I. BACKGROUND
External
audits of University of California San Diego campus and health sciences
functions are performed by Federal, State, local government offices, and The
Regents' audit firm. External audits include financial audits and reviews,
pricing proposals, contract close-outs, on-site monitoring or remote site
visits, and system audits. Audit & Management Advisory Services (AMAS) has responsibility
for the oversight of external fiscal audit activities at UC San Diego.
Because it
is the largest provider of Federal funds, the Department of Health and Human
Services Office of Inspector General is designated as the University's
cognizant audit agency. Other agencies which periodically review UC San Diego may
include:
· California State
Auditor
· California
State Controller's Office
· County of
San Diego
· Internal
Revenue Service
· California
Student Aid Commission
· Defense
Contract Audit Agency (DCAA)
· National
Science Foundation (NSF)
· Office of
Naval Research (ONR)
· National
Aeronautics and Space Administration (NASA)
External
investigations may also be performed by the agencies listed above, or others,
if information is received directly by the agency which alleges a violation of
the terms and conditions of contracts or grants.
This policy
outlines the scope, responsibilities and procedures that will be employed in
coordinating and managing external agency audit and investigation activities at
UC San Diego. This policy excludes campus activity by the auditors for The
Regents as outlined in BUS-76, Engagements with The Regents' Audit Firm, as
those activities are coordinated locally by the UC San Diego Controller.
II.
POLICY
It is the
policy of UC San Diego to comply fully with all financial, administrative and
audit requirements that arise from its role as a recipient of public and other
extramural funds; and to cooperate fully with external auditors or other agency
officials conducting external investigations. All outside audit activity will
be properly authorized, and effectively and consistently tracked and
communicated. Further, required responses will be coordinated and communicated
to management and external agencies.
III. EXTERNAL
AUDITS
A. RESPONSIBILITIES
1.
It is the responsibility of the AMAS Director, or a delegated
representative, to act as liaison for external fiscal audit activities at UC San
Diego, with the exception of engagements with the Regents audit firm. This may
include, but is not limited to, coordination and review of client responses;
assistance in resolving questions and issues; coordination of interdepartmental
meetings; tracking, documenting and reporting outside audit activities to campus
and University management; and follow-up on agreed to corrective actions.
Specific AMAS duties include:
a.
Notifying the cognizant department administrator(s), Principal
Investigator(s), or other designated Campus or Health Sciences representatives,
and the Sponsored Projects Finance office, of the external audit.
b.
Arranging for appropriate workspace and facilities for the
external auditors for on-site visits.
c.
Arranging a formal entrance conference for all appropriate Campus
and Health Sciences representatives to clarify the scope of the audit, expected
audit procedures, and necessary records and information, as determined
necessary.
d.
Attending significant interim meetings concerning the status of
the audit.
e.
Resolving questions and providing guidance to the cognizant
department administration.
f.
Informing campus management if serious issues arise that require
immediate attention and/or corrective action.
g.
Arranging an exit-conference at the close of fieldwork if feasible
to discuss findings and recommendations.
h.
Distributing copies of the draft audit report(s) to the cognizant
department administration or other designated Campus and Health Science
representative for written management responses. Upon receipt of the management
responses from the cognizant departments, AMAS will review responses for
consistency, compliance with UC San Diego policy, and institutional
perspective. AMAS will suggest and coordinate changes with management as
needed.
i.
Distributing copies of the final audit report to the cognizant
departments.
j.
Performing follow-up on significant external audit findings and
recommendations to ensure that the cognizant office implements corrective
action within agreed upon time frames.
k.
Maintaining complete and accurate files of the external audit
activity handled by AMAS.
l.
On an ongoing basis, identifying significant external audit
concerns from sources, such as the General Accounting Office and Health and
Human Services Inspector General reports, and communicating these concerns on a
proactive basis so that appropriate corrective action can be taken. This
communication is accomplished through the Compliance, Audit, Risk, and Ethics (CARE)
Committee meetings, External Audit Status Reports, and other forums as
determined necessary.
2.
Responsibility for providing the requested information for
external audit reviews resides with the cognizant department administrator(s),
Principal Investigator(s), central offices (such as Office of Contract &
Grant Administration, Sponsored Projects Finance, or other designated Campus
and Health Sciences representatives.
Specific duties include:
a.
Notifying AMAS if an external audit
request is received.
b.
Providing key personnel to be available during the external audit
to answer external auditor inquiries and to provide supporting documentation.
c.
Notifying AMAS of significant issues that arise during the
external audit.
d.
Initiating prompt management corrective actions on agreed-to
external audit findings and recommendations.
e.
Preparing draft management responses and forwarding responses to
AMAS no later than seven working days before the due date. Responses should
include target dates for completing corrective actions.
f.
Requesting AMAS assistance during any phase of the external audit
process as needed
For audits
that are purely programmatic in nature, AMAS may defer coordination to
departmental representatives.
B. PROCEDURES
1.
Notices
AMAS will
serve as the entry point for all external audit agencies. All notices of
outside agency audits received directly by UC San Diego personnel other than
AMAS will be referred to AMAS. Upon determination of the nature and scope of
the review, AMAS will determine, in consultation with the department, the level
of involvement appropriate for the review.
2.
Audit Visits
Department
of Health and Human Services and unannounced auditors and investigators from
outside the University will be requested to present their credentials to the AMAS
Director or a delegated AMAS employee. Access to University records will be
withheld until authority has been verified.
3.
Communication Process
AMAS will
notify the cognizant department administrator(s), Principal Investigator(s), or
other designated campus representatives that may be involved in the external
audit and will generally schedule an entrance meeting. AMAS will maintain
periodic communication with the external audit agency throughout the review.
AMAS will
distribute copies of the draft report and final report upon receipt from the
external auditor. AMAS will coordinate the management responses to the draft
report and final report and forward a response for the institution as a whole
to the external auditor. Extensions, if needed, will be coordinated with the
external auditor.
4.
Records
A working
file of each audit will be prepared by AMAS and maintained in the audit files
subject to University records retention guidelines.
5.
Status Reporting
AMAS will
prepare and distribute an New Starts and External Audit Status Report to
the Chief Ethics and Compliance Officer (CECO) to provide status update external
audits which are currently active or which have been closed during the current
fiscal year. Periodic updates on external audit activity may be provided to
the UC San Diego CARE Committee as appropriate.
IV. EXTERNAL
INVESTIGATIONS
A. RESPONSIBILITIES
1.
It is the responsibility of the AMAS Director, or a delegated
representative, to act as liaison for external investigative activities related
to use of sponsored research funds. At all times during an external agency
investigation, AMAS's responsibility is to act in the best interests of the
University as a whole.
Specific
AMAS duties include:
a.
Notifying the UC San Diego Local Designated Official of the
external agency investigation.
b.
Notifying the cognizant University administrator(s), Principal
Investigator(s), or other designated campus or Health Sciences representatives
as appropriate, of the external investigation. The timing of such notifications
may vary so as to not compromise the external agency's investigation, or based
on agency protocols.
c.
Attending significant interim meetings concerning the status of
the investigation.
d.
Resolving questions and providing guidance to the cognizant
department administration.
e.
Informing campus management if serious issues arise that require
immediate attention or corrective action.
f.
Distributing copies of the draft investigation report, if any, to
involved University parties for written management responses. Upon receipt of
the management responses from the cognizant departments, AMAS will review
responses for consistency, compliance with UC San Diego policy, and
institutional perspective. AMAS will suggest and coordinate changes with
management as needed. Distribution of draft reports may be restricted based on
agency investigation protocols.
g.
Distributing copies of the final investigation report, if
received, to the cognizant departments.
h.
Performing follow-up on significant external investigation
findings and recommendations to ensure that the cognizant office implements
corrective action within agreed upon time frames.
i.
Maintaining complete and accurate files of the external
investigation activity handled by AMAS.
j.
On an ongoing basis, identifying any recurring external
investigation topics and communicating to appropriate University management
these concerns on a proactive basis.
2.
Responsibility for providing the requested information for
external investigative reviews resides with the cognizant department
administrator(s), Principal Investigator(s), or other designated Campus and
Health Sciences representatives.
Specific
duties include:
a.
Notifying AMAS if an external investigation request is received.
b.
Providing key personnel to be available during the external
investigation to answer external agency inquiries and to provide supporting
documentation.
c.
Notifying AMAS of significant issues that arise during the
external investigation.
d.
Initiating prompt management corrective actions on agreed-to
external investigation findings and recommendations.
e.
Preparing draft management responses and forwarding responses to
AMAS for communication to the external investigative agency.
f.
Requesting AMAS assistance during any phase of the external
investigation process as needed.
B. PROCEDURES
Investigation
protocols followed by external agencies and related University actions and
responses will differ on a case-by-case basis. When investigations are
conducted by external agencies, the primary role of AMAS is to act in the best
interest of the institution as a whole. Principal Investigators should be
advised to consult with their Department Chair and/or Dean should circumstances
arise for which additional consultation from a faculty perspective is desired.
1.
Notices
When
possible, AMAS serves as the entry point for all external investigative
agencies related to use of sponsored research funds. Occasionally,
federal law enforcement representatives may contact employees directly.
All notices of external agency investigations received directly by UC San Diego
personnel other than AMAS should be referred to AMAS.
2.
Audit Visits
Any
unannounced investigators from outside the University will be requested to
present their credentials to the AMAS Director or a delegated AMAS employee.
Access to University records will be withheld until authority has been verified.
3.
Communication Process
AMAS will
coordinate with administrators as needed based on the agency concern, the
information requested, and the sensitivity of the investigation. This may
include officials from the Office of Ethics & Compliance, Office of
Research Affairs, the Sponsored Projects Finance office, the Office of
Contracts & Grants, the Office of the Institutional Research Board, Animal
Welfare, Campus Counsel, and others, depending on the nature of the
review.
Every
effort will be made to involve the appropriate University officials, while at
the same time maintaining individual employee confidentiality to the
extent possible within the limitations of law and policy. However, the identity
of parties named in federal investigations may become known for reasons outside
of the control of AMAS or University administrators.
AMAS may
not be provided with specific information from the investigating agency to be
able to understand the concern under review, and may not be provided with
results of the investigative review prior to or after the investigation has
been completed. When necessary, UC San Diego will request access to
investigation results available under relevant federal or state information
access laws. In each circumstance, AMAS will maintain communication with
University officials on the status of the review to the extent
possible.
If draft
reports are provided for University review, AMAS will coordinate the management
responses among all parties involved and forward a response for the institution
as a whole to the external investigative agency. AMAS will also coordinate any
request for extension with the external investigative agency. Distribution
of draft reports may be restricted based on agency investigation protocols.
4.
Records
A working
file of each external investigation coordinated by AMAS will be prepared by
AMAS and maintained in the working paper files subject to University records
retention guidelines.
V. REFERENCES
A.
PPM 10-11, Audit & Management Advisory
Services (AMAS) http://adminrecords.ucsd.edu/ppm/DOCS/10-11.HTML
B.
BFB, BUS-76, Engagements with the Regents'
Audit Firm, https://policy.ucop.edu/doc/3420343/BFB-BUS-76
C.
University of California Contract and
Grant Manual (Chapter 4)
http://www.ucop.edu/research-policy-analysis-coordination/resources-tools/contract-and-grant-manual/chapter4/index.html
D.
PHS Grants Policy Statement, Public Health
Services division of HHS
E.
Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards
https://www.federalregister.gov/documents/2013/12/26/2013-30465/uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awards
VI.
REVISION HISTORY
11/17/2023 Policy revised and reissued.