CLINICAS DEL CAMINO REAL, INC.

inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were…

Corrective action: Finding # 2023-002 Condition The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Response Clinicas Del Camino Real will implement procedures including ongoing sampling of processed sliding fee discounts to identify issues and errors, conduct root cause analysis, ensure issues are non-systemic, and implement procedures including additional or more focused training where needed to minimize error rates. Responsible Party Fred Benharash, CFO Estimated Completion 06/30/2024

CLINICAS DEL CAMINO REAL, INC Schedule of Findings and Questioned Costs June 30, 2021 Section III Federal Award Findings and Questioned Costs DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH CENTER CLUSTER-CFDA No. 93.224 2021-001 U.S. DEPARTMENT of HEALTH and HUMAN SERVICES-Grant Period-Year Ended June 30, 2021 Procurement-Policies and procedures Criteria: 45 CFR 75.303 of the Uniform Guidance requires a Federal Qualified Health Center to maintain effective internal control that provides reasonable assurance that the Clinic is managing Federal Awards in compliance with federal statutes, regulations, and the terms and conditions of federal awards. These internal controls should be in compliance with guidance in the Internal Control Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). COSO requires a set of standards, proce…

Corrective action: National Single Audit Coordinator DHHS/OIG/OAS/NEAR Richard Bolling Federal Building 601 East 12th Street, Room 0429 Kansas City, MO 64106 RE: Management Response to FY 2021 Audit Finding 2021-001 Dear Sir or Madam: This letter is the response of Clinicas del Camino real (CDCR) to the audit finding noted above as required by 45 CFR 75.111(c). As required by that subsection, this letter constitutes the "explanation and specific reasons" why that finding is in error. As further discussed below, CDCR will amend its Procurement Policies by January 31, 2022 in order to avoid any confusion about what procurements its policies apply to in the future. To be clear, the undersigned will be the CDCR …