Corrective Action Plans

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Finding: The terms and conditions for recipients of Disaster Grants - Public Assistance (Presidentially Declared Disasters) require that federal funds be used only for eligible emergency protective measures and other eligible work. Emergency work is defined as work that must be performed immediately...
Finding: The terms and conditions for recipients of Disaster Grants - Public Assistance (Presidentially Declared Disasters) require that federal funds be used only for eligible emergency protective measures and other eligible work. Emergency work is defined as work that must be performed immediately to save lives, protect public health and safety, or avert or lessen the threat of a major disaster. Status: Management agrees with the finding and the following corrective actions were taken to minimize future risks. Management will continue to monitor FEMA guidance and determinations related to COVID-19 Public Assistance funding. Management will evaluate the impact of subsequent FEMA reviews or determinations on amounts reported on the SEFA and adjust, as appropriate. Contact Person: Erin Fitzgerald, VP Chief Accounting Officer Anticipated Completion Date: Q1 2026
Management concurs with the finding. Due to an administrative error, JCMC included certain ineligible patient clinical laboratory testing costs, recorded as bad debt expense, in federal grant expenditures. Although management consulted with the Program administrator, the County of Hudson, prior to s...
Management concurs with the finding. Due to an administrative error, JCMC included certain ineligible patient clinical laboratory testing costs, recorded as bad debt expense, in federal grant expenditures. Although management consulted with the Program administrator, the County of Hudson, prior to seeking reimbursement and received approval to include these costs, JCMC acknowledges its responsibility to ensure federal funds are not used to reimburse unallowable services. Going forward, JCMC will strengthen its review process to exclude unallowable bad debt costs from grant expenditures. Management has reviewed the applicable Uniform Guidance cost principles with Program grant personnel and supporting analysts to reinforce compliance. Responsible Official: Alexander Filipak, VP Finance, Jersey City Medical Center Email: Alexander. Filipiak@rwjbh.org. Anticipated Completion Date: December 31, 2026
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Internal Controls Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-2340, c...
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Internal Controls Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-2340, clerk@townofwheatland.in Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: We understand the importance of internal controls over federal funds and for the future we will establish the following procedures for advanced grants. The board will be presented with a plan for expenditures of the grant and the clerk treasurer will account for the grant in a separate fund. Before payment is made the board will be presented with all invoices for review to ensure it meets all activities allowed, allowable costs/cost principles and period of performance. We will establish the following procedures for future reimbursable grants. The reimbursement request prepared by the clerk/treasurer office with supporting documentation will be reviewed by the Town Board for activities allowed, allowable costs/cost principles and period of performance. and approved for submission. Any reports required by grantor agency will be prepared by the clerk/treasures office and reviewed by the town board before submission Anticipated Completion Date: 08/2026
FINDING 2025-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Respo...
FINDING 2025-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The City will reclass the expense. Anticipated Completion Date: 10/31/2026
The reporting process for federal & state awarded funds will be reviewed with all parties involved in these funds.
The reporting process for federal & state awarded funds will be reviewed with all parties involved in these funds.
FINDING 2025-004 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Reporting Summary of Findings: Material Weakness, Modified Opinion The information submitted included amounts based on the incorrect period, amounts that should have been omitted, and amounts which were ...
FINDING 2025-004 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Reporting Summary of Findings: Material Weakness, Modified Opinion The information submitted included amounts based on the incorrect period, amounts that should have been omitted, and amounts which were based on budgeted amounts instead of actual amounts, as such the reports were not fairly presented. Errors identified included the following:  Total Current Obligations for Government Services were overstated by $145,000.  Total Current Obligations for Roundabout were overstated by $323,628.  Total Current Obligations for Fairgrounds were overstated by $97,362. Contact Person Responsible for Corrective Action Plan: Janet Lloyd, Clinton County Auditor Contact’s Phone Number: 765.659.6330 Contact’s Email Address: jlloyd@clintoncountyin.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The Auditor did take tremendous care to create a spreadsheet to make sure expenditures were reported in the correct time periods for 2025. However, there were reporting errors. The First Deputy will review the timeframe and expenditures as well as we will ensure there are several sets of eyes on the documentation before submitting the P&E report. We will have both the Auditor and First Deputy create the spreadsheet and review and sign before submitting. Anticipated Completion Date: December 31, 2026
FINDING 2025-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Cindy Poore, Director of Finance and Records Contact Phone Number and Email Address: 317-733-2809, cpoore@zionsville-in.gov View...
FINDING 2025-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Cindy Poore, Director of Finance and Records Contact Phone Number and Email Address: 317-733-2809, cpoore@zionsville-in.gov Views of Responsible Officials: We disagree with the finding. Description of Corrective Action Plan: We received a comment on this during our last audit for 2024. That audit was completed the end of August 2025. The 1 vendor found during this current audit that didn’t have the suspension and debarment verification had been paid prior to the last audit being completed, so there was no way of fixing the issue when it was brought to our attention. This was more of an overlap or timing issue rather than a recurring issue. We have already put a couple of things in place to be compliant with this “finding”. All contracts have a section regarding suspension and debarment added to the verbiage. Vendors that do not have a contract are given to the Deputy Director to look up and print the verification to be kept for audit purposes. Anticipated Completion Date: 8/19/26
Finding 2025-001: Significant Deficiency over Internal Controls related to Allowable Costs Corrective Action Plan: Strengthen detailed process for review over payroll charges billed to federal programs. To address the significant deficiency over allowable costs identified in the Single Audit, the Or...
Finding 2025-001: Significant Deficiency over Internal Controls related to Allowable Costs Corrective Action Plan: Strengthen detailed process for review over payroll charges billed to federal programs. To address the significant deficiency over allowable costs identified in the Single Audit, the Organization will enhance its existing review procedures by implementing a more detailed monthly review process. This will include verifying payroll charges against supporting documentation such as payroll registers, time records, and allocation spreadsheets. Management will also explore the development of a standardized reconciliation checklist and introduce a secondary review step to ensure accuracy and completeness. These measures, combined with continued monthly oversight by the CFO, are intended to reduce the risk of billing errors due to human oversight and reinforce the reliability of payroll cost allocations. Name of Responsible Person: Nora Davis, Chief Financial Officer Anticipated Completion Date: October 1, 2026
Housing Voucher Cluster – Assistance Listing Nos. 14.871/14.879 – PIC Reporting Recommendation: We recommend that the Authority reviews its process for uploading data to the PIC system to ensure each HUD-50058 recertification gets submitted timely and accurately. Explanation of disagreement with aud...
Housing Voucher Cluster – Assistance Listing Nos. 14.871/14.879 – PIC Reporting Recommendation: We recommend that the Authority reviews its process for uploading data to the PIC system to ensure each HUD-50058 recertification gets submitted timely and accurately. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: During this time, HUD was working to switch reporting systems from PIC to HIP. Our software showed the files in question were submitted and no rejection noted, yet the records are not showing as received on HUD’s end. The Authority will work with our software provider and review any HUD changes affecting the PIC System. We will continue to review all records included in this upload, and work to ensure other records are uploaded manually. Name of the contact person responsible for corrective action: Richard Marshall Planned completion date for corrective action plan: 10/31/2026
Audit Finding Reference: 2025-001 Corrective Action Plan: Reimbursement Request Review and Approval Documentation Finding: The Center was unable to provide documentation demonstrating that reimbursement requests submitted to federal funding agencies received supervisory review and approval by the Co...
Audit Finding Reference: 2025-001 Corrective Action Plan: Reimbursement Request Review and Approval Documentation Finding: The Center was unable to provide documentation demonstrating that reimbursement requests submitted to federal funding agencies received supervisory review and approval by the Controller prior to submission. While reimbursement requests were reviewed, evidence of such review and approval was not consistently documented and retained. Root Cause: The review and approval process existed; however, formal documentation evidencing the Controller’s review and approval was not consistently retained with the reimbursement request records. Corrective Action: The Center has implemented enhanced procedures to ensure that all reimbursement requests submitted under federal awards receive documented supervisory review and approval prior to submission. Grant accounting staff will prepare the reimbursement request and supporting documentation and submit the complete package to the Controller for review. The Controller will review the request for accuracy, allowability, allocability, reasonableness, adequate supporting documentation, reconciliation to grant records and approved budgets, and compliance with applicable federal regulations and award requirements. Approval will be documented through electronic approval, email authorization retained with the reimbursement records, or signature and date on the reimbursement package or standardized checklist prior to submission. Preventive Measures: The Center has developed a standardized reimbursement request checklist that must be completed and retained with each reimbursement package. Grant accounting personnel will be trained on the revised documentation requirements, and the Executive Director will perform quarterly spot checks of reimbursement request files to confirm that evidence of review and approval is consistently maintained. Any exceptions identified will be addressed through corrective training and process improvements. Responsible Parties: Controller, Grant Accounting Staff, and Executive Director. Implementation Date: Effective immediately upon adoption. Evidence of Completion: Completed reimbursement request checklists, documented Controller approvals through signature, electronic approval, or retained email authorization, supporting reimbursement documentation, and quarterly monitoring documentation.
Finding 1238046 (2025-001)
Material Weakness 2025
Finding 2025-001 – Major Federal Award Programs Audit Finding, Significant Deficiency, Inadequate internal control to ensure personnel costs charged to the federal program are supported in accordance with federal requirements. HopeSparks acknowledges the auditor's finding that certifications of pers...
Finding 2025-001 – Major Federal Award Programs Audit Finding, Significant Deficiency, Inadequate internal control to ensure personnel costs charged to the federal program are supported in accordance with federal requirements. HopeSparks acknowledges the auditor's finding that certifications of personnel activity for staff whose compensation was charged in whole or in part to the federal award were not completed on a periodic basis during the grant period, as required by 2 CFR 200.430. During the applicable period, personnel and grant-related costs were monitored on an ongoing basis through HopeSparks' regular weekly budget review process and were charged consistently with the approved award budget; however, the specific certification format required by federal effort-reporting standards was not completed contemporaneously. Following the finding, HopeSparks conducted a thorough review of employee activities during the grant period. This process included documenting all relevant work performed and comparing it directly to personnel costs charged to the program. Our review confirmed that each cost charged to the federal award was allowable, allocable, and adequately supported. Going forward, HopeSparks will establish a periodic, contemporaneous certification process for personnel whose compensation is charged to federal awards, with implementation details to be finalized and incorporated into HopeSparks' written policies and procedures. HopeSparks' Chief Financial Officer, William Bowman, will oversee the development and execution of this process, and the President and CEO, Joseph Le Roy, will be responsible for ensuring it is carried out. If you have any questions or require additional information, please feel free to contact him at 253-565-4484 or jleroy@hopesparks.org.
Corrective action steps were taken at 12/31/24 and 12/31/25 to ensure proper modified accrual accounting standards were followed. Individual departments are responsible for submitting accruals in accordance with Controller Office guidelines. The Budget and Finance Division reminded departments on seve...
Corrective action steps were taken at 12/31/24 and 12/31/25 to ensure proper modified accrual accounting standards were followed. Individual departments are responsible for submitting accruals in accordance with Controller Office guidelines. The Budget and Finance Division reminded departments on several occasions to submit accruals. Additionally, Budget and Finance performed a high-level review of expenses processed, based on ledger details, in the window between year-end and deadline for accruals to capture any missed accruals. We did not pull every individual voucher for review of service dates. We will continue to follow Controller Office accrual guidelines moving forward as the Controller sets and administers the accounting rules for the County. We will continue to remind departments of their responsibility to adhere to the accrual guidelines as well. It is important to note that American Rescue Plan reporting guidance allows recipients to report on a cash basis. We are in compliance with federal reporting of funds to Treasury. Timetable of dates for performapce of planned corrective action steps includipg completion date: Corrective action steps were taken at 12/31/24 to ensure proper modified accrual accounting standards are followed. . Descriptitrn of monitoring to be nerfbrmed to ensure corrective action stgps are taken: The Budget and Finance Division will continue to work with all departments at year-end to ensure their ARPA expenditures are accrued properly per Controller guidance.
Corrective action steps taken and/or planned: There are 2 primary reasons for the delay in submitting cross charges. One, an EA authorizing cross charges for specific programs had not been submitted. The EA has been submitted and approved and all outstanding cross charges are being processed at the ...
Corrective action steps taken and/or planned: There are 2 primary reasons for the delay in submitting cross charges. One, an EA authorizing cross charges for specific programs had not been submitted. The EA has been submitted and approved and all outstanding cross charges are being processed at the time of this response. The second reason is due to the reimbursement process for some of the programs that the Department staff administers. The department, for many programs, acts as the sponsoring applicant, on behalf of non-profit agencies because certain programs disallow non-profits to apply on their own. Many of the programs do not pay costs up front to the department, requiring that the non-profits pay from their local funds, therefore delaying the ability to cross-charge costs to reimburse the CDBG program immediately. It was discovered after the former Senor Fiscal Manager left that billing for many projects had not occurred. The department has developed a process to bill the non-profits for the allowable administrative costs as soon as work on the projects begins to be able to reimburse CDBG timelier. Timetable of dates for performance of planned corrective action steps including completion date: At the time of this response cross-charges are being processed. Do. It is anticipated that all outstanding cross charges will be completed by the end of June 2026. E. Description of monitoring to be performed to ensure corrective action steps are taken: The Assistant Director, Operations and Assistant Director, Finance will work closely to ensure cross charges are completed in a timely manner now that processes have been established for all funding sources.
Northern Rocky Mountain Economic Development District (NRMEDD) agrees with the recommendation. The $2,871 misclassified expenditures has been reclassified to the correct account. The corrective action described in response to Finding 1 applies uniformly to expense classifications, with no separate o...
Northern Rocky Mountain Economic Development District (NRMEDD) agrees with the recommendation. The $2,871 misclassified expenditures has been reclassified to the correct account. The corrective action described in response to Finding 1 applies uniformly to expense classifications, with no separate or exception process.
Corrective action planned Effective in fiscal year 2026, the Organization will implement a time and effort reporting process for employees whose compensation is charged, in whole or in part, to federal awards. Actual time and effort will be documented and reviewed on a regular basis to support payro...
Corrective action planned Effective in fiscal year 2026, the Organization will implement a time and effort reporting process for employees whose compensation is charged, in whole or in part, to federal awards. Actual time and effort will be documented and reviewed on a regular basis to support payroll allocations. Where budget estimates are used for interim allocations, management will perform periodic reconciliations to actual activity and make timely adjustments as necessary. Policies and procedures will be updated, and relevant personnel will receive training on Uniform Guidance requirements related to personnel expense reporting and allocation. Anticipated completion date December 31, 2026 Contact person responsible for corrective action Chief Financial Officer
FINDING 2025-006 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-677-3959 clane@vincennes.in.gov Views of Responsible Officials: We concur with th...
FINDING 2025-006 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-677-3959 clane@vincennes.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: All reports will be prepared by the clerk’s office and will be reviewed for errors and omissions by someone who is knowledgeable about the reporting requirements prior to submission. Anticipated Completion Date: The corrective action plan will be implemented by December 31, 2026.
FINDING 2025-004 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Allowable Costs/Cost Principles and Period of Performance Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-677-3959 clane@vincennes.in.gov V...
FINDING 2025-004 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Allowable Costs/Cost Principles and Period of Performance Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-677-3959 clane@vincennes.in.gov Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: The clerk’s office will work with the grant administrators and departments to assist in identifying non-compliant activities to ensure that funds are being used appropriately and according to the federal guidelines for the grant. We will consult with the relevant personnel to ensure understanding of allowable and disallowed costs as well as period of performance and help departments who may need additional training. Anticipated Completion Date: The corrective action plan will be implemented by December 31, 2026.
FINDING 2025-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Activities Allowed or Unallowed Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-882-6426 clane@vincennes.in.gov Views of Responsible Offici...
FINDING 2025-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Activities Allowed or Unallowed Contact Person Responsible for Corrective Action: Catherine MM Lane Contact Phone Number and Email Address: 812-882-6426 clane@vincennes.in.gov Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: The Clerk-Treasurer’s office will prepare APV for all claims, including those related to payroll benefits. The APVs will be included on the claims docket which will be presented to the City Council for their review and approval. Additionally, the Clerk-Treasurer will certify each claim prior to payment. Anticipated Completion Date: The corrective action plan will be implemented by December 31, 2026.
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges that employee compensation approvals were not consistently performed in accordance with documented procedures. To strengthen segregation of...
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges that employee compensation approvals were not consistently performed in accordance with documented procedures. To strengthen segregation of duties and oversight, responsibility for review and approval of employee compensation changes will be reassigned to appropriate executive leadership personnel independent of payroll processing responsibilities, consistent with the requirement under the Uniform Guidance (2 CFR 200.303) that the Organization establish and maintain effective internal control over federal awards. All pay raises will be initiated upon the recommendation of the respective department directors and must be approved by the Chief Executive Officer (CEO) or Chief Financial Officer (CFO) prior to processing. All compensation changes will be made in accordance with the Organization's Board-approved written compensation policies and will be reasonable and consistent with compensation paid for similar work, as required by the compensation standards for personal services under the Uniform Guidance (2 CFR 200.430). Human Resources will be responsible for ensuring that all pay raise documentation, including department director recommendations and CEO/CFO approvals, is properly completed and filed in the employee’s personnel record. Documentation of all compensation approvals will be maintained in accordance with the record retention requirements of the Uniform Guidance (2 CFR 200.334) and periodically reviewed to ensure compliance with established policies and procedures. Name(s) of the contact person(s) responsible for corrective action: Edward Murphy, Asante Muyungga, Charity Gutierrez, Anthony Parker, Bennett Baber, Jannell Robinson. Planned completion date for corrective action plan: June 30, 2027
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges that evidence of review and approval was not consistently retained and that documentation supporting reimbursement requests was not maintai...
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges that evidence of review and approval was not consistently retained and that documentation supporting reimbursement requests was not maintained at a level sufficient to demonstrate compliance with federal requirements. To address this deficiency, management is implementing formal documentation standards requiring each reimbursement request to be supported by a reconciliation of amounts requested to actual allowable expenditures recorded in the general ledger, together with documented evidence of reviewer approval. Each reconciliation will be prepared by grant and budget category and will compare cumulative expenditures recorded in the general ledger to cumulative amounts previously drawn through the Payment Management System, with any differences investigated and resolved before the request is submitted. The Chief Financial Officer (CFO) or the Chief Executive Officer (CEO) will then review and approve each Request for Reimbursement form and related reconciliation before submission, consistent with the approval process described in the responses to Findings 2025-003 and 2025-006. Evidence of this review will include the approver’s handwritten or electronic signature and the approval date on both the Request for Reimbursement form and the supporting reconciliation. In addition, all expenditures will require documented preapproval by the respective department director or other designated personnel before costs are incurred. Original receipts, invoices, and other supporting documentation will be submitted to the Accounting Department, which will review each expenditure to verify that it is properly authorized, adequately supported, accurately coded, and incurred for a legitimate business purpose of the Organization. Prior to the submission of any reimbursement request, expenditures charged to federal awards will be reviewed for allowability, allocability, reasonableness, and adequate documentation in accordance with the cost principles of the Uniform Guidance (2 CFR Part 200, Subpart E). All reconciliations, approvals, and supporting documentation will be retained in accordance with federal record retention requirements and made readily available for review. Supporting documentation will be maintained in a centralized location, organized by grant and reimbursement period, and retained in accordance with the Uniform Guidance record retention requirements (2 CFR 200.334). The Organization will incorporate these review and approval procedures into its written financial policies and procedures, and finance staff involved in preparing reimbursement requests will receive training on them. In addition, management will periodically perform a secondary review of a sample of completed reimbursement requests to verify that reconciliations, approvals, and supporting documentation are complete, and any exceptions identified will be promptly corrected and documented. Name(s) of the contact person(s) responsible for corrective action: Edward Murphy, Asante Muyungga, Charity Gutierrez, Anthony Parker, Bennett Baber, Jannell Robinson. Planned completion date for corrective action plan: June 30th, 2027
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges deficiencies in controls over payroll allocation processes and recognizes the importance of ensuring compensation costs charged to federal ...
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization acknowledges deficiencies in controls over payroll allocation processes and recognizes the importance of ensuring compensation costs charged to federal programs are supported by records reflecting actual work performed. Management is implementing revised payroll allocation procedures requiring allocations to be supported by approved time records and documented review processes. Specifically, compensation charged to each federal award will be based on timesheets or other time and effort records that reflect the actual hours worked on each program, are signed by the employee, and are approved by the employee’s direct supervisor, in accordance with the standards for documentation of personnel expenses under the Uniform Guidance (2 CFR 200.430(g)). Overtime will require advance supervisory approval and will be charged only to the program on which the overtime hours were worked. Additional training will be provided to employees and supervisors regarding timekeeping and grant coding requirements, and management will periodically review payroll allocations to verify compliance with federal requirements. Each pay period, the Accounting Department will reconcile payroll allocations recorded in the payroll system to approved time records before posting related costs to the general ledger and charging them to federal programs, and will investigate and correct any discrepancies before including the costs in a reimbursement request form. Where budgeted allocations are used for interim purposes, they will be compared to actual effort at least quarterly and adjusted as necessary so that final amounts charged to federal awards reflect actual work performed. The Chief Financial Officer (CFO) will review the results of these reconciliations, and all time records, approvals, and reconciliations will be retained in accordance with the record retention requirements of the Uniform Guidance (2 CFR 200.334). Name(s) of the contact person(s) responsible for corrective action: Edward Murphy, Asante Muyungga, Charity Gutierrez, Anthony Parker, Bennett Baber, Jannell Robinson. Planned completion date for corrective action plan: June 30th, 2027
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization recognizes that documentation supporting certain expenditures charged to federal programs was not adequately maintained and that review procedures over ...
There is no disagreement with the audit finding. Action planned/taken in response to finding: Management concurs with the finding. The Organization recognizes that documentation supporting certain expenditures charged to federal programs was not adequately maintained and that review procedures over reimbursement requests were not sufficient to ensure expenditures were fully supported and accurately reflected. Management is implementing enhanced procedures requiring all expenditures included in reimbursement requests to be supported by source documentation and reconciled to accounting records prior to submission. The Accounting Department will collect original invoices, receipts, payroll registers, and other source documents when costs are incurred, and will prepare reconciliations using final invoices rather than estimates, quotes, or purchase orders. In limited circumstances where an estimate must be used for anticipated expenses, the basis for the estimate will be documented and approved prior to submission, and the estimated amount will be reconciled to actual expenditures in a timely manner, no later than the subsequent reimbursement request, with any differences promptly adjusted and supporting documentation retained. In addition, independent review procedures will be performed to verify allowability, accuracy, and completeness before federal reimbursement requests are submitted. Each reimbursement request will then be reviewed and approved by the Chief Financial Officer (CFO) or the Chief Executive Officer (CEO) before submission, consistent with the approval process described in the response to Finding 2025-003. The Organization will organize supporting documentation by grant and reimbursement period and retain it in accordance with the record retention requirements of the Uniform Guidance (2 CFR 200.334). Additionally, the Chief Financial Officer (CFO) will perform periodic sample-based reviews of expenditures charged to federal awards to verify that documentation standards are consistently followed, and any exceptions identified will be promptly corrected, including adjustment of amounts previously requested where necessary. Name(s) of the contact person(s) responsible for corrective action: Edward Murphy, Asante Muyungga, Charity Gutierrez, Anthony Parker, Bennett Baber, Jannell Robinson. Planned completion date for corrective action plan: June 30th, 2027
Condition: NIST Recovery Reports were prepared without evidence of a secondary review or approval by an individual independent of the preparer and knowledgeable of grant requirements. Planned Corrective Action: The Controller will prepare the monthly NIST Recovery Report and submit the report to the...
Condition: NIST Recovery Reports were prepared without evidence of a secondary review or approval by an individual independent of the preparer and knowledgeable of grant requirements. Planned Corrective Action: The Controller will prepare the monthly NIST Recovery Report and submit the report to the Vice President of Operations for review and approval. The Vice President of Operations will provide documented evidence of the review and approval to the Controller. Upon receipt of the documented evidence of review, the Controller will request that the Vice President of Operations initiate the recovery of the monthly NIST reimbursement amount. Contact person responsible for corrective action: Alan Kowalewski Anticipated Completion Date: 08/20/2026
Finding Number 2025-003: Matching – Significant Deficiency in Internal Control over Compliance and Noncompliance Corrective Action: Management will update its matching procedures to require staff to verify that each cost is allowable under the applicable grant before including it in the matching poo...
Finding Number 2025-003: Matching – Significant Deficiency in Internal Control over Compliance and Noncompliance Corrective Action: Management will update its matching procedures to require staff to verify that each cost is allowable under the applicable grant before including it in the matching pool. The procedures will specifically exclude unrecovered indirect costs from CoC Program match unless HUD provides prior written approval. Grant accounting staff will retain support for each matching cost, and a supervisor will review and approve the matching schedule before submission. Any ineligible costs identified will be removed and corrected. Name of Responsible Individual(s): Jason Brenier and Judy Bokhari Anticipated Completion Date: December 2026
Finding Number 2025-002: Period of Performance – Significant Deficiency in Internal Control Over Compliance and Noncompliance Corrective Action: Management will update its grant allocation procedures to require staff to verify and document that costs were incurred within the applicable grant period ...
Finding Number 2025-002: Period of Performance – Significant Deficiency in Internal Control Over Compliance and Noncompliance Corrective Action: Management will update its grant allocation procedures to require staff to verify and document that costs were incurred within the applicable grant period before charging them to an award. The accounting system will be used to track grant periods, retain allocation support, and flag costs charged outside the applicable period. A supervisor will review allocations and resolve exceptions before claims are submitted. Any costs charged to the wrong period will be corrected. Name of Responsible Individual(s): Jason Brenier, Judy Bokhari, Luz Gonzales-Toscano Anticipated Completion Date: December 2026
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