EIN: 566000332
UEI: VZNPMCLFT5R6
Audited by: Martin Starnes & Associates, CPAs, P.A.
Oversight agency: 21 [Department of the Treasury]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 16, 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 August 16, 2026 (13 days ago).
What is a management decision? →The County Department of Social Services could not locate adequate documentation to support eligibility determinations for two adoption cases. We were not able to determine whether these recipients were eligible to receive the Title IV-E benefits. Context: We tested 50 beneficiaries, consisting of 27 adoption cases, 21 foster care cases, and 2 guardianship assistance cases. The above condition was noted in 2 of the 27 adoption cases tested, representing 4% of the overall sample. Effect: Failure to maintain complete and accurate documentation of eligibility determinations increases the risk that assistance payments may be made to individuals who are not eligible to receive benefits. This could result in questioned costs and repayment obligations. Cause: Caseworkers did not maintain complete and accurate eligibility documentation as required by the Child Welfare Manual and related State Plan guidance. Questioned Costs: Known questioned costs total $8,972, representing the combined federal and state share of benefits paid for the two cases in which eligibility could not be verified. Based on the County’s funding allocation, the estimated federal portion of the known questioned costs is approximately 81%, or $7,268. Using the results of our testing and extrapolation to the population, we estimate that likely questioned costs exceed $25,000, based on the same 81% federal share allocation. In accordance with 2 CFR 200.516(a)(3), auditors are required to report known questioned costs and likely questioned costs when they exceed $25,000. Recommendation: The County should strengthen internal controls to ensure all required eligibility documentation is complete, accurate, and consistently maintained in each case file. Supervisory review procedures should be enhanced to verify that eligibility determinations are properly supported. View of Responsible Officials and Planned Corrective Actions: Management’s response and corrective action plan are included in the Corrective Action Plan section of this report.
Show full finding ▾Hide full finding ▴Non‐Material Non‐Compliance Material Weakness, Eligibility Criteria: Individuals receiving assistance benefits must meet the eligibility requirements defined in the State Plan and specified in the Child Welfare Manual, Chapter XIII. Additionally, in accordance with 2 CFR 200.303, management is responsible for establishing and maintaining effective internal controls to ensure case records contain sufficient documentation to support eligibility determinations. Condition: The County Department of Social Services could not locate adequate documentation to support eligibility determinations for two adoption cases. We were not able to determine whether these recipients were eligible to receive the Title IV-E benefits. Context: We tested 50 beneficiaries, consisting of 27 adoption cases, 21 foster care cases, and 2 guardianship assistance cases. The above condition was noted in 2 of the 27 adoption cases tested, representing 4% of the overall sample. Effect: Failure to maintain complete and accurate documentation of eligibility determinations increases the risk that assistance payments may be made to individuals who are not eligible to receive benefits. This could result in questioned costs and repayment obligations. Cause: Caseworkers did not maintain complete and accurate eligibility documentation as required by the Child Welfare Manual and related State Plan guidance. Questioned Costs: Known questioned costs total $8,972, representing the combined federal and state share of benefits paid for the two cases in which eligibility could not be verified. Based on the County’s funding allocation, the estimated federal portion of the known questioned costs is approximately 81%, or $7,268. Using the results of our testing and extrapolation to the population, we estimate that likely questioned costs exceed $25,000, based on the same 81% federal share allocation. In accordance with 2 CFR 200.516(a)(3), auditors are required to report known questioned costs and likely questioned costs when they exceed $25,000. Recommendation: The County should strengthen internal controls to ensure all required eligibility documentation is complete, accurate, and consistently maintained in each case file. Supervisory review procedures should be enhanced to verify that eligibility determinations are properly supported. View of Responsible Officials and Planned Corrective Actions: Management’s response and corrective action plan are included in the Corrective Action Plan section of this report.
Corrective Action/Management Response: Ensuring that Adoption records are maintained accurately with all documented requirements. Changing Practice to include putting documents into the document management system (Traverse) in order to have a copy of required documents in the event originals are lost, or documents are damaged due to flooding (which is what occurred in the basement where documents were housed). Cases that are more than 10 years old are typically going to be more difficult to locate needed items, due to records being maintained differently at that time and requirements were different in what the Department was required to maintain in an Adoption file. Proposed Completion Date: June 30, 2026 checking monthly to ensure paper files are scanned into Traverse.
FAC accepted this audit on February 24, 2025 — management decision was due August 24, 2025.
The County Department of Social Services had one case file with evidence that did not match the online data verification system. Context: Of the 1,642,149 benefit payments valued at $651,425,953, we examined 60 payment records ($45,425 value) and determined that one casefile (2%) was not properly updated on the online data verification system. Effect: Casefile information was not properly updated on the online data verification system resulting in incorrect calculation of eligibility benefits, but the applicant remained eligible due to still meeting threshold requirements. Cause: Online data verification system was not properly updated resulting in eligibility benefit determination not being properly calculated. Second party review quarterly reports were not being timely submitted, resulting in failure to meet compliance requirements for submissions. Questioned Costs: None, the finding represents an internal control issue, therefore, no questioned costs are applicable. The client was able to substantiate that the applicant was eligible to receivebenefits. Recommendation: Caseworkers should review their eligibility determinations and ensure all information is entered correctly. Calculations should be reviewed for accuracy before approving benefits. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plansubmitted with this report.
Show full finding ▾Hide full finding ▴Non‐Material Non‐Compliance Material Weakness, Eligibility Criteria: In accordance with 2 CFR 200, management should have an adequate system of internalcontrol procedures in place to ensure that casefile evidence is appropriately updated. In accordance with 45 CFR 435, documentation must be maintained to support eligibility determinations. Condition: The County Department of Social Services had one case file with evidence that did not match the online data verification system. Context: Of the 1,642,149 benefit payments valued at $651,425,953, we examined 60 payment records ($45,425 value) and determined that one casefile (2%) was not properly updated on the online data verification system. Effect: Casefile information was not properly updated on the online data verification system resulting in incorrect calculation of eligibility benefits, but the applicant remained eligible due to still meeting threshold requirements. Cause: Online data verification system was not properly updated resulting in eligibility benefit determination not being properly calculated. Second party review quarterly reports were not being timely submitted, resulting in failure to meet compliance requirements for submissions. Questioned Costs: None, the finding represents an internal control issue, therefore, no questioned costs are applicable. The client was able to substantiate that the applicant was eligible to receivebenefits. Recommendation: Caseworkers should review their eligibility determinations and ensure all information is entered correctly. Calculations should be reviewed for accuracy before approving benefits. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plansubmitted with this report.
Corrective Action/Management Response: Staff training is ongoing and was completed to remind of importance of running on lines at recertification and updated income. Proposed Completion Date: 11/30/2024
The county did not timely perform and submit second party review documents for two of the quarterly reports (third and fourth quarter). Context: Of the four quarterly reports that were submitted, two of them were not submitted timely.The third quarter report was submitted nine days after the required due date and the fourth quarter report was submitted 25 days after the due date. Effect: The County did not have internal controls being properly followed for timely completion of second part reviews and submission of the required reports. The third and fourth quarter reports for second party review were not submitted until after the required due date. Cause: Lack of internal controls being followed to ensure proper and timely second party reviews and submission of the second party review quarterly reports. Questioned Costs: None, the finding represents an internal control issue, therefore, no questioned costs are applicable. Recommendations: Management should review quarterly reports to ensure that timely and accurate second party reviews are being performed and reports are being submitted by the required due date. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Show full finding ▾Hide full finding ▴Non‐Material Non‐Compliance Material Weakness, Eligibility Criteria: In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to ensure that second party review quarterly reports are submitted timely and accurately before the required due date. Second party reviews are an essential tool in monitoring eligibility determinations. Condition: The county did not timely perform and submit second party review documents for two of the quarterly reports (third and fourth quarter). Context: Of the four quarterly reports that were submitted, two of them were not submitted timely.The third quarter report was submitted nine days after the required due date and the fourth quarter report was submitted 25 days after the due date. Effect: The County did not have internal controls being properly followed for timely completion of second part reviews and submission of the required reports. The third and fourth quarter reports for second party review were not submitted until after the required due date. Cause: Lack of internal controls being followed to ensure proper and timely second party reviews and submission of the second party review quarterly reports. Questioned Costs: None, the finding represents an internal control issue, therefore, no questioned costs are applicable. Recommendations: Management should review quarterly reports to ensure that timely and accurate second party reviews are being performed and reports are being submitted by the required due date. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Corrective Action/Management Response: Supervisor responsible for submitting report has become more familiar with the due dates in which this report is due. In addition, a reminder has been placed on the Outlook calendar to ensure that the report is completed timely. This practice has seemed to work as the report submitted for the 1st quarter was submitted timely. Proposed Completion Date: 11/21/2024
An employee was demoted resulting in them not having to complete day sheets and requiring ADM time to be reported. Management did not update in NC CORELS and copied prior month day sheets to pay employee resulting in inappropriately charged amounts to the SNAP program. Context: Of the 570 expenditures during the current year valued at $671,155, we examined 40 (valued at $166,725) and determined that 1 (2% valued at $3,893) expenditure did not have proper documentation to support accuracy of payroll costs. Effect: Salaries allocated to the program did not have approved time sheets to verify the accuracy of the hours charged. Cause: Due to employee being demoted and not updated in NC CORELS, employee was paid with inappropriate charged expenses to the SNAP program. Questioned Costs: In accordance with 2 CFR 200, auditors are required to report known questioned costs when likely questioned costs are greater than $25,000. Even though the sample results only identified $3,893 in known questioned costs, if tests were extended to the entire population, questioned costs could exceed $25,000. Recommendations: Management should ensure that employees being paid in NC CORELS are being paid according to proper pay codes and requirements. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report
Show full finding ▾Hide full finding ▴Non‐Material Non‐Compliance Material Weakness, Allowable Cost Criteria: In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to ensure that activities allowed and allowable cost policies are implemented and functioning as intended. Management must monitor activities under federal awards to assure compliance with federal requirements. Management should have an adequate system of internal control procedures in place to properly review and assess the eligibility of payroll costs to ensure the accuracy of the payroll costs charged is within program requirements. In accordance with 24 CRF section 990, verification of accuracy of information used in determining payroll costs to be charged to the program should be maintained. Condition: An employee was demoted resulting in them not having to complete day sheets and requiring ADM time to be reported. Management did not update in NC CORELS and copied prior month day sheets to pay employee resulting in inappropriately charged amounts to the SNAP program. Context: Of the 570 expenditures during the current year valued at $671,155, we examined 40 (valued at $166,725) and determined that 1 (2% valued at $3,893) expenditure did not have proper documentation to support accuracy of payroll costs. Effect: Salaries allocated to the program did not have approved time sheets to verify the accuracy of the hours charged. Cause: Due to employee being demoted and not updated in NC CORELS, employee was paid with inappropriate charged expenses to the SNAP program. Questioned Costs: In accordance with 2 CFR 200, auditors are required to report known questioned costs when likely questioned costs are greater than $25,000. Even though the sample results only identified $3,893 in known questioned costs, if tests were extended to the entire population, questioned costs could exceed $25,000. Recommendations: Management should ensure that employees being paid in NC CORELS are being paid according to proper pay codes and requirements. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report
Corrective Action/Management Response: We will double check to make sure all employees are reported correctly. Proposed Completion Date: 12/1/2024; we will check monthly
Employee used FY25 mileage rate when entering mileage to be reimbursed and management missed it during reconciliation of requisition. County did not maintain all receipts necessary to support the claim with signatures from employees and supervisors. Context: Employee keyed the wrong fiscal year mileage rate and resulting in them being improperly reimbursed. Employee was paid for $108 instead of correctly calculated amount of $106. Effect: County overpaid in travel reimbursement expenses to employee and did not maintain adequate receipts necessary to support claim. Cause: Employee keyed in FY25 mileage rate instead of FY24 mileage rate when entering mileage for reimbursement. Questioned Costs: None. The finding represents an internal control issue, therefore, no questioned costs are applicable. Recommendations: Management should ensure that employees being paid in NC CORELS are being paid according to proper pay codes and requirements. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Show full finding ▾Hide full finding ▴Non‐Material Non‐Compliance Material Weakness, Reporting Criteria: In accordance with the DSS Fiscal Manual, Section II, travel expenditures must be within allowable limits in accordance with a county wide travel plan. In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to ensure thatactivities allowed and allowable cost policies are implemented and functioning as intended. Management should have an adequate system of internal control procedures in place to properly review and assess travel expense reimbursement to ensure that proper mileage rates are being used when calculating travel reimbursement expense checks. Condition: Employee used FY25 mileage rate when entering mileage to be reimbursed and management missed it during reconciliation of requisition. County did not maintain all receipts necessary to support the claim with signatures from employees and supervisors. Context: Employee keyed the wrong fiscal year mileage rate and resulting in them being improperly reimbursed. Employee was paid for $108 instead of correctly calculated amount of $106. Effect: County overpaid in travel reimbursement expenses to employee and did not maintain adequate receipts necessary to support claim. Cause: Employee keyed in FY25 mileage rate instead of FY24 mileage rate when entering mileage for reimbursement. Questioned Costs: None. The finding represents an internal control issue, therefore, no questioned costs are applicable. Recommendations: Management should ensure that employees being paid in NC CORELS are being paid according to proper pay codes and requirements. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Corrective Action/Management Response: We will have another Accounting Technician II audit to be sure all checks and requisitions match. Proposed Completion Date: 12/1/2024; we will check weekly
Upon surprise inspection, two workstations of DSS employees were logged onto the statenetwork without anyone attending to the workstation. Context: While performing testing of internal control over compliance related to the Division of Social Services, we noted the above condition. Effect: Unauthorized access to the state system could be obtained due to the unattended logon to the system throughout the DSS building. Cause: Lack of proper internal controls over data security. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. Identification of Repeat Finding: This is a repeat finding from the immediate previous audit, 2023-001. Recommendation: Require the County Data Processing Department to implement procedures to require logout of workstations where access to the state DSS system is granted. The control procedures should include random verification of logout in instances where offices are unattended. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Show full finding ▾Hide full finding ▴Significant Deficiency Criteria: In accordance with the Division of Social Services Fiscal Manual, DSS employees should control physical access to the state network terminals or personal computers that are connected to the state mainframe. Condition: Upon surprise inspection, two workstations of DSS employees were logged onto the statenetwork without anyone attending to the workstation. Context: While performing testing of internal control over compliance related to the Division of Social Services, we noted the above condition. Effect: Unauthorized access to the state system could be obtained due to the unattended logon to the system throughout the DSS building. Cause: Lack of proper internal controls over data security. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. Identification of Repeat Finding: This is a repeat finding from the immediate previous audit, 2023-001. Recommendation: Require the County Data Processing Department to implement procedures to require logout of workstations where access to the state DSS system is granted. The control procedures should include random verification of logout in instances where offices are unattended. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Corrective Action/Management Response: We will get with MIS to see if they can reduce the amount of time the computer auto locks as well as doing checks to ensure all unattended computers are locked. Proposed Completion Date: 12/1/2024
2023-001
FAC accepted this audit on February 7, 2024 — management decision was due August 7, 2024.
Upon surprise inspection, three unattended workstations of DSS employees were logged onto the state network without anyone attending to the workstation. Context: While performing testing of internal control over compliance related to the Division of Social Services, we noted the above condition. Effect: Unauthorized access to the state system could be obtained due to the unattended logon to the system throughout the DSS building. Cause: Lack of proper internal controls over data security. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. Recommendation: Require the County Data Processing Department to implement procedures to require logout of workstations where access to the state DSS system is granted. The control procedures should include random verification of logout in instances where offices are unattended. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Show full finding ▾Hide full finding ▴Significant Deficiency Criteria: In accordance with the Division of Social Services Fiscal Manual, DSS employees should control physical access to the state network terminals or personal computers that are connected to the state mainframe. Condition: Upon surprise inspection, three unattended workstations of DSS employees were logged onto the state network without anyone attending to the workstation. Context: While performing testing of internal control over compliance related to the Division of Social Services, we noted the above condition. Effect: Unauthorized access to the state system could be obtained due to the unattended logon to the system throughout the DSS building. Cause: Lack of proper internal controls over data security. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. Recommendation: Require the County Data Processing Department to implement procedures to require logout of workstations where access to the state DSS system is granted. The control procedures should include random verification of logout in instances where offices are unattended. View of Responsible Officials and Planned Corrective Actions: See Corrective Action Plan submitted with this report.
Corrective Action/Management Response: Department of Social Services supervisors will check employees’ computers two times per month and will add signage reminding employees to lock their computers when they leave their workstations. If a computer is found to be unlocked, then the supervisor will educate the employee on the importance of protecting sensitive information. Proposed Completion Date: Immediately
FAC accepted this audit on January 3, 2023 — management decision was due July 3, 2023.
FAC accepted this audit on January 17, 2022 — management decision was due July 17, 2022.
The County Department of Social Services failed to include proper documentation for citizenship, state residency and disability verification. Context: Of the 3,294,698 benefit payments valued at $364,962,287, we examined 60 and determined that three (5%) did not have proper documentation supporting the eligibility determination in the casefile. Upon further review, the recipients were deemed eligible. Effect: Casefile did not have the proper documentation, which could allow benefits to be provided to individuals who are not eligible. Cause: The caseworker did not correctly include the proper documentation in the case file. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. The County was able to substantiate that the recipients were eligible to receive benefits. Recommendation: Caseworkers should review their eligibility determinations and ensure all information includes proper documentation for eligibility. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
Show full finding ▾Hide full finding ▴Material Weakness Criteria: In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to ensure that casefiles include all required documentation. Condition: The County Department of Social Services failed to include proper documentation for citizenship, state residency and disability verification. Context: Of the 3,294,698 benefit payments valued at $364,962,287, we examined 60 and determined that three (5%) did not have proper documentation supporting the eligibility determination in the casefile. Upon further review, the recipients were deemed eligible. Effect: Casefile did not have the proper documentation, which could allow benefits to be provided to individuals who are not eligible. Cause: The caseworker did not correctly include the proper documentation in the case file. Questioned Costs: None. The finding represents an internal control issue; therefore, no questioned costs are applicable. The County was able to substantiate that the recipients were eligible to receive benefits. Recommendation: Caseworkers should review their eligibility determinations and ensure all information includes proper documentation for eligibility. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
CORRECTIVE ACTION PLAN MEDICAID ASSISTANCE PROGRAM Finding 2021-001 Name of Contact Person: Jan Elliott, Director Area(s) of deficiency: ? Three case files did not have the proper documentation, which could allow benefits to be provided to individuals who are not eligible. Goal(s): ? Inform staff the importance of documentation and the issues that it causes when cases are not properly documented. ? Ensure that staff are aware where documentation should be located in the NC Fast case management system. Root Cause: ? Caseworker(s) did not include the proper documentation in the NC Fast case management system. Program Improvement Strategy: Training for Medicaid staff: ? Staff will be provided online training on how to properly document their cases. ? Quality Assurance staff will continue to monitor cases to ensure they are properly documented Monitoring: ? Targeted second party reviews will be conducted to monitor applications and reviews that are processed. ? The results of the second party reviews will be complied and reviewed with Medicaid staff and supervisors. ? The Quality Improvement supervisor will conduct a third party review of the work that is second partied by her staff. Time Frame: ? Documentation training with staff is scheduled for December 2, 2021. Evaluation and Progress Measurements: ? Second party review summary will be reviewed with staff monthly. ? Supervisors will follow-up with staff that with deficiencies as it relates to documentation to ensure that they are properly documenting. ? Remedial training will be conducted with workers that continuously have errors related to documentation.
FAC accepted this audit on March 9, 2021 — management decision was due September 9, 2021.
The County Health Department did not have adequate review controls in place to ensure that the quarterly audits were being performed and documented. The County did not conduct quarterly audits for the entire period under audit. Context: The County did not conduct quarterly audits for the entire period under audit. Effect: Casefiles could be missing the required eligibility determination documentation which would allow benefits to be provided to individuals who are not eligible. Cause: Weakness in implementation of controls over quarterly audits performed by management. Questioned Costs: The finding represents an internal control issue; therefore, no questioned costs are applicable. Recommendation: Management should implement quarterly audits. Evidence of documentation of the quarterly audits should be retained and include electronic signatures of the reviewer. Any deficiencies noted during the audits should be corrected within a timely manner and documented as such. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
Show full finding ▾Hide full finding ▴US Department of Health and Human Services Passed through the NC Dept. of Health and Human Services Program Name: Healthy Start Initiative CFDA #: 93.926 Grant Number: 13A1530CJA, 13A1530DJA 2020-002 Non-Material Non-Compliance Material Weakness Criteria: In accordance with 2 CFR 200 and the agreement addendum, management should have an adequate system of internal control procedures in place to ensure that quarterly audits of program participant records are conducted to assure that staff accurately and appropriately document participant involvement in program services. Condition: The County Health Department did not have adequate review controls in place to ensure that the quarterly audits were being performed and documented. The County did not conduct quarterly audits for the entire period under audit. Context: The County did not conduct quarterly audits for the entire period under audit. Effect: Casefiles could be missing the required eligibility determination documentation which would allow benefits to be provided to individuals who are not eligible. Cause: Weakness in implementation of controls over quarterly audits performed by management. Questioned Costs: The finding represents an internal control issue; therefore, no questioned costs are applicable. Recommendation: Management should implement quarterly audits. Evidence of documentation of the quarterly audits should be retained and include electronic signatures of the reviewer. Any deficiencies noted during the audits should be corrected within a timely manner and documented as such. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
Finding 2020-002 Name of Contact Person: Dionne Dockery Corrective Action/Management Response: This is Healthy Starts first year (19-20) in a new grant cycle and several of the program directives were still in the developing stages and this site did not have its first patients until December 2019. Internal chart reviews will begin 7/2020 using an altered form of the most recent audit tool. Internal audits will be completed quarterly and shared with staff. When possible, team audits will resume and the results to be shared during the meeting (due to COVID-19 team audits may not occur) Proposed Completion Date: 8/31/2020
FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.
One casefile continued to remain active and receive benefits after the recipient?s date of death. Context: Of the 1,054,181 benefit payments valued at $74,916,711, we examined 60 payment records ($2,252 value) and determined that one (2%, valued at $8) of the casefiles remained active and continued to receive benefits after the recipient?s date of death. Effect: Benefits not being properly and timely terminated could cause the County to expend funds over the eligible amount. Cause: The caseworker did not review the case to ensure that benefits were timely and properly terminated upon the recipient?s date of death. Questioned Costs: In accordance with 2 CFR 200, auditors are required to report known questioned costs when likely questioned costs are greater than $25,000. Even though the sample results only identified $8 in questioned costs, if tests were extended to the entire population, questioned costs could exceed $25,000. Recommendation: Caseworkers should review cases to ensure that benefits are properly terminated upon date of death. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
Show full finding ▾Hide full finding ▴2019-001 Non-Material Non-Compliance Material Weakness Criteria: In accordance with 2 CFR 200, management should have an adequate system of internal control procedures in place to ensure that cases and benefits are properly and timely terminated upon the recipient?s date of death. Condition: One casefile continued to remain active and receive benefits after the recipient?s date of death. Context: Of the 1,054,181 benefit payments valued at $74,916,711, we examined 60 payment records ($2,252 value) and determined that one (2%, valued at $8) of the casefiles remained active and continued to receive benefits after the recipient?s date of death. Effect: Benefits not being properly and timely terminated could cause the County to expend funds over the eligible amount. Cause: The caseworker did not review the case to ensure that benefits were timely and properly terminated upon the recipient?s date of death. Questioned Costs: In accordance with 2 CFR 200, auditors are required to report known questioned costs when likely questioned costs are greater than $25,000. Even though the sample results only identified $8 in questioned costs, if tests were extended to the entire population, questioned costs could exceed $25,000. Recommendation: Caseworkers should review cases to ensure that benefits are properly terminated upon date of death. Views of Responsible Officials and Planned Corrective Actions: The County agrees with this finding. Please refer to the Corrective Action Plan section of this report.
Finding 2019-001 Name of Contact Person: Jan Elliot, DSS Director Corrective Action/Management Response: Training for Medicaid staff: ? Reviewing Online Data (OVS) ? Supervisor review the Medicaid Death Match Report in NC Fast accordingly Monitoring: ? Targeted second party reviews will be conducted to monitor Medicaid applications and reviews that are processed. ? The results of the second party reviews will be complied and reviewed with Medicaid staff and supervisors. Proposed Completion Date: Training regarding reading online data with staff is scheduled for November 18, 2019.
FAC accepted this audit on February 27, 2019 — management decision was due August 27, 2019.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on December 27, 2017 — management decision was due June 27, 2018.
GSA_MIGRATION
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GSA_MIGRATION
2016-006
FAC accepted this audit on March 13, 2017 — management decision was due September 13, 2017.
GSA_MIGRATION
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GSA_MIGRATION
2015-001
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