Institutional Federal Compliance Report 2021

STATE OF NEW YORK

Schedule of Findings and Questioned Costs

Year ended March 31, 2018

The Department’s VFC provider site visit tracking spreadsheet indicated that 11 providers (approximately 0.6% of the total providers) did not have site visits performed by the Department within the State Plan’s two year requirement (April 1, 2016 to March 31,2018). Cause The condition found was due to a variety of factors, including the Department staffing shortages resulting from hiring freezes, turnover and medical leave. Additionally, the Department has struggled with scheduling their visits based on VFC provider availability and/or VFC provider short notice cancellations. The Department’s manual internal control was not designed sufficiently to ensure site-visits are performed over 100% of VFC providers within two years. Possible Asserted Effect Failure to perform the site visits in accordance with the State Plan may result in VFC providers having inadequately safeguarded vaccine inventories and vaccines being used for unauthorized purposes for as defined by the laws, regulations, and terms and conditions of the federal award. Statistical Sampling The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding A similar finding was included in the prior year Single Audit Report as finding number 2015-027 on page 83. Questioned Costs Cannot be determined. Recommendation We recommend that the Department update manual controls to ensure site visits are performed at all VFC providers every two years to ensure that the providers have effective controls over the maintenance of vaccines and that records of vaccinations administered by the program are available. Views of Responsible Officials The Department accepts the finding and has already implemented significant process enhancements in this area. Reference the corrective action plan for further details.

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