Audit 29366

FY End
2022-06-30
Total Expended
$14.07M
Findings
14
Programs
40
Year: 2022 Accepted: 2022-12-18

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
29085 2022-002 - - B
29086 2022-002 - - B
29087 2022-003 Material Weakness - BE
29088 2022-003 Material Weakness - BE
29089 2022-003 Material Weakness - BE
29090 2022-003 Material Weakness - BE
29091 2022-003 Material Weakness - BE
605527 2022-002 - - B
605528 2022-002 - - B
605529 2022-003 Material Weakness - BE
605530 2022-003 Material Weakness - BE
605531 2022-003 Material Weakness - BE
605532 2022-003 Material Weakness - BE
605533 2022-003 Material Weakness - BE

Programs

ALN Program Spent Major Findings
93.778 Medical Assistance Program $3.80M Yes 0
93.558 Temporary Assistance for Needy Families $1.21M Yes 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $780,188 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $759,305 Yes 0
93.563 Child Support Enforcement $707,762 - 0
20.507 Federal Transit_formula Grants $667,833 Yes 1
93.658 Foster Care_title IV-E $486,606 - 0
93.268 Immunization Cooperative Agreements $402,287 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $381,819 - 0
93.568 Low-Income Home Energy Assistance $308,394 Yes 1
93.667 Social Services Block Grant $279,093 - 0
16.838 Comprehensive Opioid Abuse Site-Based Program $230,676 - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $215,072 Yes 0
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $193,032 - 0
93.556 Promoting Safe and Stable Families $154,872 - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $120,167 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $109,992 - 0
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $107,636 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $77,727 - 0
97.042 Emergency Management Performance Grants $70,244 - 0
93.053 Nutrition Services Incentive Program $64,078 - 0
16.922 Equitable Sharing Program $58,316 - 0
93.217 Family Planning_services $52,675 - 0
10.935 Urban Agriculture and Innovative Production $52,046 - 0
93.052 National Family Caregiver Support, Title Iii, Part E $50,113 - 0
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $44,549 - 0
93.659 Adoption Assistance $39,521 - 0
93.069 Public Health Emergency Preparedness $36,828 - 0
93.767 Children's Health Insurance Program $32,046 - 0
93.991 Preventive Health and Health Services Block Grant $30,607 - 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $30,269 - 0
93.499 Low Income Household Water Assistance Program $26,519 - 0
97.039 Hazard Mitigation Grant $21,499 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $18,850 - 0
93.994 Maternal and Child Health Services Block Grant to the States $18,717 - 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $18,642 - 0
93.387 National and State Tobacco Control Program (b) $3,501 - 0
93.566 Refugee and Entrant Assistance_state Administered Programs $2,791 - 0
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $100 - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $50 - 0

Contacts

Name Title Type
EXFKXBHH7EG7 Samantha Reynolds Auditee
8286974821 Daniel Gougherty Auditor
No contacts on file

Notes to SEFA

Title: Note 1-Basis of Presentation Accounting Policies: Expenditures reported in the SEFSA are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Henderson County has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying Schedule of Expenditures of Federal and State awards (SEFSA) includes the federal and State grant activity of Henderson County under the programs of the federal government and the State of North Carolina for the year ended June 30, 2022. The information in this SEFSA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards and the State Single Audit Implementation Act. Because the Schedule presents only a selected portion of the operations of Henderson County, it is not intended to and does not present the financial position, changes in net position or cash flows of Henderson County.
Title: Note 4-Cluster of Programs Accounting Policies: Expenditures reported in the SEFSA are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Henderson County has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The following are clustered by the NC Department of Health and Human Services and are treated separately for state audit requirement purposes: Subsidized Child Care, Foster Care and Adoption, Special Children Adoption Fund, Refugee and Entrant Assistance, and HIV Clusters.

Finding Details

U.S. Department of Transportation Program Name: Federal Transit Cluster Federal Assistance Listing Number: 20.507 Non-Material Non-Compliance - Allowable Costs Finding 2022-002 Criteria or specific requirement: The 2 CFR Part 200, Subpart E establish principles and standards for determining allowable direct and indirect costs for federal awards. In order to receive cost reimbursement under federal awards, the department or agency usually submits claims asserting that allowable and eligible costs (direct and indirect) have been incurred in accordance with 2 CFR Part 200, Subpart E. Condition: The County had included employee payroll deductions in the overall reimbursement requests for payroll costs that were not paid by the County. Context: There were two (2) employees with 26 payroll periods each and one (1) employee with 20 payroll periods requested for reimbursement during the year in which we tested seven (7) employee payroll periods. Questioned Costs: No known or likely questioned costs exceeded $25,000. Effect: Amounts requested for reimbursement were not related to allowable costs incurred by the County and could have resulted in questioned costs. Cause: The County was unaware that costs paid by employees were not reimbursable under the grant. Recommendation: We recommend that the County provide training to all departments regarding allowable costs to ensure only costs allowable under the grant agreement and paid by the County are filed for reimbursement. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Transportation Program Name: Federal Transit Cluster Federal Assistance Listing Number: 20.507 Non-Material Non-Compliance - Allowable Costs Finding 2022-002 Criteria or specific requirement: The 2 CFR Part 200, Subpart E establish principles and standards for determining allowable direct and indirect costs for federal awards. In order to receive cost reimbursement under federal awards, the department or agency usually submits claims asserting that allowable and eligible costs (direct and indirect) have been incurred in accordance with 2 CFR Part 200, Subpart E. Condition: The County had included employee payroll deductions in the overall reimbursement requests for payroll costs that were not paid by the County. Context: There were two (2) employees with 26 payroll periods each and one (1) employee with 20 payroll periods requested for reimbursement during the year in which we tested seven (7) employee payroll periods. Questioned Costs: No known or likely questioned costs exceeded $25,000. Effect: Amounts requested for reimbursement were not related to allowable costs incurred by the County and could have resulted in questioned costs. Cause: The County was unaware that costs paid by employees were not reimbursable under the grant. Recommendation: We recommend that the County provide training to all departments regarding allowable costs to ensure only costs allowable under the grant agreement and paid by the County are filed for reimbursement. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Transportation Program Name: Federal Transit Cluster Federal Assistance Listing Number: 20.507 Non-Material Non-Compliance - Allowable Costs Finding 2022-002 Criteria or specific requirement: The 2 CFR Part 200, Subpart E establish principles and standards for determining allowable direct and indirect costs for federal awards. In order to receive cost reimbursement under federal awards, the department or agency usually submits claims asserting that allowable and eligible costs (direct and indirect) have been incurred in accordance with 2 CFR Part 200, Subpart E. Condition: The County had included employee payroll deductions in the overall reimbursement requests for payroll costs that were not paid by the County. Context: There were two (2) employees with 26 payroll periods each and one (1) employee with 20 payroll periods requested for reimbursement during the year in which we tested seven (7) employee payroll periods. Questioned Costs: No known or likely questioned costs exceeded $25,000. Effect: Amounts requested for reimbursement were not related to allowable costs incurred by the County and could have resulted in questioned costs. Cause: The County was unaware that costs paid by employees were not reimbursable under the grant. Recommendation: We recommend that the County provide training to all departments regarding allowable costs to ensure only costs allowable under the grant agreement and paid by the County are filed for reimbursement. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Transportation Program Name: Federal Transit Cluster Federal Assistance Listing Number: 20.507 Non-Material Non-Compliance - Allowable Costs Finding 2022-002 Criteria or specific requirement: The 2 CFR Part 200, Subpart E establish principles and standards for determining allowable direct and indirect costs for federal awards. In order to receive cost reimbursement under federal awards, the department or agency usually submits claims asserting that allowable and eligible costs (direct and indirect) have been incurred in accordance with 2 CFR Part 200, Subpart E. Condition: The County had included employee payroll deductions in the overall reimbursement requests for payroll costs that were not paid by the County. Context: There were two (2) employees with 26 payroll periods each and one (1) employee with 20 payroll periods requested for reimbursement during the year in which we tested seven (7) employee payroll periods. Questioned Costs: No known or likely questioned costs exceeded $25,000. Effect: Amounts requested for reimbursement were not related to allowable costs incurred by the County and could have resulted in questioned costs. Cause: The County was unaware that costs paid by employees were not reimbursable under the grant. Recommendation: We recommend that the County provide training to all departments regarding allowable costs to ensure only costs allowable under the grant agreement and paid by the County are filed for reimbursement. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.
U.S. Department of Health and Human Services Passed through the North Carolina Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Program Federal Assistance Listing Number: 93.568 Material Weakness and Nonmaterial Noncompliance - Allowable Costs and Eligibility Finding 2022-003 Criteria: An effective system of internal control contemplates that management properly review and assess eligibility determinations and allowable costs identified do not exceed program limits prior to providing funding to an approved applicant. Condition: While a manager reviews each approved application prior to disbursement there were three (3) instances where either the applicant was determined to be ineligible, or the amount paid exceeded the allowable limit. Context: We tested a sample of 40 approved applications out of over 1,200 total applications approved during the year. Effect: The County provided funding to ineligible recipients or amounts that exceeded the allowable limits which resulted in questioned costs. Questioned Costs: Known questioned costs were $370.05 and likely questioned costs were calculated to be $28,861.74. Cause: While the County has a process to review each approved application before disbursement, there was no documented procedures regarding review or formal checklist completed for each review. Recommendation: We recommend the County develop a formal checklist that is specific in regard to what is being reviewed for each approved application, including but not limited to reviewing income support documentation and the income limit calculation, and ensure it is being completed prior to disbursing funds to the applicant. Views of responsible officials: Management agrees with the finding and is implementing procedures to correct this which is further discussed in the corrective action plan. Corrective Action Plan: See Corrective Action Plan prepared by the County.