EIN: 141402059
UEI: HV39NJVJ4A87
Audit also covers EIN: 141588870 · unlinked EINs have no separate FAC filing
Audited by: 141604297
Oversight agency: 64 [Department of Veterans Affairs]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 13, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by November 13, 2026 (68 days from today).
What is a management decision? →FAC accepted this audit on June 6, 2025 — management decision was due December 6, 2025.
2024-001 Participant Tracking Assistance Listing Number: 64.055 Name of Program and Cluster: Staff Sergeant Fox Suicide Prevention Grant Program Agency: U.S. Department of Veterans Affairs E - Eligibility Significant Deficiency Condition The Organization does not have sufficient internal controls over participants in the system. Criteria Services are to be provided to eligible individuals and their families through outreach, provision or coordination of suicide prevention services, and connection to VA and community resources. Eligible individuals include veterans and their family members and they must be at risk of suicide. Cause The Organization had difficulty providing a listing of eligible and active participants by contract or fiscal year. Additionally, as noted by the Department of Veterans Affairs (VA) audit of the program issued in March 2025, program agreements were not on file for participants and the Organization did not have a policy element requiring Patient Health Questionnaire (PHQ-9) assessment completed with a staff member. The VA audit also identified that there is no policy for releasing program participants. Effect The Organization was not able to produce a complete listing of all active participants for the period under audit. Although no eligibility compliance failures were noted during testing, there is no confirmation that the complete population for the period under audit was tested. Recommendation RBT recommends that the Organization track participants outside of the online portal including date enrolled and discharge date, to ensure that all participants who receive services within a contract year or fiscal year are eligible, uploaded to the portal and deactivated in a timely manner when discharged. The portal should be periodically cross referenced to the independent list maintained. RBT also recommends policies are updated and required assessment and release forms are maintained on file. Response See Corrective Action Plan
Show full finding ▾Hide full finding ▴2024-001 Participant Tracking Assistance Listing Number: 64.055 Name of Program and Cluster: Staff Sergeant Fox Suicide Prevention Grant Program Agency: U.S. Department of Veterans Affairs E - Eligibility Significant Deficiency Condition The Organization does not have sufficient internal controls over participants in the system. Criteria Services are to be provided to eligible individuals and their families through outreach, provision or coordination of suicide prevention services, and connection to VA and community resources. Eligible individuals include veterans and their family members and they must be at risk of suicide. Cause The Organization had difficulty providing a listing of eligible and active participants by contract or fiscal year. Additionally, as noted by the Department of Veterans Affairs (VA) audit of the program issued in March 2025, program agreements were not on file for participants and the Organization did not have a policy element requiring Patient Health Questionnaire (PHQ-9) assessment completed with a staff member. The VA audit also identified that there is no policy for releasing program participants. Effect The Organization was not able to produce a complete listing of all active participants for the period under audit. Although no eligibility compliance failures were noted during testing, there is no confirmation that the complete population for the period under audit was tested. Recommendation RBT recommends that the Organization track participants outside of the online portal including date enrolled and discharge date, to ensure that all participants who receive services within a contract year or fiscal year are eligible, uploaded to the portal and deactivated in a timely manner when discharged. The portal should be periodically cross referenced to the independent list maintained. RBT also recommends policies are updated and required assessment and release forms are maintained on file. Response See Corrective Action Plan
The person responsible for the correcting the finding and timeline are as follows: The Director of Veterans Programs, Alyssa Carion, Due Date: May 1, 2025. Regarding finding #2024-001, all items identified have been addressed and the due date has been met. All missing program agreements noted in the SSG Fox audit have been loaded to participant files. Policy and procedures have been updated to state that the patient health questionnaire must be completed by a staff member and a policy for releasing program participants has been added. Tracking participants outside of the online portal is in place and includes enrollment date, disenrollment date for all clients form program inception. In addition, a monthly control is in place to review the spreadsheet o ensure all documents are included.
FAC accepted this audit on April 26, 2024 — management decision was due October 26, 2024.
FAC accepted this audit on June 19, 2023 — management decision was due December 19, 2023.
FAC accepted this audit on July 10, 2022 — management decision was due January 10, 2023.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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