Finding 948374 (2021-008)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2021
Accepted
2024-03-01

AI Summary

  • Core Issue: FNCH failed to submit three out of four quarterly SF-425 reports on time, violating federal reporting requirements.
  • Impacted Requirements: Compliance with the U.S. Department of Health and Human Services' reporting criteria for grant awards.
  • Recommended Follow-Up: Implement internal controls and a reporting schedule to ensure timely completion and submission of all required reports.

Finding Text

2021-008—Reporting Federal program information: Funding agency: U.S. Department of Health and Human Services Title: Urban Indian Health Services; COVID-19 Emergency Grants to Address Mental and Substance Use Disorders During COVID-19 ALN: 93.193; 93.665 Award number: 75H70720C00006; H722IHS0133; H79FG000227; H79FG000667 Award period: Various Criteria: Quarterly Federal Financial Reports (SF-425) are required to be submitted to the granting agency according to the Notice of Awards for these programs. Condition: Three of four quarterly SF-425 reports were submitted past the 30-day deadline after the end of each quarter. Questioned Costs: N/A Context: Three of four quarterly SF-425 reports for the Urban Indian Health Services grant awards and three of four quarterly SF-425 reports for the Emergency Grants to Address Mental and Substance Use Disorders During COVID-19 grant awards. Cause: Program personnel did not review and approve the reports for submission in a timely manner. Effect: FNCH is not in compliance with reporting requirements for these programs. Auditor’s Recommendations: FNCH should develop internal controls to ensure all program reports are properly completed and submitted by the required due dates. Management’s Response: FNCH management agrees with the auditor’s recommendations. The Finance Department faced significant staffing challenges due to the COVID-19 pandemic. These challenges resulted in an 80% staff turnover, including the CFO. Additionally, the pandemic made it difficult for the Finance Department to hire new staff in a timely manner. The COVID- 19 outbreak also impacted attendance, resulting in employees being absent from work for one to two weeks. As a result, the Finance Department could not submit the quarterly SF-425 reports due to the lack of staff. The CFO will implement internal measures, including creating a schedule of activities with due dates, progress reports, and staff meetings, to monitor and ensure the financial close and reporting process has been completed within the required timeframes and are accurate. Corrective action steps will be identified and implemented as needed. The grant/contract staff will maintain a log of when financial and other grant reports are due. The CFO will review the log and track report submissions to ensure timely completion and submission. To ensure timely completion, the staff will initiate activities to complete required reports and financial close at least 60 days before the deadline. The CFO will be responsible for ensuring the reporting deadlines have been met.

Categories

Reporting

Other Findings in this Audit

  • 371930 2021-007
    Significant Deficiency
  • 371931 2021-008
    Significant Deficiency
  • 371932 2021-008
    Significant Deficiency
  • 948372 2021-007
    Significant Deficiency
  • 948373 2021-008
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.51M
93.498 Provider Relief Fund $1.12M
93.228 Indian Health Service_health Management Development Program $750,432
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $712,534
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $407,191
93.193 Urban Indian Health Services $366,593
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatment Projects $264,318
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $220,697
93.933 Demonstration Projects for Indian Health $204,193
93.762 A Comprehensive Approach to Good Health and Wellness in Indian County Ð Financed Solely by Prevention and Public Health $139,265
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $120,365
16.841 Voca Tribal Victim Services Set-Aside Program $102,848
93.242 Mental Health Research Grants $57,570
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $47,312
93.650 Accountable Health Communities $40,072
16.320 Services for Trafficking Victims $31,612
93.978 Preventive Health Services_sexually Transmitted Diseases Research, Demonstrations, and Public Information and Education Grants $30,340
16.575 Crime Victim Assistance $18,502