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SAMU FOUNDATIONNon-Profit

EIN: 814198808

UEI: N96XFWMT6LH7

Audited by: GELMAN, ROSENBERG & FREEDMAN

Oversight agency: 97 [Department of Homeland Security]

View federal awards & risk assessment →

Data as of August 28, 2026

SAMU FOUNDATION2 audit years10 findings4 repeat
2
Audit Years
10
Total Findings
4
Repeat Findings
$4.3M
Federal Awards Expended (FY 2023)

FY 2023-12-31

$4,326,188 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on April 15, 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 October 15, 2025 (319 days ago).

What is a management decision? →
2023-003
Cost Allowability
SIGNIFICANT DEFICIENCY

During our testing over credit cards, we noted that while there is a documented review and approval process in place over employee charges, there is no evidence to support the date in which the review was performed. Charges on the credit cards include expenditures that are reimbursed on federally funded awards. Cause: SAMU does not have a formal policy in place with respect to credit card receipt retention or review and approval over charges. As such, SAMU did not have effective internal controls in place to ensure that approvals were performed and documented as being performed in a timely manner.Effect or Potential Effect: There is the potential that credit card charges allocated to the Federal award were not properly reviewed in a timely manner, and could have been improperly charged or charged in the incorrect period, thereby creating a potential for being reimbursed for unallowable costs. Questioned Costs: None. Context: 372 out of 372 samples selected for testing did not have adequate documented review and approval. The sample is deemed representative of the population. Identification of a Repeat Finding: Not applicable. Recommendation: We recommend that SAMU implement a formal credit card policy. This policy should require that management formally review and approve employee credit card transactions and obtain appropriate supporting evidence for the charges on a monthly basis.

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Full finding narrative

Finding 2023-003: Allowable Costs Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Significant Deficiency in Internal Control over Compliance and Non-compliance Criteria: According to 2 CFR §200.303, the non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non- Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the internal Control Integrated Framework, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: During our testing over credit cards, we noted that while there is a documented review and approval process in place over employee charges, there is no evidence to support the date in which the review was performed. Charges on the credit cards include expenditures that are reimbursed on federally funded awards. Cause: SAMU does not have a formal policy in place with respect to credit card receipt retention or review and approval over charges. As such, SAMU did not have effective internal controls in place to ensure that approvals were performed and documented as being performed in a timely manner.Effect or Potential Effect: There is the potential that credit card charges allocated to the Federal award were not properly reviewed in a timely manner, and could have been improperly charged or charged in the incorrect period, thereby creating a potential for being reimbursed for unallowable costs. Questioned Costs: None. Context: 372 out of 372 samples selected for testing did not have adequate documented review and approval. The sample is deemed representative of the population. Identification of a Repeat Finding: Not applicable. Recommendation: We recommend that SAMU implement a formal credit card policy. This policy should require that management formally review and approve employee credit card transactions and obtain appropriate supporting evidence for the charges on a monthly basis.

Corrective Action Plan

Views of Responsible Officials: SAMU has finalized comprehensive Logistics and procurement policy that covers the credit cards policy and the respective treatment and control for approvals. A comprehensive corrective action plan has been greed it addresses: 1. Establishment of a documented review process with clear timelines 2. Training program for staff on federal cost principles and internal procedures 3. Regular monitoring and internal audit procedures By implementing these measures, SAMU emphasizes the importance of strengthened internal controls, ensure compliance with federal regulations, and mitigate the risk of charging unallowable costs to federal awards.

About Allowable Costs / Cost Principles →
2023-004
Reporting
MATERIAL WEAKNESSMODIFIED OPINION

During our audit fieldwork, we noted that the SEFA included expenditures of $4,563,468 that were related to State awards and should not have been included on the SEFA. In addition, we noted that the SEFA included conditional awards that had not yet been earned in the amount of $3,485,473. As a result, an adjustment to the amounts reported on the SEFA was proposed, and accepted by management, to decrease current year expenditures reported on the SEFA by $8,077,689. Cause: SAMU began receiving diversified funding streams for the first time during the year ended December 31, 2023. The misstatements appear to be due to a misunderstanding of what should be included on the SEFA and how support should be recognized and recorded on conditional awards in accordance with ASC 958. Effect or Potential Effect: The SEFA was overstated by $8,077,689. When the SEFA is not prepared properly, it could have an effect on the auditor's determination of major programs or the auditor's sample selections. Questioned Costs: None. Identification of a Repeat Finding: Not applicable. Context: The SEFA prepared by SAMU was not representative of actual Federal expenditures that were incurred during the year ended December 31, 2023. Recommendation: We recommend that SAMU ensure it has an understanding of what expenditures are to be presented on the SEFA, particularly in connection with conditional awards, in accordance with 2 CFR § 200.

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Finding 2023-004: Schedule of Expenditures of Federal Awards Presentation Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Material Weakness in Internal Control over Compliance Criteria: Management is responsible for the complete and fair presentation of the financial statements, including any supplementary information that is presented in relation to the financial statements, such as the Schedule of Expenditures of Federal Awards (SEFA). Also, in accordance with 2 CFR Section 200.510 (b)(2), SAMU is required to include only direct and pass-through Federal awards expended during the fiscal year in the SEFA. Condition: During our audit fieldwork, we noted that the SEFA included expenditures of $4,563,468 that were related to State awards and should not have been included on the SEFA. In addition, we noted that the SEFA included conditional awards that had not yet been earned in the amount of $3,485,473. As a result, an adjustment to the amounts reported on the SEFA was proposed, and accepted by management, to decrease current year expenditures reported on the SEFA by $8,077,689. Cause: SAMU began receiving diversified funding streams for the first time during the year ended December 31, 2023. The misstatements appear to be due to a misunderstanding of what should be included on the SEFA and how support should be recognized and recorded on conditional awards in accordance with ASC 958. Effect or Potential Effect: The SEFA was overstated by $8,077,689. When the SEFA is not prepared properly, it could have an effect on the auditor's determination of major programs or the auditor's sample selections. Questioned Costs: None. Identification of a Repeat Finding: Not applicable. Context: The SEFA prepared by SAMU was not representative of actual Federal expenditures that were incurred during the year ended December 31, 2023. Recommendation: We recommend that SAMU ensure it has an understanding of what expenditures are to be presented on the SEFA, particularly in connection with conditional awards, in accordance with 2 CFR § 200.

Corrective Action Plan

Views of Responsible Officials: SAMU has identified the following actions point: 1. Implement a thorough review process for all funding streams to determine if they are federal, state, or private. 2. Establish clear guidelines for identifying and tracking federal awards. 3. Provide training to accounting staff on the proper application of ASC 958, particularly regarding the recognition of conditional awards. 4. Develop a checklist for SEFA preparation to ensure all required elements are included and properly reported. 5. Consider seeking expert advice or additional training on federal award accounting and reporting. By implementing these measures, SAMU can improve the accuracy of its SEFA, ensure compliance with federal regulations, and provide a more reliable basis for audit procedures.

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2023-005
Cash Management
SIGNIFICANT DEFICIENCYREPEAT OF 2022-005

During the audit process, we noted 4 instances in which drawdown requests were submitted late, and outside of the time frame stipulated in the award agreement. Cause: It is our understanding that the delayed submissions were approved and discussed with the funder verbally. The approvals for delayed submission, since done verbally, were not adequately documented for review during the audit.Effect or Potential Effect: Without documented approvals for delayed submission of drawdown requests, SAMU risks being noncompliant with award terms and conditions. Questioned Costs: None. Context: 4 of 8 drawdown requests tested were not submitted timely as outlined in the agreement. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-005 Recommendation: It is recommended that SAMU implement policies requiring that all verbal discussions with funders are supported by official documentation.

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Finding 2023-005: Cash Management Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Significant Deficiency in Internal Control over Compliance and Material Noncompliance Criteria: Under 2 CFR § 200.303, organizations that receive Federal funding are required to “establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: During the audit process, we noted 4 instances in which drawdown requests were submitted late, and outside of the time frame stipulated in the award agreement. Cause: It is our understanding that the delayed submissions were approved and discussed with the funder verbally. The approvals for delayed submission, since done verbally, were not adequately documented for review during the audit.Effect or Potential Effect: Without documented approvals for delayed submission of drawdown requests, SAMU risks being noncompliant with award terms and conditions. Questioned Costs: None. Context: 4 of 8 drawdown requests tested were not submitted timely as outlined in the agreement. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-005 Recommendation: It is recommended that SAMU implement policies requiring that all verbal discussions with funders are supported by official documentation.

Corrective Action Plan

Views of Responsible Officials: SAMU management has ordered that all SAMU staff that corresponds with grantor personnel has to document such correspondence via emails or other means the afreed procedures including those of delayed submission of drawdowns.

Prior Finding References

2022-005

About Cash Management →
2023-006
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINIONREPEAT OF 2022-006QUESTIONED COSTS

During our testing over procurement, we determined that SAMU did not clearly document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, we noted that while SAMU does have a procurement policy in place, the policy does not include requirements for re-procuring long-term contracts that continuously re-new. Cause: Management did not have effective internal controls in place to ensure that procurement requirements were adequately documented and retained. Effect or Potential Effect: Procurement records were insufficient to meet the requirements noted in the Criteria section above, as well as SAMU's internal procurement policy. Questioned Costs: $75,000 Context: 2 of 4 samples selected for testing did not have adequate documentation for the rationale related to the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-006 Recommendation: We recommend SAMU retain sufficient procurement documentation to meet the requirements noted in the Criteria section above.

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Finding 2023-006: Procurement Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria: According to 2 CFR §200.303, the non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non- Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the internal Control Integrated Framework, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Additionally, according to 2 CFR §200.318 Procurement standards, the non-Federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Title 2, Subtitle A Chapter II Part 200 Subpart D 200.319 Procurement Standards. All procurement transactions for the acquisition of property or services required under a Federal award must be conducted in a manner providing full and open competition consistent with the standards of this section and §200.320. The non-Federal entity must have written procedures for procurement transactions. These procedures must ensure that all solicitations incorporate a clear and accurate description of the technical requirements for the material, product, or service to be procured. Such description must not, in competitive procurements, contain features which unduly restrict competition. The description may include a statement of the qualitative nature of the material, product or service to be procured and, when necessary, must set forth those minimum essential characteristics and standards to which it must conform if it is to satisfy its intended use. Noncompetitive procurements can only be awarded in accordance with §200.320(c). According to 2 CFR §200.320 Procurement Standards, there are specific circumstances in which noncompetitive procurement can be used. Noncompetitive procurement can only be awarded if one or more of the following circumstances apply: 1. The acquisition of property or services, the aggregate dollar amount of which does not exceed the micro-purchase threshold, 2. The item is available only from a single source; 3. The public exigency or emergency for the requirement will not permit a delay resulting from publicizing a competitive solicitation; 4. The Federal awarding agency or pass-through entity expressly authorizes a noncompetitive procurement in response to a written request from the non-Federal entity; or 5. After solicitation of a number of sources, competition is determined inadequate. Condition: During our testing over procurement, we determined that SAMU did not clearly document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, we noted that while SAMU does have a procurement policy in place, the policy does not include requirements for re-procuring long-term contracts that continuously re-new. Cause: Management did not have effective internal controls in place to ensure that procurement requirements were adequately documented and retained. Effect or Potential Effect: Procurement records were insufficient to meet the requirements noted in the Criteria section above, as well as SAMU's internal procurement policy. Questioned Costs: $75,000 Context: 2 of 4 samples selected for testing did not have adequate documentation for the rationale related to the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-006 Recommendation: We recommend SAMU retain sufficient procurement documentation to meet the requirements noted in the Criteria section above.

Corrective Action Plan

Views of Responsible Officials: The procurement policy will be expanded for all re-procuring of longterm contracts procedures. All contracts with service providers or contractors will be reviewed and a renewal or re-procurement process will be taken care accordingly.

Prior Finding References

2022-006

About Procurement and Suspension and Debarment →
2023-007
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINIONREPEAT OF 2022-007QUESTIONED COSTS

During our testing over Suspension and Debarment, we determined that SAMU either did not perform screenings, or did not document the screening date on potential or current vendors, suppliers, contractors or employees that were paid with Federal funds. Cause: SAMU does not have a formal internal policy with respect to screening vendors, suppliers, contractors and employees in order to adhere to compliance over suspension and debarment. Effect or Potential Effect: Failure to screen, in a timely manner (before contract date or payment occurs) potential and current vendors, suppliers, contractors and employees increases the potential that Federal funds be inadvertently provided to parties deemed to be suspended or disbarred by the United States Government. Questioned Costs: $24,000 Context: Out of 4 samples selected for testing, we noted the following: 2 samples did not have evidence of the date of the SAM check being performed; 1 sample had a SAM check date performed after execution of the contract with the vendor; 1 sample did not have a SAM check performed at all. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-007 Recommendation: We recommend that management develop and implement a formal policy on suspension and debarment. All screenings should be conducted prior to entering into an agreement with a vendor. Additionally, evidence of documentation should include the date of when the SAM check was performed. We recommend that SAMU notify all employees of this policy and ensure that it is enforced during the upcoming year.

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Finding 2023-007: Suspension and Debarment Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Material Weakness in Internal Control over Compliance and Material NoncomplianceCriteria: Under 2 CFR §200.213, non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities. The non-Federal entity must verify that the person with whom you intend to do business is not excluded or disqualified, by (a) Checking SAM Exclusions; or (b) Collecting a certification from that person; or (c) Adding a clause or condition to the covered transaction with that person. Condition: During our testing over Suspension and Debarment, we determined that SAMU either did not perform screenings, or did not document the screening date on potential or current vendors, suppliers, contractors or employees that were paid with Federal funds. Cause: SAMU does not have a formal internal policy with respect to screening vendors, suppliers, contractors and employees in order to adhere to compliance over suspension and debarment. Effect or Potential Effect: Failure to screen, in a timely manner (before contract date or payment occurs) potential and current vendors, suppliers, contractors and employees increases the potential that Federal funds be inadvertently provided to parties deemed to be suspended or disbarred by the United States Government. Questioned Costs: $24,000 Context: Out of 4 samples selected for testing, we noted the following: 2 samples did not have evidence of the date of the SAM check being performed; 1 sample had a SAM check date performed after execution of the contract with the vendor; 1 sample did not have a SAM check performed at all. The sample is representative of the population. Identification as a Repeat Finding, if Applicable: 2022-007 Recommendation: We recommend that management develop and implement a formal policy on suspension and debarment. All screenings should be conducted prior to entering into an agreement with a vendor. Additionally, evidence of documentation should include the date of when the SAM check was performed. We recommend that SAMU notify all employees of this policy and ensure that it is enforced during the upcoming year.

Corrective Action Plan

Views of Responsible Officials: SAMU will develop a comprehensive corrective action plan that addresses: 1. Creation and implementation of a formal suspension and debarment screening policy 2. Establishment of a documented screening process with clear timelines 3. Training program for staff on federal requirements and internal procedures 4. Regular monitoring and internal audit procedures By implementing these measures, SAMU can strengthen its compliance with federal regulations, mitigate the risk of providing funds to suspended or debarred parties, and protect its federal funding sources.

Prior Finding References

2022-007

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2023-008
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2022-005

During the audit, we noted that there is no documented review and approval of program reports prior to submission. In addition, we noted that the submission date of reports selected for review was not adequately documented. Cause: Management did not have effective internal controls in place to ensure that a secondary level of review of approval is clearly documented, which indicates who performed the control, and when the control was performed. In addition, program reports were submitted to the funder's online system, which SAMU no longer had access to during the audit. SAMU did not adequately retain internal documentation to support submission date of the reports outside of that system. Effect or Potential Effect: Without established controls over reporting, there is a reasonable possibility that SAMU would not detect noncompliance in the normal course of performing duties and correct them in a timely manner. Questioned Costs: None noted. Context: 4 of the 4 program reports selected for testing did not have documented evidence of review or approval. 4 of the 4 program reports and 1 of 1 final financial report selected for testing did not have documented evidence to support timely submission. Identification as a Repeat Finding, if Applicable: 2022-005 Recommendation: We recommend that management of SAMU implement procedures and control processes to incorporate and document an independent review and approval, evidenced by a signature/initialing and date of the review and approval taking place. In addition, management should ensure that internal documentation is retained to support submission date of reports.

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Finding 2023-008: Reporting Information on the Federal Program: 97.024 - Emergency Food and Shelter National Board Program Type of Finding: Significant Deficiency in Internal Control over Compliance and Material Noncompliance Criteria: According to 2 CFR §200.303, the non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non- Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the internal Control Integrated Framework, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: During the audit, we noted that there is no documented review and approval of program reports prior to submission. In addition, we noted that the submission date of reports selected for review was not adequately documented. Cause: Management did not have effective internal controls in place to ensure that a secondary level of review of approval is clearly documented, which indicates who performed the control, and when the control was performed. In addition, program reports were submitted to the funder's online system, which SAMU no longer had access to during the audit. SAMU did not adequately retain internal documentation to support submission date of the reports outside of that system. Effect or Potential Effect: Without established controls over reporting, there is a reasonable possibility that SAMU would not detect noncompliance in the normal course of performing duties and correct them in a timely manner. Questioned Costs: None noted. Context: 4 of the 4 program reports selected for testing did not have documented evidence of review or approval. 4 of the 4 program reports and 1 of 1 final financial report selected for testing did not have documented evidence to support timely submission. Identification as a Repeat Finding, if Applicable: 2022-005 Recommendation: We recommend that management of SAMU implement procedures and control processes to incorporate and document an independent review and approval, evidenced by a signature/initialing and date of the review and approval taking place. In addition, management should ensure that internal documentation is retained to support submission date of reports.

Corrective Action Plan

Views of Responsible Officials: Based on this audit finding, SAMU agreed addressing the following: 1. Implement a formal review and approval process for program reports, including documentation of reviewer's name and date. 2. Establish a system to retain internal documentation of report submission dates. 3. Develop a reporting calendar with internal deadlines for report preparation and review. 4. Designate specific individuals responsible for report preparation, review, and submission.

Prior Finding References

2022-005

About Reporting →

FY 2022-12-31

$1,605,648 federal awards expended

FAC accepted this audit on December 16, 2023 — management decision was due June 16, 2024.

2022-004
Cost Allowability
MATERIAL WEAKNESSMODIFIED OPINION

During our testwork, we determined that SAMU did not adequately document employee time spent on the Federal program versus other programs. In addition, we noted one instance in which an employee offer letter was not available for examination. Cause: SAMU does not require that all employees complete timesheets documenting time spent on the Federal award versus other awards. Additionally, SAMU does not have effective internal controls in place to ensure that employee salary documentation is retained. Effect or Potential Effect: SAMU could inadvertently charge time to the Federal award that was not truly spent working on the Federal award. This could result in the Federal Government over-paying for salaries associated with the award. Questioned Costs: Indeterminable. Context: We noted that employees selected for testing did not have completed, detailed timesheets to indicate time spent on the Federal award versus other programs. We also noted instances in which an employee offer letter and employee transition letter were not available for examination. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that SAMU implement formal time tracking policies to require all employees to complete a detailed timesheet in order to track actual time spent on various programs. All timesheets should have evidence of both employee and supervisory approval. Additionally, we recommend that SAMU ensure all salary records for employees are retained.

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Finding 2022-004: Salaries and Wages (Allowable Costs) Criteria: According to 2 CFR Section 200.430(i) charges to Federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must: i. Be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; ii. Be incorporated into the official records of the non-Federal entity; iii. Reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; iv. Encompass federally-assisted and all other activities compensated by the non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the non-Federal entity’s written policy; v. Comply with the established accounting policies and practices of the non-Federal entity; vi. [Reserved] vii. Support the distribution of the employee’s salary or wages among specific activities or cost objectives if the employee works on more than one Federal award; a Federal award and non- Federal award; an indirect cost activity and a direct cost activity; two or more indirect activities which are allocated using different allocation bases; or an unallowable activity and a direct or indirect cost activity. viii. Budget estimates (i.e., estimates determined before the services are performed) alone do not qualify as support for charges to Federal awards.” Condition: During our testwork, we determined that SAMU did not adequately document employee time spent on the Federal program versus other programs. In addition, we noted one instance in which an employee offer letter was not available for examination. Cause: SAMU does not require that all employees complete timesheets documenting time spent on the Federal award versus other awards. Additionally, SAMU does not have effective internal controls in place to ensure that employee salary documentation is retained. Effect or Potential Effect: SAMU could inadvertently charge time to the Federal award that was not truly spent working on the Federal award. This could result in the Federal Government over-paying for salaries associated with the award. Questioned Costs: Indeterminable. Context: We noted that employees selected for testing did not have completed, detailed timesheets to indicate time spent on the Federal award versus other programs. We also noted instances in which an employee offer letter and employee transition letter were not available for examination. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that SAMU implement formal time tracking policies to require all employees to complete a detailed timesheet in order to track actual time spent on various programs. All timesheets should have evidence of both employee and supervisory approval. Additionally, we recommend that SAMU ensure all salary records for employees are retained.

Corrective Action Plan

Views of Responsible Officials: When SAMU commenced operations at the end of June 2022, the Welcome Respite Project (funded by FEMA) was SAMU's only active project. The HR platform/timekeeping software, Gusto, was implemented prior to the project start date (i.e. employees offer letters and onboarding materials were sent via the platform). Incoming staff were provided with an overview of how to use Gusto during onboarding, one-on-one meetings with supervisors, and staff meetings. Employee time was remunerated according to the rates authorized. During 2022, staff entered their hours in Gusto and were not engaged in outside, non-project-related activities. In 2022 we had only one project and therefore, some salaried staff were instructed that the completion of a timecard was not needed. However, that changed in 2023 as the new Managing Director requested that all staff, including salaried staff, complete timecards appropriately. Additional project codes were implemented in January 2023 and October 2023. SAMU provided updated guidance on timekeeping and use of project codes during the course of several staff meetings and one-on-one meetings. In 2023, SAMU developed a Gusto training and continues to reinforce timekeeping policies and expectations during meetings. Rate and position changes were and continue to be communicated to staff via official HR letters and stored in program files.

About Allowable Costs / Cost Principles →
2022-005
Cash Management / Reporting
MODIFIED OPINIONSIGNIFICANT DEFICIENCY

No evidence of independent secondary level of review or approval is performed relating to program reports; additionally, no evidence of review/approval for financial reports or reimbursement request could be provided. While management asserts that a review and approval of program reporting, financial reporting and reimbursement requests is taking place, there is no audit trail that shows the evidence of the control occurring. Cause: Management did not have effective internal controls in place to ensure that a secondary level of review of approval is clearly documented, which indicates who performed the control, and when the control was performed. Effect or Potential Effect: Without established controls over reporting and reimbursement requests, there is a reasonable possibility that SAMU would not detect noncompliance in the normal course of performing duties and correct them in a timely manner. Questioned Costs: None. Context: Our audit procedures consisted of testwork performed over cash receipts and draw down requests from the Federal Government as well as program reports submitted. We consider our sample to be representative of the population. The condition appears to be systemic in nature. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that management of SAMU implement procedures and control processes to incorporate and document an independent review and approval, evidenced by a signature/initialing and date of the review and approval taking place prior to submission to the funder.

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Finding 2022-005: Cash Management and Reporting Criteria: Under 2 CFR 200.303, organizations that receive federal funding are required to “establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: No evidence of independent secondary level of review or approval is performed relating to program reports; additionally, no evidence of review/approval for financial reports or reimbursement request could be provided. While management asserts that a review and approval of program reporting, financial reporting and reimbursement requests is taking place, there is no audit trail that shows the evidence of the control occurring. Cause: Management did not have effective internal controls in place to ensure that a secondary level of review of approval is clearly documented, which indicates who performed the control, and when the control was performed. Effect or Potential Effect: Without established controls over reporting and reimbursement requests, there is a reasonable possibility that SAMU would not detect noncompliance in the normal course of performing duties and correct them in a timely manner. Questioned Costs: None. Context: Our audit procedures consisted of testwork performed over cash receipts and draw down requests from the Federal Government as well as program reports submitted. We consider our sample to be representative of the population. The condition appears to be systemic in nature. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that management of SAMU implement procedures and control processes to incorporate and document an independent review and approval, evidenced by a signature/initialing and date of the review and approval taking place prior to submission to the funder.

Corrective Action Plan

Views of Responsible Officials: In 2022, narrative program reports were prepared by the management team (inputs were provided by each thematic area/department), the Deputy Director (or her designee) reviewed, and the Managing Director approved and typically sent the narrative reports to United Way via email (or in some instances, uploaded to the United Way SharePoint directly). In 2022, financial reports were prepared by CBM, reviewed by the Deputy Director (with support from a Coordinator, when possible), and sent to the Managing Director for approval and signature. The signed documents were then uploaded into the United Way SharePoint, and a note was sent to advise that the documents were ready to review. Reimbursements have never been sent to United Way without the approval and signature of the Managing Director. United Way requires that all financial reports reflect Managing Director signature to be reviewed.

About Cash Management, Reporting →
2022-006
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINION

During our testing over procurement, we determined that SAMU did not clearly document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, we noted that vendors did not always have a signed contract in place to outline the price and nature of services to be provided to SAMU. Cause: Management did not have effective internal controls in place to ensure that procurement requirements were adequately documented and retained. Effect or Potential Effect: Procurement records were insufficient to meet the requirements noted in the Criteria section above, as well as SAMU's internal procurement policy. Questioned Costs: None. Context: We noted that items selected for testing did not document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, there were instances in which vendors selected for testing did not have a signed contract in place with SAMU. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend SAMU retain sufficient procurement documentation to meet the requirements noted in the Criteria section above.

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Finding 2022-006: Procurement Criteria: According to 2 CFR §200.303, the non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non- Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the internal Control Integrated Framework, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Additionally, according to 2 CFR §200.318 Procurement standards, the non-Federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Title 2, Subtitle A Chapter II Part 200 Subpart D 200.319 Procurement Standards. All procurement transactions for the acquisition of property or services required under a Federal award must be conducted in a manner providing full and open competition consistent with the standards of this section and §200.320. The non-Federal entity must have written procedures for procurement transactions. These procedures must ensure that all solicitations incorporate a clear and accurate description of the technical requirements for the material, product, or service to be procured. Such description must not, in competitive procurements, contain features which unduly restrict competition. The description may include a statement of the qualitative nature of the material, product or service to be procured and, when necessary, must set forth those minimum essential characteristics and standards to which it must conform if it is to satisfy its intended use. Noncompetitive procurements can only be awarded in accordance with §200.320(c). According to 2 CFR §200.320 Procurement Standards, there are specific circumstances in which noncompetitive procurement can be used. Noncompetitive procurement can only be awarded if one or more of the following circumstances apply: 1. The acquisition of property or services, the aggregate dollar amount of which does not exceed the micro-purchase threshold (see paragraph (a)(1) of this section); 2. The item is available only from a single source; 3. The public exigency or emergency for the requirement will not permit a delay resulting from publicizing a competitive solicitation; 4. The Federal awarding agency or pass-through entity expressly authorizes a noncompetitive procurement in response to a written request from the non-Federal entity; or 5. After solicitation of a number of sources, competition is determined inadequate. Condition: During our testing over procurement, we determined that SAMU did not clearly document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, we noted that vendors did not always have a signed contract in place to outline the price and nature of services to be provided to SAMU. Cause: Management did not have effective internal controls in place to ensure that procurement requirements were adequately documented and retained. Effect or Potential Effect: Procurement records were insufficient to meet the requirements noted in the Criteria section above, as well as SAMU's internal procurement policy. Questioned Costs: None. Context: We noted that items selected for testing did not document the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, there were instances in which vendors selected for testing did not have a signed contract in place with SAMU. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend SAMU retain sufficient procurement documentation to meet the requirements noted in the Criteria section above.

Corrective Action Plan

Views of Responsible Officials: SAMU had a workshop for procurement practices together with Project Hope back in October/November 2022. The procurement process of Services and (nonrecurring) Goods has been updated in May/June 2023. Therein all the requirements were explained to fulfill the procurement standards established by 2 CFR 200.318. In the meantime, all procurement specialists have been advised to request a minimum of three formal quotes for procurements above $10,000, once those have been received and a proposal with an explanation (via email) of why a certain vendor has been preselected to provide the services and goods in question. With this information, the MD and Finance/Admin head are asked for internal approval and process the procurement of the Services and Goods. The approval is provided by email. An updated procurement policy is in preparation, the procurement process will be discussed again in another workshop in Q1 2024.

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2022-007
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINION

During our testing over Suspension and Debarment, we determined that SAMU did not perform screenings on potential or current vendors, suppliers, contractors or employees that were paid with Federal funds. Cause: SAMU does not have a formal internal policy with respect to screening vendors, suppliers, contractors and employees in order to adhere to compliance over suspension and debarment. Effect or Potential Effect: Failure to screen potential and current vendors, suppliers, contractors and employees increases the potential that Federal funds be inadvertently provided to parties deemed to be suspended or disbarred by the United States Government. Questioned Costs: None. Context: We noted that vendors, suppliers, contractors and employees selected for testing did not have a formally documented Suspension and Debarment check conducted prior to engagement. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that management develop and implement a formal policy on suspension and debarment. This policy should include a threshold for when vendors, suppliers, contractors and employees should be screened. All screenings should be conducted prior to signing a contract or issuing payment. We recommend that SAMU notify all employees of this policy and ensure that it is enforced during the upcoming fiscal year.

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Finding 2022-007: Suspension and Debarment Criteria: Under 2 CFR §200.213, Non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities. The non-Federal entity must verify that the person with whom you intend to do business is not excluded or disqualified, by (a) Checking SAM Exclusions; or (b) Collecting a certification from that person; or (c) Adding a clause or condition to the covered transaction with that person. Condition: During our testing over Suspension and Debarment, we determined that SAMU did not perform screenings on potential or current vendors, suppliers, contractors or employees that were paid with Federal funds. Cause: SAMU does not have a formal internal policy with respect to screening vendors, suppliers, contractors and employees in order to adhere to compliance over suspension and debarment. Effect or Potential Effect: Failure to screen potential and current vendors, suppliers, contractors and employees increases the potential that Federal funds be inadvertently provided to parties deemed to be suspended or disbarred by the United States Government. Questioned Costs: None. Context: We noted that vendors, suppliers, contractors and employees selected for testing did not have a formally documented Suspension and Debarment check conducted prior to engagement. Identification as a Repeat Finding, if Applicable: Not applicable. Recommendation: We recommend that management develop and implement a formal policy on suspension and debarment. This policy should include a threshold for when vendors, suppliers, contractors and employees should be screened. All screenings should be conducted prior to signing a contract or issuing payment. We recommend that SAMU notify all employees of this policy and ensure that it is enforced during the upcoming fiscal year.

Corrective Action Plan

Views of Responsible Officials: SAM checks are on file for all vendors paid for using Federal Funds in 2022 and 2023. SAMU will continue to provide training to staff regarding the importance of continuing to conduct SAM checks prior to making purchases. SAMU has included conducting SAM checks in the procurement policy and process.

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