Corrective Action Plans

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To properly ensure internal controls, all segregation of duties will be documented beyond what is currently being done. For additional oversight of monthly reconciliation, it will be documented that this has had a secondary review. Additionally, a board member or another individual will review month...
To properly ensure internal controls, all segregation of duties will be documented beyond what is currently being done. For additional oversight of monthly reconciliation, it will be documented that this has had a secondary review. Additionally, a board member or another individual will review monthly bank statements, invoices, and related documentation. The board will review policy and focus on stricter internal controls to prevent any form of fraud.
2025-001 – ALN 14.871 – Housing Voucher Cluster – Eligibility – Payment Standards Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Mr. D. Steele, Chief Executive...
2025-001 – ALN 14.871 – Housing Voucher Cluster – Eligibility – Payment Standards Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Mr. D. Steele, Chief Executive Officer Projected Completion Date: December 31, 2026
Finding 2025-002: Insufficient Documentation of Management Review of Section 3 Quarterly and Annual Reporting Planned Corrective Action: Management concurs with the finding. Although the related grant concluded during fiscal year 2025, the City will implement procedures to ensure that future federal...
Finding 2025-002: Insufficient Documentation of Management Review of Section 3 Quarterly and Annual Reporting Planned Corrective Action: Management concurs with the finding. Although the related grant concluded during fiscal year 2025, the City will implement procedures to ensure that future federal program reports, including any applicable Section 3 or similar compliance reports, are subject to documented management review and approval prior to submission. The procedures will require the preparer to provide each report and supporting documentation to City management for review, and evidence of approval, such as a signed review checklist, email approval, or electronic sign-off, will be retained in the grant files. The City Secretary will be responsible for ensuring that documented review and approval procedures are applied to future federal reporting requirements. Anticipated Completion Date: July 2026
Magnolia Manor of Macon (Pacesetter Manor) has identified a posting error for a resident date of discharge that resulted in an overpayment by HUD. The correction has been submitted to HUD for processing/recovery of this overpayment. Beginning with the quarter ending June 30, 2026, we will implement ...
Magnolia Manor of Macon (Pacesetter Manor) has identified a posting error for a resident date of discharge that resulted in an overpayment by HUD. The correction has been submitted to HUD for processing/recovery of this overpayment. Beginning with the quarter ending June 30, 2026, we will implement a review of our census & billing system records for admissions and discharges and compare them to what has been submitted to HUD to ensure consistent/accurate recordkeeping. This review will take place by the end of the calendar month following the end of the calendar quarter. The facility Administrator has ultimate responsibility for ensuring that the review & reconciliation is complete. As this is an audit related item, the Magnolia Manor Director of Finance will monitor compliance annually in advance of the annual audit. Any items found to be incorrect will be investigated and resolved as part of the review process with any necessary adjustments submitted by the next processing cycle.
Magnolia Manor of Macon (Pacesetter Manor) has implemented an annual review schedule for the facility Administrator, Maintenance Supervisor and Community Relations Director to review and ensure that the annual physical inspection of all residential units has been completed. The review window will be...
Magnolia Manor of Macon (Pacesetter Manor) has implemented an annual review schedule for the facility Administrator, Maintenance Supervisor and Community Relations Director to review and ensure that the annual physical inspection of all residential units has been completed. The review window will be between April 1st and July 15th of each year. The facility Administrator has ultimate responsibility for ensuring that the inspections are complete. As this is an audit related item, the Magnolia Manor Director of Finance will monitor compliance annually in advance of the annual audit. Any units found not to have a physical copy of that fiscal year’s inspection report, will be re-inspected and documented before July 31st. A copy of each physical inspection report will be kept in a three-ring binder by the facility Administrator or their designee, as well as scanned into a network storage location.
Management is committed to implementing timely reconciliations and review procedures for key accounts to support quality and timely financial reporting. Management plans to work with their new outsourced accountants to have timely and accurate reporting.
Management is committed to implementing timely reconciliations and review procedures for key accounts to support quality and timely financial reporting. Management plans to work with their new outsourced accountants to have timely and accurate reporting.
Finding #2025-001 Current Year Audit Submission to REAC was late: Recommendation: We recommend that management implement procedures to ensure that audit material is provided to the auditor in a timely manner to produce the audit for the REAC submission within 90-days. Action taken: Gethsemane Manor ...
Finding #2025-001 Current Year Audit Submission to REAC was late: Recommendation: We recommend that management implement procedures to ensure that audit material is provided to the auditor in a timely manner to produce the audit for the REAC submission within 90-days. Action taken: Gethsemane Manor Apartments agrees with the auditor’s recommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact Dawn Olmstead, VP – Director of Asset Management, at (315) 337-1401.
Finding 2025-002 – Section 8 Project-Based Voucher Program – Eligibility; Special Tests and Provisions – Waitlist Selection & Management Noncompliance and Significant Deficiency Housing Choice Voucher Program - ALN #14.871 Correction Action Plan: The Greensboro Housing Authority (GHA) will continue ...
Finding 2025-002 – Section 8 Project-Based Voucher Program – Eligibility; Special Tests and Provisions – Waitlist Selection & Management Noncompliance and Significant Deficiency Housing Choice Voucher Program - ALN #14.871 Correction Action Plan: The Greensboro Housing Authority (GHA) will continue implementing enhancements within its operating software platform (YARDI) to streamline and automate waitlist selection and management oversight through the following actions: • GHA immediately conducted a thorough assessment of the wait list process and implemented ongoing monitoring and quality assurance reviews, file checks, and internal audits to ensure sustained compliance. Accountability measures include management sign off for elderly designated selections, tracking within YARDI of documentation completeness, and performance expectations aligned with compliance standards. • Without delay, GHA immediately implemented real time system usage by requiring and prohibiting reliance on static reports. GHA is conducting a retrospective review to identify any applicants improperly bypassed and take corrective action as warranted. • GHA will provide ongoing mandatory training on eligibility criteria, preference application, YARDI usage, and compliance requirements to ensure team member proficiency in the wait list selection process. • GHA will conduct a comprehensive review and correction of YARDI system configurations to ensure alignment with the HCVP Administrative Plan, including proper implementation of grandfathering workflows. A reconciliation will be performed to identify potentially affected applicants and determine appropriate remediation. • GHA is working with YARID to implement standardized documentation and applicant management protocols across all stages of the waitlist and eligibility process, supported by system based workflow controls that require status updates prior to advancement. Anticipated Completion Date: Corrective actions are being implemented immediately and will be continuously monitored. GHA anticipates stabilization and sustained improvement no later than December 31, 2026. Responsible Parties: Carmen Maniak, Vice President of Property Management
Finding 2025 001 – Housing Choice Voucher Tenant Files – Eligibility – Internal Control over Tenant Files – Noncompliance & Significant Deficiency Housing Choice Voucher Program – ALN #14.871 Correction Action Plan: The Greensboro Housing Authority (GHA) will continue implementing enhanced systems, ...
Finding 2025 001 – Housing Choice Voucher Tenant Files – Eligibility – Internal Control over Tenant Files – Noncompliance & Significant Deficiency Housing Choice Voucher Program – ALN #14.871 Correction Action Plan: The Greensboro Housing Authority (GHA) will continue implementing enhanced systems, controls, and oversight processes to correct internal control deficiencies within the Housing Choice Voucher Program (HCVP) participant files through the following actions: • In 2025, GHA strengthened its organizational oversight and internal controls by appointing new Vice Presidents for the Voucher Administration and Property Management divisions. • To further mitigate risk and ensure consistent compliance, GHA will continue strengthening its internal control framework through: o Enhancing file reviews using a risk based monitoring model; o Performing expanded file reviews withing the first and second quarters; and o Prioritizing targeted oversight of higher risk actions and key regulatory requirements. • GHA will conduct ongoing internal reviews, and augment third-party reviews of selected files throughout the year to identify deficiencies, implement corrective actions, and proactively address emerging risk areas. • GHA will implement preventive controls by reinforcing upfront income and asset verification requirements and requiring management review prior to certification approval to mitigate errors. • GHA will continue providing targeted training to HCVP team members, informed by the results of reviews conducted, to bolster team member proficiency. • GHA will also continue implementing improvements within its corporate software operating system (YARDI) to streamline and automate HCVP workflows. These improvements will: o Improve timeliness and accuracy of annual and interim recertifications; o Strengthen documentation controls and file completeness; and, o Enhance file readiness through standardized, system-based workflows. Anticipated Completion Date: Corrective actions are being implemented immediately and will be continuously monitored. GHA anticipates stabilization and sustained improvement no later than December 31, 2026. Responsible Parties: Donna Mills, Vice President of Voucher Administration Carmen Maniak, Vice President of Property Management
An age waiver has been submitted to HUD and is currently being reviewed. We are awaiting their decision. While we await a decision, Meadow Lane will review all existing application for eligibility and advise any existing applicants who are not of age that they are no longer eligible via mail. Antici...
An age waiver has been submitted to HUD and is currently being reviewed. We are awaiting their decision. While we await a decision, Meadow Lane will review all existing application for eligibility and advise any existing applicants who are not of age that they are no longer eligible via mail. Anticipated Completion Date: Pending HUD approval of age waiver
The Corporation contacted the local Continuum of Care and regional HUD office in an effort to verify the required number of units occupied by individuals meeting the definition of "homeless". The local Continuum of Care had no record of the original grant agreement or required number of "homeless" t...
The Corporation contacted the local Continuum of Care and regional HUD office in an effort to verify the required number of units occupied by individuals meeting the definition of "homeless". The local Continuum of Care had no record of the original grant agreement or required number of "homeless" to be served. The Corporation contacted three staff in the regional HUD office, including the staff that had been our representative for annually renewed operation and support service grants for the project. Regional HUD staff were not able to provide a copy of the original grant agreements which would indicate the number of persons to be served by each project. HUD staff stated that they do not keep copies of grant agreements longer than seven years. Corporation management will continue to work with HUD personnel to determine the continuing compliance requirements of the Continuum of Care funding received for initial construction or rehabilitation. Corporation management will continue to serve individuals meeting the definition of homelessness at its project and document evidence in the files.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Residual Receitps bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in ...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Residual Receitps bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-003: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-003: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should deposit the monthly funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will deposit the monthly funds into the replacement reser...
FINDING No. 2025-002: Recommendation: The Project’s management should deposit the monthly funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will deposit the monthly funds into the replacement reserve account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-002: Recommendation: The Project’s management should redeposit the funds into the Security Deposit bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the security account in 2026.
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account i...
FINDING No. 2025-001: Recommendation: The Project’s management should redeposit the funds into the Replacement Reserve bank account as soon as possible, to bring the account to the correct balance. Action Taken: The Project’s management will redeposit the funds into the replacement reserve account in 2026.
Finding 2025-005 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public Housing Capital Fund Program Federal Assistance Listing Numbers: 14.872 Noncompliance - C. Cash Management Non Compliance Material to the Financial Statements: No Significant deficiency i...
Finding 2025-005 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public Housing Capital Fund Program Federal Assistance Listing Numbers: 14.872 Noncompliance - C. Cash Management Non Compliance Material to the Financial Statements: No Significant deficiency in Internal Control over Compliance for Cash Management Criteria: In accordance with 2 CFR 200.305, payment methods for federal awards must minimize the time elapsing between the transfer of federal funds and the disbursement of those funds by the recipient. Federal funds drawn under the Public Housing Capital Fund Program should be limited to amounts needed to meet the Authority’s immediate cash requirements for allowable program expenditures. Accordingly, the Authority should implement procedures to ensure grant funds are not drawn in advance of actual or imminent eligible expenditures. Condition: The Authority drew down federal funds in advance of immediate cash needs for allowable program expenditures. As of year end, a portion of the funds drawn remained unexpended and was reported as unearned revenue in the financial statements. This indicates that federal funds were received prior to the incurrence of eligible expenditures. Context: During review of the financial statements, the Authority was noted to have unexpended federal funds on hand at year end that had been drawn prior to the disbursement of allowable program costs. Specifically, amounts recorded as unearned revenue represented federal funds received in advance of immediate cash needs. This condition was identified through review of drawdown activity, general ledger balances, and year end financial reporting records. Known Questioned Costs: $134,883. Cause: The Authority did not have adequate internal controls in place to monitor the timing of grant drawdowns in relation to actual program cash needs and allowable expenditures. As a result, federal funds were requested and received prior to the incurrence of eligible costs under the Public Housing Capital Fund Program. Effect: The Authority was not in compliance with federal cash management requirements governing the timing of federal fund drawdowns. As a result, federal funds were held in advance of immediate cash needs, increasing the risk of improper cash management and noncompliance with Uniform Guidance and HUD requirements. Recommendation: We recommend the Authority strengthen its internal controls over cash management to ensure federal funds are drawn only for immediate cash needs related to allowable program expenditures. Management should implement monitoring and review controls over grant drawdown activity, including periodic reconciliation of drawdowns to incurred expenditures, to ensure compliance with 2 CFR 200.305 and HUD requirements. Authority's Response: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Public Housing Capital Fund Program to ensure that established internal control policies are being followed on a timely basis. Ralph Staley, CFO is responsible for ensuring proper internal controls are in place to prevent significant deficiencies and material weaknesses from occurring and is expected to be completed by December 31, 2026.
Finding 2025-004 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public and Indian Housing Program Federal Catalog Numbers: 14.850 Non Compliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in...
Finding 2025-004 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Public and Indian Housing Program Federal Catalog Numbers: 14.850 Non Compliance - E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in Internal Control over Compliance for Eligibility Criteria: Tenant Files. The PHA must do the following: As a condition of admission or continued occupancy, require the tenant and other family member to provide necessary information, documentation, and releases for the PHA to verify income eligibility (24 CFR sections 5.230, 5.609, and 982.516). These files are required to be maintained and available for examination at the time of audit. Condition: Based upon inspection of the Authority’s files and on discussion with management, there were documents that were unavailable for examination at the time of audit. Context: There are approximately 733 units. Of a sample size of twenty-one (21) tenant files, the following was noted: • Citizenship declaration was missing in 1 file • Original application was missing in 1 file • HUD Form 9886 was missing in 1 file • Lead based paint form was missing in 1 file • HUD form 50058 was missing in 1 file • Verification of income was missing in 1 file • Verification of assets was missing in 1 file Our sample size is statistically valid. Known Questioned Costs: $11,005 Cause: There is a significant deficiency in internal controls over the compliance for the eligibility type of compliance related to the maintenance of tenant files. The Authority experienced high turnover and did not properly train employees in the Public and Indian Housing department, which resulted in the Authority having a limited capacity to perform the required maintenance of tenant files, and properly maintain and monitor a system of internal controls that reasonably assures the program is in compliance. Effect: The Authority is in non-compliance with the eligibility type of compliance related to the maintenance of tenant files in the Public and Indian Housing Program. Recommendation: We recommend that the Authority implement a process whereby Authority personnel are hired and trained on tenant file maintenance so that documents are accumulated, stored and safeguarded to ensure compliance with the Uniform Guidance and the compliance supplement. Views of responsible officials and planned corrective action: The Authority has recognized the deficiencies in the Public and Indian Housing Program and has implemented a quality control program. The Authority will continue to train staff on the proper maintenance of tenant files and implement additional internal control procedures that will ensure compliance with federal regulations. Sean Buchanan, Deputy Operating Officer is responsible for ensuring proper internal controls are in place to prevent significant deficiencies and material weaknesses from occurring and is expected to be completed by December 31, 2026.
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