Finding 970982 (2021-106)

Significant Deficiency Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2021
Accepted
2024-04-24
Audit: 304417
Organization: Pancare of Florida, INC (FL)

AI Summary

  • Core Issue: Missing salary authorization forms for employees under federal grants, impacting compliance with documentation requirements.
  • Impacted Requirements: Failure to meet 2 CFR section 200.303, which mandates proper internal controls and documentation for federal awards.
  • Recommended Follow-up: Establish a robust process for retaining documentation and enhance review procedures to ensure compliance and support for allowable costs.

Finding Text

Missing Documentation to Support Payroll Authorizations (prior year 2019-101, not testable during 2020) (initially reported 2019) Assistance Listing Number: 93.224, 93.527 and 93.498 Name of Federal Agency: Department of Health and Human Services, HRSA Program Title: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) , Grants for New and Expanded Services Under the Health Center Program and COVID-19 Provider Relief Fund Compliance Requirement: Allowable Activities and Costs Pass-through Entity: N/A Federal Grant/Contract Number and Grant Year: H80CS06452-15 (2020), H80CS06452-16 (2021), COVID-19 ARP H8FCS40324 -01(2021) and COVID-19 Provider Relief Fund (2020) Finding Type: Significant Deficiency in Internal Control Known Questioned Costs: $0 Condition: The Organization could not provide one salary authorization form for sample selection of 40 employees under ALN #93.224 and 93.527 Health Care Center. The Organization could not provide one salary authorization form for sample selection of eight employees under ALN #93.498 COVID-19 Provider Relief Fund. Criteria: 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Under compliance requirements for allowable activities and costs, management should ensure that costs can be supported by underlying accounting documentation. Cause: Filing errors resulting in staff being unable to provide the requested authorizations. Effect: The Organization would not be able to provide the related documentation to support allowable activities and costs under the program which could lead to a loss of grant funding. Recommendation: The Organization should put in a process to appropriately retain documentation to support allowable activities and costs under applicable grant programs. Views of Responsible Officials and Planned Corrective Action: The Organization continues to engage the consulting services of a professional certified accounting firm. The Organization has hired a new Chief Financial Officer, as of March 2022, as well as additional supporting staff within the finance department. The Organization will implement additional review procedures related to the salary authorization forms to verify accuracy of the information and review our procedures related to retention of documentation. The Organization will consider implementing additional procedures associated with employees agreeing to the salary as well as specifically identifying the revenue sources (e.g. specific grants, local funds, etc.) when applicable. The Organization implemented this corrective action during fiscal year 2023.

Categories

Subrecipient Monitoring HUD Housing Programs Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 394526 2021-101
    Material Weakness Repeat
  • 394527 2021-102
    Significant Deficiency Repeat
  • 394528 2021-105
    Material Weakness Repeat
  • 394529 2021-106
    Significant Deficiency Repeat
  • 394530 2021-107
    Material Weakness
  • 394531 2021-108
    Significant Deficiency Repeat
  • 394532 2021-101
    Material Weakness Repeat
  • 394533 2021-102
    Significant Deficiency Repeat
  • 394534 2021-105
    Material Weakness Repeat
  • 394535 2021-106
    Significant Deficiency Repeat
  • 394536 2021-108
    Significant Deficiency Repeat
  • 394537 2021-101
    Material Weakness Repeat
  • 394538 2021-102
    Significant Deficiency Repeat
  • 394539 2021-105
    Material Weakness Repeat
  • 394540 2021-106
    Significant Deficiency Repeat
  • 394541 2021-108
    Significant Deficiency Repeat
  • 394542 2021-101
    Material Weakness Repeat
  • 394543 2021-102
    Significant Deficiency Repeat
  • 394544 2021-105
    Material Weakness Repeat
  • 394545 2021-106
    Significant Deficiency Repeat
  • 394546 2021-108
    Significant Deficiency Repeat
  • 394547 2021-104
    Significant Deficiency
  • 394548 2021-105
    Material Weakness
  • 394549 2021-106
    Significant Deficiency
  • 970968 2021-101
    Material Weakness Repeat
  • 970969 2021-102
    Significant Deficiency Repeat
  • 970970 2021-105
    Material Weakness Repeat
  • 970971 2021-106
    Significant Deficiency Repeat
  • 970972 2021-107
    Material Weakness
  • 970973 2021-108
    Significant Deficiency Repeat
  • 970974 2021-101
    Material Weakness Repeat
  • 970975 2021-102
    Significant Deficiency Repeat
  • 970976 2021-105
    Material Weakness Repeat
  • 970977 2021-106
    Significant Deficiency Repeat
  • 970978 2021-108
    Significant Deficiency Repeat
  • 970979 2021-101
    Material Weakness Repeat
  • 970980 2021-102
    Significant Deficiency Repeat
  • 970981 2021-105
    Material Weakness Repeat
  • 970983 2021-108
    Significant Deficiency Repeat
  • 970984 2021-101
    Material Weakness Repeat
  • 970985 2021-102
    Significant Deficiency Repeat
  • 970986 2021-105
    Material Weakness Repeat
  • 970987 2021-106
    Significant Deficiency Repeat
  • 970988 2021-108
    Significant Deficiency Repeat
  • 970989 2021-104
    Significant Deficiency
  • 970990 2021-105
    Material Weakness
  • 970991 2021-106
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $5.11M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.29M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.17M
93.498 Covid-19 Provider Relief Fund $1.18M
93.461 Covid-19 Testing for the Uninsured $666,587
93.982 Mental Health Disaster Assistance and Emergency Mental Health $564,177
10.855 Distance Learning and Telemedicine Loans and Grants $432,551
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $193,046
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $14,362