EIN: 431070380
UEI: GL6KJNX3HGY5
Audited by: Coffman and Company, P.C.
Oversight agency: 93 [Department of Health and Human Services]
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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 September 30, 2025. 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 March 30, 2026 (161 days ago).
What is a management decision? →FAC accepted this audit on October 15, 2024 — management decision was due April 15, 2025.
Internal controls in place at the Center are not adequate to ensure that appropriate reporting and tracking of the vaccine revenue, vaccine expenditures, and vaccine inventory are taking place. Statement of Cause: There were not procedures adequately implemented and followed to ensure that vaccine revenue, vaccine expenditures, and vaccine inventory costs and amounts reported within the financial statements of the Center were accurate. Statement of Effect or Potential Effect: Possible misstatements in the financial statements related to the vaccine revenue, vaccine expenditures, and vaccine inventory could occur and not be prevented or detected in a timely manner. Questioned Costs: None Recommendations: Procedures should be implemented and followed that require a monthly reconciliation of the vaccine revenue received, vaccine expenditures incurred, and the vaccine inventory amount held by the Center. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding, and they will implement the recommended procedures.
Show full finding ▾Hide full finding ▴Criteria or Specific Requirement: The Center is responsible for ensuring that internal controls are in place to accurately track and report the vaccine revenue, vaccine expenditures, and vaccine inventory amounts of the Center. Statement of Condition: Internal controls in place at the Center are not adequate to ensure that appropriate reporting and tracking of the vaccine revenue, vaccine expenditures, and vaccine inventory are taking place. Statement of Cause: There were not procedures adequately implemented and followed to ensure that vaccine revenue, vaccine expenditures, and vaccine inventory costs and amounts reported within the financial statements of the Center were accurate. Statement of Effect or Potential Effect: Possible misstatements in the financial statements related to the vaccine revenue, vaccine expenditures, and vaccine inventory could occur and not be prevented or detected in a timely manner. Questioned Costs: None Recommendations: Procedures should be implemented and followed that require a monthly reconciliation of the vaccine revenue received, vaccine expenditures incurred, and the vaccine inventory amount held by the Center. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding, and they will implement the recommended procedures.
CORRECTIVE ACTION PLAN The Center will implement procedures requiring a monthly reconciliation of the vaccine received, vaccine expenditures incurred, and vaccine inventory amount held by the Center. Contact Person: Emily Goodin, Administrator
FAC accepted this audit on September 29, 2023 — management decision was due March 29, 2024.
The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major programs. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. DEPARTMENT OF AGRICULTURE (USDA) 2022-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04523047; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2022-001 Criteria: In any system of internal control, one primary goal is adequate segregation of duties. Statement of Condition: The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major programs. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. DEPARTMENT OF AGRICULTURE (USDA) 2022-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04523047; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
FINDINGS AND QUESTIONED COSTS ? MAJOR FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF AGRICULTURE (USDA) 2022-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04521039; Grant period ? Year Ended December 31, 2021. Significant Deficiency: As discussed at Finding 2021-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically, and consideration given to improving the segregation of duties within the Center. CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared "G" drive with access allowed to the Operations Director, Administrator and Office Manager. Al l employee passwords will be submitted to the Operations Director and placed on a shared G" drive with access allowed to the Administrator. This action will be done annually. The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate. Contact Person: Emily Goodin, Administrator
2021-002
The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major programs. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2022-003 Immunization Cooperative Agreements - Assistance Listing No. 93.268; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Immunization Cooperative Agreements federal program. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2022-001 Criteria: In any system of internal control, one primary goal is adequate segregation of duties. Statement of Condition: The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major programs. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2022-003 Immunization Cooperative Agreements - Assistance Listing No. 93.268; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Immunization Cooperative Agreements federal program. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
DEPARTMENT OF HEALTH AND SENIOR SERVICES 2022-003 Immunization Cooperative Agreements - Assistance Listing No. 93.268; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Immunization Cooperative Agreements federal program. These areas should be reviewed periodically, and consideration given to improving the segregation of duties within the Center. CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared "G" drive with access allowed to the Operations Director, Administrator and Office Manager. All employee passwords will be submitted to the Operations Director and placed on a shared G" drive with access allowed to the Administrator. This action will be done annually. The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate. Contact Person: Emily Goodin, Administrator
FAC accepted this audit on September 29, 2022 — management decision was due March 29, 2023.
2021-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04521039; Grant period ? Year Ended December 31, 2021. Significant Deficiency: As discussed at Finding 2021-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2021-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04521039; Grant period ? Year Ended December 31, 2021. Significant Deficiency: As discussed at Finding 2021-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared G drive with access allowed to the Operations Director, Administrator and Office Manager. Al I employee passwords will be submitted to the Operations Director and placed on a shared G drive with access allowed to the Administrator. This action will be done annually. The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate. Contact Person: Emily Goodin, Administrator
2020-002
2021-003 Disaster Grants ? Public Assistance (Presidentially Declared Disasters); Assistance Listing No. 97.036; Grant period ? Year Ended December 31, 2021. Significant Deficiency: As discussed at Finding 2021-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Disaster Grants federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2021-003 Disaster Grants ? Public Assistance (Presidentially Declared Disasters); Assistance Listing No. 97.036; Grant period ? Year Ended December 31, 2021. Significant Deficiency: As discussed at Finding 2021-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Disaster Grants federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared "G" drive with access allowed to the Operations Director, Administrator and Office Manager.Al I employee passwords will be submitted to the Operations Director and placed on a shared G drive with access allowed to the Administrator. This action will be done annually. The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate. Contact Person: Emily Goodin, Administrator
FAC accepted this audit on February 14, 2022 — management decision was due August 14, 2022.
The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major program. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2020-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04521039; Grant period ? Year Ended December 31, 2020. Significant Deficiency: As discussed at Finding 2020-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2020-001 Criteria: In any system of internal control, one primary goal is adequate segregation of duties. Statement of Condition: The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major program. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2020-002 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) ? Assistance Listing No. 10.557; Contract No. ERS04521039; Grant period ? Year Ended December 31, 2020. Significant Deficiency: As discussed at Finding 2020-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the WIC federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared "G" drive with access allowed to the Operations Director, Administrator and Office Manager. Al l employee passwords will be submitted to the Operations Director and placed on a shared G" drive with access allowed to the Administrator. This action will be done annually. UPDATE: The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate.
The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major program. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2020-003 COVID ? 19 ? Coronavirus Relief Fund ? Assistance Listing No. 21.019; Grant period ? Year Ended December 31, 2020. Significant Deficiency: As discussed at Finding 2020-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Coronavirus Relief Fund federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
Show full finding ▾Hide full finding ▴2020-001 Criteria: In any system of internal control, one primary goal is adequate segregation of duties. Statement of Condition: The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major program. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2020-003 COVID ? 19 ? Coronavirus Relief Fund ? Assistance Listing No. 21.019; Grant period ? Year Ended December 31, 2020. Significant Deficiency: As discussed at Finding 2020-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Coronavirus Relief Fund federal program. Employee turnover of key positions recently impacts the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.
CORRECTIVE ACTION PLAN The Operations Director is the lead staff on Financial Statements. Financial Statements will be filed on a shared "G" drive with access allowed to the Operations Director, Administrator and Office Manager. Al l employee passwords will be submitted to the Operations Director and placed on a shared G" drive with access allowed to the Administrator. This action will be done annually. UPDATE: The Administrator and Operations Director receives a hard copy of the monthly Financial Statements from KMT. This Financial Statement is kept in a binder in the Operations Director's Office where the Administrator and Office Manager have access. The Butler County Health Department will obtain in writing the objectives of the services that KMT will provide and what they are responsible for, as well as what the Health Department is responsible for in regard to making sure the books are complete and accurate.
FAC accepted this audit on December 17, 2020 — management decision was due June 17, 2021.
2019-2 Immunization Cooperative Agreements ?CFDA No. 93.268; Grant period?Year ended December 31, 2019 Significant Deficiency: As discussed at Finding 2019-1, adequate segregation of duties is not present within Butler County Health Center, including duties within the vaccine federal award program. Employee turnover of key positions limits the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties.
Show full finding ▾Hide full finding ▴2019-2 Immunization Cooperative Agreements ?CFDA No. 93.268; Grant period?Year ended December 31, 2019 Significant Deficiency: As discussed at Finding 2019-1, adequate segregation of duties is not present within Butler County Health Center, including duties within the vaccine federal award program. Employee turnover of key positions limits the application of adequate segregation of duties. These areas should be reviewed periodically and consideration given to improving the segregation of duties.
2019-2 Immunization Cooperative Agreements ?CFDA No. 93.268: Grant period?Year ended December 31, 2019 Significant Deficiency: As discussed at Finding 2019-1, adequate segregation of duties is not present within Butler County Health Center, including duties within the vaccine federal award program. Employee turnover of key positions limits the application of adequate segregation of duties. These areas should be reviewed periodically, and consideration given to improving the segregation of duties. CORRECTIVE ACTION PLAN The Public Health Clinic Manager is the lead staff on all the Immunizations record keeping. All immunization logs will be filed on a shared G" drive with access allowed to the PH Clinic Manager, the Communicable Disease Nurse, Operations Director and Administrator. Logs will be kept up with on a monthly basis.
Documentation of doses administered per ShowMeVax could not be obtained. Criteria: Program requires proper recording of receipt, transfer, and usage of vaccine. Cause: ShowMeVax deleted 2019 system and reports were not saved prior to deletion of data. Effect: Total vaccines administered could not be reconciled to internal reports. Questioned Costs: None Recommendation: Copy of ShowMeVax reports should be retained. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and the recommended procedures have been implemented.
Show full finding ▾Hide full finding ▴2019-3 Immunization Cooperative Agreements ?CFDA No. 93.268; Grant period?Year ended December 31, 2019 Condition: Documentation of doses administered per ShowMeVax could not be obtained. Criteria: Program requires proper recording of receipt, transfer, and usage of vaccine. Cause: ShowMeVax deleted 2019 system and reports were not saved prior to deletion of data. Effect: Total vaccines administered could not be reconciled to internal reports. Questioned Costs: None Recommendation: Copy of ShowMeVax reports should be retained. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and the recommended procedures have been implemented.
2019-3 Immunization Cooperative Agreements ?CFDA No. 93.268: Grant period?Year ended December 31, 2019 Condition: Documentation of doses administered per ShowMeVac could not be obtained. Criteria: Program requires proper recording of receipt, transfer, and usage of vaccine. Cause: ShowMeVac deleted 2019 system and reports were not saved prior to deletion of data. CORRECTIVE ACTION PLAN The Public Health Clinic Manager is the lead staff on documenting all administered vaccine doses. All administered doses will be filed on a shared 'G" drive with accessed allowed to the PH Clinic Manager, the Communicable Disease Nurse, Operations Director and Administrator. Logs will be kept up with on a monthly basis. A paper log will also be utilized and kept in Nursing Station, updating as needed. The PH Clinic Manager, PH nurse and Administrator will have access to the ShowMeVac website.
Total vaccines shipped per Department of Health Senior Services did not agree to internal record keeping. Criteria: Program requires proper recording of receipt, transfer, and usage of vaccines. Cause: Employee turnover created breakdown of job responsibilities. Effect: Vaccines shipped could not be reconciled to internal reports. Questioned Costs: None Recommendation: Periodic review of vaccines shipped per Department of Health and Senior Services. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and the recommended procedures have been implemented.
Show full finding ▾Hide full finding ▴2019-4 Immunization Cooperative Agreements ?CFDA No. 93.268; Grant period?Year ended December 31, 2019 Condition: Total vaccines shipped per Department of Health Senior Services did not agree to internal record keeping. Criteria: Program requires proper recording of receipt, transfer, and usage of vaccines. Cause: Employee turnover created breakdown of job responsibilities. Effect: Vaccines shipped could not be reconciled to internal reports. Questioned Costs: None Recommendation: Periodic review of vaccines shipped per Department of Health and Senior Services. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and the recommended procedures have been implemented.
2019-4 Immunization Cooperative Agreements ?CFDA No. 93.268: Grant period?Year ended December 31, 2019 Condition: Total vaccines shipped per Department of Health Senior Services did not agree to internal record keeping Criteria: Program requires proper recording of receipt. transfer, and usage of vaccine Cause: Employee turnover created breakdown of job responsibilities CORRECTIVE ACTION PLAN The Public Health Clinic Manager is the lead staff on documenting all administered vaccine doses. All administered doses will be filed on a shared 'G" drive with accessed allowed to the PH Clinic Manager, the Communicable Disease Nurse, Operations Director and Administrator. Logs will be kept up with on a monthly basis . A paper log will also be utilized and kept in Nursing Station, updating as needed. The PH Clinic Manager, PH nurse and Administrator will have access to the ShowMeVac website.
FAC accepted this audit on September 26, 2019 — management decision was due March 26, 2020.
FAC accepted this audit on July 24, 2018 — management decision was due January 24, 2019.
FAC accepted this audit on September 13, 2017 — management decision was due March 13, 2018.
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