventive Health and Health Services Block Grant $7,194
93.527 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $0