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Corrective Action Plans

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Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
1. In 2024, SCMRC engaged CPA Zac Mabry to reconstruct and reconcile historical accounts payable balances, including verification of vendor-level detail.
1. In 2024, SCMRC engaged CPA Zac Mabry to reconstruct and reconcile historical accounts payable balances, including verification of vendor-level detail.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
2. A new Controller was hired in April 2025 to oversee all general ledger and subsidiary ledger functions.
2. A new Controller was hired in April 2025 to oversee all general ledger and subsidiary ledger functions.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
3. An Accounts Payable (A/P) Subsidiary Ledger was created and implemented in early 2025 using SCMRC’s accounting software.
3. An Accounts Payable (A/P) Subsidiary Ledger was created and implemented in early 2025 using SCMRC’s accounting software.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
4. A/P balances are now reconciled monthly to the general ledger. Any discrepancies are documented and resolved prior to financial report finalization.
4. A/P balances are now reconciled monthly to the general ledger. Any discrepancies are documented and resolved prior to financial report finalization.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
5. Internal procedures for invoice entry, approval, and payment were updated to require full detail (vendor, invoice #, date, and amount) for every payable.
5. Internal procedures for invoice entry, approval, and payment were updated to require full detail (vendor, invoice #, date, and amount) for every payable.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
6. The reconciliation process is reviewed monthly by the CEO and contract accountant, and results are presented to the Finance Committee.
6. The reconciliation process is reviewed monthly by the CEO and contract accountant, and results are presented to the Finance Committee.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
1. Continue maintaining a detailed subsidiary ledger for all accounts payable, updated in real time with invoice-level detail.
1. Continue maintaining a detailed subsidiary ledger for all accounts payable, updated in real time with invoice-level detail.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
2. Ensure the Controller performs a monthly reconciliation of the A/P ledger to the general ledger, with documentation of any variances and resolutions.
2. Ensure the Controller performs a monthly reconciliation of the A/P ledger to the general ledger, with documentation of any variances and resolutions.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
3. Incorporate A/P reconciliation procedures into SCMRC’s written accounting policy and procedure manual by October 2025.
3. Incorporate A/P reconciliation procedures into SCMRC’s written accounting policy and procedure manual by October 2025.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
4. Implement a quarterly internal audit of A/P records to validate accuracy and completeness.
4. Implement a quarterly internal audit of A/P records to validate accuracy and completeness.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
5. Provide annual refresher training for finance staff on internal controls, documentation standards, and reconciliation protocols.
5. Provide annual refresher training for finance staff on internal controls, documentation standards, and reconciliation protocols.
View Audit 367237
Finding 1154897 (2024-004)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
6. Evaluate the integration of A/P automation tools in FY26 to improve accuracy and audit trail capacity.
6. Evaluate the integration of A/P automation tools in FY26 to improve accuracy and audit trail capacity.
View Audit 367237
Finding 1154893 (2024-005)
Material Weakness 2024
Southwest Health and Human Services
MN
Questioned Costs Allowable Costs / Cost Principles Reporting § 200.303
Finding Number: 2024-005 Finding Title: Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Business Management Jenny Severson – Fiscal Officer T...
Finding Number: 2024-005 Finding Title: Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Business Management Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Officer Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify appropriate eligible revenue and expenditures for each report and review for accuracy by implementing secondary review of the data that is being reported as well as resubmit any report corrections timely. An improved process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate program. Anticipated Completion Date: October 31, 2025
View Audit 367223 Questioned Costs: $1
Finding 1154892 (2024-006)
Material Weakness 2024
Southwest Health and Human Services
MN
Questioned Costs Eligibility Material Weakness § 200.303
Finding Number: 2024-006 Finding Title: Eligibility – MAXIS Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Kathryn Herding – Eligibility Supervisor Corey Remiger – Eligibility Supervisor Ashley VanOverbeke- Eligibility Supervisor Corrective Actio...
Finding Number: 2024-006 Finding Title: Eligibility – MAXIS Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Kathryn Herding – Eligibility Supervisor Corey Remiger – Eligibility Supervisor Ashley VanOverbeke- Eligibility Supervisor Corrective Action Planned: The planned corrective action is to continue reminding and reviewing with staff on a regular basis and at unit meetings the need to utilize checklists with all applications and renewals so all required documentation is on file, verify income and asset requirements, and complete case transfers correctly. Supervisors and/or Lead Workers will also complete case reviews for accuracy. Anticipated Completion Date: November 30, 2025
View Audit 367223
Finding 1154890 (2024-004)
Material Weakness 2024
Southwest Health and Human Services
MN
Allowable Costs / Cost Principles Reporting Internal Control / Segregation of Duties § 200.303
Finding Number: 2024-004 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 93.563 Child Support Services Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Business Management Jenny Severson – Fiscal Officer Tiffany Bailey – ...
Finding Number: 2024-004 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 93.563 Child Support Services Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Business Management Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Officer Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify appropriate eligible revenue and expenditures for each report and review for accuracy by implementing secondary review of the data that is being reported as well as resubmit any report corrections timely. An improved process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate program. Anticipated Completion Date: October 31, 2025
View Audit 367223
Finding 1154887 (2024-002)
Material Weakness 2024
Southwest Health and Human Services
MN
Allowable Costs / Cost Principles Reporting Internal Control / Segregation of Duties § 200.303
Finding Number: 2024-002 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Busin...
Finding Number: 2024-002 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Lisa DeBoer – Director of Business Management Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Officer Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify appropriate eligible revenue and expenditures for each report and review for accuracy by implementing secondary review of the data that is being reported as well as resubmit any report corrections timely. An improved process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate program. Anticipated Completion Date: October 31, 2025
View Audit 367223
Finding 1154885 (2024-002)
Material Weakness 2024
Silver Lake Regional School District
MA
Subrecipient Monitoring Internal Control / Segregation of Duties HUD Housing Programs
Corrective Action Taken:Although the Business Office has created a Federal Grants Compliance Manual, we are unable to follow the manual with fidelity due to the lack of adequate staffing. The District will continue to request additional staff during the next budget cycle.
Corrective Action Taken:Although the Business Office has created a Federal Grants Compliance Manual, we are unable to follow the manual with fidelity due to the lack of adequate staffing. The District will continue to request additional staff during the next budget cycle.
View Audit 367221
Finding 1154884 (2024-001)
Material Weakness 2024
Kaukauna Housing Authority
WI
Internal Control / Segregation of Duties Reporting
Corrective Action Planned: Due to the Authority’s size, it is cost-prohibitive and impractical to achieve the ideal level of segregation of duties. The Authority has implemented as many controls and segregation of duties as practically possible for an organization of this size.
Corrective Action Planned: Due to the Authority’s size, it is cost-prohibitive and impractical to achieve the ideal level of segregation of duties. The Authority has implemented as many controls and segregation of duties as practically possible for an organization of this size.
View Audit 367218
Finding 1154883 (2024-006)
Material Weakness 2024
Durham Public Schools
NC
Questioned Costs Subrecipient Monitoring Cash Management
Contact Person: Jeremy Teetor, Chief Financial Officer Corrective Action Plan: The Board of Education will implement controls and procedures to ensure that all bank account and other required reconciliations are prepared on a timely basis going forward. The Finance department will also strive to kee...
Contact Person: Jeremy Teetor, Chief Financial Officer Corrective Action Plan: The Board of Education will implement controls and procedures to ensure that all bank account and other required reconciliations are prepared on a timely basis going forward. The Finance department will also strive to keep key positions filled at all times and ensure that staff receives appropriate training regarding reconciliations. Proposed Completetion Date: Immediately
View Audit 367217
Finding 1154866 (2024-004)
Material Weakness 2024
Toledo Area Regional Transit Authority
OH
Questioned Costs Cash Management Material Weakness § 200.305
Condition: During our testing, we identified one reimbursement request that included a check that was not paid as it was voided and paid with a subsequent check, which was also requested for reimbursement. Planned Corrective Action: Effective 6/1/2025, TARTA implemented a new ERP system that will al...
Condition: During our testing, we identified one reimbursement request that included a check that was not paid as it was voided and paid with a subsequent check, which was also requested for reimbursement. Planned Corrective Action: Effective 6/1/2025, TARTA implemented a new ERP system that will allow us to electronically control, accumulated, and monitor all transaction related to our grant draws in accordance with 2 CFR 200.305 going forward. Contact person responsible for corrective action: James Karasek Anticipated Completion Date: 6/1/2025
View Audit 367202 Questioned Costs: $1
Finding 1154861 (2024-003)
Material Weakness 2024
Housing Authority of Trempealeau County
WI
Internal Control / Segregation of Duties Matching / Level of Effort / Earmarking Questioned Costs § 200.303
Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. We agree that implementing an independent review process will strengthen accuracy and compliance with Rural Development requirements. Actions taken or planned The organization will as...
Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. We agree that implementing an independent review process will strengthen accuracy and compliance with Rural Development requirements. Actions taken or planned The organization will assign preparation and review of RD Form 3560-8 and HUD Form 50058 to different staff members. Anticipated completion date September 30, 2025
View Audit 367201
Finding 1154860 (2024-002)
Material Weakness 2024
Housing Authority of Trempealeau County
WI
Internal Control / Segregation of Duties
Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. Actions taken or planned The Board of Commissioners and management have reviewed the current duties of the Authority staff and segregated as much as possible with limited staff. Addit...
Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. Actions taken or planned The Board of Commissioners and management have reviewed the current duties of the Authority staff and segregated as much as possible with limited staff. Additionally, the Authority contracts with a 3rd party fee accountant to reconcile the bank statements monthly ( in addition to the Executive Director). The Board of Commissioners receives and reviews the monthly disbursement listing. The Board of Commissioners will continue to monitor rental and cash flow activities reported by accounting personnel monthly. Anticipated completion date September 30, 2025
View Audit 367201
Finding 1154850 (2024-001)
Material Weakness 2024
City of Cheney
WA
Questioned Costs Reporting Matching / Level of Effort / Earmarking
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Cheney January 1, 2024 through December 31, 2024 This schedule presents the corrective action planned by the City for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 20...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Cheney January 1, 2024 through December 31, 2024 This schedule presents the corrective action planned by the City for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2024-001 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal allowable costs, matching and reporting requirements, and it did not comply with federal allowable costs and matching requirements. Name, address, and telephone of City contact person: Cindy Niemeier, Finance Director 609 2nd Street Cheney, WA 99004 509-498-9215 Corrective action the auditee plans to take in response to the finding: The City of Cheney recognizes the error in classifying a grant received from the Washington State Department of Commerce as a state grant rather than a federal pass­ through grant, which makes this funding source ineligible as matching funds in the funding awarded from the Department of Reclamation. The City has contacted the Department of Reclamation federal program to disclose the error and determine the required corrective action. The City of Cheney has proposed replacing the submitted reimbursement requests with City expenses as allowable matching expenses. The City is currently waiting on the Department of Reclamation for direction. The 2024 reporting error was corrected in 2025. Future projects with multiple funding sources will continue to be managed by the individual departments. The additional internal control will require the departments to meet quarterly with Finance to conduct internal audits of the reimbursement requests and completed reporting. Anticipated date to complete the corrective action: December 31, 2025
View Audit 367195 Questioned Costs: $1
Finding 1154849 (2024-003)
Material Weakness 2024
Isaac Elementary School District No. 5
AZ
Questioned Costs Material Weakness Reporting
Program Name/Assistance Listing Title: Education Stabilization Fund Assistance Listing Number: 84.425U Contact Person: James Serbin, Chief Financial Officer Anticipated Completion Date: June 30, 2026 Planned Corrective Action: Since July 2025 the District has implemented processes to ensure accurate...
Program Name/Assistance Listing Title: Education Stabilization Fund Assistance Listing Number: 84.425U Contact Person: James Serbin, Chief Financial Officer Anticipated Completion Date: June 30, 2026 Planned Corrective Action: Since July 2025 the District has implemented processes to ensure accurate and timely reporting. The District finds frequent journal adjustments to be problematic and an indication of inaccurate reporting. The District’s Completion Reports will be will be timely filed and supported by the accounting data.
View Audit 367184
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