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Corrective Action Plans

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Finding 1154981 (2024-009)
Material Weakness 2024
Silver Key Senior Services, Inc.
CO
Subrecipient Monitoring Cash Management Internal Control / Segregation of Duties § 200.516
Corrective Plan of Action: Silver Key Senior Services has had review and approval processes in place since early 2024; however, gaps arose in consistent documentation. Going forward, all compliance procedures will be followed and documented, including documenting verbal communications. All Controlle...
Corrective Plan of Action: Silver Key Senior Services has had review and approval processes in place since early 2024; however, gaps arose in consistent documentation. Going forward, all compliance procedures will be followed and documented, including documenting verbal communications. All Controller (new role in lieu of CFO) approvals will be maintained in writing, and transactions by the Controller will continue to be reviewed by the CEO. Quarterly spot checks will be conducted to confirm compliance. Anticipated Completion Date: Corrections were made as soon as the issue was identified; procedures are now in place to ensure consistent documentation
View Audit 367331
Finding 1154975 (2024-001)
Material Weakness 2024
Vhh - Jg Commons
WA
Cash Management HUD Housing Programs Reporting
Corrective Action: Management made a deposit for a total of $8,582 to cover the underfunded residual receipts. Management will maintain tracking record every year to ensure that the residual receipts account is appropriately funded. The bookkeeper will maintain the record and ensure that deposits ar...
Corrective Action: Management made a deposit for a total of $8,582 to cover the underfunded residual receipts. Management will maintain tracking record every year to ensure that the residual receipts account is appropriately funded. The bookkeeper will maintain the record and ensure that deposits are made as required.
View Audit 367316
Finding 1154952 (2024-002)
Material Weakness 2024
Southwestern Area Health Education Center, Inc.
CT
Questioned Costs Cash Management Period of Performance § 200.302 § 200.305
Condition: The Organization’s expenditure reports filed with the grantor for the cost reimbursement-based grant were overstated, and the Organization was overpaid by $182,167, of which $26,730 was received after yearend. The overpayment has not yet been refunded back to the grantor, over a year afte...
Condition: The Organization’s expenditure reports filed with the grantor for the cost reimbursement-based grant were overstated, and the Organization was overpaid by $182,167, of which $26,730 was received after yearend. The overpayment has not yet been refunded back to the grantor, over a year after the performance period of the grant had ended. Recommendation: The Organization should coordinate with the grantor the return of the unspent funds. The Organization should reevaluate its grant expenditure reporting procedures to better mitigate the risk of inaccurate filing and improper reimbursement. Views of Responsible Officials and Planned Corrective Actions: The Organization agrees with the finding and recommendation. The anticipated completion date for the corrective action is October 30, 2025.
View Audit 367273 Questioned Costs: $1
Finding 1154949 (2024-003)
Material Weakness 2024
Housing Authority of the City of New Britain
CT
Cash Management HUD Housing Programs Subrecipient Monitoring § 200.305
Finding 2024-003: Cash Management Description of Finding: For recipients and subrecipients other than States, payment methods must minimize the time elapsing between the transfer of funds from the Federal agency or the pass-through entity and the disbursement of funds by the recipient or subrecipien...
Finding 2024-003: Cash Management Description of Finding: For recipients and subrecipients other than States, payment methods must minimize the time elapsing between the transfer of funds from the Federal agency or the pass-through entity and the disbursement of funds by the recipient or subrecipient regardless of whether the payment is made by electronic funds transfer or by other means. (2 CFR 200.305 (b)) Once funds are disbursed, i.e. transferred from LOCCS to the PHA’s bank account, the PHA must pay the applicable bill(s) within 3 business days after the deposit of the funds into the PHA’s bank account. (HUD Capital Fund Guidebook; Section 7.9) Statement of Concurrence or NonConcurrence: A sample of 4 drawdowns of capital funds from ELOCCs during the year identified 1 instance in which the Authority did not process payment to the vendor within 3 business days of receiving the funds. Corrective Action: The Authority processes a weekly check run for all payables. The timing of the receipts from ELOCCs missed the run and the invoice was added to the following weekly run. The authority will better monitor the receipt of funds and if necessary perform an additional check run to disburse the funds to the recipient. Name of Contact Person: Cheryl Thibeault Projected Completion Date: 09/30/2025
View Audit 367267
Finding 1154923 (2024-003)
Material Weakness 2024
Sovereign Equity Fund
ND
Questioned Costs Cash Management Subrecipient Monitoring § 200.305
August 15, 2025 United States Department of Agriculture National Institute of Food and Agriculture Awards Management Division 805 Pennsylvania Ave Kansas City, MO 64105 Attention: Federal Audit Clearinghouse (FAC) Subject: Corrective Action Plan Submission – Finding #3 – Sovereign Equity Fund – Fisc...
August 15, 2025 United States Department of Agriculture National Institute of Food and Agriculture Awards Management Division 805 Pennsylvania Ave Kansas City, MO 64105 Attention: Federal Audit Clearinghouse (FAC) Subject: Corrective Action Plan Submission – Finding #3 – Sovereign Equity Fund – Fiscal Year End 12/31/2024 To Whom It May Concern: Funds were drawn down in advance under a reimbursement-based award, potentially violating federal cash management standards (2 CFR §200.305). As referenced and in relation to Finding #2 - Grant funds were drawn in excess of current expenditure needs, which resulted in the Organization being required to return the excess funds to the federal government. 2024-002 – Cash Management, 2 CFR 200.305 (Payment). Corrective Actions: • The Organization has returned the excess funds to the federal government.. • Revise internal procedures to include verification of expenditures for eligible and allowable expenses before initiating a draw request. • Develop a drawdown checklist and require supporting documentation for incurred costs, retain supporting documentation for all drawdowns. • Require Executive Director approval prior to all federal drawdowns. • Conduct training on federal reimbursement protocols for program and finance staff. Responsible Party: Grants Manager / Executive Director Target Completion Date: Policy update within 2 weeks; checklist rollout within 30 days Sincerely, Courtney Chavis Executive Director
View Audit 367244 Questioned Costs: $1
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
1. SCMRC revised its federal drawdown procedures in 2024 to require documented review and approval of all expenditures before submitting any drawdown request.
1. SCMRC revised its federal drawdown procedures in 2024 to require documented review and approval of all expenditures before submitting any drawdown request.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
2. A Draw Down Request Workbook is now prepared by the Controller and reviewed against supporting documentation, including invoices, timecards, and purchase records.
2. A Draw Down Request Workbook is now prepared by the Controller and reviewed against supporting documentation, including invoices, timecards, and purchase records.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
3. The CEO reviews and signs off on each Draw Down Request prior to submission.
3. The CEO reviews and signs off on each Draw Down Request prior to submission.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
4. Completed Draw Down Request Workbooks are submitted to HRSA for prior approval and retained for audit purposes.
4. Completed Draw Down Request Workbooks are submitted to HRSA for prior approval and retained for audit purposes.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
5. Internal drawdown audits are conducted monthly to confirm alignment with federal cash management standards.
5. Internal drawdown audits are conducted monthly to confirm alignment with federal cash management standards.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
1. Updated drawdown procedures have been incorporated into SCMRC’s financial policies and will be re-reviewed annually.
1. Updated drawdown procedures have been incorporated into SCMRC’s financial policies and will be re-reviewed annually.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
2. Refresher training on 2 CFR § 200.305 and internal drawdown requirements will be conducted by Q4 2025.
2. Refresher training on 2 CFR § 200.305 and internal drawdown requirements will be conducted by Q4 2025.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
3. Results of monthly drawdown audits will be included in the Finance Committee compliance dashboard starting in September 2025.
3. Results of monthly drawdown audits will be included in the Finance Committee compliance dashboard starting in September 2025.
View Audit 367237
Finding 1154905 (2024-012)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management § 200.305
4. SCMRC will continue to require documented CEO approval on all federal drawdown submissions to ensure sustained internal control.
4. SCMRC will continue to require documented CEO approval on all federal drawdown submissions to ensure sustained internal control.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
1. Implemented a 15-month rolling cash flow forecast in Q4 2024, updated weekly by the CEO and Controller in partnership with the contract accountant.
1. Implemented a 15-month rolling cash flow forecast in Q4 2024, updated weekly by the CEO and Controller in partnership with the contract accountant.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
2. Finance staff monitor cash balances and disbursements at least twice per week to anticipate timing issues and support grant drawdown coordination.
2. Finance staff monitor cash balances and disbursements at least twice per week to anticipate timing issues and support grant drawdown coordination.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
3. Established internal minimum balance thresholds and enabled low balance alerts to prevent overdrafts.
3. Established internal minimum balance thresholds and enabled low balance alerts to prevent overdrafts.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
4. Consolidated underutilized accounts in 2025 and formalized contingency planning with SCMRC’s banking institution.
4. Consolidated underutilized accounts in 2025 and formalized contingency planning with SCMRC’s banking institution.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
5. Conducted nonprofit cash flow management training for the CEO, Controller, and Board in Q2 FY25.
5. Conducted nonprofit cash flow management training for the CEO, Controller, and Board in Q2 FY25.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
6. Included cash flow forecasting and liquidity discussions in monthly Finance Committee updates.
6. Included cash flow forecasting and liquidity discussions in monthly Finance Committee updates.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
7. These improvements were reviewed during the 2025 HRSA Verification Site Visit and contributed to clearance of relevant conditions under Chapter 21 of the HRSA Health Center Compliance Manual.
7. These improvements were reviewed during the 2025 HRSA Verification Site Visit and contributed to clearance of relevant conditions under Chapter 21 of the HRSA Health Center Compliance Manual.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
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