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Corrective Action Plans

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Finding 496764 (2023-001)
Material Weakness 2023
Fairview Health Services
MN
Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
Finding 2023-001 Federal Grantor: United States Department of the Homeland Security Planned Corrective Actions: Responsible Official – Dawn Ksepka, VP of Finance and System Controller Anticipated completion date – August 31, 2024 Management agrees with the finding. In May 2023, the COVID-19 emer...
Finding 2023-001 Federal Grantor: United States Department of the Homeland Security Planned Corrective Actions: Responsible Official – Dawn Ksepka, VP of Finance and System Controller Anticipated completion date – August 31, 2024 Management agrees with the finding. In May 2023, the COVID-19 emergency was ended and therefore remediation of internal controls specific to allowability of costs for the FEMA program are no longer applicable. However, remediation steps were taken to improve documentation of review of internal controls over all federal expenditures, not limited to the FEMA program. Remediation: Fairview revised its internal control processes to improve the retention and documentation of the review and approval of inputs to the calculation of federal expenditures.
View Audit 319532
Finding 496759 (2023-001)
Significant Deficiency 2023
Isles, INC and Subsidiaries
NJ
Internal Control / Segregation of Duties
Finding: Organization erroneously identified certain federal grants as state funded grants on the schedules. Contact person responsible for corrective action plan: Sean Jackson, Chief Executive Officer. Corrective Action Planned: Isles operation, service delivery and finance staff are dedicated to e...
Finding: Organization erroneously identified certain federal grants as state funded grants on the schedules. Contact person responsible for corrective action plan: Sean Jackson, Chief Executive Officer. Corrective Action Planned: Isles operation, service delivery and finance staff are dedicated to ensuring that funding is used appropriately and in accordance with any restrictions set forth by the funder. The following procedures have been refined to ensure all funding sources are reflected accurately going forward. 1) when grant funding is received, the staff person who receives the award will request a new revenue code specific to the new grant award from the finance department. In order for dinance department to generate that code, staff person must provide the followin: a. funder (either federal, state, county, city, or private entity), b. grant number, c. amount, d. grant period, e. department, f. initiative code - internal code for specific areas of work, g. revenue code, h. revenue GL code (4017 - Federal// 4016 - State // 4015 - City etc.), i. reporting requirements - monthly, quarterly, progress reports, etc., j. include attachment of actual grant. 2) Appropriate finance staff reviews provide contract along with the information outlined in item 1, confirms accuracy of the information, and then creates the apporpriate codes in accounting software. 3) Appropriate finance staff creates and reviews the schedules and director of finance reviews report before the schedules are prepared annually.
View Audit 319529
Near West Side Multi-Service Corporation
OH
Questioned Costs Eligibility Internal Control / Segregation of Duties
We will implement stricter verification processes and comprehensive staff training to ensure proper documetnation of eligibility. We will also conduct regular audits to prevent such issues in the future and review the questioned costs of to rectify any discrepancies.
We will implement stricter verification processes and comprehensive staff training to ensure proper documetnation of eligibility. We will also conduct regular audits to prevent such issues in the future and review the questioned costs of to rectify any discrepancies.
View Audit 319526 Questioned Costs: $1
Near West Side Multi-Service Corporation
OH
Internal Control / Segregation of Duties
We will implement a comprehensive review process to ensure all required documentation is included. This will involve regular audits of case files, enhanced training for staff on documentation requirements, and the development of a standardized checklist to ensure completeness.
We will implement a comprehensive review process to ensure all required documentation is included. This will involve regular audits of case files, enhanced training for staff on documentation requirements, and the development of a standardized checklist to ensure completeness.
View Audit 319526
Near West Side Multi-Service Corporation
OH
Reporting Internal Control / Segregation of Duties
We will implement stricter adherence to deadlines and ensure that all reports are filed on time. Measures will include setting up reminder systems and providing additional training to staff on the importance of meeting these deadlines.
We will implement stricter adherence to deadlines and ensure that all reports are filed on time. Measures will include setting up reminder systems and providing additional training to staff on the importance of meeting these deadlines.
View Audit 319526
Finding 496754 (2023-002)
Material Weakness 2023
City of Gadsden, Alabama
AL
Cash Management HUD Housing Programs Internal Control / Segregation of Duties § 200.303
2023-002 – ALN #14.218 Community Development Block Grant/Entitlements Grant; Recommendation: We recommend that the City return the duplicate drawn funds to HUD. We recommend all drawdown requests are completed by appropriately trained employees and that all drawdowns are reviewed and approved by a...
2023-002 – ALN #14.218 Community Development Block Grant/Entitlements Grant; Recommendation: We recommend that the City return the duplicate drawn funds to HUD. We recommend all drawdown requests are completed by appropriately trained employees and that all drawdowns are reviewed and approved by an appropriately personnel prior to submission to HUD. Corrective Action Planned: The City agrees with this finding. The City will work with HUD to repay the duplicated funds and implement additional review and approval procedures for drawdown requests. Person responsible for corrective action: Brandon Phillips, Finance Director Telephone: (256) 549-4715 Anticipated Completion Date: Corrective action will be implemented for the fiscal year ended September 30, 2024.
View Audit 319516
Ryder Village Ii, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319500
Ryder Village, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319499
Egida Ryder, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319498
Ryder Assisted Care Iii, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319497
Ryder Assisted Care Ii, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319496
Ryder Assisted Care, Inc.
PR
Internal Control / Segregation of Duties
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is neces...
Recommendation is accepted. Housing Program Director will be in charge to monitoring weekly the accounts payable. Although it is important to note that due to the fiscal situation of the Project, there are accounts payable of more than three years with which we are working and for that it is necessary to work with the cash flow.
View Audit 319495
Finding 496664 (2023-003)
Material Weakness 2023
Fort Frye Local School District
OH
Subrecipient Monitoring Cash Management Material Weakness § 200.302 § 200.303
Finding Number: 2023-003 Planned Corrective Action: The accounts payable clerk will double check all claims submitted to the state for accuracy. Anticipated Completion Date: 08/30/2024 Responsible Contact Person: Stacy Bolden
Finding Number: 2023-003 Planned Corrective Action: The accounts payable clerk will double check all claims submitted to the state for accuracy. Anticipated Completion Date: 08/30/2024 Responsible Contact Person: Stacy Bolden
View Audit 319478
Finding 496661 (2023-001)
Material Weakness 2023
Annex Teen Clinic, Inc.
MN
Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303 § 200.400
Recommendation: We recommend the Annex Teen Clinic, Inc. document the authorization of expenditures charged to federal awards and ensure documentation is available to support such expenditures. Planned Action: We have implement a new Accounts Payable Automation Sofware called Continia, which will ma...
Recommendation: We recommend the Annex Teen Clinic, Inc. document the authorization of expenditures charged to federal awards and ensure documentation is available to support such expenditures. Planned Action: We have implement a new Accounts Payable Automation Sofware called Continia, which will make reimbursement, invoicing, and credit card submission processes more efficient and advanced. With this new software, we will be able to streamline our accounts payable processes and save a significant amount of time. Continia will allow everyone to submit their expenses and mileage trips on the Continia Expense Portal. It will also automate the approval process.
View Audit 319477
Finding 496656 (2023-001)
Material Weakness 2023
City of Lead
SD
Reporting Internal Control / Segregation of Duties
Finding 2023-001: Financial Statement and Schedule of Expenditures of Federal Awards (SEFA) Preparation Responsible Official: Billie Jo Inhofer, Finance Officer Corrective Action Plan: The City has accepted the risk associated with Finding #2023-001 regarding the preparation of the financial stateme...
Finding 2023-001: Financial Statement and Schedule of Expenditures of Federal Awards (SEFA) Preparation Responsible Official: Billie Jo Inhofer, Finance Officer Corrective Action Plan: The City has accepted the risk associated with Finding #2023-001 regarding the preparation of the financial statements and SEFA and will continue to have the independent auditor prepare the annual financial statements and SEFA. Anticipated Completion Date: Ongoing
View Audit 319467
Finding 496653 (2023-002)
Significant Deficiency 2023
Berks Community Health Center
PA
Reporting Internal Control / Segregation of Duties
Condition and Context: For 3 of the 5 reports tested, the Center did not submit the report by the program's required deadline. This is not a statistically valid sample. Corrective Action Plan Corrective Action Planned: The Center agrees with this finding. The Center will review the HRSA electroni...
Condition and Context: For 3 of the 5 reports tested, the Center did not submit the report by the program's required deadline. This is not a statistically valid sample. Corrective Action Plan Corrective Action Planned: The Center agrees with this finding. The Center will review the HRSA electronic handbook on a weekly basis to ensure that all reports that are due that month are responded to in a timely manner. Name(s) of Contact Person(s) Responsible for Corrective Action: Mary Kargbo Anticipated Completion Date: 4th quarter 2024
View Audit 319443
Finding 496651 (2023-005)
Significant Deficiency 2023
Valencia Shelter for Victims of Domestic Violence
NM
Internal Control / Segregation of Duties
The partnership between VSS and YPTC will serve to comprehensively evaluate current policies and procedures and ensure a best-practice, audit-compliant system of posting and review. Fair Market Rents (FMR) will be reviewed along with the HQS worksheet and income limits during annual recertification ...
The partnership between VSS and YPTC will serve to comprehensively evaluate current policies and procedures and ensure a best-practice, audit-compliant system of posting and review. Fair Market Rents (FMR) will be reviewed along with the HQS worksheet and income limits during annual recertification for active participants in the HUD program. VSS will review the HQS worksheet and income limits during annual recertification for active participants in the HUD program.
View Audit 319441
Finding 496649 (2023-003)
Material Weakness 2023
Valencia Shelter for Victims of Domestic Violence
NM
Allowable Costs / Cost Principles Internal Control / Segregation of Duties
VSS has already updated its financial policies to include electronic approval of expenditures through Bill.com. Bill.com was established for accounts payables mid FY 2024-FY 2025 for credit card payments. VSS has added Bill.com Accounts Payable and credit card services to include approvals required ...
VSS has already updated its financial policies to include electronic approval of expenditures through Bill.com. Bill.com was established for accounts payables mid FY 2024-FY 2025 for credit card payments. VSS has added Bill.com Accounts Payable and credit card services to include approvals required per grant and department.
View Audit 319441
Finding 496642 (2023-016)
Material Weakness 2023
City of Boston
MA
Internal Control / Segregation of Duties Procurement, Suspension & Debarment Allowable Costs / Cost Principles § 200.303
Boston Fire Department (BFD) incorporated and implemented proper control procedures around all grant related matter; including but not limited to programmatic reporting and oversight. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants...
Boston Fire Department (BFD) incorporated and implemented proper control procedures around all grant related matter; including but not limited to programmatic reporting and oversight. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496641 (2023-015)
Material Weakness 2023
City of Boston
MA
Reporting Internal Control / Segregation of Duties § 200.303
Boston Fire Department (BFD) incorporated and implemented proper control procedures around all grant related matter; including but not limited to financial reporting and oversight. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Mo...
Boston Fire Department (BFD) incorporated and implemented proper control procedures around all grant related matter; including but not limited to financial reporting and oversight. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496636 (2023-012)
Significant Deficiency 2023
City of Boston
MA
Procurement, Suspension & Debarment Eligibility Significant Deficiency § 200.303
Boston Public Schools (BPS) has revised their tracking and documentation for special education expenses. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
Boston Public Schools (BPS) has revised their tracking and documentation for special education expenses. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496634 (2023-010)
Material Weakness 2023
City of Boston
MA
Material Weakness Internal Control / Segregation of Duties § 200.303
Boston Public Schools (BPS) is continuously reinforcing its protocols with school leaders to ensure they are promptly school certifications. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
Boston Public Schools (BPS) is continuously reinforcing its protocols with school leaders to ensure they are promptly school certifications. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496633 (2023-009)
Material Weakness 2023
City of Boston
MA
HUD Housing Programs Material Weakness Reporting § 200.303
Boston Public Schools (BPS) has updated training for school leaders to review school leader certification of withdrawals. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
Boston Public Schools (BPS) has updated training for school leaders to review school leader certification of withdrawals. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496632 (2023-008)
Material Weakness 2023
City of Boston
MA
Procurement, Suspension & Debarment Allowable Costs / Cost Principles Material Weakness § 200.303 § 200.64 § 200.67
Boston Public Schools (BPS) has revised its’ consultation process to ensure it happens with fidelity and that records are properly stored. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
Boston Public Schools (BPS) has revised its’ consultation process to ensure it happens with fidelity and that records are properly stored. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
Finding 496631 (2023-007)
Material Weakness 2023
City of Boston
MA
Subrecipient Monitoring Material Weakness Reporting § 200.303
Boston Public Schools (BPS) is continuously working with DESE to ensure they are meeting compliance with FR-1 deadlines. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
Boston Public Schools (BPS) is continuously working with DESE to ensure they are meeting compliance with FR-1 deadlines. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: Colin Musto, Assistant City Auditor, Grants Monitoring Unit colin.musto@boston.gov
View Audit 319431
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