Department of Health and Human Services  OFFICE OF INSPECTOR GENERAL  OFFICE OF REFUGEE RESETTLEMENT  UNACCOMPANIED ALIEN CHILDREN  GRANTEE REVIEW—HIS HOUSE  Inquiries about this report may be addressed to the Office of Public Affairs at  Public.Affairs@oig.hhs.gov.  Gloria L. Jarmon Deputy Inspector General for Audit Services  December 2017 A-04-16-03566    Office of Inspector General https://oig.hhs.gov  The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is  to protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the  health and welfare of beneficiaries served by those programs. This statutory mission is carried out through  a nationwide network of audits, investigations, and inspections conducted by the following operating  components:  Office of Audit Services  The Office of Audit Services (OAS) provides auditing services for HHS, either by conducting audits with  its own audit resources or by overseeing audit work done by others. Audits examine the performance of  HHS programs and/or its grantees and contractors in carrying out their respective responsibilities and are  intended to provide independent assessments of HHS programs and operations. These assessments help  reduce waste, abuse, and mismanagement and promote economy and efficiency throughout HHS.  Office of Evaluation and Inspections  The Office of Evaluation and Inspections (OEI) conducts national evaluations to provide HHS, Congress,  and the public with timely, useful, and reliable information on significant issues. These evaluations focus  on preventing fraud, waste, or abuse and promoting economy, efficiency, and effectiveness of  departmental programs. To promote impact, OEI reports also present practical recommendations for  improving program operations.  Office of Investigations  The Office of Investigations (OI) conducts criminal, civil, and administrative investigations of fraud and  misconduct related to HHS programs, operations, and beneficiaries. With investigators working in all 50  States and the District of Columbia, OI utilizes its resources by actively coordinating with the Department  of Justice and other Federal, State, and local law enforcement authorities. The investigative efforts of OI  often lead to criminal convictions, administrative sanctions, and/or civil monetary penalties.  Office of Counsel to the Inspector General  The Office of Counsel to the Inspector General (OCIG) provides general legal services to OIG, rendering  advice and opinions on HHS programs and operations and providing all legal support for OIG’s internal  operations. OCIG represents OIG in all civil and administrative fraud and abuse cases involving HHS  programs, including False Claims Act, program exclusion, and civil monetary penalty cases. In  connection with these cases, OCIG also negotiates and monitors corporate integrity agreements. OCIG  renders advisory opinions, issues compliance program guidance, publishes fraud alerts, and provides  other guidance to the health care industry concerning the anti-kickback statute and other OIG enforcement  authorities.    Notices  THIS REPORT IS AVAILABLE TO THE PUBLIC  at https://oig.hhs.gov  Section 8M of the Inspector General Act, 5 U.S.C. App., requires that OIG post its publicly  available reports on the OIG website.  OFFICE OF AUDIT SERVICES FINDINGS AND OPINIONS  The designation of financial or management practices as questionable, a recommendation for the  disallowance of costs incurred or claimed, and any other conclusions and recommendations in  this report represent the findings and opinions of OAS. Authorized officials of the HHS  operating divisions will make final determination on these matters.    Report in Brief Date: December 2017 Report No. A-04-16-03566  Why OIG Did This Review The Unaccompanied Alien Children (UAC) program served between 7,000  and 8,000 children annually from fiscal year (FY) 2005 through FY 2011. In FY 2012, the number of  children in the program began to increase. By the end of FY 2012, the UAC program, under the  Department of Health and Human Services, Office of Refugee Resettlement (ORR), served approximately  13,625 children. In FY 2014, referred to as the “surge” year, ORR served 57,496 children.  Funding for the program also increased. From FY 2009 through FY 2014, funding for the UAC program  totaled more than $2 billion, an increase of $707 million during this same period.  We selected for audit His House Children’s Home, Inc. (His House), a UAC grantee responsible for  caring for children in ORR custody, because a former employee was convicted of extortion, and we were  interested in assessing whether there were other vulnerabilities.  Our objectives were to determine whether His House (1) met applicable safety standards for the care and  release of children in its custody and (2) claimed only allowable expenditures in accordance with  applicable laws, regulations, and departmental guidance.  How OIG Did This Review Our review covered October 1, 2013, through September 30, 2014. We  reviewed UAC case files, personnel records, financial transactions, and policies and procedures. Also, we  inspected shelter care cottages.  Office of Refugee Resettlement Unaccompanied Alien Children  Grantee Review—His House  What OIG Found Generally, His House met safety standards for the care and release of children in its  custody. However, some UAC case files were missing evidence of sponsor background checks and other  required documentation.  His House claimed only allowable expenditures. However, we identified areas in which His House lacked  an efficient and effective system of internal controls when administering UAC program funds.  As a result, His House (1) might not have followed ORR policies for 652 children regarding sponsor  background checks, prompt medical care, provision of appropriate clothing, sponsor placement decisions,  post-release services, or the notification of the Department of Homeland Security of the child’s release to  a sponsor and (2) might have placed Federal funds totaling $9 million at risk of mismanagement or  misappropriation.  What OIG Recommends and His House Comments We recommend that His House (1) develop a policy  for maintaining UAC case file documentation that would ensure ORR policies and procedures were  followed when releasing a child to a sponsor, (2) increase oversight of its reviewing process for UAC case  files to ensure that all required documentation is maintained in the file, and (3) implement a financial  management system that requires adequate identification of the source and application of Federal funds  and effective accountability of property and other assets. We also made procedural recommendations  aimed at addressing internal control deficiencies we identified.  His House did not agree with the OIG’s findings; however, it concurred with our recommendations and  described steps that it had taken or planned to take to address our findings and recommendations.  The full report can be found at TABLE OF CONTENTS  INTRODUCTION............................................................................................................................. 1  WHY WE DID THIS REVIEW ...............................................................................................1  OBJECTIVES .......................................................................................................................1  BACKGROUND...................................................................................................................2  Care  Process..........................................................................................................3  Family  Reunification  Process  ................................................................................3  His  House  ..............................................................................................................4  HOW WE CONDUCTED THIS REVIEW................................................................................5  FINDINGS...........................................................................................................................5  Some Documents Were Missing From His House Case Files............................................6  Some Case Files Lacked Evidence of Background Investigations  on Sponsors.......................................................................................................6 Some Case  Files Had Other Documentation Errors..............................................7  Although Transactions Were Allowable, His House Had Deficiencies  Within Its Financial Management and Property Control Systems................................8  His House Lacked Documentation and a Methodology for Payment  Management System Drawdowns ....................................................................8 His House’s  Financial Accounting System Was Not Able To Specifically  Identify Expenditures for Its Shelter Care Cooperative Agreement .................9 His House Had  Inadequate and Improperly Implemented Segregation  of Duties ............................................................................................................9 His House Had  Inaccurate and Delayed Recording of Accounting  Transactions ....................................................................................................10 His House Had  Inadequate Physical Control Over Vulnerable Assets................10  RECOMMENDATIONS  .................................................................................................................11  HIS HOUSE COMMENTS AND OFFICE OF INSPECTOR GENERAL  RESPONSE...............................11  APPENDICES  A: Audit Scope and Methodology...................................................................................13  B: Office of Refugee Resettlement Requirements..........................................................15  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566)    C: Selected Requirements for Office of Refugee Resettlement Provider Care  Facilities During Our Audit Period ..........................................................................20  D: Statistical Sampling Methodologies ...........................................................................22  E: Sample Results and Estimates—UAC Case Files .........................................................25  F: Definitions ...................................................................................................................26  G: His House Comments .................................................................................................28  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566)    INTRODUCTION  WHY WE DID THIS REVIEW  The Office of Refugee Resettlement (ORR) within the Department of Health and Human  Services’ (HHS) Administration for Children and Families (ACF) manages the Unaccompanied  Alien Children (UAC) program. The UAC program served between 7,000 and 8,000 children  annually from fiscal year (FY) 2005 through FY 2011. In FY 2012, however, the number of  children entering the program began to increase, and by the end of FY 2012, the UAC program  served approximately 13,625 children. In FY 2013, the program served 24,668 children, and in  FY 2014, referred to as the “surge” year, ORR served 57,496 children.  As the number of children increased, so did the funding for the program. From FY 2009 through  FY 2014, ORR’s funding for its UAC program totaled more than $2 billion, with about $912  million (44 percent) of the funding occurring during FY 2014 alone (Figure 1).  Figure 1: UAC Program Funding FY2009–FY2014  1B  912M  900M  800M  700M  s r a l l o D  600M  500M  400M  376M  300M  205M  267M  200M  149M 149M  100M  0  FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 Fiscal Year  Because of the rapid increase of vulnerable children entering ORR care, the significant increases  in program funding, and the multiple changes to ORR policies during FY 2014, we are  conducting a series of reviews of ORR care providers across the Nation. We selected His House  Children’s Home, Inc. (His House), as the first ORR care provider for review because a former  employee was convicted of extortion, and this led us to believe that vulnerabilities may exist.  OBJECTIVES  The objectives of this review were to determine whether His House (1) met applicable safety  standards for the care and release of children in its custody and (2) claimed only allowable  expenditures in accordance with applicable laws, regulations, and departmental guidance.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 1    BACKGROUND  Within HHS, ORR manages the UAC program. The UAC program funds temporary shelter  care1 and other related services for unaccompanied children in ORR custody. In FY 2014, ORR  awarded grants totaling $1.1 billion to providers for the care and placement of children. The  UAC program is separate from State-run child welfare and traditional foster care systems.  By law, HHS must provide for the custody and care of a UAC, defined as a child who has no  lawful immigration status in the United States; has not attained 18 years of age; and, with respect  to whom there is no parent or legal guardian in the United States, or no parent or legal guardian  in the United States available to provide care and physical custody (6 U.S.C. § 279(g)(2)). The  Flores Settlement Agreement established a nationwide policy for the detention, treatment, and  release of UAC and recognized the particular vulnerability of UAC while detained without a  parent or legal guardian present (Flores v. Meese—Stipulated Settlement Agreement (U.S.  District Court, Central District of California, 1997) (Flores Settlement Agreement)).  Under the Homeland Security Act of 2002, Congress transferred the care and custody of UACs  to HHS from the former Immigration and Naturalization Service to move toward a child-  welfare-based model of care and away from the adult detention model. In the Trafficking  Victims Protection Reauthorization Act of 2008, which expanded and redefined HHS’s statutory  responsibilities, Congress directed that each child must “be promptly placed in the least  restrictive setting that is in the best interest of the child” (8 U.S.C. § 1232(b)(2)).  During our audit period (FY 2014), ORR looked to the 2006 Draft Division of Unaccompanied  Children’s Services Policies and Procedures Manual (P&P Manual) for applicable policies and  procedures.2 Additionally, ORR used the ORR UAC Program Operations Manual, which was  originally issued in April 2012 and updated in December 2012 (Ops Manual 2012), November  2013 (Ops Manual 2013), and April 2014 (Ops Manual 2014). The Ops Manuals covered only  certain areas of program management; where there was no Ops Manual guidance, ORR referred  to the P&P Manual. ORR made changes to both the P&P Manual and the Ops Manual on an ad  hoc basis. The P&P Manual and the Ops Manuals together constitute the policies and procedures  in effect during our audit period (October 2013 through September 2014). In this report, we cite  the provisions in effect during the audit period. The content of the provisions and applicable  dates are included in Appendix B.  Subsequent to our audit period, ORR issued the ORR Guide: Children Entering the United States  Unaccompanied (Policy Guide), effective January 2015, and the ORR UAC Program Operations  Manual (Operations Manual), effective September 2015, to replace the previous draft versions.  ORR updates these documents on an ad hoc basis and records the most recent effective date next  to each policy provision.  1 Shelter Care is a residential care provider facility in which all of the programmatic components are administered  onsite in the least restrictive environment. The goal of shelter care is to provide the least restrictive setting that is in  the best interests of the child, taking into consideration potential flight risk and danger to the child and others.  2 Although the P&P Manual was marked “[D]raft,” it included policies and procedures that should be followed.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 2    45 CFR part 74 establishes uniform administrative requirements for awards to nonprofit  organizations.3  Care Process  ORR funds care providers through cooperative agreements to provide temporary housing and  other services to children in ORR custody at State-licensed facilities. These facilities must meet  ORR requirements to ensure a high-level quality of care.  Federal Field Specialists (FFSs) are Federal employees who oversee the care providers and  ensure that they are following ORR requirements. FFSs are ORR’s field staff who are assigned  to a group of care providers within a region. An FFS’s authority includes approving or denying  all child transfer and release decisions, overseeing care providers, implementing policies and  procedures, and serving as a liaison to local stakeholders. FFSs also provide guidance, direction,  and technical assistance to care providers.  Case Managers are employees of the care provider whose responsibilities include:  • coordinating child assessments to include completing individual service plans,  • assessing potential child sponsors,  • making transfer and release recommendations, and  • coordinating the release of a child to a sponsor.  ORR contracts with Case Coordinators who act as local ORR liaisons with care providers. Case  Coordinators serve as third-party reviewers of each Case Manager’s family reunification process.  After reviewing the Case Managers’ decisions, Case Coordinators make transfer and release  recommendations to the FFSs.  ORR policy requires that children receive certain care and services while in care provider  facilities. See Appendix C for a chart of some of these services.  Family Reunification Process  In addition to caring for children, the care providers facilitate the release of the child to family  members or other sponsors, known as the “family reunification process,” according to the  following preferences: (1) a parent, (2) a legal guardian, (3) an adult relative, (4) an adult  individual or entity designated by the child’s parent or legal guardian, (5) a licensed program  willing to accept legal custody, or (6) an adult or entity approved by ORR. ORR has grouped  these sponsors into three categories:  • Category 1 – Parents and legal guardians;  3 45 CFR part 74 was superseded by 45 CFR part 75 for awards made on or after December 26, 2014.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 3    • Category 2 – Other immediate adult relatives, such as a brother, sister, aunt, uncle, or  grandparent; and  • Category 3 – Distant relatives and unrelated adults.  In making placement decisions, Case Managers facilitate background investigations on the  sponsor. As detailed in Appendix F, the level of the background check depends on the  relationship between the sponsor and the child.  During the family reunification process, Case Managers are responsible for conducting a  suitability assessment of the sponsor. This assessment includes investigating the background of  the sponsor, but Case Managers must also confirm the familial relationship of the sponsor to the  child. Furthermore, current ORR policy requires the sponsor to complete a sponsor care plan if  the sponsor is unlawfully present in the United States. ORR requires a sponsor care plan to  ensure that each child has a caregiver, regardless of any complications that could arise from a  sponsor’s immigration status.  The FFS, Case Manager, and Case Coordinator each play a role in the decision to release a UAC  to a sponsor. The Case Manager makes a recommendation to the Case Coordinator regarding the  release. The Case Coordinator conducts a third-party review of the proposed release and makes a  recommendation to the FFS on the release of the UAC to a particular sponsor. If the Case  Manager and Case Coordinator are unable to agree on a particular recommendation, they may  refer the case directly to an FFS for guidance. Once the Case Manager and Case Coordinator  present a recommendation to the FFS, the FFS reviews the recommendation and makes a release  decision in consideration of these recommendations.  His House  His House is an ORR-funded, faith-based, shelter care provider in Miami, Florida. Since 2008,  His House has participated in the UAC program and served more than 5,000 children. In FY  2014, His House spent approximately $9 million in Federal funds for the care and placement of  approximately 1,900 children.  Of the approximately 1,900 children at His House during 2014:  • 81 percent were males and 19 percent were females,  • 48 percent were between the ages of 13 and 16, and  • 65 percent were released to category 1 sponsors.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 4    HOW WE CONDUCTED THIS REVIEW  To ensure that His House met applicable safety standards, we (1) inspected 3 of 10 cottages that  provided shelter care, (2) reviewed His House licensing documents and inspection results, (3)  reviewed a judgmental sample of His House personnel records, and (4) reviewed a statistical  sample of case files for those children who had been released to a sponsor during FY 2014.  To ensure that His House claimed only allowable expenditures, we (1) reviewed a stratified  statistical sample of financial transactions and (2) reviewed His House accounting policies,  procedures, and organizational structure.  Our review covered October 1, 2013, through September 30, 2014 (audit period).  We conducted this performance audit in accordance with generally accepted government  auditing standards. Those standards require that we plan and perform the audit to obtain  sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions  based on our audit objectives. We believe that the evidence obtained provides a reasonable basis  for our findings and conclusions based on our audit objectives.  Appendix A contains the details of our audit scope and methodology, Appendices D and E  contain the details of our sampling methodology and estimates, and Appendix F contains  selected definitions.  FINDINGS  His House generally met applicable safety standards for the care and release of children in its  custody and claimed only allowable expenditures. However, His House did not have some  documentation required to verify that it had met certain safety standards, and it had some  deficiencies within its financial management system.  Although His House generally met safety standards for the care and release of children in its  custody, some UAC case files were missing evidence of sponsor background checks and other  required documentation.  These documentation deficiencies occurred because His House lacked oversight by its own staff  to ensure that all ORR-required documentation was maintained in the UAC case files.  On the basis of our UAC case file sample results, we estimated that His House did not properly  document the care and release of approximately 36 percent of all children released to sponsors in  FY 2014. Without adequate documentation in the case files, ORR could not be assured that, for  652 children, His House had followed ORR policies regarding sponsor background checks,  prompt medical care, provision of appropriate clothing, sponsor placement decisions, post-  release services, or the notification of the Department of Homeland Security (DHS) of the child’s  release to a sponsor.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 5  Although His House claimed only allowable expenditures, it had some deficiencies within its  financial management system, such as a lack of documentation and segregation of duties. The  deficiencies within the financial management system occurred because His House lacked an  efficient and effective system of internal controls when administering UAC program funds.  Without an efficient and effective internal control system, Federal funds totaling $8,994,814  were at risk of mismanagement or misappropriation.  SOME DOCUMENTS WERE MISSING FROM HIS HOUSE CASE FILES  Of the 1,810 children4 that His House released to sponsors during our audit period, we estimated  that 36 percent of the associated case files contained errors (3 percent sponsor-  background-check-related and 35 percent “other” documentation errors).5  Some Case Files Lacked Evidence of Background Investigations on Sponsors  All potential sponsors must undergo background checks (Ops Manual 2012 § 4.401; Ops  Manuals 2013 and 2014, § 4.402). However, His House could not provide evidence that it  conducted all required background checks when vetting sponsors. From our statistical sample of  75 UAC case files, 2 did not contain documentation to indicate that His House had conducted  background checks on the sponsors. Specifically, one case file for a child His House released to a  category 1 sponsor contained no evidence that a public records check was conducted on the  sponsor. The second case file was missing documentation to indicate that His House conducted a  criminal history fingerprint check on a category 2 sponsor.  Vulnerability in Background Investigation Process  During our audit period, ORR policy did not require that all adult household members residing in  a potential sponsor’s home undergo background checks, except in cases referred for a home  study. ORR policy did require a sponsor unlawfully present in the United States to complete a  sponsor care agreement indicating the sponsor’s plan for care for the UAC should immigration  issues arise for the sponsor. However, the sponsor care agreement during the period of our audit  did not require individuals named as potential caregivers to undergo background checks.  In FY 2014, His House released to category 1 sponsors approximately 65 percent of the children  in its care. Of the children that His House released to category 1 sponsors, approximately 83  percent of those sponsors were unlawfully present in the United States. During our review of the  75 sampled case files, we noted vulnerabilities in ORR’s policy related to children released to  category 1 sponsors. Not requiring a background investigation on all adults in the household put  the safety of each child released to a category 1 sponsor at risk by virtue of the shared living  space.  4 His House cared for approximately 1,900 children during FY 2014. Our review covered only those children who  had been released directly to a sponsor.  5 The individual error percentages do not sum to 36 percent because some case files had both background-check-  related errors and “other” documentation errors.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 6    For example, one case file we reviewed, where the child was released to his mother,  demonstrates the vulnerability that exists when household members do not undergo background  checks. In this instance, if the mother were deported or experienced other immigration issues, the  child’s stepfather (an unrelated adult) could have become the child’s caretaker. ORR  subsequently changed its policy on background investigations to require certain types of  background checks on all adults in a sponsor’s household and on all adults in the sponsor care  agreement. This is an important step to help ensure children are released into safe households,  especially if complications arise from a sponsor’s immigration status.  Missing Documentation Because of Lack of Oversight  His House stated that it did not document in the two UAC case file the background investigations  required for these sponsor files because of a lack of oversight on its part to ensure that case files  contained all required documentation.  Unaccompanied Children’s Safety Potentially at Risk Upon Release  On the basis of our sample results, we estimated that His House did not have evidence that it had  conducted background investigations in 3 percent of the cases in which it released children to  sponsors in FY 2014. Without documentation in the UAC case files to demonstrate that His  House conducted background investigations, ORR was not always sure that His House was  releasing children to sponsors who had been properly vetted. As a result, children may have been  at risk of being released to sponsors with significant criminal backgrounds, placing children in  danger, including of human trafficking.  Some Case Files Had Other Documentation Errors  Of the 75 UAC case files in our sample, 26 files had other documentation errors, and 4 of these  had more than 1 error. On the basis of our sample results, we estimated that His House did not  properly document the care or notify DHS of release of approximately 35 percent of all children  released to sponsors in FY 2014. As a result, ORR could not be assured that His House followed  ORR policies regarding prompt medical care, provision of appropriate clothing, sponsor  placement decisions, post-release services, or notification of DHS of the child’s release to a  sponsor. The documentation errors we identified are described below.  Information Not Gathered Within Required Time  According to ORR policy, a care provider must use an “Initial Intakes Assessment” form to  interview the child within 24 hours of arrival at the ORR facility. For 10 of the 26 sample files,  the “Initial Intakes Assessment” form contained errors. For example, 5 of these 10 sample files  indicated that the required intake procedures were not completed within 24 hours. In addition, 2  of the 10 sample files did not document the date that the child arrived at the ORR care provider  facility or the date the intake assessment was completed. Other discrepancies included missing  intake assessment forms for three sample files.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 7    Some Case Files Missing Documents To Support Clean Clothing Distribution  Care providers are required to issue clothing to each child upon admission (P&P Manual, §  3.01). For 17 of the 26 sample files, His House did not document that it gave the child clothing  upon admission.  Some Case Files Missing Documentation To Prove Discharge Notification Forms Were Sent to  the Department of Homeland Security  Upon release of a child to a sponsor, the care provider is required to complete a discharge  notification form within 24 hours and email the forms to DHS and other stakeholders (Ops  Manual 2012 § 4.500; Ops Manuals 2013 and 2014, § 4.501). For 3 of the 26 sample files, no  documentation in the case file supported that His House notified DHS that it had released a child  to a sponsor.  Missing Documentation Because of Lack of Oversight  His House stated that the file discrepancies and documentation missing from the UAC case files  were caused by a lack of oversight by His House staff responsible for conducting quality  assurance reviews of the case files.  ALTHOUGH TRANSACTIONS WERE ALLOWABLE, HIS HOUSE HAD  DEFICIENCIES WITHIN ITS FINANCIAL MANAGEMENT AND PROPERTY  CONTROL SYSTEMS  His House recorded $8,994,814 in expenditures during FY 2014. Of these expenditures, we  statistically selected 105 financial transactions totaling $1,935,250 for review. All 105  transactions were allowable. However, His House had several deficiencies within its financial  management system that, collectively, put at risk almost $9 million in Federal funds for potential  mismanagement or misappropriation.  His House Lacked Documentation and a Methodology for Payment Management System  Drawdowns  Recipients’ financial management systems must provide accounting records that are supported  by source documentation (45 CFR § 74.21(b)(7)), and cash advances to a recipient organization  must be limited to the minimum amounts needed and be timed to be in accordance with the  actual, immediate cash requirements of the grantee in carrying out the program (45 CFR §  74.22(b)(ii)(2)). His House made 15 drawdowns from the payment management system (PMS)6  totaling approximately $8.2 million during FY 2014 but had no documentation to support the use  of the funds drawn. Additionally, although His House representatives asserted that they drew  funds on an as-needed basis, they could not explain the methodology used to calculate the  amounts drawn.  6 PMS is a centralized payment and cash-management system that accomplishes all payment-related activities from  the time of award through closeout.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 8    His House’s Financial Accounting System Was Not Able To Specifically Identify  Expenditures for Its Shelter Care Cooperative Agreement  Recipients’ financial management systems must provide records that adequately identify the  source and application of funds for HHS-sponsored projects or programs (45 CFR §  74.21(b)(2)). His House’s financial accounting system was not able to specifically identify  expenditures for its ORR-funded shelter care (residential services) cooperative agreement. For  example, His House’s accounting system did not use an indicator to distinguish between  expenditures associated with a different cooperative agreement. Therefore, we statistically  selected and reviewed expenditure transactions for both His House’s ORR-funded Residential  Services cooperative agreement and its Home Study7 cooperative agreement.  The current His House staff stated that during FY 2014, both of the ORR-funded cooperative  agreements (Residential Services and Home Study) were combined under one account in PMS.  They believed that combining the cooperative agreement accounts in PMS created some  confusion for the previous His House staff regarding how the cooperative agreements should  have been recorded within the financial system.  His House Had Inadequate and Improperly Implemented Segregation of Duties  Recipients’ financial management systems must provide effective control over and  accountability for all funds (45 CFR § 74.21(b)(3)). His House payroll personnel had unlimited  direct online access to change employee data in His House’s human resource (HR) and payroll  systems with limited managerial oversight. During the audit period, His House used one system  for HR data (PayChex) and another system for processing time and attendance (QQest). The  PayChex system maintained employee demographic data such as name, address, date of hire,  date of birth, Social Security number, position title, etc. His House HR personnel were  responsible for entering employee data into the PayChex system. The QQest system recorded  time and attendance for His House employees. His House payroll personnel uploaded time and  attendance data from QQest into PayChex to process payroll.  Payroll personnel had unlimited access to make changes in both PayChex and QQest with  limited managerial oversight. His House has continued this process with its current system,  SimplePay.  His House stated that payroll personnel had access to employee input fields; however, an  approved Personnel Action Request form was required prior to the payroll personnel making a  change in PayChex. Nevertheless, His House did not establish effective controls over HR and  payroll responsibilities so that no single employee had unlimited access to both systems. Access  to both systems gives an employee the ability to enter changes, such as salary and wage  increases, in both the HR and payroll systems. His House had policies and procedures that were  not implemented in a way that achieved adequate segregation of duties and managerial oversight.  7 The Office of Refugee Resettlement/Division of Children's Services conducts home studies for certain children  prior to their release from ORR custody.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 9    His House Had Inaccurate and Delayed Recording of Accounting Transactions  Recipients’ financial management systems must provide for accurate, current, and complete  disclosure of the financial results of each HHS-sponsored project or program (45 CFR §  74.21(b)(1)). Moreover, management designs appropriate control activities for the entity’s  internal control system such as accurately and timely recording transactions to maintain their  relevance and value to management.8 In cash management situations, organizations rely on  timely and accurate recording to draw Federal funds based on actual cash needs. Throughout the  fiscal year, His House made numerous adjustments to payroll expenditures. Additionally, His  House did not efficiently manage its credit card payments.  Instead of recording payroll to its proper account within the financial accounting system when  payroll was processed, His House initially recorded payroll to a miscellaneous expense account.  After it processed payroll, His House would allocate payroll to proper accounting codes on the  basis of the labor distribution reports. Payroll transactions totaling $122,308 that were not  promptly recorded lost their relevance and value to management’s control of operations and  decision making.  Additionally, His House did not match payments on its corporate credit card with current  expenditures. Therefore, we could not associate payments to specific grant expenditures that His  House made with the credit card. As a result, we have no assurance that His House’s credit card  purchases and payments were for expenditures it incurred during the credit card billing period.  His House Had Inadequate Physical Control Over Vulnerable Assets  Recipients’ financial management systems must provide effective control over and  accountability for all funds, property, and other assets (45 CFR § 74.21(b)(3)). His House did not  maintain an inventory of assets. For example, His House had equipment items that it used to  perform routine maintenance on UAC shelters. These items were not documented or maintained  in its inventory. Likewise, although property tags were placed on computer equipment, His  House had no system for tracking the equipment and did no inventory verification. As a result,  His House did not know the location or condition of the assets and equipment that it owned.  8 Principle 10.03, Standards for Internal Control in the Federal Government (GAO-14-704G), issued by GAO  September 2014.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 10    RECOMMENDATIONS  We recommend that His House:  • develop a policy for maintaining UAC case file documentation that would ensure ORR policies  and procedures were followed when releasing a child to a sponsor;  • increase oversight of its reviewing process for UAC case files to ensure that all required  documentation is maintained in the file;  • update or develop policies and procedures pertaining to:  o maintaining adequate documentation to support its drawdowns of Federal funds  and to support that its drawdowns are based on actual expenditures,  o achieving the segregation of duties such as ensuring limited access to employee  data maintained in its HR and payroll systems and improved managerial oversight, and  o recording financial transactions accurately and timely; and  • implement a financial management system that requires adequate identification of the source  and application of Federal funds and effective accountability of property and other assets.  HIS HOUSE COMMENTS AND OFFICE OF INSPECTOR GENERAL RESPONSE  His House concurred with our recommendations and described steps it had taken or planned to  take to address our findings and recommendations. His House also provided additional  documentation to support some of the items we determined to be in error in our draft report.  Additionally, His House provided policies and procedures that it developed in response to our  review. We revised our findings, as appropriate, to reflect our review of the additional  documentation His House provided.  With respect to our review of UAC case files, His House provided documentation to support 19  sample items that we had determined to contain errors. We accepted this documentation for three  sample items and adjusted our sample results accordingly. Although our error count changed, our  findings and recommendations did not change. We included these changes in the body of the  report, as well as in Appendix E.  With respect to our review of financial transactions, His House disagreed with the OIG’s  findings but concurred with our recommendations. Although His House disagreed with our  findings, it developed new policies and procedures related to its financial management system to  address our findings and recommendations. These addressed:  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 11    • maintaining adequate documentation to support its drawdowns of Federal funds,  • maintaining adequate documentation to support that its drawdowns are based on actual  expenditures,  • segregating duties to ensure limited access to employee data maintained on its HR and payroll  systems,  • improving managerial oversight over access to employee data,  • recording financial transactions accurately and timely,  • implementing a financial management system that requires adequate identification of source  and application of Federal funds, and  • implementing effective accountability of property and other assets.  After reviewing His House’s comments and additional documentation, we maintain that our  findings and recommendations are correct.  His House’s written comments are included in their entirety as Appendix G. However, we did  not include the attached exhibits because they were too voluminous.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 12    APPENDIX A: SCOPE AND METHODOLOGY  SCOPE  We reviewed His House’s health and safety controls to ensure that the care provider met  applicable safety standards for the care of children in its custody. Additionally, we reviewed  documentation related to grant expenditures claimed for reimbursement and His House  accounting policies, procedures, and organizational structure to ensure His House met applicable  Federal and State grant requirements in administering its UAC grant.  We performed our fieldwork at His House in Miami Gardens, Florida, from November 2016  through July 2017. Our review covered from October 1, 2013, through September 30, 2014  (audit period).  Our objective did not require an understanding of all of His House’s internal controls. We  limited our assessment to His House’s controls pertaining to the selected health and safety  factors we reviewed. We also reviewed His House’s internal controls related to its financial  management system.  METHODOLOGY  To accomplish our objective, we:  • reviewed applicable Federal laws, regulations, and guidance;  • reviewed grant documents and policies and procedures maintained at His House;  • interviewed His House officials and ORR’s Federal Field Specialist assigned to His House;  • toured the His House site;  • conducted a review of selected health and safety factors at the site and noted any deficiencies;  • selected a statistical sample of UAC case files for children released to sponsors during FY 2014  (Appendix D);  • reviewed and documented any deficiencies within these sampled UAC case files;  • selected and reviewed a judgmental sample of employee files by:  o sorting the list of employees into two groups: part-time and full-time,  o numbering the list sequentially, and  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 13    o selecting every 10th full-time employee and every 6th part-time employee;  • selected a stratified statistical sample of financial transactions that His House charged to the  grant during FY 2014 (Appendix D);  • reviewed supporting documentation for each sampled transaction (including payments to  subcontractors, if applicable);  • reviewed His House’s Federal grant reports—financial and programmatic—for the audit  period;  • estimated results of statistical samples, as applicable (Appendix E); and  • discussed our findings with His House officials.  We conducted this performance audit in accordance with generally accepted government  auditing standards. Those standards require that we plan and perform the audit to obtain  sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions  based on our audit objectives. We believe that the evidence obtained provides a reasonable basis  for our findings and conclusions based on our audit objectives.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 14    APPENDIX B: OFFICE OF REFUGEE RESETTLEMENT REQUIREMENTS (Effective  10/2013–9/2014)  Unless otherwise noted, Manual provisions are effective as of the following dates:  Ops Manual 2012—12/21/12 Ops Manual 2013—11/25/13 Ops Manual 2014—4/4/14 P&P  Manual—8/21/06  Background Checks for Sponsors To meet the requirement of an independent finding that the  sponsor does not have a history that would place a UAC’s safety at risk, in collaboration with the  U.S. Department of Health and Human Services, Office of Security and Strategic Information,  Division of Personnel Security, care providers shall conduct criminal history, child abuse/neglect  checks and immigration background checks as follows:  Ops Manual 2012 § 4.401 National (FBI) Criminal History Check (digital fingerprint)  • All sponsors  • All adult household members for cases referred for a home study  • May be conducted on any adult household member where a case of special concern is identified  Immigration Status Check  • All sponsors  Child Abuse and Neglect check  • The sponsor, for all home study cases  • May be conducted on any adult household member where a case of special concern is identified  Criminal Public Record Check (Internet)  • All sponsors  • May be conducted on any adult household member where a case of special concern is identified  State Criminal History Repository Check and/or Local Police Check  • For sponsors or household members, may be conducted in special circumstance only for  unresolved criminal arrest or issue  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 15    Ops Manuals 2013 § 4.402 National (FBI) Criminal History Check (digital fingerprint)9  • Category 2 and Category 3 sponsors  • Category 1 sponsors where there is a documented risk to the safety of the UAC, the UAC is  especially vulnerable, or the case is being referred for a mandatory home study  • All adult household members for home study cases  • May be conducted on any adult household member where a case of special concern is identified  Immigration Status Check  • All sponsors  Child Abuse and Neglect Check  • The sponsor, for all home study cases  • May be conducted on any adult household member where a case of special concern is identified  Criminal Public Record Check (Internet)  • All sponsors  • May be conducted on any adult household member where a case of special concern is identified  State Criminal History Repository Check and/or Local Police Check  • May be conducted on sponsors or household members in special circumstances only for  unresolved criminal arrest or issue  Ops Manuals 2014 § 4.402 (issued 1/1/14) National (FBI) Criminal History Check (digital  fingerprint)  • Category 2 and Category 3 sponsors  • Category 1 sponsors where there is a documented risk to the safety of the UAC, the UAC is  especially vulnerable, or the case is being referred for a mandatory home study  • All adult household members for home study cases  • May be conducted on any adult household member where a case of special concern is identified  Immigration Status Check  • All sponsors that require a national (FBI) criminal history check  Child Abuse and Neglect check  • The sponsor, for all home study cases  9 During the first 2 months of the audit period of this review (October and November 2013), ORR required all  categories of sponsors to undergo a National (FBI) Criminal History Check. Effective November 25, 2013, this  requirement no longer applied to Category 1 sponsors. Additionally, for approximately 1 month during our audit  period (May 20, 2014, through June 16, 2014), ORR did not require fingerprint background checks on any category  of sponsor if certain conditions were met.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 16    • May be conducted on any adult household member where a case of special concern is identified  Criminal Public Record Check (internet)  • All sponsors  • May be conducted on any adult household member where a case of special concern is identified  State Criminal History Repository Check or Local Police Check  • May be conducted on sponsors or household members in special circumstances only  Other Documentation P&P Manual § 3.01 Admission staff shall be responsible for ensuring that:  • an Initial Intake form is completed within 24 hours of each UAC’s arrival,  • the UAC receives clean clothing (if needed), and  • the UAC receives a medical examination within 48 hours of admission or the first workday  after admission.  Ops Manual 2012 § 4.402; Manuals 2013 and 2014, § 4.401 and § 4.403 When making a release  recommendation, the care provider conducts an assessment of the UAC and the potential  sponsor.  Upon completion of the assessment process, the Case Manager makes a release recommendation  to the Case Coordinator. The Case Coordinator conducts a third-party review of the proposed  release and submits the release recommendation to the FFS. The FFS considers the release  recommendation and makes the final decision on the UACs release.  Ops  Manual  2012  §  4.500;  Ops  Manuals  2013  and  2014,  §  4.403  and  §  4.501 (issued 11/25/13)  The  Department  of  Homeland  Security  (DHS)  shall be provided notice, by email, of the pending  release  of  a  UAC.  In  order  to  provide  DHS  sufficient time to comment on the release of a UAC,  the  care  provider  shall  not  release  the  UAC  until  24  hours  have  elapsed  from  the  time  the  care  provider emails notification of the pending release to DHS.  Case File Management P&P Manual 1.02 ORR’s policy is to ensure that UAC case files are  comprehensive, complete, accurate and up-to-date, and that confidentiality and security is  maintained. Care providers shall develop, maintain, and safeguard individual UAC case files and  develop an internal policy on staff access and use. This policy shall include a system of  accountability that ensures completeness and accuracy of files, preserves the confidentiality of  client information, and protects the records from unauthorized use or disclosure.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 17    Each UAC case file shall contain the following information: Personal Identifying  Information  • Name/Alien Number  • Initial Intake Form  • Placement and Medical Authorization Forms  • Photographs  • Cover Sheet which highlights dates of key services provided (admission date, mental health  assessments, counseling sessions, medical treatments, transfers, and family reunification/release)  • Case Information/History from Referral Source  • Case Notes/Log Legal Information  • 1-770 Notice of Rights  • Authority to Accept Child  • Case Information Referral  • Case History  • G-28 (if applicable)  • DHS Documents  • Court Documents  • Signed Release of Information (if applicable) Medical and Mental Health  • Admission Assessment Form  • Psycho-Social Summary and Individual Service Plan (ISP)  • Updates of Psycho-Social Summary and ISP at 90-day intervals  • Trafficking Addendum  • Staff-Secure/Secure Addendum  • Medical Exam (within 48 hours)  • Medical Records  • Immunization Records  • Individual Counseling Notes  • Group Counseling Log  • Progress Notes Related to Medical or Mental Health Services  • Signed Release of Information  • Copies of Referrals to Medical Providers and Results of Outpatient Consultations Care  Provider Information  • Acknowledgement of Orientation Program Rules/Policies/Grievance  • Acknowledgement of Rights and Responsibilities (signed by child in client’s language)  • Incidents Reports (Internal and ORR)  • Telephone Log  • Inventory and Receipts of Cash and Personal Property  • Stipend Log  • Clothing and Supplies Distribution Log  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 18    Education, Training, and Recreation  • Educational Assessment  • Education Records  • Training Records  • Recreational Activity Log Exit Information  • Family Reunification Packet  • Transfer Forms  • Exit Letter  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 19    APPENDIX C: SELECTED REQUIREMENTS FOR OFFICE OF REFUGEE  RESETTLEMENT PROVIDER CARE FACILITIES DURING OUR AUDIT PERIOD10  Care/Service Requirement Initial Intakes Assessment Within 24 hours of receiving a child,  facility staff conduct an assessment to gather information on family members, medical and  mental health concerns, medications taken, and personal safety concerns. Orientation Within 48  hours of admission, facility  staff provide an orientation to the child, including providing information on the care provider’s  rules, regulations, and procedures; the child’s rights and responsibilities; and grievance policies  and procedures. Medical Services Within 48 hours of arrival, children  receive an initial medical examination, unless the child has been transferred from another ORR  care provider and has documentation showing that the initial examination has already occurred.  Academic Educational Services Within 72 hours of admission, the  provider must conduct an educational assessment. Facilities must provide 6 hours of education  per day, Monday- Friday, throughout the calendar year in basic educational areas (including  English as a second language, if applicable). Proper Physical Care Children are provided suitable  living accommodations, food, appropriate clothing, and personal grooming items. Individual  Child Assessment Care providers must conduct  intake/admission assessments and develop ISPs for UAC to ensure that their needs are accurately  assessed and addressed.  10 P&P Manual, sections 2 and 3.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 20    Care/Service Requirement Recreational and Leisure Services Children are to engage in at least 1  hour  of large muscle activity each day and 1 hour per day of structured leisure activity, per a  recreational and leisure services plan. Individual and Group Counseling Services Children are  provided at least one  individual counseling session with a trained social worker and two group counseling sessions per  week. Legal Services Information Children are provided information on legal rights and the  availability of free legal services. Reunification Services Staff are required to identify sponsors  and evaluate the suitability of the sponsor.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 21    APPENDIX D: STATISTICAL SAMPLING METHODOLOGIES  HEALTH AND SAFETY  Target Population  The population consisted of all children that His House released to sponsors during FY 2014.  Sampling Frame  We received an Excel file from His House that listed 1,873 children whom it had discharged  during FY 2014. From this list, we removed those children who had been transferred. We also  removed children who were 18 or over at the time of their admission to His House. The  remaining 1,810 children, whom His House directly released to a sponsor, constitute our  sampling frame.  Sample Unit  The sample unit was a child whom His House released to a sponsor during FY 2014.  Sample Design  We used a simple random sample.  Sample Size  We selected 75 children.  Source of Random Numbers  We used the Office of Inspector General, Office of Audit Services (OIG/OAS), statistical  software to generate the random numbers.  Method of Selecting Sample Items  We consecutively numbered the lines in the sampling frame from 1 to 1,810. After generating  the random numbers, we selected the corresponding frame items.  Estimation Methodology  Using the OIG/OAS statistical software, we estimated the number and percentage of children  whom His House released to sponsors during FY 2014 without following ORR policies and  procedures. For this same timeframe, we also estimated the percentage and number of Category I  sponsors and sponsors unlawfully present in the United States.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 22    FINANCIAL TRANSACTIONS  Target Population  The population consisted of all expenditure transactions on His House’s general ledger for its  “residential” and “home study”11 grants during FY 2014.  Sampling Frame  We received an Excel file from His House that listed 6,953 transactions totaling $8,994,814 that  His House had recorded as expenditures during FY 2014 for both its residential and home study  grants. We manually matched expenditure transactions in the general ledger by verifying  accounting system identifiers to remove all transactions that netted to zero. We also removed all  transactions less than $100 (both debits and credits). The resulting Excel spreadsheet of 3,838  transactions totaling $8,959,645 was our sample frame.  Sample Unit  The sample unit was a general ledger expenditure transaction.  Sample Design and Sample Size  We used a stratified random sample. The sampling frame was divided into four strata based on  dollar value, as outlined in Table 1.  Table 1: Sample Design  Stratum #  Frame Count Frame Total  Strata Values From  Strata Values  To Sample 1 3,086 $2,060,483 $100.00 $3,782.48 30 2 367 3,551,804 3,799.04 26,226.64 30 3  63 3,555,708 27,972.50 210,255.13 30 4 322 (208,350) (19,745.47) (100.00) 15 Totals 3,838  $8,959,645 105  11 ORR provides temporary shelter care and other related services to children in its custody through residential  grants. A home study is an indepth investigation of the potential sponsor’s ability to ensure the child’s safety and  well-being. A home study is conducted for any case in which the safety and well-being of the unaccompanied child  is in question and on any case that meets the mandatory Trafficking Victims Protection Reauthorization Act of 2008  home study categories. ORR provides separate funding for the conduct of home studies.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 23    Source of Random Numbers  We used the OIG/OAS statistical software to generate the random numbers.  Method of Selecting Sample Items:  We consecutively numbered the transactions in each stratum. After generating the random  numbers, we selected the corresponding frame items.  Estimation Methodology  We planned to estimate the total amount of any expenditures that were unallowable. However,  we identified no errors in the sample of financial transactions, so we calculated no estimate.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 24    APPENDIX E: SAMPLE RESULTS AND ESTIMATES—UAC CASE FILES  Table 2: Sample Results  Inadequate Background Documentation Sample Frame Sample Investigation Errors  1,810 75 2 26  Table 3: Statistical Estimates (Limits Calculated at the 90-Percent Confidence Level)  Percent Number  Estimate Description  Lower  Point  Upper  Lower  Point Limit  Estimate  Limit  Limit  Estimate  Upper Limit Case files with background errors  .5 3 8 9 48 145  Case files with other documentation errors  26 35 44 466 627 805  Case files with at least one error  27 36 46 488 65212 830  Case files associated with category 1 sponsors  56 65 74 1,005 1,183 1,344  Case files associated with sponsors unlawfully present in the U.S.  74 83 89 1,341 1,496 1,616  SAMPLE RESULTS AND ESTIMATES—FINANCIAL TRANSACTIONS  We did not identify any unallowable transactions in the 105 statistically valid sample items that  we reviewed.  12 The number and percentage of case files with at least one error is less than the sum of the individual error  estimates because one sampled case file had both documentation errors and inadequate background investigations.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 25    APPENDIX F: DEFINITIONS13  Care Provider—A care provider is any ORR-funded program that is licensed, certified, or  accredited by an appropriate State agency to provide residential care for children, including  shelter, group, foster care, staff-secure, secure, therapeutic, or residential treatment care.  Case Manager—The Case Manager is the care provider staff member who coordinates  assessments of unaccompanied children, individual service plans, and efforts to release  unaccompanied children from ORR custody, which includes conducting sponsor background  investigations. Case Managers also maintain case files for unaccompanied children and ensure  that all services for children are documented.  Case Coordinators—Case Coordinators are ORR nongovernmental contractor field staff who act  as local ORR liaisons with care providers and stakeholders and who are responsible for making  transfer and release recommendations.  Child Sponsor—A sponsor is an individual (in the majority of cases a parent or other relative) or  entity to which ORR releases an unaccompanied child out of Federal custody.  Clinician—The Clinician is the care provider staff that provides clinical and/or counseling  services for unaccompanied children and provides oversight for the unaccompanied child’s  mental and emotional health.  Family Reunification Packet—The family reunification packet is an application and supporting  documentation completed by potential sponsors who wish to have an unaccompanied child  released from ORR into their care. ORR uses the application and supporting documentation, as  well as other procedures, to determine the sponsor’s ability to provide for the unaccompanied  child’s physical and mental well-being.  Legal Guardian—A legal guardian is a person who was appointed to charge or custody of a child  in a court order recognized by U.S. courts.  Federal  Field  Specialist  (FFS)—Field  staff  who  act  as  the local ORR liaison with care providers  and  stakeholders.  An  FFS  is  assigned  to  multiple  care  providers  within  a  specific  region  and  serves  as  the  regional  approval  authority  for  unaccompanied  children  transfer  and  release  decisions.  Placements—The  term  “placements”  includes  initial  placement  of  an  unaccompanied  child  into  an  ORR  care  provider  facility,  as well as the transfer of an unaccompanied child within the ORR  network of care.  13 Definitions compiled from various ORR sources.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 26    Release—A release is the ORR-approved release of an unaccompanied child from the care and  custody of ORR to the care of a sponsor.  Office of Refugee Resettlement Unaccompanied Children Grantee Review—His House (A-04-16-03566) 27    APPENDIX G: HIS HOUSE COMMENTS  Flus  www.hhch.org  HOUSE  CHILDREN'S HOME  October 3, 2017  Report Number A-04-16-03566  Lori S. Pilcher Regional Inspector General  For Audit Services Office of Inspector General  Audit Services, Region IV 61 Forsythe Street, SW, Suite 3T41 Atlanta, GA 30303  Dear Ms. Pilcher:  Please find His House Children's Home (His House) response to the U.S. Department of Health  and Human Services, Office of Inspector General's (OIG), report dated August 2017 entitled  “Office of Refugee Resettlement Unaccompanied Alien Children Grantee Review - His House."  As noted in the OIG report, 2014 was the "surge” year for the Federal program. During 2014,  His House similarly experienced a significant increase in the number of children placed and  cared for at His House from previous years. In order to efficiently process and accommodate the  higher number of children in Federal care, ORR made several changes to the DUCS Policies and  Procedures Manual and the ORR UAC Program Operations Manual during this period. This was  a difficult period of adjustment for all the care providers across the nation who accommodated  the care and processing of children in their facilities during a high period of influx. The analogy  can be made with that of “changing the tires on a moving school bus."  In the report OIG made two findings. The first finding was that His House might not have  followed ORR policies for 724 children regarding "sponsor background checks, prompt medical  care, provision of appropriate clothing, sponsor placement decisions, post-release services,  and/or the notification of Department of Homeland Security of the child's release to a sponsor.”  The second finding was that His House might have placed Federal funds totaling 9 million  dollars at risk of mismanagement or misappropriation.  20000 N.W. 47th Avenue, Miami, FL 33055 (T) 305.430.00 85  Office of Refugee Resettlement Unaccompanied Children Grantee Review-His House (A-04-16-03566)  28    Office of Inspector General Note—The deleted text has been redacted because it is personally  identifiable information.    where a chest x-ray was done and lab work was ordered. This is documented in the file with the  following documentations; “UAC Doctor's Visit Report", an electronic copy of the doctor's chart,  the "Florida Certification of Immunization" record that documents on the second page that the  child was seen on February 3, 2014 for a "complete physical exam", and a prescription for lab  work dated February 3, 2014 showing the same date for the "collection” of sample for testing.  (See, Exhibit “C”.)  Provision of Appropriate Clothing: OIG found that in 17 of the 29 sample files, His House did  not document that it gave the children clothing upon admission to His House. His House  acknowledges that there are 3 files that were missing supporting documentation that clothing was  provided to the children upon arrival. The 3 cases are OIG Samples #20, #49 and #53. However,  the remaining samples all had the "His House Children's Home – UAC INVENTORY LOG  (Minor's Belongings Upon Arrival)” in addition to the “His House Children's Home - UAC  INVENTORY LOG (DISCHARGE)." This documentation was previously provided to the OIG  investigators in July of 2016. (The supporting documentation for the 14 cases is attached as  Exhibit “D”). Of the 29 sample files, 13 of the files sole issue during the OIG audit was the lack  of evidence in the case file to support the child was given clothing upon arrival. Assuming  arguendo that OIG concurs with His House that the clothing" documentation is acceptable, then  the number of files with documentation errors is reduced to 16 files (as opposed to 29), and  approximately 21% of the children (as opposed to 39%). This will also reduce the total number  of children from approximately 724 to 398. Similarly this number can be further reduced, if OIG  gives His House credit on other supporting documentation provided by His House in this  response.  Sponsor Placement Decisions: OIG found that in 3 of the 29 sample files, release  recommendations maintained in the UAC case file were incomplete. One of the examples  provided in the OIG report (OIG Sample #9) states that the His House Case Manager and the  Case Coordinator offered different release recommendations to the FFS when they recommended  that the child be released to a sponsor. The recommendation of the Case Manager and the Case  Coordinator to the FFS was the same person, “the grandfather's nephew.” In the section titled  "Provide Details on Relationship including Official Documentation" the Case Manager clearly  refers to the sponsor as the "grandfather's nephew." Unfortunately, the Case Manager makes a  mistake in the “Comment" section under her name and writes "his biological sister", however  when reviewing the entire file with all of the supporting documentation, it is clear that the  sponsor was the grandfather's nephew and the recommendation by both the Case Manager and  the Case Coordinator to the FFS was the same.  The second sample (OIG Sample #49) provided in the report was the lack of documentation in the case  file to indicate that post-release services were provided to a sponsor once the child was released from His  House. The  20000 N.W. 47th Avenue, Miami, FL 33055 (T) 305.430.0085  Office of Refugee Resettlement Unaccompanied Children Grantee Review-His House  (A-04-16-03566)  30 30    Office of Inspector General Note—The deleted text has been redacted because it is personally  identifiable information.    files on a monthly basis. These steps will be incorporated into the above referenced policy and  procedure.  FINDING #2 ALTHOUGH TRANSACTIONS WERE ALLOWABLE, HIS  HOUSE HAD DEFICIENCIES WITHIN ITS FINANCIAL MANAGEMENT  AND PROPERTY CONTROL SYSTEMS.  His House disagrees with the OIG findings that Federal funds were at risk for potential  mismanagement or misappropriations. His House had an independent audit conducted by  the accounting firm of Shariff, Wittmer, Kurtz, Jackson & Diaz, for fiscal year 2013 -  2014. The audit report did not identify any material weaknesses, or any significant  deficiencies that could be considered material weaknesses.  1.) His House lacked documentation and a methodology for payment  management system drawdowns.  a. His House was drawing down funds based on expenses obtained  through expense reports on a monthly basis. Cash was drawn down when there were enough  expenses incurred to justify the drawdown. For fiscal year 2013-14, there were a few instances  where we recorded the invoice with a date subsequent to the drawdown within the actual month.  However, the expenses at this point were already incurred and paid for.  b. At present, each month is undergoing a month-end closing procedure  where drawdowns are executed only after all the analysis is performed. This usually occurs  somewhere between 10th and 15th day of the next month. Indirect cost expenses are usually  drawn down after the 15th of the month.  2.) His House's financial accounting system was not able to specifically  identify expenditures for its shelter care cooperative agreement.  At present, the UAC grants and other cooperative agreements are classified with their own department as  well as their own project code to differentiate revenues and expenses from other organization funds.  3.) His House had inadequate and improperly implemented segregation of  duties.  a. At present, the Finance Department's job is only to process payroll.  b. Access and changes to employee fields are performed by the HR  Department.  20000 N.W. 47th Avenue, Miami, FL 33055 (T) 305.430.00 85  Office of Refugee Resettlement Unaccompanied Children Grantee Review–His House (A-04-16-03566)  32 32 c. His House has one employee for each of the following positions:  accounts receivable, accounts payable, and payroll. There is also a manager to oversee and post  transactions on daily basis, and another person to help with the handling of petty cash and other minor  accounts.  d. Internal control procedures have been revised by the annual auditing  company and there have been no findings as of today.  4.) His House had inaccurate and delayed recording of accounting  transactions  a. Presently, payroll is processed by ADP. It is completely revised by a  payroll manager before submittal.  b. Thereafter, ADP generates a report where all the proper accounts and  project codes are used to label each employee payroll transaction.  The report is downloaded and imported into our accounting system, thus eliminating the  need to record the entry to a miscellaneous account  d. Credit card transactions are currently segregated by  employee/department. Credit card expenses are preapproved by a manager before they are  incurred. UAC employees can only incur UAC related expenses. Each credit card receipt is  collected and matched to the monthly credit card statement and reviewed by the corresponding  manager/director for accuracy.  e. Once the month period is closed, no other transactions are posted to it.  f. His House has implemented new policies and procedures approved by  our board members addressing all expense transactions.  5.) His House had inadequate physical control over vulnerable assets.  a. Presently, His House has added the fixed assets module to its  accounting  system  "Financial  Edge”.  A  complete  inventory  of  fixed  assets  has  been  performed  and adjustments have been made. All assets are properly depreciated on a monthly basis.  b. His House has implemented new policies and procedures approved by  our board members addressing the fixed assets. The new policies are in alignment with ORR standards  (45 CFR 74.21(b)(3)).  20000 N.W. 47th Avenue, Miami, FL 33055 (T) 305.430.0085  Office of Refugee Resettlement Unaccompanied Children Grantee Review–His House (A-04-16-03566)  33 Pursuant to OIG Finding #2, the following recommendations were made to His House.  1.)  His House to update or develop policies and procedures pertaining  to:  Maintaining adequate documentation to support its drawdowns of Federal funds and  to support that its drawdowns are based on actual expenditures. His House CONCURS with this  recommendation. In August of 2016, His House developed a policy and procedure titled  Payment Management System, policy number 2-060. The policy was amended in August of  2017 to allow the Executive Director or the designee to authorize the drawing down of UAC  funds.  b. Achieving the segregation of duties such as ensuring limited access to employee data  maintained in its HR and payroll systems and improved managerial oversight. His House  CONCURS with this recommendation. In October of 2017, His House amended its Payroll  policy and procedures (policy number 2-010) to reflect changes addressed in the response above.  C. Recording financial transactions accurately and timely. His House CONCURS with this  recommendation. In October of 2017, His House amended its Financial Reporting policy and  procedures (policy number 2-003) to reflect the changes made in our accounting practices.  d. Implementing a financial management system that requires adequate identification of  source and application of Federal funds and effective accountability of property and other assets.  His House CONCURS with this response, His House amended the following two policies and  procedures (Fixed Assets (2-008) and Purchasing of Goods and Services (2-017)) to reflect the  changes made in our accounting practices.  Sincerely,  Silvia Smith-Torres  Silvia Smith-Torres, Executive Director of His House Children's Home  Enclosure  20000 N.W. 47th Avenue, Miami, FL 33055 (T) 305.430.0085  Office of Refugee Resettlement Unaccompanied Children Grantee Review-His House (A-04-16-03566)  34  34