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Corrective Action Plans

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Hollis School District
NH
Allowable Costs / Cost Principles Cash Management School Nutrition Programs
Corrective Action Plan Finding 2022-001 Finding Summary: The Hollis School District?s Food Service Fund net cash resources were in excess of the maximum allowable amount by $174,479. Responsible Individual: Kelly Seeley, Business Administrator Corrective Action Plan: The School District has ...
Corrective Action Plan Finding 2022-001 Finding Summary: The Hollis School District?s Food Service Fund net cash resources were in excess of the maximum allowable amount by $174,479. Responsible Individual: Kelly Seeley, Business Administrator Corrective Action Plan: The School District has developed a spend-down plan for reducing the Food Service Fund Balance to compliance level during the 2022-23 fiscal year, and has submitted the plan to the State of New Hampshire Department of Education for approval. Anticipated Completion Date: June 30, 2023
View Audit 31640
Finding 36187 (2022-001)
Material Weakness 2022
Great Expectations Housing Corporation
CA
HUD Housing Programs Special Tests & Provisions Cash Management
Reporting views of responsible officials and planned corrective actions Management has opened a new residual account for this HUD entity and has put in place controls to ensure that the calculated surplus cash balance is deposited into the account, if applicable, annually.
Reporting views of responsible officials and planned corrective actions Management has opened a new residual account for this HUD entity and has put in place controls to ensure that the calculated surplus cash balance is deposited into the account, if applicable, annually.
View Audit 34377
Finding 36168 (2022-001)
Significant Deficiency 2022
Upper Columbia United Tribes
WA
Questioned Costs Matching / Level of Effort / Earmarking Cash Management § 200.303
The Executive Director will implement measures to ensure that the most recent ICRA is utilized on drawdown requests.
The Executive Director will implement measures to ensure that the most recent ICRA is utilized on drawdown requests.
View Audit 26976 Questioned Costs: $1
Finding 36112 (2022-006)
Material Weakness 2022
Oak Park Elementary School District 97
IL
Allowable Costs / Cost Principles Cash Management Internal Control / Segregation of Duties
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 006 Condition: The District claimed $421,462 of expenditures related to HVAC improvements on their March 31, 2022 r...
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 006 Condition: The District claimed $421,462 of expenditures related to HVAC improvements on their March 31, 2022 reimbursement claim submitted to the Illinois State Board of Education, however these expenditures were not paid by the District until October 2022. Plan: The District will implement additional procedures for review and approval of reimbursement claims prior to submission to ensure that expenditures are claimed within a reasonable period of time in relation to when a reimbursement claim is submitted. Anticipated Date of Completion: 6/30/2023 Name of Contact Person: Patrick King, Senior Director of Finance
View Audit 30957
Finding 36100 (2022-003)
Significant Deficiency 2022
Oak Park Elementary School District 97
IL
School Nutrition Programs Internal Control / Segregation of Duties Cash Management
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 003 Condition: The Food Service Coordinator, prepares and submits monthly reimbursement claims to ISBE and these su...
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 003 Condition: The Food Service Coordinator, prepares and submits monthly reimbursement claims to ISBE and these submissions are not reviewed or approved by anyone else. Plan: The Senior Director of Finance will review monthly reimbursement claims that are prepared by the Food Service Coordinator to ensure that amounts agree to supporting documentation prior to submission. Anticipated Date of Completion: 6/30/2023 Name of Contact Person: Patrick King, Senior Director of Finance
View Audit 30957
Finding 36075 (2022-006)
Material Weakness 2022
Central Noble Community School Corporation
IN
School Nutrition Programs Subrecipient Monitoring Cash Management § 200.302 § 200.303 § 200.327 § 200.328 § 200.329
FINDING 2022-006 Contact Person Responsible for Corrective Action: Tyler C. Osenbaugh Contact Phone Number: 260-336-0217 Views of Responsible Official: Agree with the finding Description of Corrective Action Plan: Meal counts differed from the Meal Magic generated Z report and the Chartwells Profit ...
FINDING 2022-006 Contact Person Responsible for Corrective Action: Tyler C. Osenbaugh Contact Phone Number: 260-336-0217 Views of Responsible Official: Agree with the finding Description of Corrective Action Plan: Meal counts differed from the Meal Magic generated Z report and the Chartwells Profit and Loss statement. These meal counts are reconciled by dividing the a la carte purchases by $2.70 to equate to a meal served. Future Z reports will have the a la carte meal equivalents indicated. These figures will be reviewed and validated during the monthly meeting between School Food Authority and Food Service Director (Chartwells? Director of Dining Services). Anticipated Completion Date: April 2023
View Audit 32815
Elder Care Two, Inc.
RI
Questioned Costs Cash Management Internal Control / Segregation of Duties
Elder Care Two Inc. June 30, 2022 Corrective Action: Elder Care 2 Finding 2022-001 over payment of Payroll Reimbursement: Management will make an adjustment to the billing of payroll for September 1, 2022 to correct for the over billing . Responsible party: Michelle Cabana
Elder Care Two Inc. June 30, 2022 Corrective Action: Elder Care 2 Finding 2022-001 over payment of Payroll Reimbursement: Management will make an adjustment to the billing of payroll for September 1, 2022 to correct for the over billing . Responsible party: Michelle Cabana
View Audit 37830 Questioned Costs: $1
Finding 36034 (2022-004)
Material Weakness 2022
Illinois Alliance of Boys & Girls Clubs, Inc.
IL
Questioned Costs Cash Management Internal Control / Segregation of Duties
FINDING 2022-004 Name of Responsible Individual For Finding(s): Bryan Soady, Former Alliance Executive Director Name of Responsible Individual For Correction(s): Awisi Bustos, Current Alliance Executive Director Corrective Action: The Alliance will enhance its procedures and internal controls over r...
FINDING 2022-004 Name of Responsible Individual For Finding(s): Bryan Soady, Former Alliance Executive Director Name of Responsible Individual For Correction(s): Awisi Bustos, Current Alliance Executive Director Corrective Action: The Alliance will enhance its procedures and internal controls over record retention to ensure complete and accurate financial reporting. Anticipated Completion Date: September 30, 2023
View Audit 37905 Questioned Costs: $1
Henry Ford Health System
MI
Cash Management Reporting Internal Control / Segregation of Duties
Finding 2022-001 Federal Award Name ? COVID-19 Provider Relief Fund and ARP Rural Distribution (ALN 93.498) Condition ? Recent agency oversight directed by HRSA revealed a finding related to the method used to calculate lost revenues. The report indicated that the relevant reporting entities receiv...
Finding 2022-001 Federal Award Name ? COVID-19 Provider Relief Fund and ARP Rural Distribution (ALN 93.498) Condition ? Recent agency oversight directed by HRSA revealed a finding related to the method used to calculate lost revenues. The report indicated that the relevant reporting entities receiving these funds need to recalculate their lost revenues on a quarterly basis, ensuring they net all months in the quarter, including those months that did not have lost revenue. Corrective Action Plan ? Henry Ford Health agrees with this finding. Henry Ford Health maintains a centralized lost revenues schedule for all TINs within Henry Ford Health. Changes to address the finding have already been made and communicated to the audit team. As a result of this methodology change, no repayment of any funds was necessary. Initial calculation of lost revenues on a monthly basis, rather than quarterly, was made prior to clarification in the HRSA FAQ. Henry Ford Health has amended the procedures of tracking lost revenues to a quarterly basis. This corrective action plan is complete. Contact Person ? Paul Kolpasky, VP and Corporate Controller
View Audit 36424
Contentnea Metrpolitan Sewerage District
NC
Cash Management Material Weakness Matching / Level of Effort / Earmarking
FINDING 2022-2 - WE AGREE. WE HAVE EFFECTIVELY MANAGED OUR PROJECT AND ALL PROJECT IMPLEMENTATION HAS BEEN PERFORMED TIMELY. ALL FUNDS DISBURSED BY DEQ HAVE BEEN PAID TIMELY, BUT WE WERE NOT AWARE OF THE 3-BANKING DAY RULE. WE ARE NOW AWARE OF THE 3-DAY RULE AND WILL PUT PROCEDURES IN PLACE SO TH...
FINDING 2022-2 - WE AGREE. WE HAVE EFFECTIVELY MANAGED OUR PROJECT AND ALL PROJECT IMPLEMENTATION HAS BEEN PERFORMED TIMELY. ALL FUNDS DISBURSED BY DEQ HAVE BEEN PAID TIMELY, BUT WE WERE NOT AWARE OF THE 3-BANKING DAY RULE. WE ARE NOW AWARE OF THE 3-DAY RULE AND WILL PUT PROCEDURES IN PLACE SO THAT APPROPRIATE PERSONNEL IS NOTIFIED OF THE RECEIPT OF FUNDS AND ENSURES FUNDS ARE DISBURSED TIMELY.
View Audit 32383
Finding 35993 (2022-004)
Material Weakness 2022
Young Women's Christian Association of Pueblo
CO
Allowable Costs / Cost Principles Cash Management Material Weakness § 200.303
January 5, 2023 RE: Finding 2022-004: Internal Control over Compliance The following is the Corrective Action Plan (CAP) related to the noted finding. Corrective Action Plan Agency: U.S. Department of Health and Human Services Audit Period: June 2022 Audit Finding number: 2022-004 Audit Finding ...
January 5, 2023 RE: Finding 2022-004: Internal Control over Compliance The following is the Corrective Action Plan (CAP) related to the noted finding. Corrective Action Plan Agency: U.S. Department of Health and Human Services Audit Period: June 2022 Audit Finding number: 2022-004 Audit Finding Title: Internal Control over Compliance Specific Steps to be Taken: The YWCA Pueblo?s financial management policies and procedures for cash disbursements will be followed diligently. Electronic systems will be put into place to ensure that cash disbursements are approved, and all supporting documents are available at time of approval. Anticipated Completion Date: February 2023 Name and title of contact person responsible for Corrective Action Plan: Name: Maureen White Title: Executive Director
View Audit 32656
Town of Athol
MA
Questioned Costs Cash Management Eligibility
Finding 2022-001 Condition: The Town charged the same invoice twice to the federal award. Corrective Action Planned: The Town has contacted the Commonwealth of Massachusetts Executive Office for Administration and Finance regarding the duplicate invoice. We are awaiting a response as to how to...
Finding 2022-001 Condition: The Town charged the same invoice twice to the federal award. Corrective Action Planned: The Town has contacted the Commonwealth of Massachusetts Executive Office for Administration and Finance regarding the duplicate invoice. We are awaiting a response as to how to resolve the overpayment. Anticipated Completion Date: June 30, 2023 Contact: Amy Craven, Town Accountant
View Audit 26180 Questioned Costs: $1
Finding 35900 (2022-001)
Significant Deficiency 2022
Atrium Health, Inc.
NC
Cash Management Reporting Matching / Level of Effort / Earmarking § 200.303
Finding 2022-001: Allowability (COVID-19 ? HRSA COVID-19 Uninsured Program) Name of Contact Person: David Thomas, Group Vice President & Controller Corrective Action Plan: Atrium Health CMHA currently has an insurance verification process for potentially uninsured patients meeting the criteria p...
Finding 2022-001: Allowability (COVID-19 ? HRSA COVID-19 Uninsured Program) Name of Contact Person: David Thomas, Group Vice President & Controller Corrective Action Plan: Atrium Health CMHA currently has an insurance verification process for potentially uninsured patients meeting the criteria prescribed by HRSA whereby identified accounts are sent nightly to Experian, a multinational consumer credit reporting company, who searches for insurance coverage. Negative confirmation documentation is inserted into the patient record. Management is aware of the importance of this process and has continued education efforts with applicable teammates to ensure this process is followed and documented with each patient. Additionally, the HRSA COVID-19 Uninsured Program ended in April of 2022. Proposed Completion Date: Management completed the 2021 corrective action plan by the end of September 2022. All findings were prior to this date.
View Audit 37993
Thomas Jefferson University
PA
Student Financial Aid Matching / Level of Effort / Earmarking Cash Management
2022-001: Reporting Management?s view and corrective action plan Management concurs that FISAP for the Federal Perkins Loan program contained incorrect amounts for ?Cash on hand and in depository? as of 6/30/22 and 10/31/22. The misstatements were due to clerical errors and insufficient review prior...
2022-001: Reporting Management?s view and corrective action plan Management concurs that FISAP for the Federal Perkins Loan program contained incorrect amounts for ?Cash on hand and in depository? as of 6/30/22 and 10/31/22. The misstatements were due to clerical errors and insufficient review prior to submission. Management will implement an enhanced review process to validate all amounts reported on the FISAP prior to submission. Implementation date: July 2023 Ronald Keller Vice President for Finance & Controller
View Audit 36823
Finding 35838 (2022-004)
Material Weakness 2022
Pipestone County Medical Center
MN
Special Tests & Provisions Subrecipient Monitoring Cash Management § 200.303
Finding 2022-004 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grant Cluster Federal Financial Assistance Listing #10.766 Special Tests and Provisions: Material Weakness in Internal Control over Compliance Finding Summary: The Medical Center did not h...
Finding 2022-004 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grant Cluster Federal Financial Assistance Listing #10.766 Special Tests and Provisions: Material Weakness in Internal Control over Compliance Finding Summary: The Medical Center did not have an internal control process in place to ensure a secondary level of review is being performed on the required minimum for the reserve account and financial covenants. Responsible Individuals: Sandra Schlechter, Chief Financial Officer, and Bradley Burris, Chief Executive Officer Corrective Action Plan: Within the monthly board packet, we will include the calculation of days on hand, the debt service covenant ratio, the balance of the reserve along with the required minimum requirements for each of these items. This packet is presented monthly to the board of directors for approval. Anticipated Completion Date: February 2023
View Audit 30519
Finding 35806 (2022-001)
Material Weakness 2022
East Muskingum Local School District
OH
Subrecipient Monitoring Matching / Level of Effort / Earmarking Special Tests & Provisions
Finding Number: 2022-001 Planned Corrective Action: ESSER documentation including Prevailing Wage documentation Anticipated Completion Date: 3/31/2023 ...
Finding Number: 2022-001 Planned Corrective Action: ESSER documentation including Prevailing Wage documentation Anticipated Completion Date: 3/31/2023 Responsible Contact Person: Kandi Raach East Muskingum Local Schools will enter into construction contracts, when using ESSER funds, for construction services over $2,000.00. The district will also collection payroll documentation weekly from the contractor to ensure that the prevailing wage requirements are in compliance with all labor standards. East Muskingum Local Schools will keep all the necessary information from the contractor to document compliance with the program.
View Audit 34265
Hainesport Township Board of Education
NJ
Cash Management School Nutrition Programs
Purchase Needed Equipment
Purchase Needed Equipment
View Audit 34215
Finding 35552 (2022-003)
Material Weakness 2022
New London Homeless Hospitality Center, Inc.
CT
Allowable Costs / Cost Principles Cash Management Reporting
Finding 2022-003 Reporting Allowable/Allocable Costs We have made considerable progress in fully documenting all costs by funding source in our accounting system. We have now fully implemented a detailed customer/job tracking capacity in QuickBooks and have created a coding system to match all inc...
Finding 2022-003 Reporting Allowable/Allocable Costs We have made considerable progress in fully documenting all costs by funding source in our accounting system. We have now fully implemented a detailed customer/job tracking capacity in QuickBooks and have created a coding system to match all income and costs associated with government contracts to specific customer/jobs. As of March 2023 this structure has been implemented for all costs with the exception of indirect costs. We will complete work on properly allocating indirect costs to customer/jobs (including securing board approval of the plan) by May 1, 2023. All improvements in accounting by customer/job will be implemented for the full fiscal year ended June 30, 2023. Each government contract is now reviewed on a monthly basis by both our Executive Director and our CFO to assure that appropriate recording of income and costs have been implemented.
View Audit 30140
Finding 35516 (2022-001)
Material Weakness 2022
North Texas Municipal Water District
TX
Cash Management Reporting Internal Control / Segregation of Duties
he District agrees with Crowe's recommendation and the Accounting and Engineering team will work together to develop and document detailed procedures for CIP, as well as specific written procedures related to each agreement/contract. We will also hold meetings monthly to discuss project status, new ...
he District agrees with Crowe's recommendation and the Accounting and Engineering team will work together to develop and document detailed procedures for CIP, as well as specific written procedures related to each agreement/contract. We will also hold meetings monthly to discuss project status, new projects and other items related to open projects, including any projects without recent activity and those close to completion. Additionally, the District will document specific procedures related to accounting for retainage and accruals regarding completed projects and track the financial impact. Once complete, management will conduct training to ensure the new documented procedures are shared with the Engineering and Accounting personnel involved in the CIP process.
View Audit 31873
Finding 35482 (2022-004)
Material Weakness 2022
Metropolitan School District of Warren County
IN
School Nutrition Programs Cash Management Material Weakness § 200.303
FINDING 2022-004 CONTACT PERSON RESPONSIBLE FOR CORRECTIVE ACTION: Lacey Sturgeon/Melissa Bell CONTACT PHONE NUMBER: 765-762-2500 VIEWS OF RESPONSIBLE OFFICIAL: We concur with the finding. DESCRIPTION OF CORRECTIVE ACTION PLAN: All claims will be compiled by the Director of Food Services and validat...
FINDING 2022-004 CONTACT PERSON RESPONSIBLE FOR CORRECTIVE ACTION: Lacey Sturgeon/Melissa Bell CONTACT PHONE NUMBER: 765-762-2500 VIEWS OF RESPONSIBLE OFFICIAL: We concur with the finding. DESCRIPTION OF CORRECTIVE ACTION PLAN: All claims will be compiled by the Director of Food Services and validated by the Assistant Food Service Manager. ANTICIPATED COMPLETION DATE: March 2023
View Audit 29924
Finding 35398 (2022-003)
Significant Deficiency 2022
Northwest Colorado Council of Governments
CO
Reporting Allowable Costs / Cost Principles Cash Management § 200.502
Community Development Block Grants ? Assistance Listing No. 14.228 Recommendation: We recommend that the Council record federal expenditures on the SEFA under the program in the year upon which the loan disbursement occurs. Explanation of disagreement with audit finding: There is no disagreement wit...
Community Development Block Grants ? Assistance Listing No. 14.228 Recommendation: We recommend that the Council record federal expenditures on the SEFA under the program in the year upon which the loan disbursement occurs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Council has revised their procedures so that loan disbursements will be recorded on the SEFA in the year in which they are disbursed. Name(s) of the contact person(s) responsible for corrective action: Anita Cameron, NLF Director, and Becky Walter, Fiscal Manager Planned completion date for corrective action plan: December 31, 2023
View Audit 26785
Finding 35397 (2022-002)
Significant Deficiency 2022
Northwest Colorado Council of Governments
CO
Allowable Costs / Cost Principles Cash Management Reporting
Community Development Block Grants ? Assistance Listing No. 14.228 Recommendation: We recommend preparing the required reports under the CDBG program to be ready for uploading to the portal once it is accessible to ensure reporting requirements are met. Explanation of disagreement with audit finding...
Community Development Block Grants ? Assistance Listing No. 14.228 Recommendation: We recommend preparing the required reports under the CDBG program to be ready for uploading to the portal once it is accessible to ensure reporting requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Program Director will work with the Fiscal Office to ensure all reporting requirements are met prior to the deadline, regardless of ability to submit. This plan will ensure past, current, and future reporting requirements are met. Name(s) of the contact person(s) responsible for corrective action: Anita Cameron, NLF Director and Becky Walter, Fiscal Manager Planned completion date for corrective action plan: December 31, 2023
View Audit 26785
Finding 35381 (2022-001)
Significant Deficiency 2022
Hawaii Public Health Institute
HI
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.414
1. Excess indirect cost billing Three contracts identified with excess indirect cost billing will be corrected on the next invoice and prior to contract ending date. Assistance Listing (AL) No. 93.268 or 2103 CBO Contract and No. 93.391 or 2103 Health Equity Contract are ending by November 2023 and ...
1. Excess indirect cost billing Three contracts identified with excess indirect cost billing will be corrected on the next invoice and prior to contract ending date. Assistance Listing (AL) No. 93.268 or 2103 CBO Contract and No. 93.391 or 2103 Health Equity Contract are ending by November 2023 and May 2024 respectively. Hawaii Public Health Institute (HIPHI) will submit up to date billing with corrections. As recommended by the auditors, the HIPHI team will 1) create a written procedure that describes in detail the process to prepare and review program billings, and 2) implement guidelines on how to record indirect costs. For all federally awarded programs, the Director of Finance and Operations and the program's lead manager, with direct knowledge of the requirements for the grants, will review the billing prior to submission to the funder. The Finance and Accounting Manager and/or other trained Finance and Operations staff will prepare the billings, provide financial reports as requested, and include any supporting documentation used, for the reviewers.
View Audit 28427 Questioned Costs: $1
Finding 35323 (2022-001)
Significant Deficiency 2022
Lighthouse Living Centers, Inc.
TX
HUD Housing Programs Cash Management Significant Deficiency
Finding #2022-001 ? Significant Deficiency and Other Noncompliance Condition and context: The Living Centers requested and received subsidy payments for one unit that was unavailable for subsidy. The error was identified after three month?s subsidy was received and was deducted from the following...
Finding #2022-001 ? Significant Deficiency and Other Noncompliance Condition and context: The Living Centers requested and received subsidy payments for one unit that was unavailable for subsidy. The error was identified after three month?s subsidy was received and was deducted from the following month?s subsidy payment from HUD. Recommendation: Strengthen policies regarding understanding of contract terms. Planned corrective action: Management will refer to the contract for guidance for all compliance questions. Management will communicate with HUD in a clear and concise manner on any contract provisions that are in question. Responsible officer: Daniel Williams, Vice President of Operations Estimated completion date: Completed as of June 30, 2022.
View Audit 30062
Finding 35303 (2022-002)
Material Weakness 2022
Patriot Preparatory Academy
OH
Subrecipient Monitoring Matching / Level of Effort / Earmarking Cash Management
Patriot Preparatory Academy will ensure that all future capital projects comply with prevailing wage requirements by consulting with the Ohio Department of Education?s Office of Federal Programs and legal counsel to properly identify projects that meet the criteria. Patriot will ensure that certifie...
Patriot Preparatory Academy will ensure that all future capital projects comply with prevailing wage requirements by consulting with the Ohio Department of Education?s Office of Federal Programs and legal counsel to properly identify projects that meet the criteria. Patriot will ensure that certified wages reports are obtained from vendors upon completion of the project.
View Audit 26887
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