Corrective Action Plans

Views of Responsible Officials, Planned Corrective Actions, and Contact Information Division of Adult and Career Education (DACE) will review the current process and implement the following: 1. Directive will be provided to DACE principals to stop enrolling 16?17-year-old students. 2. Instructions will be given to DACE Accelerated College and Career Transitions (ACCT) Advisors not to enroll students between ages 16-17 moving forward. 3. The District will utilize unrestricted funds for students under the age of 18 that are enrolled in the Workforce Innovation and Opportunity Act (WIOA) program. 4. DACE will continue to serve the existing 16?17-year-old ACCT student population through the end of the school year 2022-23 and use unrestricted funding sources other than WIOA. 5. During school year 2022-23 and henceforth, DACE will not report or claim any student outcomes other than those earned by students who are of 18 years of age and older. 6. DACE will amend the ACCT intake and enrollment policies and procedures in the DACE Counseling Handbook. Name: Megan Carroll Title: Program and Policy Development Coordinator Contact Information: mmc78271@lausd.net or (213) 241-3781 Name: Alejandra Salcedo Title: Federal Grants Specialist Contact Information: axs60041@lausd.net or (213) 241-3812

Views of Responsible Officials and Planned Corrective Action Corrected. As the HRSA program stopped receiving claims as of March 22, 2022 due to lack of sufficient funds, QHS will evaluate lab requisitions submitted by the urgent care subsidiary to determine total amount of claims to be remitted back to HRSA as a result of error when filing the claim. Urgent care personnel have also been retrained on the lab requisition process and additional monitoring controls are being considered to assist in detecting errors made during this process.

MUTUAL GROUND CORRECTIVE ACTION PLAN TO AUDIT FINDINGS December 19, 2022 Oversight Agency: U.S. Department of Justice Mutual Ground respectfully submits the following corrective action plans for the year ended June 30, 2022. Auditor: Audit Period: Dugan & Lopatka, CPA's 4320 Winfield Road Suite 450 Warrenville, IL 60555 For the year ended June 30, 2022 The findings from the schedule of finding and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Findings - Federal Award Programs Audit 2022-001 Crime Victim Assistance Program CFDA 16.575 Auditor's Recommendation: We recommend Mutual Ground, Inc. review its files to ensure that all client files contain the required confidentiality forms. Action Taken: Mutual Ground has implemented a system in which each manager conducts electronic file audits on current client files. The staff will also conduct peer reviews during group supervision to catch any missing documents. This will ensure each file contains the required confidentiality forms. If the funding agency has questions regarding this plan, please call Rebecca Laudati, Victim Services Director, at 630-897-0084 ext.138

The District will develop and implement documented procedures for recording and communicating information regarding grants. Oversight and any necessary training will be made available on an as-needed basis, in an effort to eliminate audit adjustments and ensure compliance with grant requirements. In addition, the District will develop procedures to ensure that grant draw requests are prepared, reviewed, and submitted on a timely basis in accordance with the grant agreements.

Significant Deficiency Finding 2022-002 Eligibility U.S. Department of Health and Human Services HIV CARE Formula Grants CFDA No. 93.917 Condition During our audit, we selected a sample of 60 clients receiving assistance under the RWB program to ascertain whether those clients met the RWB program eligibility requirements. We noted that documentation supporting compliance with eligibility requirements for certain clients were incorrect, incomplete, or not provided. Specifically, we found that: ? For 16 of the 60 clients selected, the file contained insufficient documentation to verify that the payer of last resort requirement was met. ? For three of the 60 client files selected, the file did not have annual or semi-annual certification forms dated prior to certain dates of services, indicating that eligibility determinations were not performed prior to billing the Ryan White program. ? For one of the 60 client files selected, the file contained certification forms that were more than 6 months apart. During that gap in certifications, services for the client were billed. ? For one of the 60 clients selected, a bank statement was used for income determination. A bank statement alone does not document gross income as required to determine eligibility. Criteria Clients receiving assistance under the RWB program are subject to eligibility requirements contained in the Health Resources and Services Administration?s HIV/AIDS Bureau Policy Clarification Notice No. 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertification Requirements. To be eligible, clients must have a medical diagnosis of HIV/AIDS and be (a) a low-income individual, (b) a resident of the state, and (c) uninsured or underinsured, as defined by the state. Eligibility determination is required before participation in the RWB program during the in-take process. Re-assessments are performed at least once every 6 months thereafter. Per HHHRC?s Ryan White Eligibility Policy, these eligibility criteria are to be documented in their Annual Certification forms, and their Six-Month Semi-Annual Certification forms. HIV status must be documented by a written statement from a medical provider. Lab results may only be used on an interim basis. Residency must be documented with a State ID card or a driver?s license, lease agreement, utility bill, official government mail, bank statement, pay stub, or a verification letter from an agency providing the client with housing. Income levels must be documented with the most recent pay stubs covering 30 consecutive days, benefit statements, IRS tax transcripts, or a signed statement from the client attesting to no income or very low income. For the payer of last resort criteria, HHHRC?s policy states that they must, at a minimum, assess and re-assess the client?s eligibility for benefits such as MedQuest. In addition, HHHRC must make reasonable efforts to secure funding, besides the Ryan White program, including pursuing enrollment into health care coverage. Cause HHHRC did not adhere to established policies and procedures requiring that appropriate documentation be received and maintained to evidence compliance with eligibility requirements during the in-take and re-assessment process for the RWB program. As described in Finding 2022-001, HHHRC updated their formal policies and procedures effective April 1, 2022 to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager. Effect HHHRC did not comply with the RWB program eligibility requirements for the instances noted above. Questioned Costs No questioned or known costs were identified. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding 2021-002. Recommendation We again recommend that HHHRC adhere to established policies and procedures requiring that appropriate documentation be received and maintained to evidence compliance with eligibility requirements during the in-take and re-assessment process for the RWB program. HHHRC should also consider expanding on their policies for payer of last resort, with more specific criteria for documentation required to support compliance with this requirement. Views of Responsible Officials and Planned Corrective Action HHHRC has implemented a formal policy and review process by a manager or higher level within the organization for every certification form within 1 week of completing the form, as noted above. This policy and process also compares the certification and/or reassessment forms against the comprehensive client list so managers will review monthly and be able to identify any clients that need re-certifications in addition to new certifications. Additionally, HHHRC has added an additional policy of the HIV Director or Clinical Deputy Director will review twice annually a random selection of at least 20 certification forms to ensure there was manager review documentation and this internal control will hopefully identify any deficiencies in this practice and this will identify if the managers are missing anything in the initial review. For documentation of payor of last resort, HHHRC has implemented a more rigorous policy on documentation of utilizing Ryan While as payor of last resort and one of the main methods for ensuring compliance is a new Billing Specialist position which started last year and is reviewing all expenses associated with this program and ensuring compliance of payor of last resort as well as ensuring appropriateness of cost.

US Department of Health and Human Services HIV CARE Formula Grants Passed-through State of Hawaii Department of Health 1250 Punchbowl Street Honolulu, HI 96813 Hawaii Health & Harm Reduction Center (HHHRC) respectfully submits the following corrective action plan for the year ended June 30, 2022 for the finding identified in the schedule of findings and questioned costs as identified by our auditors, KKDLY LLC, who are located at Topa Financial Center, 745 Fort Street, Suite 2100, Honolulu HI 96813 FEDERAL AWARD FINDINGS AND QUESTIONED COSTS Material Weakness Finding 2022-001 Eligibility U.S. Department of Health and Human Services HIV CARE Formula Grants CFDA No. 93.917 Condition During the in-take and re-assessment process for the Ryan White HIV/AIDS Part B (RWB) program, case managers are responsible for (1) ensuring that all required forms and documents are received from clients, (2) reviewing those forms and documents for completeness and accuracy to verify that RWB program eligibility requirements are met; and (3) inputting the client?s information into e2 Hawaii, HHHRC?s system to monitor and track all RWB program clients. Effective April 1, 2022, HHHRC updated their policies and procedures, requiring a manager or knowledgeable employee other than the case manager to sign off on the certification forms to document their review of eligibility determinations for completeness and accuracy. We selected a sample of 60 clients receiving assistance under the RWB program as part of our eligibility testing. Within the 60 files, we examined 61 annual or semi-annual certification forms dated prior to April 1, 2022, and 32 annual or semi-annual certification forms dated April 1, 2022 or later. Of the 61 certification forms dated prior to April 1, 2022, we noted 59 certification forms did not contain evidence of a review performed by a manager or a knowledgeable employee other than the case manager. Of the 32 certification forms dated April 1, 2022 or later, we noted 6 certification forms were not signed off by a manager or knowledgeable employee other than the case manager. Criteria The Uniform Guidance, as prescribed in 2 CFR section 200.305, requires that non-federal entities receiving federal awards establish and maintain internal control over federal awards that provides reasonable assurance that the non-federal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Internal controls over compliance with RWB eligibility requirements should include formal policies and procedures to ensure that data used to determine eligibility are complete and accurate in compliance with RWB program requirements. Eligibility determination procedures should be performed by case managers and reviewed by a manager or knowledgeable employee. Cause HHHRC implemented a formal policy requiring a manager or knowledgeable employee other than the case manager to sign off on the annual and semi-annual certification forms for each client. This formal policy was implemented on April 1, 2022. As such, the certification forms that were prepared prior to this date were not reviewed in accordance with this policy. Effect Without appropriate internal controls, noncompliance with RWB eligibility requirements may occur. Refer to Finding 2022-002 for instances of noncompliance identified in the current year. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding 2021-001. Recommendation We again recommend that HHHRC adhere to established policies and procedures to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager for completeness and accuracy. Views of Responsible Officials and Planned Corrective Action HHHRC has implemented a formal policy and review process by a manager or higher level within the organization for every certification form within 1 week of completing the form. As noted earlier in the audit, HHHRC has made significant progress on this compliance measure with certifications dated after April 1, 2022 having significantly higher review rates (26/32 had review compared to 2/60 prior to April 1, 2022). Additionally, HHHRC has added an additional policy of the HIV Director or Clinical Deputy Director will review twice annually a random selection of at least 20 certification forms to ensure there was manager review documentation and this internal control will hopefully identify any deficiencies in this practice.

U.S. Department of Education 2022-003 Education Stabilization Fund- Reporting Assistance Listing No. 84.425E Recommendation: We recommend the College obtain an understanding of the reporting requirements established by the grant to ensure reports do not report on a cumulative basis. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: All quarterly reports have been updated and will be published as revisions on our COVID webpage. We will also send the revisions to the UD Department of Education?s HEERF reporting email, as required. Name(s) of the contact person(s) responsible for corrective action: Joseph Holt Planned completion date for corrective action plan: May 1, 2023

2022-001 Eligibility Housing Voucher Cluster Material Weakness in Internal Control Material Noncompliance Condition: Out of an approximate population of 1,436 tenants, 43 tenant files were tested and the following deficiencies were noted: ? 13 files had incorrect utility allowance calculations, ? 12 files had an incorrect income calculation, ? 2 files utilized incorrect payment standard, and ? 1 file was missing the 214 declaration for all tenants in household. Auditor Recommendations: The Authority should consider reevaluating their established procedures and controls in place to ensure full compliance in regards to eligibility. The Authority needs to consider the impact to the rest of the population of tenant files that were not selected as part of the auditor?s sample. Action Taken: This audit provides an opportunity for the Lakeland Housing Authority staff in correcting problems identified during the audit, we are implementing new procedures and increasing staff proficiency. The plan is as follows: ? The department under the supervision of Carlos Pizarro has hired an additional Quality Control and Compliance Specialist Courtney Mitchell, from now until done she will be leading with the assistance of the program's Assistant Manager Alondra Baez a full 100% file audit, ? The current staff will be re-trained on income calculation, file management, fair housing, occupancy, inspections, SEMAP, etc? ? The staff will continue to use a quality control sheet while processing all recertifications or changes, ? The HCV program issued a task order to one of the consultants to help us monitor the progress of our internal file audit.

2022-002 Eligibility Public and Indian Housing Program ? AL No. 14.850 Material Weakness in Internal Control Material Noncompliance Condition: Out of an approximate population of 257 tenants, 30 tenant files were tested and the following deficiencies were noted: ? 5 files had incorrect income calculations, and ? 1 file was completed but not entered into the system. Auditor Recommendations: The Authority should consider reevaluating their established procedures and controls in place to ensure full compliance in regards to eligibility. The Authority needs to consider the impact to the rest of the population of tenant files that were not selected as part of the auditor?s sample. Action Taken: This audit provides an opportunity for the Lakeland Housing Authority staff to correct problems identified during the audit, we are implementing new procedures and increasing staff proficiency. The plan is as follows: ? The department under the supervision of Carlos Pizarro has entered into a contract with a company named Preferred Compliance, we will be asking them to do a 100% review on all the public housing files, they are already reviewing all the files including admissions for the Low-Income Housing Tax Credits, ? The current staff will be re-trained on income calculation, file management, fair housing, occupancy, inspections, etc? ? The staff will continue to use a quality control sheet while processing all recertifications or changes,

We agree with the finding of the auditor. During 2022, the organization experienced a significant increase in grant activity and certain personnel changes. We believe that all required documentation was obtained, we were unable to locate these documents. We have implemented a final file review process to ensure that all documents are filed in the appropriate participant files.

December 20, 2022 The City of Lynchburg, Virginia respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24014 Audit period: June 30, 2022 The findings from the June 30, 2022 Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the-Schedule. FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAM AUDIT 2022-001: Controls over Benefit Approval - Supplemental Nutrition Assistance Program - Assistance Listing #10.651 Condition: During our review of eligibility, we noted that one individual's income was not reviewed resulting in additional benefits until the error was identified. Criteria: All support for individual's income should be reviewed to ensure benefits are accurate. Cause: The case worker entered the number incorrectly and it was not reviewed. Effect: Individual was paid SNAP benefits for four months that they were not eligible for. Questioned Costs: An overpayment of $1,743. Perspective Information: One out of twenty-five tested. Repeat Finding: No. Recommendation: We recommend that all inputs are reviewed by supervisors to ensure calculations are correct. Corrective Action: Management agrees with the finding and has taken immediate action to ensure all inputs are reviewed by supervisors to ensure all calculations are correct. If the Federal Audit Clearinghouse has questions regarding this plan, please call Rhonda Allbeck, Assistant Director of Financial Services at 434-455-4218. Sincerely yours, Rhonda Allbeck. Assistant Director of Financial Services

2022-001 Sliding Fee Discount Determination Name of Contact Person: James Chen, CFO Corrective Action: Asian Health Services will: - Immediately retrain the staff involved in Sliding Fee Discount Program on proper documentation requirements and implementation of sliding fee determination and billing including scanning of documentation to Epic EHR. - Perform periodic audits of sliding fee documentation and transactions. Proposed Completion Date: June 30, 2023

Higher Education Emergency Relief Funding (HEERF) ? Assistance Listing No. 84.425 Recommendation: We recommend the colleges reevaluate their procedures surrounding allowable costs and costs being charged to the grant to ensure all are allowable costs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Clarkson College has reevaluated their procedures surrounding allowable costs and costs being charged to the grant to ensure all are allowable costs. The employee responsible for this finding is no longer associated with the college.

CORRECTIVE ACTION PLAN Project Legal Name: Evangeline Booth Garden Apartments Ocala, FL (A Project of Evangeline Booth Residence, Inc., a Florida Corporation) HUD Project No.: 063-EE011-WAH Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-9/30/2022 Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Each Recommendation Management agrees with the finding and is taking steps to address the issue that caused it. b. Action(s) Taken or Planned on the Finding Access to the Enterprise Income Verification (EIV) system [the system used to access Social Security information and Health and Human Services information] was not available due to the incorrect tax ID being identified to The Salvation Army personnel who had transitioned from another The Salvation Army HUD Project location. It took considerable efforts to get this corrected with HUD. The appropriate access to the system has now been given to the new personnel of this Ocala HUD Project. This lack of access may have impacted the early part of FY 2023. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations 1. Finding 2021-001 In Process. See finding 2022-001 2. Finding 2021-002 Cleared. 3. Finding 2021-003 Cleared.

CORRECTIVE ACTION PLAN Project Legal Name: Evangeline Booth Garden Apartments Pasadena, TX (? Project of Evangeline Booth Residence, Inc., A Texas Corporation) HUD Project No.: 114-EE095-NP-WAH Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-11/11/2021 (day before sale) Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 The following is a recommended format to be followed by the auditee for preparing a corrective action plan: A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Each Recommendation The auditee agrees with the finding. b. Action(s) Taken or Planned on the Finding The property was sold subsequent to September 30, 2021 reporting period with HUD approval and all reserves were transferred to buyer, therefore we consider this matter closed. 2. Finding 2022-002 c. Comments on the Finding and Each Recommendation The auditee agrees with the finding. The auditee agrees with the recommendation management should either review the Project budget to determine if nonessential costs can be cut to ensure that the replacement reserve is funded in accordance with the terms of the regulatory agreement or management should obtain HUD approval to waive the remaining underfunded deposits due to the balance of the reserve exceeding $1,000 per unit. d. Action(s) Taken or Planned on the Finding The property was sold November 12, 2021 with HUD approval and all tenant files were transferred to buyer, therefore we consider this matter closed. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations 1. Finding 2021-001 Unresolved. See Finding 2022-002. 2. Finding 2021-002 Unresolved. See Finding 2022-001 3. Finding 2021-003 Cleared. 4. Finding 2020-001 Unresolved. See findings 2022-002 and 2021-001. 5. Finding 2020-002 Unresolved. See findings 2022-001 and 2021-002. 6. Finding 2019-002 Unresolved. See findings 2022-001, 2021-002, and 2020-002

CORRECTIVE ACTION PLAN Project Legal Name: Catherine Booth Garden Apartments Waco, TX (? Project of Catherine Booth Residence, Inc., A Texas Corporation) HUD Project No.: 113-EE005-NP-WAH Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-1/12/2022 (day before sale) Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Each Recommendation The auditee agrees with the finding. The auditee agrees with the recommendation that management should establish procedures and monitor compliance with those procedures to ensure that tenant eligibility is correctly determined and that tenant lease files are properly maintained. b. Action(s) Taken or Planned on the Finding N/A. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations Finding 2021-001 Cleared. Finding 2021-002 Unresolved. See finding 2022-001

CORRECTIVE ACTION PLAN Project Legal Name: Catherine Booth Garden Apartments San Antonio, TX (? Project of Booth Residence San Antonio, Inc., a Texas Corporation) HUD Project No.: 115-EE072 Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-1/11/2022 (day before sale) Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 2. Finding 2022-002 c. Comments on the Finding and Each Recommendation The auditee agrees with the finding. The auditee agrees with the recommendation that management should establish procedures and monitor compliance with those procedures to ensure that tenant eligibility is correctly determined and that tenant lease files are properly maintained. d. Action(s) Taken or Planned on the Finding Management agrees with the finding The property was sold subsequent to year end and the current management agent did not provide the requested documents. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations 1. Finding 2021-001 Unresolved. See finding 2022-002 2. 2021-002 Cleared. 3. 2021-003 Cleared.

CORRECTIVE ACTION PLAN Project Legal Name: Catherine Booth Gardens of Tyler (A Project of Catherine Booth Gardens of Tyler, Texas, Inc., A Texas Corporation) HUD Project No.: 113-EE064 Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-11/3/2021 (day before sale) Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 2. Finding 2022-002 a. Comments on the Finding and Each Recommendation The auditee agrees with the finding and auditor?s recommendation to implement procedures to ensure that the determination of tenant eligibility and the maintenance of lease files are in accordance with guidelines specified by HUD, even during transition of management and/or ownership. b. Action(s) Taken or Planned on the Finding The property was sold November 4, 2021, therefore management plans to contact HUD to determine the appropriate handling of this situation. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations 1. Finding 2021-001 Unresolved ? see finding 2022-002.

CORRECTIVE ACTION PLAN Project Legal Name: Catherine Booth Gardens of Tyler (A Project of Catherine Booth Gardens of Tyler, Texas, Inc., A Texas Corporation) HUD Project No.: 113-EE064 Audit Firm: CohnReznick LLP Period covered by the audit: 10/1/2021-11/3/2021 (day before sale) Corrective Action Plan prepared by: Name: Sriparna Mitra Position: HUD Specialist, THQ (Legal) Telephone Number: 404-728-6700 The following is a recommended format to be followed by the auditee for preparing a corrective action plan: A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Each Recommendation The auditee agrees with the finding. The auditee agrees with the recommendation management should establish procedures to create and maintain a wait list for applicants in accordance with HUD guidelines even during transition of management and/or ownership. b. Action(s) Taken or Planned on the Finding The property was sold November 4, 2021, therefore management plans to contact HUD to determine the appropriate handling of this situation. 2. Finding 2022-002 a. Comments on the Finding and Each Recommendation The auditee agrees with the finding and auditor?s recommendation to implement procedures to ensure that the determination of tenant eligibility and the maintenance of lease files are in accordance with guidelines specified by HUD, even during transition of management and/or ownership. b. Action(s) Taken or Planned on the Finding The property was sold November 4, 2021, therefore management plans to contact HUD to determine the appropriate handling of this situation. B. Status of Corrective Actions on Findings Reported in the Schedule of the Status of Prior Year Findings, Questioned Costs and Recommendations 1. Finding 2021-001 Unresolved ? see finding 2022-002. 2. Finding 2021-001 Cleared.

View of Responsible Officials and Corrective Actions: The following steps have been and are being taken regarding tenant certifications: 1. After contracting a third-party entity to review 10% of our files in Oct 2022, findings of said review led to the recommendation to retrain staff. 2. All Managers and assistant Managers received HCV & PH Rent Calculation Training In June 2023. 3. We are also currently working with our TA from HUD, Ms. Valerie Jackson. Ms. Jackson has identified, and is about to roll out training for our staff, to uniform and streamline our tenant files.

Corrective Action Plan and Views of Responsible Officials LVUSD is challenged each year to reach our MOE given our unique programming as a school district. Staff will review progress toward MOE biannually to ensure compliance and tight oversight over these funds.

Finding 2022-001 ? Eligibility Audit Finding: Documentation of review and approval of the participant information should be completed prior to awarding eligibility to participate in the program. Audit Recommendation: We recommend Denver Indian Center, Inc. and Subsidiary use the checklists in the participant files to ensure all information is retained and/or reviewed as the internal control over eligibility. Management?s Response and Corrective Action Plan: Per the recommendation of the auditor, all staff have been trained and checklists will be used to verify eligibility. We are also currently reviewing previous cohorts to correct the oversight. Contact and Completion Date: Steve ReVello (steve@denverindiancenter.org), Co-Executive Director, and David Wright (david@denverindian.org), HFP Manager, are the contacts responsible for the correction action. The expected completion date of the remedy is March 31, 2023.

Finding Number: 2022-002 Condition: WakeMed charged costs associated with ineligible individuals to the grant. During testing of 60 patients, we identified one patient who should not have been submitted to HRSA for reimbursement, as they were covered by insurance and, therefore, ineligible. Planned Corrective Action: WakeMed identified all HRSA patients with other documented insurance within the system. Each claim was reviewed to identify patients with active insurance coverage. Patients identified with active insurance coverage were considered ineligible for grant purposes, and the HRSA payments are in the process of being refunded. These costs were removed from the SEFA. In addition, WakeMed has written off all outstanding HRSA claims. Contact person responsible for corrective action: Terry Flynn, Director, Reimbursement Anticipated Completion Date: 06/14/2023

Management?s Response: Lamar Housing Authority will begin making a copy of what is put in MINC and will check income from the worksheet we get at the beginning of each month before we submit it we will make changes to what was submitted into MINC, this will be a double check of income to make sure it was entered into MINC correctly.

ELIGIBILITY Department of Health and Human Resources (DHHR) Assistance Listing Number 93.767 For the one instance ?where the social security number, age, date of birth, and immigration status was not verified in the Data Exchange System,? the DHHR Bureau for Family Assistance has requested the creation of an administrative report to identify cases without a social security number entered in applicable case records. This report will be available by February 28, 2023 and will eventually be generated on a quarterly basis. For the nine instances ?where income was not verified,? the DHHR Bureau for Family Assistance will develop additional training that is targeted at both the verification of income and non-financial factors such as date of birth, age, and social security numbers. The training materials will be available to field staff by March 31, 2023 and will include a mandatory completion date of April 30, 2023.