Audit 293014

FY End
2023-06-30
Total Expended
$5.31M
Findings
28
Programs
4
Year: 2023 Accepted: 2024-03-01
Auditor: Carter PC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
371382 2023-002 Material Weakness Yes N
371383 2023-002 Material Weakness Yes N
371384 2023-002 Material Weakness Yes N
371385 2023-002 Material Weakness Yes N
371386 2023-002 Material Weakness Yes N
371387 2023-002 Material Weakness Yes N
371388 2023-002 Material Weakness Yes N
371389 2023-002 Material Weakness Yes N
371390 2023-002 Material Weakness Yes N
371391 2023-002 Material Weakness Yes N
371392 2023-002 Material Weakness Yes N
371393 2023-002 Material Weakness Yes N
371394 2023-002 Material Weakness Yes N
371395 2023-002 Material Weakness Yes N
947824 2023-002 Material Weakness Yes N
947825 2023-002 Material Weakness Yes N
947826 2023-002 Material Weakness Yes N
947827 2023-002 Material Weakness Yes N
947828 2023-002 Material Weakness Yes N
947829 2023-002 Material Weakness Yes N
947830 2023-002 Material Weakness Yes N
947831 2023-002 Material Weakness Yes N
947832 2023-002 Material Weakness Yes N
947833 2023-002 Material Weakness Yes N
947834 2023-002 Material Weakness Yes N
947835 2023-002 Material Weakness Yes N
947836 2023-002 Material Weakness Yes N
947837 2023-002 Material Weakness Yes N

Programs

Contacts

Name Title Type
NPX2L5PP55G8 Juanita Gregg Auditee
8285865561 Jeremy Giambrone Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Expenditures reported in the SEFSA are presented on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: Southwestern Child Development Commission, Inc. has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.
Finding 2023-002 - Employee Record Retention and Health and Safety Training Federal Program: CCDF Cluster: AL# 93.575 - Child Care and Development Block Grant AL# 93.596 - Child Care Mandatory and Matching Funds of the CCDF U.S. Department of Health and Human Services MATERIAL WEAKNESS NONCOMPLIANCE Special Tests and Provisions Criteria: The federal award requires the Organization to ensure that all childcare providers who have direct responsibility for the care and oversight of children, including center administrators, to complete health and safety training that meets 11 specific requirements. In addition, these providers must participate in annual training appropriate to job responsibilities. The federal award also requires supporting documentation be prepared and retained within the employees’ files to support expenditures charged to the grants. Condition: Documentation for employee timesheets and health and safety training certificates was not consistently retained for all employees. Effect: Noncompliance with the health and safety training requirements of the federal award could subject the Organization to the risk of suspension of funding. Cause: Employee health and safety training requirements are being tracked and maintained at individual childcare centers by the direct services department. A formal centralized system for tracking and maintaining employee health and safety training requirements has not been implemented. Additionally, during the year ended June 30, 2023, community and staff were informed that agency operated child care centers would be officially closing. Employees took their records and certificates for all safety training and the Organization was unable to provide backup copies. Context: We tested 16 out of 161 employees who serve children receiving subsidies. We noted sixteen instances in which employees’ files were missing required health and safety training certificates. Recommendation: Develop a formal system for tracking employee health and safety training and maintaining those certificates at the facility where the employee works and within their permanent employee file. Additionally, procedures should be implemented to retain backups of employee timesheets to prevent the loss of data. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with this finding and will adhere to the Corrective Action Plan.