Corrective Action Plans

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Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Finding type: Significant deficiency.
Finding type: Significant deficiency.
Federal award: 93.912, Rural Health Care Services Outreach.
Federal award: 93.912, Rural Health Care Services Outreach.
Passthrough organization: Not applicable.
Passthrough organization: Not applicable.
Condition: Certain federal grant reports were not submitted timely.
Condition: Certain federal grant reports were not submitted timely.
Management concurrence: Management concurs with this finding.
Management concurrence: Management concurs with this finding.
Corrective action plan: VAMHAR has put into effect policies and internal controls to allow it to submit filings on time and in compliance going forward once the previous audits are filed.
Corrective action plan: VAMHAR has put into effect policies and internal controls to allow it to submit filings on time and in compliance going forward once the previous audits are filed.
Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Projected completion date: VAMHAR expects to submit all required grant reports timely for fiscal year 2025.
Projected completion date: VAMHAR expects to submit all required grant reports timely for fiscal year 2025.
Finding type: Significant deficiency.
Finding type: Significant deficiency.
Federal award: 93.912, Rural Health Care Services Outreach.
Federal award: 93.912, Rural Health Care Services Outreach.
Passthrough organization: Not applicable.
Passthrough organization: Not applicable.
Condition: Late submission of audit reporting package.
Condition: Late submission of audit reporting package.
Management concurrence: Management concurs with this finding.
Management concurrence: Management concurs with this finding.
Corrective action plan: VAMHAR has put into effect policies and internal controls to allow it to submit filings on time and in compliance going forward once the previous audits are filed.
Corrective action plan: VAMHAR has put into effect policies and internal controls to allow it to submit filings on time and in compliance going forward once the previous audits are filed.
Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Name of contact person: Daniel Franklin, Executive Director and Lisa Lord, Director of Operations.
Projected completion date: VAMHAR expects to submit the audit reporting package timely for the year ending June 30, 2025.
Projected completion date: VAMHAR expects to submit the audit reporting package timely for the year ending June 30, 2025.
Hale County Health Care Authority respectfully submits the following corrective action plan for the year ended September 30, 2023. The finding from the September 30, 2023 Schedule of Findings and Questioned Costs is discussed below. The finding is numbered consistently with the numbers assigned in t...
Hale County Health Care Authority respectfully submits the following corrective action plan for the year ended September 30, 2023. The finding from the September 30, 2023 Schedule of Findings and Questioned Costs is discussed below. The finding is numbered consistently with the numbers assigned in the schedule. FEDERAL AWARD PROGRAMS AUDIT FINDING Significant Deficiency (2023-001) - Reporting (Late Filing) Recommendation: We recommend that the Authority complete its audit and submit the required by the deadline. Planned Corrective Action: We are continuining to institute processes and procedure to complete timely reconcilations to allow for future filings to be made prior to deadline. Contact Person: Shay Cherry
This finding will not completely resolve given the limited number of financial staff and limited financial resources of the Organization. The Organization will rely on Board oversight and review of financial records.
This finding will not completely resolve given the limited number of financial staff and limited financial resources of the Organization. The Organization will rely on Board oversight and review of financial records.
Action Item Title 2023-006 – Federal Award Findings Status (Open: In-process) Condition Single Audit Reporting Package Submission The Corporation did not comply with the Single Audit Reporting Package submission date requirement for the years ended June 30, 2023, and 2022. Identified root cause Due ...
Action Item Title 2023-006 – Federal Award Findings Status (Open: In-process) Condition Single Audit Reporting Package Submission The Corporation did not comply with the Single Audit Reporting Package submission date requirement for the years ended June 30, 2023, and 2022. Identified root cause Due to the Commonwealth of Puerto Rico's (the Commonwealth) filing for Title III under PROMESA, most of its instrumentalities were required to reduce staff as part of the Fiscal Plan to lower expenditures. This staff reduction resulted in a lack of personnel, which impacted key internal controls. Grantee resolution plan The Corporation will submit the outstanding Single Audit Reporting Packages Completion date 2022 2023 Submitted and accepted by the Federal Audit Clearinghouse on August 20, 2024. May 2025 Name and Title of contact: Linnette Dávila Alemán- Financial and Budget Assistant Manager Phone: 787-724-4747 ext. 2105 Email: ldavila@cba.pr.gov Jetppeht Pérez de Corcho Morgado – General Manager Phone: 787-724-4747 ext. 2102 Email: jperez@cba.pr.gov
Action Item Title 2023-003 – Federal Award Findings Status (Open: In-process) Condition Matching Non-Federal Funds The Corporation expended $523,590 from FEMA funds but did not meet the required cost-sharing amount of $52,359 from the Community Development Block Grant - Disaster Recovery (CDBG-DR) f...
Action Item Title 2023-003 – Federal Award Findings Status (Open: In-process) Condition Matching Non-Federal Funds The Corporation expended $523,590 from FEMA funds but did not meet the required cost-sharing amount of $52,359 from the Community Development Block Grant - Disaster Recovery (CDBG-DR) funds. On September 9, 2021, the Corporation signed a Community Development Block Grant – Disaster Recovery (CDBG-DR) Non-Federal Match Program Agreement with the PRDOH, to comply with FEMA's matching requirement. The Corporation only requested a reimbursement of $4,224. Identified root cause The Corporation’s failure to request the full matching amount was due to inadequate monitoring and oversight of the matching requirement. The Corporation did not ensure that the necessary CDBG funds were allocated to meet the 10% cost-sharing requirement. Grantee resolution plan Matching Non-Federal Funds The Corporation’s CDBG Subrecipient Agreement does not currently support FEMA’s 10% local match requirement due to stricter federal compliance rules under HUD, which exceed FEMA’s. As a result, the Corporation contacted the Central Office for Recovery, Reconstruction, and Resiliency (COR3), its pass-through entity, to request assistance in identifying alternative funding sources to fulfill the 10% matching requirement. We recognize the importance of complying with the matching requirements established by the federal regulations applicable to the program. We clarify that the funds used as "matching" come from eligible sources by the regulations of the Department of Housing and Urban Development (HUD) and have been properly documented in our financial records. During the audited period, all necessary actions were taken to ensure that the matching funds met the requirements of eligibility, proportionality, and traceability. Nevertheless, we have considered the auditor’s comments and, as a corrective and proactive measure, we are strengthening our controls and documentation procedures to ensure full compliance with future audits. We appreciate the observation noted in the Single Audit report regarding compliance with the matching fund requirements for CDBG funds. We would like to clarify that our entity has complied with the applicable federal provisions regarding the contribution of equivalent funds, as established in 24 CFR Part 570 and the guidelines issued by HUD. Supporting documentation that validates compliance with the required match has been collected. It is available for review, including financial statements, reports of local contributions, and project records demonstrating the investment of non-federal resources applicable to the program. If there is any discrepancy in the interpretation regarding the source or eligibility of the matching funds presented, we are willing to clarify and provide additional evidence to support their use in accordance with the regulations. It should also be noted that the Corporation is periodically audited by the Housing Department, ensuring compliance with all relevant requirements. We remain committed to transparency and the rigorous fulfillment of all federal requirements. We appreciate the recommendations provided to continue strengthening our internal control and documentation processes. Completion date Pending assistance and resolution from COR3. Name and Title of contact: Linnette Dávila Alemán- Financial and Budget Assistant Manager Phone: 787-724-4747 ext. 2105 Email: ldavila@cba.pr.gov Jetppeht Pérez de Corcho Morgado – General Manager Phone: 787-724-4747 ext. 2102 Email: jperez@cba.pr.gov
Mount Sinai Foundation, Incorporated 703 Blue Street Fayetteville, North Carolina 28301 CORRECTIVE ACTION PLAN December 3, 2025 U.S. Department of Housing and Urban Development Five Points Plaza Building 40 Marietta Street Atlanta, Georgia 30303 Mount Sinai Foundation, Incorporated respectfully subm...
Mount Sinai Foundation, Incorporated 703 Blue Street Fayetteville, North Carolina 28301 CORRECTIVE ACTION PLAN December 3, 2025 U.S. Department of Housing and Urban Development Five Points Plaza Building 40 Marietta Street Atlanta, Georgia 30303 Mount Sinai Foundation, Incorporated respectfully submits the following Corrective Action Plan for the year ended December 31, 2023. Bernard Robinson & Company, L.L.P. 1501 Highwoods Blvd., Suite 300 Post Office Box 19608 Greensboro, North Carolina 27419-9608 The findings for the year ended December 31, 2023 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 and Federal Award Program Audits Finding 2023-001 - U.S. Department of Housing and Urban Development, Mortgage Insurance Rental and Cooperative Housing for Moderate Income Families and Elderly, Market Interest Rate (Sections 221d(3) and (4) Multifamily - Market Rate Housing), CFDA #14.135 Recommendation: That management review/enhance its accounting and internal control procedures to ensure that all key accounts are reconciled and reviewed with supporting evidence of such review. Action Taken: We agree with Finding 2023-001 and the recommendation described in the accompanying schedule of findings and questioned costs. The Corporation has executed a new management agreement with Remnant Management Inc. effective October 1, 2024. Remnant Management Inc. will ensure that all transactions are properly recorded and that key accounts are reconciled and reviewed on a periodic basis beginning October 1, 2024 and going forward. Sincerely yours, Shannon Pow President Remnant Management, Inc. Managing Agent effective October 1, 2024
Disagree with adverse compliance opinion and findings, as auditors applied Uniform Guidance (2 CFR Part 200) requirements, which are inapplicable to Compact sector grants (ALN 15.875) governed exclusively by the Compact of Free Association, as amended, and the Fiscal Procedures Agreement (FPA). • Re...
Disagree with adverse compliance opinion and findings, as auditors applied Uniform Guidance (2 CFR Part 200) requirements, which are inapplicable to Compact sector grants (ALN 15.875) governed exclusively by the Compact of Free Association, as amended, and the Fiscal Procedures Agreement (FPA). • Request U.S. Department of the Interior, Office of Insular Affairs, to disregard these findings for grant administration and questioned costs resolution, as they do not reflect noncompliance with Compact/FPA standards. • Maintain commitment to accountability under Compact/FPA standards. 9/30/2026 Ms. Christina Elnei, Asst. Secretary of National Treasury (primary contact) Email: christina.elnei@dofa.gov.fm
2023-003 ALLOWABLE ACTIVITIES AND ALLOWABLE COSTS - SIGNIFICANT DEFICIENCY Federal Program Emergency Rental Assistance ALN 21.023; passed through the County of Berks. Condition/Cause For 23 out of 60 cases tested, the amount paid for rent or utilities did not agree to a lease agreement or bills on f...
2023-003 ALLOWABLE ACTIVITIES AND ALLOWABLE COSTS - SIGNIFICANT DEFICIENCY Federal Program Emergency Rental Assistance ALN 21.023; passed through the County of Berks. Condition/Cause For 23 out of 60 cases tested, the amount paid for rent or utilities did not agree to a lease agreement or bills on file for the following reasons: (I) clerical errors, (2) duplicate payments due to multiple staff working on the same file, or (3) failure to request or maintain support before payment was made. Known questioned costs associated with the 23 exceptions noted in our testing were $9,867. Based on the projection of the sampling results to the remaining population, we project additional likely questioned costs of approximately $173,400. The Authority did not have controls in place to detect the noncompliance prior to issuing payments. We recommend the Authority revisit and strengthen internal controls over tracking individual payments for transactions entered as batches, particularly when related to federal awards. We encourage the Authority to continue working to identify the individual transactions making up the remainder of the federal expenditures under this program. We also recommend the Authority revisit and strengthen internal controls over allowable activities and allowable costs related to grant programs. Management Response The Authority launched the Emergency Rental Assistance Program (ERAP) with little administrative guidance from the U.S. Treasury. The Authority contracted with the Berks Coalition to End Homelessness (BCEH) to undertake various aspects of the Emergency Rental Assistance Program and in the late fall of 2021, the Authority began reviewing all case documentation provided by BCEH. This review eliminated the vast majority of the errors noted. The Authority also updated case documentation checklists as well as provided training for staff involved with ERAP. Current Status of Corrective Action Plan The Authority has resolved this finding. An additional review was added at the close of each case.
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