Corrective Action Plans

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The AOS team has already contacted CCJFS. They are aware of the issue and will take the necessary steps to avoid making this mistake in the future. The Auditor’s office will closely monitor the reporting and coding of expenditures against grant resources.
The AOS team has already contacted CCJFS. They are aware of the issue and will take the necessary steps to avoid making this mistake in the future. The Auditor’s office will closely monitor the reporting and coding of expenditures against grant resources.
View Audit 2756 Questioned Costs: $1
Finding 1477 (2022-001)
Material Weakness 2022
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Port of Ephrata January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Port for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 2...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Port of Ephrata January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Port for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The Port did not have adequate internal controls for ensuring compliance with federal wage rate requirements. Name, address, and telephone of Port contact person: David W Lanman, Executive Director 1990 Division Avenue N.E. Ephrata, WA 98823 (509) 750-8623 Corrective action the auditee plans to take in response to the finding: The port will ensure at weekly construction meetings that certified payroll is being collected and reviewed by contract engineer's payroll specialists. The Port will also ensure that all certified payroll associated with a pay request is collected, verified and in the Port's possession prior to payment being made. These controls will be implemented upon receipt of the next federal grant which is expected in 4Q2023 as part of the construction of a new T-Hangar. Anticipated date to complete the corrective action: 4Q2023
U.S. Small Business Administration Eugene O’Neill Memorial Theater Center, Inc. respectfully submits the following corrective action plan for the year ended August 31, 2022. Audit period: August 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The finding...
U.S. Small Business Administration Eugene O’Neill Memorial Theater Center, Inc. respectfully submits the following corrective action plan for the year ended August 31, 2022. Audit period: August 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Small Business Administration 2022-001 Shuttered Venue Operators Grant – Assistance Listing No. 59.075 Recommendation: We recommend Eugene O’Neill Memorial Theater Center, Inc. design controls to ensure an adequate review process is in place to review the period of costs incurred to ensure costs are recorded within the financial statements as grant revenue in the proper period. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will review more closely to ensure costs are recorded within the financial statements as grant revenue in the proper period.. They also note that costs charged to awards are all award related and within the full award period. Name of the contact person responsible for corrective action: William Kuklinski, Controller and Tiffani Gavin, Executive Director Planned completion date for corrective action plan: October 2, 2023 If the U.S. Small Business Administration has questions regarding this plan, please call William Kuklinski or Tiffani Gavin at (860) 443-5378.
Finding: 2022-001 Reporting Person Responsible for Corrective Action: Chief Financial Officer Corrective Action Plan: During the period under review, Goddard underwent transitions in both its audit firm and with the financial leadership. The new financial leadership and auditors have put together pr...
Finding: 2022-001 Reporting Person Responsible for Corrective Action: Chief Financial Officer Corrective Action Plan: During the period under review, Goddard underwent transitions in both its audit firm and with the financial leadership. The new financial leadership and auditors have put together procedures to ensure timely compliance with filing requirements. Anticipated Completion Date: Complete
Management's Action Plan: Kevin Holland, Vice-President-Stone County and Operations will oversee the supervisory review and approval of timesheets for the next few pay cycles to ensure management is reviewing 100% of the records. He will also work to ensure none of them are being missed through spec...
Management's Action Plan: Kevin Holland, Vice-President-Stone County and Operations will oversee the supervisory review and approval of timesheets for the next few pay cycles to ensure management is reviewing 100% of the records. He will also work to ensure none of them are being missed through special circumstances as has happended in the past in order to achieve and sustain 100% compliance. Name of Person Responsible for the Plan: Kevin Holland, Vice-President Stone County & Operations. Anticipated Completion Date of the Plan: 3 payroll cycles spanning six weeks. Approximately mid-December 2023 for completion.
Grantee Response and Corrective Action Plan: We concur with this finding and have implemented measures to mitigate the repetition of additional occurrences. In July 2023, a new policy was implemented that requires employees to record their time as a percentage across all grants in which they work....
Grantee Response and Corrective Action Plan: We concur with this finding and have implemented measures to mitigate the repetition of additional occurrences. In July 2023, a new policy was implemented that requires employees to record their time as a percentage across all grants in which they work. The employee records this allocation at least weekly within a time keeping software system. Employees and supervisors are now required to review and acknowledge payroll allocations across grants by signing weekly timesheets. Timesheets will be retained and used as backup by the Grants Department when invoicing the Grantor for expense reimbursement. In addition, we have updated our Policy and Procedures Manual to reflect this policy.
ST. CHARLES PARISH HOUSING AUTHORITY________________________________________PHONE: 985-785-2601 ·FAX:985-785-6238· 200 BOUTTE ESTATES DRIVE ·BOUTTE, LA 70039-0448 ________________________________________ HOUSING AUTHORITY OF ST. CHARLES PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED SEPTEMBER...
ST. CHARLES PARISH HOUSING AUTHORITY________________________________________PHONE: 985-785-2601 ·FAX:985-785-6238· 200 BOUTTE ESTATES DRIVE ·BOUTTE, LA 70039-0448 ________________________________________ HOUSING AUTHORITY OF ST. CHARLES PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED SEPTEMBER 30, 2022 Corrective Action Plan Finding: Finding 2022-001-Internal Controls Inadequate for Disbursements-Allowable Costs Condition: Good internal controls should be in place to make sure that disbursements are for eligible payments, are correctly classified, and are timely paid. Good controls ensure that there is proper, documented review of all these functions. Records should be maintained in an order that is conducive to efficient and timely summarizing by the outside fee accounting firm. Unaudited financial statements should be produced on a timely basis, and reviewed by the Board of Commissioners. Corrective Action Planned I am Youlondar Prevost. As noted above, I was hired as Interim Director on June 1, 2023, which was well after the audit year-end. I am trying to correct all of the issues noted above, as well as to correct items noted by HUD-New Orleans. In addition, I am still working to clear parts of the prior audit findings, noted in another section. Person responsible for corrective action: Youlondar Prevost, Interim E.D. Telephone: (985) 785-2601 St. Charles Parish Housing Authority Fax: (985) 785-6238 200 Boutte Estates Dr. Boutte, LA 70039 Anticipated Completion Date- October 31, 2023
Shalom Health Care Center, Inc. is reclassifying payroll allocations to better align with the departments and funding sources. Shalom Health Care Center, Inc. is working with the payroll company to match the allocations in the payroll system to better identify cost allocation of payroll and funding ...
Shalom Health Care Center, Inc. is reclassifying payroll allocations to better align with the departments and funding sources. Shalom Health Care Center, Inc. is working with the payroll company to match the allocations in the payroll system to better identify cost allocation of payroll and funding source.
BA has worked with Accountant to ensure all employees complete Time and Effort sheets. These requirements have been reviewed with Building Administrators and all federally paid employees will sign the certifications. BA will review to ensure all employees have completed and will report any missing s...
BA has worked with Accountant to ensure all employees complete Time and Effort sheets. These requirements have been reviewed with Building Administrators and all federally paid employees will sign the certifications. BA will review to ensure all employees have completed and will report any missing signatures with employee’s supervisors.
View Audit 1892 Questioned Costs: $1
Contact Person: Begay, Business Manager Anticipated Completion Date: December 31, 2023 KRCI policy and procedure was reviewed and revised beginning November 2021 and completed in July 2022 at a Board retreat. The KRCI Business Office was reorganized to ensure separation and segregation of duties ...
Contact Person: Begay, Business Manager Anticipated Completion Date: December 31, 2023 KRCI policy and procedure was reviewed and revised beginning November 2021 and completed in July 2022 at a Board retreat. The KRCI Business Office was reorganized to ensure separation and segregation of duties in August 2022. KRCI is fully staffed and returned staff that were not working during the closure to return the Campus to full improvement. KRCI now employs a Clerk for Accounts Receivable, a Business/HR Tech for Human Resources and Accounts Payable, a Facilities/Property Tech for receiving and inventory, and a Business Manager in July 2022.
Contact Person: Veryl Begay, Business Manager Anticipated Completion Date: December 31, 2023 Planned Corrective Action: On December 19, 2017, KRCI set up an account with Atlantic Coast Life to “invest funds”. The initial investment was $388,532 and the amount was presented to the Account Represen...
Contact Person: Veryl Begay, Business Manager Anticipated Completion Date: December 31, 2023 Planned Corrective Action: On December 19, 2017, KRCI set up an account with Atlantic Coast Life to “invest funds”. The initial investment was $388,532 and the amount was presented to the Account Representative in the form of a cashiers check. On August 8, 2018, KRCI opened a second account with Atlantic Coast Life in the amount of $74,799. The annuitant and only signatory on record is a Board member. The past three audits have indicated that these accounts are a finding because they are not insured by the FDIC or any other acceptable entity. The Director has reached out to Atlantic Coast Corporate Office to close out or surrender these accounts.
2022-005 Control Documentation Recommendation: We recommend that the District review its procedures and controls over time and effort documentation for wages charged to Federal programs to ensure all documentation accurately reflets the work performed and that the time and effort documentation agree...
2022-005 Control Documentation Recommendation: We recommend that the District review its procedures and controls over time and effort documentation for wages charged to Federal programs to ensure all documentation accurately reflets the work performed and that the time and effort documentation agrees with how the employee’s wages are allocated to the grant in the finance system Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The District will make necessary modifications to its time and effort documentation and control process to ensure all wages charged to Federal programs accurately reflect the work performed. Name(s) of the contact person(s) responsible for corrective action: Tariro Chapinduka, Director of Business Services Planned completion date for corrective action plan: December 31, 2023
Finding 903 (2022-001)
Material Weakness 2022
All invoices will be reviewed by either the Fiscal Administrator, or in his absence, the Director, or another Senior Administrator prior to payment for accuracy and allowability and marked “OK to Pay” or “Approved” and initialed and dated. Prior to the submission of all vouchers to the courthouse f...
All invoices will be reviewed by either the Fiscal Administrator, or in his absence, the Director, or another Senior Administrator prior to payment for accuracy and allowability and marked “OK to Pay” or “Approved” and initialed and dated. Prior to the submission of all vouchers to the courthouse for payment, the Account Clerks and Fiscal Specialist will verify the “Ok to Pay” or “Approved” and initials/date are clearly marked on each invoice.
Condition: Disbursements were not supported by complete and verifiable evidence. The following errors were noted: 1 – Check amount did not agree with invoice amount for mileage reimbursement. 1 – Missing or incomplete documentation 1 – Check request was not signed by supervisor 1 – Check did no...
Condition: Disbursements were not supported by complete and verifiable evidence. The following errors were noted: 1 – Check amount did not agree with invoice amount for mileage reimbursement. 1 – Missing or incomplete documentation 1 – Check request was not signed by supervisor 1 – Check did not clear the bank within a reasonable time Corrective Action: Management has established the proposed controls included in the previous audit, which match the Recommendations outlined in the Federal Awards Findings and Questioned Costs document: Management created a review tool checklist of all required forms for the frontline staff to use as reference, for the Housing Coordinator to review assistance requests and client charts; and for leadership to conduct randomized internal audits; updated the training curriculum for Housing Department staff; new frontline staff has been hired, and trained to include clarification of compliance elements, the rationale and their importance, and which forms satisfy each one. Management also decided to overhaul all department forms and has begun a review process. The goal is for the process to be completed, and new forms implemented, by November 1st, 2023. In addition, management has implemented review of outstanding checks on a monthly basis as part of the reconciliation process. This has already helped management identify landlords who do not deposit checks in a timely manner, which results in outreach from the Housing Coordinator to confirm they received the check, and to request that they deposit it ASAP. Lastly, the Director of Finance has streamlined the payment process by implementing the use of direct deposits to make rent payments, which many landlords have already enrolled in. Management will continue encouraging enrollment in the direct deposit payment model, and will gradually phase out rent payments by check. The results of the improved controls, and the direct deposit rent payment model, will be reflected in the FY 2022-23 Single Audit. As was explained in the previous corrective action (Finding 2022-002), some of these improvements were implemented in the first quarter of calendar year 2023.
2022-004- Internal Control Over Compliance and Compliance – Activities Allowed or Unallowed and Allowable Costs/ Cost Principles Contact: Jordan Kramer Title: Chief Financial Officer Phone Number: 202-624-7787 Anticipated Completion Date: Done. Management’s Corrective Action Plan: Since August 2022...
2022-004- Internal Control Over Compliance and Compliance – Activities Allowed or Unallowed and Allowable Costs/ Cost Principles Contact: Jordan Kramer Title: Chief Financial Officer Phone Number: 202-624-7787 Anticipated Completion Date: Done. Management’s Corrective Action Plan: Since August 2022, in response to technical issues with an import file that caused some timesheet allocations to not be correctly coded, the CFO has added a layer of review for payroll entries to match import file values to approved timesheets. NGA accounting team members began to train and reach out to employees to reinforce the importance of completing timesheets accurately and promptly following NGA employee policies. NGA accounting since February 2023, has completed the indirect cost, compensated absences, and fringe calculations as a part of the same process for uploading payroll entries. This ensures that the calculations are accurately calculated based on the payroll file. This has ensured that these entries are produced each payroll period and correspond to supervisor-approved timesheets under 2 CFR 200.430 Compensation – Personal Services.
Finding 739 (2022-003)
Significant Deficiency 2022
Corrective Actions: Management has started to reinforce the existing policy, which mandates that employees funded by federal grants document the actual time they spend working on those grants. Staff have completed the reconciliation for the current year's actual staff hours spent on programs. Going...
Corrective Actions: Management has started to reinforce the existing policy, which mandates that employees funded by federal grants document the actual time they spend working on those grants. Staff have completed the reconciliation for the current year's actual staff hours spent on programs. Going forward, the City will now prepare and post the 'true-up' reconciliation on a quarterly basis. This change is designed to ensure that quarterly financial reporting of payroll expenses is based on actual hours worked. Name of Responsible Person: Ron Garcia, Director of Community Development Imelda Delgado, Housing Manager Rose Tam, Director of Finance Albert Trinh, Accounting Manager Projected Implementation Date: Immediately implemented the procedure.
Plan: 1. Internal Control Review: OBT has been conducting a thorough review of internal controls related to compliance with allowable cost principles, including the documentation of expenditures and allocation methodologies used. OBT has contracted with a new financial firm familiar with government ...
Plan: 1. Internal Control Review: OBT has been conducting a thorough review of internal controls related to compliance with allowable cost principles, including the documentation of expenditures and allocation methodologies used. OBT has contracted with a new financial firm familiar with government awards and allowable expenses. Each expense must be reviewed by two members of the executive team and the accounting contractor, making sure allocations are appropriately recorded in the GL (General Ledgers). 2. Documentation Enhancement: OBT has been enhancing document retention procedures to ensure that all required documentation for federal program expenditures is adequately retained, including records of allocation methodologies. 3. Training and Awareness: OBT will work in collaboration with our new financial consultants to provide training to all relevant personnel, especially those involved in expenditure documentation and allocation to ensure they understand the requirements of federal awards and the importance of proper documentation. Training will begin with the onboarding of the new financial consultant (September 2023) and will occur as often as needed in the first six months and then bi-annually. 4. Documentation Verification: OBT is currently implementing procedures for ongoing verification and reconciliation of expenditures to ensure they are accurate, allowable, and properly allocated. A review by the finance consultants is currently underway and a report will be received by OBT with best practices. 5. Continuous Monitoring: OBT is continuously monitoring compliance with allowable cost principles, identifying any gaps, and taking corrective actions as needed. . Name of Contact Person: Carla Licavoli, Chief Operating & Compliance Officer Target Date: OBT will ensure that the recommended actions are fully implemented and operational by the year ending June 30, 2024, and that these procedures will continue to be monitored and improved to prevent future questioned costs. With the completion of the review by the finance consultants expected by October 2023, OBT will create a process and protocol manual by December 2023 and begin training relevant staff in January 2023.
View Audit 1360 Questioned Costs: $1
Plan: 1. Mandatory Time and Program Effort Records: OBT has implemented allocations by program in our payroll software. Hourly employees allocated to multiple programs will clock in and out for each program and all timecards are approved by management. Reports are reviewed every payroll for accuracy...
Plan: 1. Mandatory Time and Program Effort Records: OBT has implemented allocations by program in our payroll software. Hourly employees allocated to multiple programs will clock in and out for each program and all timecards are approved by management. Reports are reviewed every payroll for accuracy. 2. Training: OBT will provide training to all employees on the importance of accurate time and effort reporting for federal programs, ensuring that employees understand the requirements and their responsibilities in maintaining these records. 3. Internal Controls: OBT has implemented internal controls to review and verify the accuracy of time and effort records, ensuring that charges to federal awards comply with regulations. 4. Monitoring and Auditing: OBT will conduct regular monitoring and internal audits quarterly to validate the accuracy and completeness of time and effort records. Name of Contact Person: Carla Licavoli, Chief Operating & Compliance Officer Target Date: Management has already begun implementing mandatory time and program effort records during the year ending June 30, 2024. OBT will continue to monitor and improve these processes, ensuring full compliance with federal regulations and reducing the risk of questioned costs.
View Audit 1360 Questioned Costs: $1
Recommendation: See finding 2022-001, specifically the recommendation relating to appropriate oversight in the finance department. We recommend that the finance department continue to hire and train its employees on various programmatic requirements and resources, to ensure compliance with both exis...
Recommendation: See finding 2022-001, specifically the recommendation relating to appropriate oversight in the finance department. We recommend that the finance department continue to hire and train its employees on various programmatic requirements and resources, to ensure compliance with both existing and new federal compliance requirements. Planned Corrective Action: We agree with the recommendation. Since year end the Agency has hired a COO, and CFO to fill vacancies within the Agency. Under this new leadership structure, the Agency will continue to work on establishing appropriate controls.
Recommendation: See finding 2022-001, specifically the recommendation relating to appropriate oversight in the finance department. We recommend that the finance department continue to hire and train its employees on various programmatic requirements and resources, to ensure compliance with both exis...
Recommendation: See finding 2022-001, specifically the recommendation relating to appropriate oversight in the finance department. We recommend that the finance department continue to hire and train its employees on various programmatic requirements and resources, to ensure compliance with both existing and new federal compliance requirements. Planned Corrective Action: We agree with the recommendation. Since year end the Agency has hired a COO, and CFO to fill vacancies within the Agency. Under this new leadership structure, the Agency will continue to work on establishing appropriate controls.
View Audit 1234 Questioned Costs: $1
Recommendation: We recommend the review and approval of timecards be completed by a direct supervisor, that payroll records be regularly reviewed against timecards, and all supporting documentation for program costs be retained internally. Planned Corrective Action: We agree with the recommendation...
Recommendation: We recommend the review and approval of timecards be completed by a direct supervisor, that payroll records be regularly reviewed against timecards, and all supporting documentation for program costs be retained internally. Planned Corrective Action: We agree with the recommendations and plan to have corrective actions fully implemented by the end of fiscal year 2023.
Recommendation: See finding 2022-001. The recommendations noted for achieving appropriate oversight in the finance department apply as key individuals with knowledge of the compliance are considered critical for developing an appropriate control environment for internal controls over compliance. Pl...
Recommendation: See finding 2022-001. The recommendations noted for achieving appropriate oversight in the finance department apply as key individuals with knowledge of the compliance are considered critical for developing an appropriate control environment for internal controls over compliance. Planned Corrective Action: We agree with the recommendation. Since year end the Agency has hired a COO, and CFO to fill vacancies within the Agency. Under this new leadership structure, the Agency will continue to work on establishing appropriate controls.
2022-004: Reporting - Timely Submission of Financial Reports – Material Weakness in Internal control over Financial Reporting and Noncompliance  The City recently hired a Finance Director and is working to fill the Controller position. Being fully staffed will assist in the timely completion of the...
2022-004: Reporting - Timely Submission of Financial Reports – Material Weakness in Internal control over Financial Reporting and Noncompliance  The City recently hired a Finance Director and is working to fill the Controller position. Being fully staffed will assist in the timely completion of the City’s audit.  Anticipated completion: December 2023
Finding 406 (2022-003)
Material Weakness 2022
Federal Agency Name: U.S. Department of Agriculture Department of Health and Human Services Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 COVID‐19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Financial...
Federal Agency Name: U.S. Department of Agriculture Department of Health and Human Services Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 COVID‐19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Financial Assistance Listing #93.498 Finding Summary: Eide Bailly LLP prepared our consolidated schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Responsible Individuals: Nathan Johnson, CEO Corrective Action Plan: Having auditors assist with preparing the consolidated schedule of expenditures of federal awards (Schedule) is not unusual. We will continue to be aware of the financial reporting requirements relating to PioneerCare’s consolidated schedule of expenditures of federal awards and internal control that impact financial reporting. Anticipated Completion Date: Ongoing
The Financial Services Department implemented a three‐step remedy which included working with the implementing department to insert their director as a review and approval step, improving tracking capabilities by amending internal reporting and documenting support, and changing reimbursement request...
The Financial Services Department implemented a three‐step remedy which included working with the implementing department to insert their director as a review and approval step, improving tracking capabilities by amending internal reporting and documenting support, and changing reimbursement request submittals to a monthly schedule. As stated within the “Effect Section” of the finding, these actions have already been implemented. Contact Person – E. John Brower, Financial Services Director Completion Date – Already implemented
View Audit 797 Questioned Costs: $1
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