Corrective Action Plans

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Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Earmarking Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Earmarking Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Finding 59850 (2022-058)
Significant Deficiency 2022
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khali...
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khalil Jaber Anticipated Completion Date: June 2023
Program: AL 20.509 ? Formula Grants for Rural Areas ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Controller Division, Audit Section, will provide support through continued engagement and work collaboratively as an additional resource to the NDOT Transit staff and transit rec...
Program: AL 20.509 ? Formula Grants for Rural Areas ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Controller Division, Audit Section, will provide support through continued engagement and work collaboratively as an additional resource to the NDOT Transit staff and transit recipients. NDOT Transit staff in collaboration with the Controller Division will be improving the standard operating Procedures which will be utilized for the in-depth review of monthly invoices moving forward. Contact: Khalil Jaber Anticipated Completion Date: Ongoing
View Audit 55212 Questioned Costs: $1
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
Finding 59840 (2022-045)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in the findings has been opened. In addition, during monthly one on one meetings with staff, the administrator will review cases to determine if the appropriate steps are being taken and narrated in the case file. Contact: Anne Harvey Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs ...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs plan to cover this with all teammates during their 4th quarter?s meeting and District 3?s SDA will send out communication to all teammates that reminds teammates of the expectations. Contact: Tony Green Anticipated Completion Date: 12/30/2022
View Audit 55212 Questioned Costs: $1
Finding 59834 (2022-039)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annua...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annually for direct staff involved with assisting providers. EVV website to be kept updated with program guidelines and regulations. DHHS will engage the vendor to explore technical options to resolve any technical related issues identified in the report, and develop any additional quality assurance measures necessary when a technical solution is not achievable in the short term. Contact: Kathy Scheele Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: Various, including AL 93.778 ? Medical Assistance Program ? Allowable Costs/Cost Principles Corrective Action Plan: The Print Shop will complete a detailed analysis on the analyzed data, and update rates. State Accounting will offset rates to spend down its fund balance to a 60-day operat...
Program: Various, including AL 93.778 ? Medical Assistance Program ? Allowable Costs/Cost Principles Corrective Action Plan: The Print Shop will complete a detailed analysis on the analyzed data, and update rates. State Accounting will offset rates to spend down its fund balance to a 60-day operating level. Contact: Philip Olsen / Ann Martinez Anticipated Completion Date: June 30, 2025
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.767 ? Children?s Health Insurance Program (CHIP) ? Special Tests and Provisions Corrective Action Plan: The Provider Relations team will do the following to mitigate the finding: 1. Develop educational materials about the requirements to disc...
Program: AL 93.778 ? Medical Assistance Program; AL 93.767 ? Children?s Health Insurance Program (CHIP) ? Special Tests and Provisions Corrective Action Plan: The Provider Relations team will do the following to mitigate the finding: 1. Develop educational materials about the requirements to disclose managing employees and post to the DHHS webpage. 2. Identify up to 25 providers that have not listed any managing employees and educate them directly about the need to review the federal law, determine if they have managing employees, and update their provider agreement. 3. Randomly select 25 providers and review the managing employee information they have disclosed. Direct the provider to correct their provider agreement when necessary. Contact: Anne Harvey; Zac Ross; Melinda Abbott Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 ? Child Care and Development Block Grant - Allowable Costs/Cost Principles Corrective Action Plan: The Agency will review procedures and ensure that all cost centers are properly reconciled. Contact: Rebecca Kempkes Anticipated Completion Date: 6/30/2023
Program: AL 93.575 ? Child Care and Development Block Grant - Allowable Costs/Cost Principles Corrective Action Plan: The Agency will review procedures and ensure that all cost centers are properly reconciled. Contact: Rebecca Kempkes Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59804 (2022-026)
Significant Deficiency 2022
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Program: AL 93.069 ? Public Health Emergency Preparedness (PHEP); AL 93.889 ? National Bioterrorism Hospital Preparedness Program (HPP) ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Department will require subrecipients with inadequate support for costs in APA's sample to par...
Program: AL 93.069 ? Public Health Emergency Preparedness (PHEP); AL 93.889 ? National Bioterrorism Hospital Preparedness Program (HPP) ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Department will require subrecipients with inadequate support for costs in APA's sample to participate in technical assistance sessions focused on allocability of costs to federal awards, which appears a common theme in APA's questioned cost sample. Costs within the questions costs total that DHHS determines are unsupported will be disallowed. With staffing resources now in place, the PHEP/HPP cluster will be able to adhere to DHHS monitoring practices. Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 84.010 ? Title I Grants to Local Educational Agencies ? Allowability and Subrecipient Monitoring Corrective Action Plan: The Department will contact the two subrecipients noted to provide one-on-one technical assistance and will also provide additional technical assistance regarding pro...
Program: AL 84.010 ? Title I Grants to Local Educational Agencies ? Allowability and Subrecipient Monitoring Corrective Action Plan: The Department will contact the two subrecipients noted to provide one-on-one technical assistance and will also provide additional technical assistance regarding proper time and effort documentation to all subrecipients. Additionally, time and effort guidance is available to all subrecipients on the Department?s website, will be discussed at upcoming subrecipient training opportunities and supported by a dedicated Grants Management Training Specialist. The Department will ensure the identified written deficiencies noted in the subrecipient fiscal monitoring exit letter clearly identifies a finding vs. technical assistance needed; whereas a finding is supported by follow-up in accordance with federal UGG regulations and technical assistance provides knowledge of the Department?s training and resources available. Contact: Jen Utemark, Budget and Grants Management Anticipated Completion Date: December 31, 2023
View Audit 55212 Questioned Costs: $1
Finding 59798 (2022-024)
Significant Deficiency 2022
Program: AL 93.558 ? Temporary Assistance to Needy Families; AL 10.561 ? State Administrative Matching Grants for the Supplemental Nutrition Assistance Program; AL 93.658 ? Foster Care Title IV-E ? Allowable Cost/Cost Principles Corrective Action Plan: DHHS will continue to train staff on the prope...
Program: AL 93.558 ? Temporary Assistance to Needy Families; AL 10.561 ? State Administrative Matching Grants for the Supplemental Nutrition Assistance Program; AL 93.658 ? Foster Care Title IV-E ? Allowable Cost/Cost Principles Corrective Action Plan: DHHS will continue to train staff on the proper RMTS procedures, which includes correct method of validation. Contact: Patrick Werner Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59797 (2022-023)
Significant Deficiency 2022
Program: Various, including AL 10.561 ? State Administrative Matching Grants for the Supplemental Nutrition Assistance Program; AL 93.558 ? Temporary Assistance for Needy Families; AL 93.566 ? Refugee and Entrant Assistance State/Replacement Designee Administered Programs; AL 93.575 ? Child Care and...
Program: Various, including AL 10.561 ? State Administrative Matching Grants for the Supplemental Nutrition Assistance Program; AL 93.558 ? Temporary Assistance for Needy Families; AL 93.566 ? Refugee and Entrant Assistance State/Replacement Designee Administered Programs; AL 93.575 ? Child Care and Development Block Grant ? Allowable Costs/Cost Principles Corrective Action Plan: Several areas within DHHS are currently working to improve upon the process of determining how staff are paid during the hiring process and when turnover occurs. Contact: Patrick Werner Anticipated Completion Date: 02/01/2024
View Audit 55212 Questioned Costs: $1
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to en...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to ensure requirements related to the grant agreement and the reporting compliance requirements are satisfied, the City Controller will prepare the project and expenditure reports and the Assistant Controller, or the 2nd Assistant Controller will review the project and expenditure reports before they are submitted. Anticipated Completion Date: The process will begin with the reports due April 30, 2023.
2022-001 ? Eligibility - Tenant File Documentation Finding Type. Immaterial noncompliance, Significant deficiency in internal controls over compliance (Eligibility) Federal programs U.S. Department of Housing and Urban Development ? Supportive Housing for the Elderly (ALN# 14.157) Condition. Out...
2022-001 ? Eligibility - Tenant File Documentation Finding Type. Immaterial noncompliance, Significant deficiency in internal controls over compliance (Eligibility) Federal programs U.S. Department of Housing and Urban Development ? Supportive Housing for the Elderly (ALN# 14.157) Condition. Out of a sample of 6 tenant files, it was noted: 1. Two out of six instances where the resident's cash balance was verified using the ending balance; however, the 6-month average balance should have been used; 2. One out of six instances where the resident's medical expenses were improperly calculated; 3. One out of six instances where the tenant's security deposit and/or prorated rent were not disbursed to them in the required 30 days; 4. One out of six instances where there was no verification of pension income performed on the most recent recertification. Effect. As a result of this condition, certain tenant files did not contain all required supporting documentation. In addition, employees did not follow HUD guideline procedures, and/or did not properly calculate the tenant subsidy in HUD Form 50059. While there were no significant differences in the amount of subsidies allowed compared to subsidies received, the lack of effective internal controls could lead to future significant noncompliance. Plan. Management agrees with finding 2022-001. All files are to be inspected in the current fiscal year to ensure compliance with HUD regulations. File maintenance will be competed following each move in and annual recertification. In addition to one-on-one training, the housing administrator has signed up for additional training including a WebEx on annual recertification and a basic EIV course. Additional training sessions are forthcoming. Contact Person Responsible for This Corrective Action: Laura Maisevich, Senior Housing Manager Anticipated completion date: December 31, 2022
CORRECTIVE ACTION PLAN January 6, 2023 The Great Valley School District respectfully submits the following corrective action plan for the fiscal year ended June 30, 2022. Name and address of Independent Public Auditing Firm: Herbein & Company 2763 Century Blvd. Reading, PA 19601-2596 Audit Period: J...
CORRECTIVE ACTION PLAN January 6, 2023 The Great Valley School District respectfully submits the following corrective action plan for the fiscal year ended June 30, 2022. Name and address of Independent Public Auditing Firm: Herbein & Company 2763 Century Blvd. Reading, PA 19601-2596 Audit Period: July 1, 2021 - June 30, 2022 The findings from the June 30, 2022 schedule of findings are discussed below.Section III - Federal Awards Findings and Questioned Costs 2022-002 ALLOWABLE COSTS - SIGNIFICANT DEFICIENCY Federal Program Education Stabilization Fund ALN 84.425D - COVID-19 - Elementary Secondary School Emergency Relief Fund (ESSER II), contract #200-210168 ALN 84.425U - COVID-19 - Elementary Secondary School Emergency Relief Fund (ESSER III), contract #223-210168 Criteria In accordance with Uniform Guidance costs principles, the District is not allowed to charge costs to a grant that are reimbursed by another funding source. Condition The District charged 100% of the employer paid retirement cost to the grant, however, the Pennsylvania Department of Education reimburses the District 50% of those costs annually. As a result, the District is only permitted to charge 50% of retirement costs to the grants. Cause The District improperly charged twice the allowable retirement costs to the grant to the general ledger funding source code for the grants. Effect Unallowable costs were charged to the grants. The District subsequently identified allowable costs in this amount to charge to the grants to replace these unallowable costs. Questioned Costs ALN 84.425D, contract #200-210168 - $36,465 ALN 84.425U, contract #200-223168 - $3,736 Context 100% of the retirement costs for the salaries charged to the grants totaled $80,402. 50% of this was reimbursed by the Pennsylvania Department of Education and therefore $40,201 of the costs charged to the grants were unallowable. Repeat Finding No. Recommendation We recommend the District identify all funding streams and have a process in place to ensure that allowable costs are only charged to one funding stream applying subsidy stream payments first. There should also be a procedure in place to have a person independent of report preparation review cost report and underlying expenditures. Action Plan This grant has not been closed and funds are still being expended. Therefore, final reporting to Pennsylvania Department of Education (Department) will not be affected and the District will not have to reimburse the Department for any unallowable costs. All corrections have been processed with allowable costs meeting Uniform Guidance cost principles. The business office staff along with the grant coordinator have also implemented an additional process with the set-up of recurring journal entries for only allowable retirement costs to be charged to the funding stream and monthly review of grant status. Also, an additional role has been included to review monthly grant expenditures compared to budget. Anticipated Completion Date Action plan fully implemented as of report date. If the Department of Education has questions regarding this plan, please contact Charles E. Peterson, Jr. at 610-889-2125, extension 52123 or via email at cpeterson@gvsd.org. Sincerely yours, Charles E. Peterson, Jr. Director of Business Affairs
View Audit 55147 Questioned Costs: $1
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has implemented practices for timely account reconciliations and oversight review of those reconciliations. Appropriate adjustments will be made during the fiscal year and the year-en...
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has implemented practices for timely account reconciliations and oversight review of those reconciliations. Appropriate adjustments will be made during the fiscal year and the year-end close by the Organization. Anticipated Completion Date: Current fiscal year 2022, as CFO was hired in October 2021.
FINDING 2022-001 Contact Person Responsible for Corrective Action: Adam C. Minth, Assistant Superintendent Contact Phone Number: 219-374-3504 Views of Responsible Official: The school corporation concurs with the finding and will be implementing corrective procedures by the end of this fiscal year. ...
FINDING 2022-001 Contact Person Responsible for Corrective Action: Adam C. Minth, Assistant Superintendent Contact Phone Number: 219-374-3504 Views of Responsible Official: The school corporation concurs with the finding and will be implementing corrective procedures by the end of this fiscal year. Description of Corrective Action Plan: The Corporation Treasurer and the Assistant Superintendent of Business and Operations are going to perform an analysis on the identified employee who is currently splitting her duties between the Child Nutrition Cluster and other non-federal duties. The analysis will be used to determine what percentage of her workload is directly related to the Child Nutrition Cluster, and what percentage is directly related to non-federal duties. Once the analysis has been completed, the Assistant Superintendent of Business and Operations will direct the Payroll Specialist in regard to what percentage of her pay should go to the Child Nutrition Cluster, and what percentage should go to the Operations Fund. Anticipated Completion Date: 4/30/2023
View Audit 50200 Questioned Costs: $1
The following action items are currently being put into place by the People, Culture & Learning Department: -Reviewing and updating policies, procedures, and language in the Employee Handbook that meets the requirements of the Colorado Healthy Families Workplace Act -Communicate and train supervisor...
The following action items are currently being put into place by the People, Culture & Learning Department: -Reviewing and updating policies, procedures, and language in the Employee Handbook that meets the requirements of the Colorado Healthy Families Workplace Act -Communicate and train supervisors and managers on the updated policies, procedures, and language including the requirement for supervisors to be aware of the employee?s use of the specific leave codes and ensuring the leave code is being used appropriately before approving timecards -Implementing a new HRIS/Payroll system that will require justification/documentation from the employee for specific paid leave codes such as use of Extended Leave Bank or COVID. CLIENT RESPONSIBLE PARTY: Jaime Engle, Director of Total Rewards and HR Operations COMPLETION DATE: August 1, 2023 with implementation of ADP payroll system
View Audit 55410 Questioned Costs: $1
Finding 2022-001 Activities Allowed or Unallowed and Allowable Costs/Cost Principles A material weakness in internal control over compliance was issued related to activities allowed or unallowed and allowable costs/cost principles for the R&D Cluster grant agreements of Advocate Aurora Health (the ...
Finding 2022-001 Activities Allowed or Unallowed and Allowable Costs/Cost Principles A material weakness in internal control over compliance was issued related to activities allowed or unallowed and allowable costs/cost principles for the R&D Cluster grant agreements of Advocate Aurora Health (the Organization). Charges of salaries and wages to the R&D Cluster were not consistently reviewed by a knowledgeable individual or not certified timely. In addition, certain individuals? effort certification did not account for 100% of their effort (R&D and institutional). This is a repeat finding (2021-002). The Office of Sponsored Research (OSR) committed in the 2020 Corrective Action Plan to implement a paper format effort certification process beginning March 2022. This process was fully implemented by the end of fiscal 2022. Also in 2022, Advocate Aurora Research Institute employees were transferred and integrated under one financial system. The integration of this system supports the monitoring of 100% of total effort. The OSR will also continue to utilize a paper effort certification process. The OSR team will generate effort certification form, distribute the effort certification form to the appropriate team member for manual or electronic signature and obtain a secondary approval signature from an individual who has first-hand knowledge of the team member's activities. All completed effort certification forms will be verified and initialed by a third individual. Effort certification logs will be maintained to ensure that all effort certifications are completed within 30 days. Completed effort certification forms will be maintained within OSR. Sarah Long, Director Sponsored Research, is responsible for this Corrective Action Plan.
Finding 59624 (2022-002)
Significant Deficiency 2022
Condition: Internal controls over the payroll transaction cycle were not operating effectively in that payroll was being processed without proper review and approval of employee timecards being performed by supervisors. Management is responsible for compliance with the requirements referred to abov...
Condition: Internal controls over the payroll transaction cycle were not operating effectively in that payroll was being processed without proper review and approval of employee timecards being performed by supervisors. Management is responsible for compliance with the requirements referred to above and for the design, implementation, and maintenance of effective internal control over compliance with the requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements applicable to the Organization?s federal programs. In testing payroll transactions for compliance, we identified instances of employees? timecards lacking approval from supervisors prior to their hours being charged to the federal program. Planned Corrective Action: Management has now developed a ?Timecards Not Approved? query report within ADP, which the Controller will run two days prior to payroll submission. This query will be provided to the Operations Director and Fiscal Services Director. If the query reflects instances of non-timecard approval, the applicable supervisor(s) will be contacted to ensure the timecard is approved before payroll is submitted. Contact Person: Mark Swanson, Fiscal Services Director Anticipated Completion Date: July 31, 2023
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