Significant Deficiencies
2023-001. Written Policies
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Under the Uniform Guidance, federal award recipients must maintain updated written
documentation of internal control policies and procedures, which include a procurement policy that
complies with 2 CFR 200.317-327.Additionally, under Uniform Guidance, federal award recipients
must maintain a written record retention policy that complies with 24 CFR 578.103(c).
Condition: The Organization did not have written policies referencing these requirements.
Cause: The Organization’s current written policies and procedures was to be updated during the year,
but personnel changes impacted the timetable for completing this task.
Potential Effect: Not having the updated policies and procedures could weaken the internal controls
over expenditures charged to the federal award.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding, related to the 2022 audit, finding #2022-
001.
Recommendation: The Organization should update their policies and procedures manual to ensure
compliance with the procurement requirements at 2 CFR 200.317-327, and the impact of 24 CFR
578.103(c).
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will update the
written policies and procedures to comply with the Uniform Guidance requirements.
2023-002. Allowable Costs/Cost Principles
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Uniform Guidance 2 CFR 200.430, covers standards for documentation of compensationpersonal
services. Charges to federal awards for salaries and wages must be based on records that
accurately reflect the work performed and time spent. These records must be supported by a system
of internal control which provides reasonable assurance that the charges are accurate, allowable, and
properly allocated. Furthermore, these records should support the distribution of the employee’s salary or wages among specific activities or cost objectives if the employee works on more than one
federal award; a federal award and non-federal award; an indirect cost activity and a direct cost
activity; two or more indirect activities, which are allocated using different allocation bases; or an
unallowable activity and a direct or indirect cost activity.
Condition: The Organization charged costs for staff time without source documentation that complied
with Uniform Guidance.
Cause: The Organization used time records which did not clearly differentiate between the activities
conducted and the hours worked to support compensation supported by each federal award and nonfederal
awards.
Potential Effect: Reimbursement for compensation under federal awards without time records, such as
personnel activity equivalent reports, might result in the incorrect payment amount of payroll
expenses.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2021 audit, finding #2021-002,
related to the Crime Victim Assistance grant.
Recommendation: The Organization should maintain Personnel Activity Reports (PAR) or equivalent
documentation. This reporting of time will allow each employee to accurately reflect the time work is
performed, for compensation which is funded by a federal award.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will modify
procedures to reflect actual time worked by employee on PAR equivalent documentation, which will
serve as support for personnel expenses funded by a federal award.
Significant Deficiencies
2023-001. Written Policies
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Under the Uniform Guidance, federal award recipients must maintain updated written
documentation of internal control policies and procedures, which include a procurement policy that
complies with 2 CFR 200.317-327.Additionally, under Uniform Guidance, federal award recipients
must maintain a written record retention policy that complies with 24 CFR 578.103(c).
Condition: The Organization did not have written policies referencing these requirements.
Cause: The Organization’s current written policies and procedures was to be updated during the year,
but personnel changes impacted the timetable for completing this task.
Potential Effect: Not having the updated policies and procedures could weaken the internal controls
over expenditures charged to the federal award.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding, related to the 2022 audit, finding #2022-
001.
Recommendation: The Organization should update their policies and procedures manual to ensure
compliance with the procurement requirements at 2 CFR 200.317-327, and the impact of 24 CFR
578.103(c).
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will update the
written policies and procedures to comply with the Uniform Guidance requirements.
2023-002. Allowable Costs/Cost Principles
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Uniform Guidance 2 CFR 200.430, covers standards for documentation of compensationpersonal
services. Charges to federal awards for salaries and wages must be based on records that
accurately reflect the work performed and time spent. These records must be supported by a system
of internal control which provides reasonable assurance that the charges are accurate, allowable, and
properly allocated. Furthermore, these records should support the distribution of the employee’s salary or wages among specific activities or cost objectives if the employee works on more than one
federal award; a federal award and non-federal award; an indirect cost activity and a direct cost
activity; two or more indirect activities, which are allocated using different allocation bases; or an
unallowable activity and a direct or indirect cost activity.
Condition: The Organization charged costs for staff time without source documentation that complied
with Uniform Guidance.
Cause: The Organization used time records which did not clearly differentiate between the activities
conducted and the hours worked to support compensation supported by each federal award and nonfederal
awards.
Potential Effect: Reimbursement for compensation under federal awards without time records, such as
personnel activity equivalent reports, might result in the incorrect payment amount of payroll
expenses.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2021 audit, finding #2021-002,
related to the Crime Victim Assistance grant.
Recommendation: The Organization should maintain Personnel Activity Reports (PAR) or equivalent
documentation. This reporting of time will allow each employee to accurately reflect the time work is
performed, for compensation which is funded by a federal award.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will modify
procedures to reflect actual time worked by employee on PAR equivalent documentation, which will
serve as support for personnel expenses funded by a federal award.
2023-003. Written Intake Procedures
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 576.500(b) of the Uniform Guidance requires the Organization to maintain and follow
written intake procedures to ensure compliance with the homeless definition in 24 CFR 576.2. The
intake procedures must require documentation verifying homeless status, and must follow the order
of priority for obtaining evidence of homelessness; third-party documentation first, intake worker
observations second, and certification from the person seeking assistance third.
Condition: The Organization was unable to provide written policies and procedures with respect to
intake documentation and the calculation of rent.
Cause: Staffing constraints limited the Organization’s ability to complete policies and procedures to
comply with the requirements for this program.
Effect: Not having documented the intake policies and procedures and rent calculations, could result in
incorrect calculations of rent reimbursements.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should complete the written policies and procedures to comply
with the written intake provisions under Uniform Guidance, as well as rent calculations.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will maintain the
written intake policies and procedures as well as rent calculations.
2023-004. Special Tests and Provisions
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Where grants are used to pay rent for individual housing units, the rent paid must be
reasonable in relation to rents being charged for comparable units taking into account relevant
features. In addition, the rents may not exceed rents currently being charged by the same owner for
comparable unassisted units, and the portion of rents paid with grant funds may not exceed HUDdetermined
fair market rents.
Condition: There were instances in which comparable rents for the area were not documented and
maintained in tenant files.
Cause: The Organization did not have an adequate control in place for the review by a supervisor of
every tenant file to ensure that permanent documentation to conclude that reasonable rent being
charged was maintained, rather because of staffing constraints, a review of a selection of tenant files
was performed for compliance with this criteria.
Potential Effect: The Organization may not be in compliance that grant funds to pay rent were used for
reasonable rent in relation to comparable rent in the area.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2022 audit, finding #2022-002.
Recommendation: The Organization should implement procedures for supervisory review of
documentation within all tenant files to ensure reasonable rent criteria is demonstrated.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will ensure
written documentation is maintained in tenant files, to support that the grant funds to pay rent were
used for reasonable rent in relation to comparable rents in the area.
2023-005. Match Source Documentation
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 578.73(a) of the Uniform Guidance specifies the Organization’s match requirements.
24 CFR 578.103(a)(11) requires the Organization to maintain records of the source and use of
contributions made to satisfy the match requirement. The records must indicate the grant and fiscal
year for which each matching contribution is counted, how the value placed on third party-in-kind
contributions was derived; and to the extent feasible, volunteer services should be supported by the
same methods that the organization uses to support the allocation of regular personnel costs.
Condition: Source documentation was not maintained to support costs applied to the match.
Cause: Personnel changes limited the Organization’s ability to maintain a list of funds expended which
were attributed to meeting the match requirements.
Potential Effect: Without documentation of funds expended attributed to meeting the match
requirement, the Organization could be receiving reimbursements that were for improper amounts.
Questioned Costs: The Organization’s 25% match was calculated at $135,900.
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should maintain an accounting for all funds expended attributed
to meeting the match requirement, as well as the source documentation.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will implement
procedures to ensure accounting for funds expended, as well as source documentation, is maintained
for costs attributed to meeting the match requirement.
2023-006. Allowable Costs/Cost Principles
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 578.99(e) of the Uniform Guidance states the requirements of administrative
requirements, cost principles, and audit requirements for Federal awards under 2 CFR 200.
Condition: An allocation for costs within the administrative components of the budget was not
maintained. A percentage of the total administrative budget was requested for reimbursement based
on an estimate of costs expended.
Cause: Personnel changes limited the Organization’s ability to properly contemporaneously track the
allocation of the administrative expense.
Potential Effect: Not having a documented allocation of the administrative component of the budget
could result in the Organization reporting and receiving reimbursement for the incorrect amount of
related costs.
Questioned Costs: The administrative budget is $71,544
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should implement procedures to ensure that administrative
related charges to the program are documented by an allocation calculation.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will implement
procedures to ensure an allocation for administrative related expenses is performed and documented.
Significant Deficiencies
2023-001. Written Policies
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Under the Uniform Guidance, federal award recipients must maintain updated written
documentation of internal control policies and procedures, which include a procurement policy that
complies with 2 CFR 200.317-327.Additionally, under Uniform Guidance, federal award recipients
must maintain a written record retention policy that complies with 24 CFR 578.103(c).
Condition: The Organization did not have written policies referencing these requirements.
Cause: The Organization’s current written policies and procedures was to be updated during the year,
but personnel changes impacted the timetable for completing this task.
Potential Effect: Not having the updated policies and procedures could weaken the internal controls
over expenditures charged to the federal award.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding, related to the 2022 audit, finding #2022-
001.
Recommendation: The Organization should update their policies and procedures manual to ensure
compliance with the procurement requirements at 2 CFR 200.317-327, and the impact of 24 CFR
578.103(c).
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will update the
written policies and procedures to comply with the Uniform Guidance requirements.
2023-002. Allowable Costs/Cost Principles
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Uniform Guidance 2 CFR 200.430, covers standards for documentation of compensationpersonal
services. Charges to federal awards for salaries and wages must be based on records that
accurately reflect the work performed and time spent. These records must be supported by a system
of internal control which provides reasonable assurance that the charges are accurate, allowable, and
properly allocated. Furthermore, these records should support the distribution of the employee’s salary or wages among specific activities or cost objectives if the employee works on more than one
federal award; a federal award and non-federal award; an indirect cost activity and a direct cost
activity; two or more indirect activities, which are allocated using different allocation bases; or an
unallowable activity and a direct or indirect cost activity.
Condition: The Organization charged costs for staff time without source documentation that complied
with Uniform Guidance.
Cause: The Organization used time records which did not clearly differentiate between the activities
conducted and the hours worked to support compensation supported by each federal award and nonfederal
awards.
Potential Effect: Reimbursement for compensation under federal awards without time records, such as
personnel activity equivalent reports, might result in the incorrect payment amount of payroll
expenses.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2021 audit, finding #2021-002,
related to the Crime Victim Assistance grant.
Recommendation: The Organization should maintain Personnel Activity Reports (PAR) or equivalent
documentation. This reporting of time will allow each employee to accurately reflect the time work is
performed, for compensation which is funded by a federal award.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will modify
procedures to reflect actual time worked by employee on PAR equivalent documentation, which will
serve as support for personnel expenses funded by a federal award.
Significant Deficiencies
2023-001. Written Policies
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Under the Uniform Guidance, federal award recipients must maintain updated written
documentation of internal control policies and procedures, which include a procurement policy that
complies with 2 CFR 200.317-327.Additionally, under Uniform Guidance, federal award recipients
must maintain a written record retention policy that complies with 24 CFR 578.103(c).
Condition: The Organization did not have written policies referencing these requirements.
Cause: The Organization’s current written policies and procedures was to be updated during the year,
but personnel changes impacted the timetable for completing this task.
Potential Effect: Not having the updated policies and procedures could weaken the internal controls
over expenditures charged to the federal award.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding, related to the 2022 audit, finding #2022-
001.
Recommendation: The Organization should update their policies and procedures manual to ensure
compliance with the procurement requirements at 2 CFR 200.317-327, and the impact of 24 CFR
578.103(c).
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will update the
written policies and procedures to comply with the Uniform Guidance requirements.
2023-002. Allowable Costs/Cost Principles
United States Department of Justice, Passed through New York State, Office of Victims Services
Crime Victim Assistance ALN: 16.575
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Uniform Guidance 2 CFR 200.430, covers standards for documentation of compensationpersonal
services. Charges to federal awards for salaries and wages must be based on records that
accurately reflect the work performed and time spent. These records must be supported by a system
of internal control which provides reasonable assurance that the charges are accurate, allowable, and
properly allocated. Furthermore, these records should support the distribution of the employee’s salary or wages among specific activities or cost objectives if the employee works on more than one
federal award; a federal award and non-federal award; an indirect cost activity and a direct cost
activity; two or more indirect activities, which are allocated using different allocation bases; or an
unallowable activity and a direct or indirect cost activity.
Condition: The Organization charged costs for staff time without source documentation that complied
with Uniform Guidance.
Cause: The Organization used time records which did not clearly differentiate between the activities
conducted and the hours worked to support compensation supported by each federal award and nonfederal
awards.
Potential Effect: Reimbursement for compensation under federal awards without time records, such as
personnel activity equivalent reports, might result in the incorrect payment amount of payroll
expenses.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2021 audit, finding #2021-002,
related to the Crime Victim Assistance grant.
Recommendation: The Organization should maintain Personnel Activity Reports (PAR) or equivalent
documentation. This reporting of time will allow each employee to accurately reflect the time work is
performed, for compensation which is funded by a federal award.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will modify
procedures to reflect actual time worked by employee on PAR equivalent documentation, which will
serve as support for personnel expenses funded by a federal award.
2023-003. Written Intake Procedures
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 576.500(b) of the Uniform Guidance requires the Organization to maintain and follow
written intake procedures to ensure compliance with the homeless definition in 24 CFR 576.2. The
intake procedures must require documentation verifying homeless status, and must follow the order
of priority for obtaining evidence of homelessness; third-party documentation first, intake worker
observations second, and certification from the person seeking assistance third.
Condition: The Organization was unable to provide written policies and procedures with respect to
intake documentation and the calculation of rent.
Cause: Staffing constraints limited the Organization’s ability to complete policies and procedures to
comply with the requirements for this program.
Effect: Not having documented the intake policies and procedures and rent calculations, could result in
incorrect calculations of rent reimbursements.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should complete the written policies and procedures to comply
with the written intake provisions under Uniform Guidance, as well as rent calculations.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will maintain the
written intake policies and procedures as well as rent calculations.
2023-004. Special Tests and Provisions
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: Where grants are used to pay rent for individual housing units, the rent paid must be
reasonable in relation to rents being charged for comparable units taking into account relevant
features. In addition, the rents may not exceed rents currently being charged by the same owner for
comparable unassisted units, and the portion of rents paid with grant funds may not exceed HUDdetermined
fair market rents.
Condition: There were instances in which comparable rents for the area were not documented and
maintained in tenant files.
Cause: The Organization did not have an adequate control in place for the review by a supervisor of
every tenant file to ensure that permanent documentation to conclude that reasonable rent being
charged was maintained, rather because of staffing constraints, a review of a selection of tenant files
was performed for compliance with this criteria.
Potential Effect: The Organization may not be in compliance that grant funds to pay rent were used for
reasonable rent in relation to comparable rent in the area.
Questioned Costs: None reported.
Identification of a Repeat Finding: This is a repeat finding related to the 2022 audit, finding #2022-002.
Recommendation: The Organization should implement procedures for supervisory review of
documentation within all tenant files to ensure reasonable rent criteria is demonstrated.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will ensure
written documentation is maintained in tenant files, to support that the grant funds to pay rent were
used for reasonable rent in relation to comparable rents in the area.
2023-005. Match Source Documentation
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 578.73(a) of the Uniform Guidance specifies the Organization’s match requirements.
24 CFR 578.103(a)(11) requires the Organization to maintain records of the source and use of
contributions made to satisfy the match requirement. The records must indicate the grant and fiscal
year for which each matching contribution is counted, how the value placed on third party-in-kind
contributions was derived; and to the extent feasible, volunteer services should be supported by the
same methods that the organization uses to support the allocation of regular personnel costs.
Condition: Source documentation was not maintained to support costs applied to the match.
Cause: Personnel changes limited the Organization’s ability to maintain a list of funds expended which
were attributed to meeting the match requirements.
Potential Effect: Without documentation of funds expended attributed to meeting the match
requirement, the Organization could be receiving reimbursements that were for improper amounts.
Questioned Costs: The Organization’s 25% match was calculated at $135,900.
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should maintain an accounting for all funds expended attributed
to meeting the match requirement, as well as the source documentation.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will implement
procedures to ensure accounting for funds expended, as well as source documentation, is maintained
for costs attributed to meeting the match requirement.
2023-006. Allowable Costs/Cost Principles
United States Department of Housing and Urban Development
Continuum of Care Program ALN: 14.267
Criteria: 24 CFR 578.99(e) of the Uniform Guidance states the requirements of administrative
requirements, cost principles, and audit requirements for Federal awards under 2 CFR 200.
Condition: An allocation for costs within the administrative components of the budget was not
maintained. A percentage of the total administrative budget was requested for reimbursement based
on an estimate of costs expended.
Cause: Personnel changes limited the Organization’s ability to properly contemporaneously track the
allocation of the administrative expense.
Potential Effect: Not having a documented allocation of the administrative component of the budget
could result in the Organization reporting and receiving reimbursement for the incorrect amount of
related costs.
Questioned Costs: The administrative budget is $71,544
Identification of a Repeat Finding: This is not a repeat finding.
Recommendation: The Organization should implement procedures to ensure that administrative
related charges to the program are documented by an allocation calculation.
Views of Responsible Officials of Auditee: The Organization agrees with the finding and will implement
procedures to ensure an allocation for administrative related expenses is performed and documented.