EIN: 910882971
UEI: KMZMMYN7G541
Data as of August 26, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on October 28, 2021. 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 April 28, 2022 (1581 days ago).
What is a management decision? →One of the clients selected for testing was included in the HMIS report for this program but was not supposed to be included as the individual was not eligible. Context: 11 program clients were selected for eligibility testing and all but one of the selections were in HMIS and also had evidence that eligibility was verified. Effect: An ineligible individual could have received a benefit and HMIS may not have been accurate, complete, and up-to-date with regards to the clients being served. Cause: The Organization experienced staffing transition, they did not have a process in place to ensure that eligibility was being verified, and they were not consistently comparing the list of clients they served to HMIS. Repeat Finding: This is a repeat finding from prior year. Recommendation: The Organization should develop and implement a process to ensure that their client list is complete, accurate and up-to-date relative to program activities, monitor that their clients? eligibility is verified prior to the disbursement of benefits, and compare their client list to HMIS at least on a quarterly basis to comply with King County requirements. Views of responsible officials: The Organization established new procedures that includes more training of the client on-boarding process, confirmation from lead staff that eligibility documentation is in HMIS before any disbursement of benefits occurs, and routinely comparing client lists to HMIS.
Show full finding ▾Hide full finding ▴Criteria or specific requirement: Eligible clients for this program shall be homeless young adults (ages 18-24) as defined by categories 1, 2, and 4 of the definition of homelessness per 24 CFR 578.3. King County shall export required reporting data from the Homeless Management Information System (HMIS), including services, demographics, and client exit data, on the seventh business day after the end of each quarter (April, July, October, January), as applicable. Therapeutic Health Services and Affiliates (the Organization) is required to ensure that data in HMIS be accurate, complete, and up-to-date for the clients they are serving in this program. Condition: One of the clients selected for testing was included in the HMIS report for this program but was not supposed to be included as the individual was not eligible. Context: 11 program clients were selected for eligibility testing and all but one of the selections were in HMIS and also had evidence that eligibility was verified. Effect: An ineligible individual could have received a benefit and HMIS may not have been accurate, complete, and up-to-date with regards to the clients being served. Cause: The Organization experienced staffing transition, they did not have a process in place to ensure that eligibility was being verified, and they were not consistently comparing the list of clients they served to HMIS. Repeat Finding: This is a repeat finding from prior year. Recommendation: The Organization should develop and implement a process to ensure that their client list is complete, accurate and up-to-date relative to program activities, monitor that their clients? eligibility is verified prior to the disbursement of benefits, and compare their client list to HMIS at least on a quarterly basis to comply with King County requirements. Views of responsible officials: The Organization established new procedures that includes more training of the client on-boarding process, confirmation from lead staff that eligibility documentation is in HMIS before any disbursement of benefits occurs, and routinely comparing client lists to HMIS.
Monday, October 4, 2021 Re: THS YHDP Navigation/Diversion Program Corrective Action Plan To Whom This May Concern: Subsequent to notification that a significant deficiency was discovered in the THS YHDP Navigation/Diversion program, the following steps have been taken: ? THS has contacted the funder (King County) and has sent reimbursement of the $1,500 in financial assistance provided to the ineligible participant ? A thorough audit was conducted of all 2020 files across all providers and participants were contacted to obtain missing documentation as necessary ? A comprehensive training was conducted on Wednesday, August 18 for all Navigator/Diversion Program staff. This training included a complete review of the current contract, the Navigator/Diversion Program Manual and forms relevant to verification of age and homelessness verification and the types of documentation allowable for this verification ? A review of all 2021 files was completed by September 1, 2021. Providers whose files are deemed to be deficient will be placed on a Performance Improvement Plan which will require them to obtain needed documentation and adhere to eligibility requirements and documentation or face disciplinary action. ? On-going random internal audits of files will be conducted on a monthly basis by the Navigator/Diversion Supervisor and the Youth & Family Services Program Manager to ensure compliance to eligibility policies and procedures. Please feel free to contact me if you have any further questions. Sincerely, Ken Schlegel Chief Development & Marketing Office
2019-001
FAC accepted this audit on September 28, 2020 — management decision was due March 28, 2021.
One of the clients selected for testing was not included in the HMIS report for this program and there was no additional documentation available to support that they were an eligible client. Context: 30 program clients were selected for eligibility testing and all but one of the selections were in HMIS and also had evidence that eligibility was verified. Effect: An ineligible individual could have received a benefit and HMIS may not have been accurate, complete, and up-to-date with regards to the clients being served. Cause: The Organization experienced staffing transition, they did not have a process in place to ensure that eligibility was being verified, and they were not consistently comparing the list of clients they served to HMIS. Recommendation: The Organization should develop and implement a process to ensure that their client list is complete, accurate and up-to-date relative to program activities, monitor that their clients? eligibility is verified prior to the disbursement of benefits, and compare their client list to HMIS at least on a quarterly basis to comply with King County requirements. Views of responsible officials: The Organization established new procedures that includes more training of the client on-boarding process, confirmation from lead staff that eligibility documentation is in HMIS before any disbursement of benefits occurs, and routinely comparing client lists to HMIS.
Show full finding ▾Hide full finding ▴Criteria or specific requirement: Eligible clients for this program shall be homeless young adults (ages 18-24) as defined by categories 1, 2, and 4 of the definition of homelessness per 24 CFR 578.3. King County shall export required reporting data from the Homeless Management Information System (HMIS), including services, demographics, and client exit data, on the seventh business day after the end of each quarter (April, July, October, January), as applicable. Therapeutic Health Services and Affiliates (the Organization) is required to ensure that data in HMIS be accurate, complete, and up-to-date for the clients they are serving in this program. Condition: One of the clients selected for testing was not included in the HMIS report for this program and there was no additional documentation available to support that they were an eligible client. Context: 30 program clients were selected for eligibility testing and all but one of the selections were in HMIS and also had evidence that eligibility was verified. Effect: An ineligible individual could have received a benefit and HMIS may not have been accurate, complete, and up-to-date with regards to the clients being served. Cause: The Organization experienced staffing transition, they did not have a process in place to ensure that eligibility was being verified, and they were not consistently comparing the list of clients they served to HMIS. Recommendation: The Organization should develop and implement a process to ensure that their client list is complete, accurate and up-to-date relative to program activities, monitor that their clients? eligibility is verified prior to the disbursement of benefits, and compare their client list to HMIS at least on a quarterly basis to comply with King County requirements. Views of responsible officials: The Organization established new procedures that includes more training of the client on-boarding process, confirmation from lead staff that eligibility documentation is in HMIS before any disbursement of benefits occurs, and routinely comparing client lists to HMIS.
September 29, 2020 To Whom It May Concern: In reference to the audit finding on September 15, 2020 (CFDA Number 14.276), a supervision document was created on September 21, 2020 as well as protocols have been put in place to assure that funding will not be released unless and until the Housing Lead staff Gabriel Reyes-Gomez has confirmed that the following requirements have been met; ? Intake paperwork with signatures including a photo copy of identification a. Case notes will reflect any client that does not have proper state ID ? Homeless Verification form with client eligibility clearly documented ? All client information entered into HMIS and scanned into Profiler Thank you, Tujuana Horton Program and Facilities Manager Therapeutic Health Services Youth and Family
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