EIN: 953881333
UEI: GJYNK93MKJC5
Data as of August 24, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 27, 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 September 27, 2026 (34 days from today).
What is a management decision? →During our compliance testing of sliding fee discounts, we identified one instance in which Clinica did not apply its sliding fee discount policy in accordance with established internal requirements. Specifically, a sliding fee discount was granted to a patient after the patient had been determined to be non‑compliant per Clinica’s income verification procedures and therefore ineligible for the discount.
Show full finding ▾Hide full finding ▴During our compliance testing of sliding fee discounts, we identified one instance in which Clinica did not apply its sliding fee discount policy in accordance with established internal requirements. Specifically, a sliding fee discount was granted to a patient after the patient had been determined to be non‑compliant per Clinica’s income verification procedures and therefore ineligible for the discount.
Management is reviewing and strengthening the Sliding Fee Discount Program (SFDP) to ensure compliance with regulatory and internal requirements. Corrective actions focus on clarifying income verification and documentation standards, enhancing staff training, and implementing periodic monitoring to ensure consistent application of the sliding fee scale. As part of these efforts, Clinica Romero conducted a robust and targeted staff training through the CMOAR Clinical & Administrative Operations Training on February 21 and February 28, 2026. The training included 74 staff members and covered SFDP eligibility, income verification, documentation requirements, and proper application of discounts in alignment with HRSA Program Requirement. Expected outcomes include improved consistency in SFDP application across departments, increased staff understanding of compliance requirements, fewer incomplete or unsupported applications, and stronger documentation and audit readiness. Clinica will monitor closely and supervise the perfect execution of the sliding fee scale application, and it will set accountability standards for the application of the sliding fee scale.
2024-002
During our compliance testing of suspension and debarment verification, Clinica did not verify that the vendor utilized for construction was not suspended, debarred, or otherwise excluded from participating in a covered transaction prior to engaging with the vendor.
Show full finding ▾Hide full finding ▴During our compliance testing of suspension and debarment verification, Clinica did not verify that the vendor utilized for construction was not suspended, debarred, or otherwise excluded from participating in a covered transaction prior to engaging with the vendor.
Clinica Romero verifies contractor debarment status using both the California Department of Industrial Relations website and the federal System for Award Management (SAM.gov) website prior to engagement. Verification is documented as part of the recommendation-to-hire protocol submitted to the Chief Executive Officer. To strengthen documentation, management will retain evidence of debarment checks by saving or capturing proof of verification at the time the status is reviewed.
FAC accepted this audit on March 31, 2025 — management decision was due October 1, 2025.
During the audit fo rht eyear ended June 30, 2024, it was determined that the SEFA was not properly prepared as two Department of Health and Human Services awards were excluded from the SEFA.
Show full finding ▾Hide full finding ▴During the audit fo rht eyear ended June 30, 2024, it was determined that the SEFA was not properly prepared as two Department of Health and Human Services awards were excluded from the SEFA.
Each successful funding agreement internal process will include these three steps to ensure the funding, regardless of whether the funds are received directly froma federal agency or as a subrecipient or contracted from a pass-thru entity, is captured for SEFA requirements with all its expenditures of federal funds and coded with its corresponding Federal Assistance Listing Number: a)The Development Department will ask funder if funds are federal and what the Federal Assistance Lisitng number is. b)The Finance Director will double-check the accuracy of funding classification. c) The Finance Director will check SAM to verify if funds are from a federal source.
CLA identified two instances of the key control not being met while performing testing over the special tests and provisions compliance requirements.
Show full finding ▾Hide full finding ▴CLA identified two instances of the key control not being met while performing testing over the special tests and provisions compliance requirements.
Trainings: Clinica Romero will provide trainings to front office staff on the correct application of the sliding fee policy on a bi-annual basis. The group trainings are scheduled for twice a year, scheduled for 2025 with group trainings in May and November. Additionally, each new hire will have a one-on-one Sliding Fee training within the first 2 weeks of employment.
FAC accepted this audit on May 23, 2023 — management decision was due November 23, 2023.
During our testing of sliding fee discounts for health center, there were several instances in which the sliding fee was calculated incorrectly.
Show full finding ▾Hide full finding ▴During our testing of sliding fee discounts for health center, there were several instances in which the sliding fee was calculated incorrectly.
Upon discovering issues related to our Sliding Fee Schedule, Clinica Romero addressed and fixed the issues to ensure all patients who are eligible for discount are appropriately charged for services at a discounted rate. The actions taken included updating the Sliding Fee Schedule and Sliding Fee Policy in December 2022 and again in January 2023 to incorporate the 2023 changes in the federal poverty guidelines. Our software was also updated accordingly. We then implemented a training for all front office staff to include a better understanding of the sliding fee discount program, scripts for frequently asked questions from patients, and worksheets for staff to fill out to ensure all required documents are received, to aid in calculations of income, and to ensure proper application of slide category and collection of fees. Our staff were fully retrained on the application of the sliding fee and the review of demographic data and income verification based on our revised policy on February 10, 2023. On March 15, 2023 we asked our EHR software company to ensure the system applies the discounts based on our policy correctly. We feel confident the adjustments, updates to the policy and sliding fee scale, and re-training to the front office staff and managers will ensure the accurate application of the policy and accurate discounts are given to our patients. Clinica will track and monitor compliance through our QA/QI Committee on a regular basis. After all these corrective actions were implemented, we had a HRSA Operational Side Visit (OSV) in March 2023 and we are pleased to share that we passed the OSV?s Sliding Fee Discount Program (Chapter 9).
FAC accepted this audit on September 10, 2020 — management decision was due March 10, 2021.
During our testing of sliding fee discounts for health center, there was one instance in which the sliding fee was calculated incorrectly. Context: We randomly selected twenty-five sliding fee discounts to test for compliance. One of the twenty-five sliding fee selections was incorrectly calculated. Questioned Costs: None Cause: The clinic entered the patient?s salary amount incorrectly in the billing system. There is not a system in place to properly detect and identify slides that may be incorrectly entered or applied. Effect: The patient may not receive the discount they are eligible for and noncompliance with Federal requirements and terms of the grant which may result in withdrawal or revocation of the grant given by the Federal agency. Recommendation: Management?s close supervision and review is the best means to ensure all requirements are met. We recommend implementation of a second level independent review over the demographic data and income verification information entered into the patient billing system in order to ensure the financial classification is correct.
Show full finding ▾Hide full finding ▴Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Centers Cluster CFDA Number: 93.224 and 93.527 Award Period: July 1, 2018 ? June 30, 2019 Criteria: The Health Centers Program, 42 U.S.C. ? 245b(k)(3)(G)(i) states that ?the center has prepared a schedule of fees or payments for the provision of its services consistent with locally prevailing rates or charges and designed to cover its reasonable costs of operation and has prepared a corresponding schedule of discounts to be applied to the payment of such fees or payments, which discounts are adjusted on the basis of the patient?s ability to pay.? Condition: During our testing of sliding fee discounts for health center, there was one instance in which the sliding fee was calculated incorrectly. Context: We randomly selected twenty-five sliding fee discounts to test for compliance. One of the twenty-five sliding fee selections was incorrectly calculated. Questioned Costs: None Cause: The clinic entered the patient?s salary amount incorrectly in the billing system. There is not a system in place to properly detect and identify slides that may be incorrectly entered or applied. Effect: The patient may not receive the discount they are eligible for and noncompliance with Federal requirements and terms of the grant which may result in withdrawal or revocation of the grant given by the Federal agency. Recommendation: Management?s close supervision and review is the best means to ensure all requirements are met. We recommend implementation of a second level independent review over the demographic data and income verification information entered into the patient billing system in order to ensure the financial classification is correct.
In lieu of this finding the Revenue Cycle & Business Development Director will initiate internal sliding fee auditing controls to ensure accuracy of all the data collected and recorded by clinic staff on a quarterly basis moving forward. Results of the internal audit will be shared with Finance Director and Operations Director in order to find resolution and accountability by utilizing workflows and trainings needed to facilitate improvements on this metrics.
2018-006
FAC accepted this audit on March 28, 2019 — management decision was due September 28, 2019.
GSA_MIGRATION
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Show full finding ▾Hide full finding ▴FAC accepted this audit on July 31, 2018 — management decision was due January 31, 2019.
GSA_MIGRATION
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GSA_MIGRATION
2016-001
GSA_MIGRATION
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GSA_MIGRATION
2016-002
FAC accepted this audit on April 5, 2017 — management decision was due October 5, 2017.
GSA_MIGRATION
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GSA_MIGRATION
2015-002
GSA_MIGRATION
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GSA_MIGRATION
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