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Corrective Action Plans

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Finding 555084 (2024-001)
Significant Deficiency 2024
Old Middleton Road Apartments, Inc. 075-Hd082-Cmi
WI
Special Tests & Provisions HUD Housing Programs Internal Control / Segregation of Duties
Corrective Action Plan 1. Identify the Root Cause • Monthly Deposits: Continue to investigate why the monthly deposits were less than the required amount. This involves reviewing financial records, deposit schedules, and communication with the finance team and the team from CLA. • Replacement Reser...
Corrective Action Plan 1. Identify the Root Cause • Monthly Deposits: Continue to investigate why the monthly deposits were less than the required amount. This involves reviewing financial records, deposit schedules, and communication with the finance team and the team from CLA. • Replacement Reserve Withdrawal: Determine why and how the withdrawal was made without HUD approval. Review the documentation and approval process to identify any gaps or misunderstandings. 2. Immediate Actions • Reconcile Deposits: Calculate the total shortfall in monthly deposits for 2024 and make the necessary deposits to meet HUD requirements. • Replacement Reserve Documentation: Gather all relevant documentation for the withdrawal and submit it to HUD for retroactive approval, if possible. 3. Strengthen Internal Controls • Deposit Procedures: Implement a more robust tracking system to ensure monthly deposits meet HUD requirements. This will include automated Outlook reminders and quarterly reviews led by the Controller. The first quarterly review for the 3 months ending 3/31/2025 will occur in April of 2025. • Approval Process: Enhance the approval process for withdrawals from the replacement reserve. Ensure all withdrawals are documented and approved by HUD before funds are accessed. The Controller will verify and document HUD approval. 4. Training and Communication • Staff Training: Conduct training sessions for staff involved in financial management to ensure they understand HUD requirements and the importance of compliance. First training will be in April 2025. • Regular Updates: Utilize weekly one on one meetings to review compliance with HUD requirements and address any issues promptly. 5. Monitoring and Reporting • Monthly Reviews: Embed steps in our monthly review process to monitor deposits and withdrawals, ensuring they comply with HUD requirements. • Reports: Prepare detailed reports on compliance status and corrective actions taken and share these with relevant stakeholders. 6. Follow-Up • HUD Communication: Maintain open communication with HUD to ensure all corrective actions are satisfactory and to address any further concerns. • Continuous Improvement: Regularly review and update procedures to prevent recurrence of similar issues. Person(s) Responsible: Kelly Johnson, Siphi Nkosi, LuAnn Meinholz Timing for Implementation: April 1, 2025 through June 30, 2025.
View Audit 353626
Finding 555083 (2024-001)
Significant Deficiency 2024
Jacobs Place Apartments Dba Jacobs Place 074-11032
IA
Subrecipient Monitoring HUD Housing Programs Reporting § 200.512
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Fede...
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. Recommendation: The Corporation should submit audited financial statements to the Federal Audit Clearinghouse within the time frames required. Action(s) taken or planned on the finding: The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. No further action is required.
View Audit 353624
Silver Lake Housing, Inc.
TX
Cash Management HUD Housing Programs Reporting
Audit Finding 2024-001: Condition: The tenant security deposit cash account was insufficient to cover the tenant security deposit liability. - Response: The reserve for replacement has ample funds to request reimbursements of qualified expenditures for the last two years to catch up on outstanding...
Audit Finding 2024-001: Condition: The tenant security deposit cash account was insufficient to cover the tenant security deposit liability. - Response: The reserve for replacement has ample funds to request reimbursements of qualified expenditures for the last two years to catch up on outstanding payables and fund the deficiency in the security deposit account. Management is going to request a Budget Based Rent increase for the property since the OCAF increases for the last few years to not keep up with the extraordinary escalation of operating costs of the last three years. Management believes that with these steps it will be able to return to its previous cash flow position. - Name and Title of contact person responsible for corrective action: - Linda Holder, Executive Director – Houston Housing Management Corporation - PO Box 1819 - Houston, TX 77002 - 713-526-9470
View Audit 353614
Finding 554942 (2024-003)
Significant Deficiency 2024
Community Health & Wellness Partners of Logan County
OH
Questioned Costs Allowable Costs / Cost Principles Cash Management
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: Reimbursement requests should be reviewed by the CFO for all grants before submission to the grantor ...
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: Reimbursement requests should be reviewed by the CFO for all grants before submission to the grantor to ensure that employees charged to the grants are different, in addition, timesheets should be reviewed during the grant reimbursement process to ensure time supports the specific grant and allowable costs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The CFO will review all grant submissions based on personnel costs each month and ensure that there are no duplicate billings and that timesheets appropriately reflect staff involvement. Name(s) of the contact person(s) responsible for corrective action: Jeff Forman, CFO. Planned completion date for corrective action plan: March 21, 2025
View Audit 353547 Questioned Costs: $1
Finding 554941 (2024-002)
Significant Deficiency 2024
Community Health & Wellness Partners of Logan County
OH
Special Tests & Provisions Eligibility HUD Housing Programs
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: A test should be performed in the billing software annually when the updated Sliding Fee Discount Sch...
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: A test should be performed in the billing software annually when the updated Sliding Fee Discount Schedule is put into place to ensure that slides are being calculated properly at the effective date of the new schedule. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: CHWP will test for irregularities periodically throughout the year Name(s) of the contact person(s) responsible for corrective action: Jeff Forman, CFO. Planned completion date for corrective action plan: March 21, 2025.
View Audit 353547
Finding 554940 (2024-001)
Significant Deficiency 2024
Community Health & Wellness Partners of Logan County
OH
Allowable Costs / Cost Principles HUD Housing Programs Reporting
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: Data compiled to prepare a report is saved with a final copy of the report to support the information...
Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) -Assistance Listing No. 93.224 /93.527 Recommendation: Data compiled to prepare a report is saved with a final copy of the report to support the information is complete and accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: CHWP has made enhancements to its financial reporting structure and used this in calculating the UOS data for CY 2024. We believe that we documented the numbers appropriately but will make sure that we continue to comply with this requirement in future UOS reporting, Name(s) of the contact person(s) responsible for corrective action: Jeff Forman, CFO. Planned completion date for corrective action plan: March 21, 2025.
View Audit 353547
Pfi Housing Company of Auburn Inc. Edward T Boyle Center
NY
HUD Housing Programs Procurement, Suspension & Debarment
Audit period: January 1, 2024 – December 31, 2024 The finding from the 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM AUDI...
Audit period: January 1, 2024 – December 31, 2024 The finding from the 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM AUDIT Finding 2023-001 (Repeat Finding): Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects, Federal Assistance Listing Number 14.155 Recommendation: Our auditors recommended that we resume unit inspections and ensure those inspections are properly documented in the tenant files. Action Taken: We are currently in the process of completing and documenting unit inspections. Name of Contact Person Responsible for Corrective Action: Kyle Lyskawa, CFO, (315) 424-1821. Anticipated Completion Date: April 2025
View Audit 353522
Taylor Brown Hdf CO (east Main Street Apartments
NY
HUD Housing Programs
Audit period: January 1, 2024 – December 31, 2024 The findings from the 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM...
Audit period: January 1, 2024 – December 31, 2024 The findings from the 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM AUDIT Finding 2024-001: Mortgage Insurance – Rental Housing (Section 207), federal assistance listing number 14.134 Recommendation: East Main Street Apartments should ensure residual receipts are made within 60 days of year-end in accordance with the HUD Regulatory Agreement. Action Taken: East Main Street Apartments made the required payment was made after the 60-day timeline. Completion Date: March 2024 Name of Contact Person Responsible for Corrective Action: Kyle Lyskawa, CFO (315) 424-1821
View Audit 353521
Miller Road Housing Development Fund Company, Inc.
NY
HUD Housing Programs Procurement, Suspension & Debarment
Audit period: January 1, 2024 – December 31, 2024 The findings from the 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM...
Audit period: January 1, 2024 – December 31, 2024 The findings from the 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT None FINDINGS – FEDERAL AWARD PROGRAM AUDIT Finding 2024-001: Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects, Federal Assistance Listing Number 14.155 Recommendation: Our auditors recommended that we ensure documentation of unit inspections is maintained in all tenant files. Action Taken: We completed a review of tenant files and reinspected those units without appropriate documentation. Name of Contact Person Responsible for Corrective Action: Kyle Lyskawa, CFO, (315) 424-1821. Anticipated Completion Date: April 2025
View Audit 353520
Finding 554919 (2024-001)
Significant Deficiency 2024
Mi Residential Community, Inc. 023-11147
MA
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
Management has corrected all audited recertifications with correct information. For those tenants where the corrections had an impact on the tenant rent and housing assistance payments, management has notified and conducted meetings with the residents. Management will also insert file clarification ...
Management has corrected all audited recertifications with correct information. For those tenants where the corrections had an impact on the tenant rent and housing assistance payments, management has notified and conducted meetings with the residents. Management will also insert file clarification notes in those corrected files that the tenant files were corrected to ensure transparency and note that an administrative correction was conducted. Management will continue to utilize internal control procedures to ensure that information are calculated accurately and reported correctly in the future.
View Audit 353506 Questioned Costs: $1
Finding 554918 (2024-002)
Material Weakness 2024
Robbins Way Senior Housing 092-Ee129
MN
Eligibility HUD Housing Programs Material Weakness
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant fil...
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant files in accordance with HUD and will have routine internal audits of tenant files to ensure compliance with HUD regulations. For properties not transitioning to new property management, management believes the reduced volume of properties at one property manager will reduce staff turnover and more efficiently provide the proper training to existing staff to improve compliance with tenant files. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353496
Finding 554917 (2024-001)
Material Weakness 2024
Robbins Way Senior Housing 092-Ee129
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353496
Finding 554916 (2024-001)
Material Weakness 2024
Riverview Apartments Senior Housing
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353495
Finding 554915 (2024-002)
Material Weakness 2024
Metro Apartments, Inc. 092-Hh011-Cmi
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant fil...
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant files in accordance with HUD and will have routine internal audits of tenant files to ensure compliance with HUD regulations. For properties not transitioning to new property management, management believes the reduced volume of properties at one property manager will reduce staff turnover and more efficiently provide the proper training to existing staff to improve compliance with tenant files. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353492
Finding 554914 (2024-001)
Material Weakness 2024
Metro Apartments, Inc. 092-Hh011-Cmi
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353492
Finding 554913 (2024-002)
Material Weakness 2024
Garden Terrace Commons Senior Housing 092-Ee078
MN
Eligibility HUD Housing Programs Material Weakness
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant fil...
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant files in accordance with HUD and will have routine internal audits of tenant files to ensure compliance with HUD regulations. For properties not transitioning to new property management, management believes the reduced volume of properties at one property manager will reduce staff turnover and more efficiently provide the proper training to existing staff to improve compliance with tenant files. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353490
Finding 554912 (2024-001)
Material Weakness 2024
Garden Terrace Commons Senior Housing 092-Ee078
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353490
Finding 554911 (2024-001)
Material Weakness 2024
Delano Commons Senior Housing 092-Ee093-Wah
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353488
Finding 554910 (2024-001)
Material Weakness 2024
Community for Affordable Senior Housing, Inc.
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353487
Finding 554909 (2024-002)
Material Weakness 2024
Century Trails Senior Housing 092-Ee135
MN
Eligibility HUD Housing Programs Material Weakness
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant fil...
Corrective Action: The Organization agrees with the finding. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Management is working with the new property managers to ensure they have procedures in place to document and maintain tenant files in accordance with HUD and will have routine internal audits of tenant files to ensure compliance with HUD regulations. For properties not transitioning to new property management, management believes the reduced volume of properties at one property manager will reduce staff turnover and more efficiently provide the proper training to existing staff to improve compliance with tenant files. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353486
Finding 554908 (2024-001)
Material Weakness 2024
Century Trails Senior Housing 092-Ee135
MN
HUD Housing Programs Eligibility Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353486
Finding 554907 (2024-001)
Material Weakness 2024
Boulevard Gardens Senior Housing 092-Ee025wah
MN
Eligibility HUD Housing Programs Material Weakness
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications...
Corrective Action: The Organization agrees with the finding and has continued to implement strategies to address the finding. To address this finding, management has assembled and deployed a team of external consultants and temporary workers to assist site staff in completing tenant recertifications and hired a team of additional roving property management/compliance teams to cover open property management positions and to support site staff in completing tenant recertifications. Currently, management plans to transition 50% of its real estate portfolio to new property management in 2025. Proposed completion date: Management has begun the corrective action and is expected to have additional internal controls in place by December 31, 2025. Name of contact person: Jennifer Anderson, Interim CFO
View Audit 353485
United Cerebral Palsy Housing Development Fund Corporation, Inc.
NY
Reporting HUD Housing Programs
Finding Number: 2024-001 Reporting – Noncompliance (Control Deficiency) Programs: U.S. Department of Housing and Urban Development - Project Based Rental Assistance (PBRA) (Section 8 Project-Based Cluster), Award Listing Number 14.195. Planned Corrective Action: The Corporation acknowledges that the...
Finding Number: 2024-001 Reporting – Noncompliance (Control Deficiency) Programs: U.S. Department of Housing and Urban Development - Project Based Rental Assistance (PBRA) (Section 8 Project-Based Cluster), Award Listing Number 14.195. Planned Corrective Action: The Corporation acknowledges that the 2024 data collection form and REAC filing were not filed timely. The planned correction plan is to file the 2024 data collection form and REAC filing upon the issuance of the Uniform Guidance financial statements and ensure that future data collection forms and REAC filing are submitted timely. Person Responsible: A’isha Torrence, Chief Financial Officer Expected Completion Date: June 2025
View Audit 353466
Dubourg Home (place Dubourg Apartments)
LA
Questioned Costs HUD Housing Programs
Management agrees with the finding. Management has submitted the forms for HUD's approval.
Management agrees with the finding. Management has submitted the forms for HUD's approval.
View Audit 353416 Questioned Costs: $1
Finding 554819 (2024-001)
Significant Deficiency 2024
Peak Vista Community Health Centers, INC
CO
Questioned Costs Subrecipient Monitoring Eligibility
Condition – Peak Vista (“the Organization”) determines the sliding fee discount charged to the patients based on their annual gross income and household size. During our testing of sliding fee discounts, we found that two encounters selected where the patients were charged incorrect copays. Recommen...
Condition – Peak Vista (“the Organization”) determines the sliding fee discount charged to the patients based on their annual gross income and household size. During our testing of sliding fee discounts, we found that two encounters selected where the patients were charged incorrect copays. Recommendation – The Organization should strengthen processes surrounding the monitoring of the program to ensure the Organization’s policies are consistently and properly applied. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding. The Organization has developed a plan for addressing this issue that includes updated procedures, training, and auditing. All teams engaged in the enrollment and eligibility process, including our Enrollment, Reception, and Billing teams will be retrained on the process with emphasis on proper documentation. The Organization management plans to incorporate into our quality assurance audits the documentation for single service date discount applications and provide feedback and retraining as necessary to staff as needed. Anticipated Date of Completion – In progress. Action Taken – We have reviewed the recommendation and have developed a plan for addressing this issue. Person Responsible for Corrective Action Plan – Ryan Spillane, Chief Financial Officer Corrective Action Plan – Ryan Spillane, Chief Financial Officer
View Audit 353387 Questioned Costs: $1
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