Corrective Action Plans

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We agree with the auditor's comments. The delay was a result of turnover in personnel and the additional workload of school finances. Corrective action has been taken and County finance personnel are working to ensure this delay does not occur again in the future.
We agree with the auditor's comments. The delay was a result of turnover in personnel and the additional workload of school finances. Corrective action has been taken and County finance personnel are working to ensure this delay does not occur again in the future.
The Corporation screens applicants for eligibility by following the state of Indiana guidelines as provided through the INWIC system used to enter, track, and store information about applicants. Based on guidance contained in 7 CFR Section 246, states were encouraged to move to a paperless system. S...
The Corporation screens applicants for eligibility by following the state of Indiana guidelines as provided through the INWIC system used to enter, track, and store information about applicants. Based on guidance contained in 7 CFR Section 246, states were encouraged to move to a paperless system. Specifically, federal guidance contained in 7CFR 246.7 (i)(4) and (5)(i) outlines acceptable documentation to be included on certification forms as “a description of the document(s) used to determine residency and identity or a copy of the document(s) used or the applicant’s written statement when no documentation exists,” and “a description of the document(s) used to determine income eligibility or a copy of the document(s) in the file.” The State of Indiana has followed that guidance and does not require the Corporation to retain copies of the WIC applicant’s proof of eligibility. Therefore, the auditors were not able to test internal controls over compliance or compliance over the eligibility compliance requirement through re-performance and have issued a qualified opinion based on the scope limitations. Compliance with State of Indiana participant eligibility requirements is the responsibility of Rebecca Lies, WIC Coordinator. As the Corporation follows the State of Indiana’s paperless system as described above, no further corrective action will be taken.
The City relies heavily on supervisory oversight. The City has in place many internal controls to help reduce risks of financial reporting objectives and provide safeguards for the City's assets. Some of the controls are a supervisor has to review and sign off on all bank statements and reconciliati...
The City relies heavily on supervisory oversight. The City has in place many internal controls to help reduce risks of financial reporting objectives and provide safeguards for the City's assets. Some of the controls are a supervisor has to review and sign off on all bank statements and reconciliations, and any journal entries. All accounts payable invoices and reports are reviewed by at least two people.
At the start of each fiscal year, the Finance Director will prepare a submission timeline working backward from the March 31 FAC deadline, establishing interim milestones for year-end close, draft financial statement preparation, management review, and auditor fieldwork. Progress against the submiss...
At the start of each fiscal year, the Finance Director will prepare a submission timeline working backward from the March 31 FAC deadline, establishing interim milestones for year-end close, draft financial statement preparation, management review, and auditor fieldwork. Progress against the submission timeline will be monitored by the CEO and reported to the Board of Directors on a quarterly basis. Management will engage its external auditors earlier in the process and ensure adequate finance staffing is maintained prior to the fiscal yearend close.
The City of Clarksville, Texas agrees with this repeated finding, which corresponds to prior-year Finding 2024-003 and remains open. Management will maintain an audit and federal-reporting calendar that identifies the Federal Audit Clearinghouse submission deadline as the earlier of 30 calendar days...
The City of Clarksville, Texas agrees with this repeated finding, which corresponds to prior-year Finding 2024-003 and remains open. Management will maintain an audit and federal-reporting calendar that identifies the Federal Audit Clearinghouse submission deadline as the earlier of 30 calendar days after receipt of the auditor’s report or nine months after fiscal year-end. The Mayor and designated accounting personnel will assign responsibility for audit coordination and FAC submission, close the accounting records timely, promptly provide requested records, monitor unresolved audit items, and coordinate with the auditor throughout the audit cycle. Management will document the person responsible for submitting the reporting package and notifying the pass-through agency, as applicable. Evidence of FAC submission and acceptance, agency notification, and related correspondence will be retained in the federal-award compliance files. These procedures are intended to improve financial-record readiness, governance continuity, and timely completion and submission of the Single Audit reporting package
One Healthy Start Project Performance Measure for “breast feeding for 6 months” was not achieved. Program staff working with mothers to provide support from WIC breast feeding peer counselors to continue breast feeding and the storage of breast milk as mothers return to work.
One Healthy Start Project Performance Measure for “breast feeding for 6 months” was not achieved. Program staff working with mothers to provide support from WIC breast feeding peer counselors to continue breast feeding and the storage of breast milk as mothers return to work.
CORRECTIVE ACTION PLAN FINDING 2025-004 Finding Subject: Contact Person Responsible for Corrective Action: Jeremy McKinley, Fire Chief Contact Phone Number and Email Address: 260-302-6383 Views of Responsible Officials: Option 1: “We concur with the finding.” Description of Corrective Action Plan: T...
CORRECTIVE ACTION PLAN FINDING 2025-004 Finding Subject: Contact Person Responsible for Corrective Action: Jeremy McKinley, Fire Chief Contact Phone Number and Email Address: 260-302-6383 Views of Responsible Officials: Option 1: “We concur with the finding.” Description of Corrective Action Plan: The grant administrator will draft the semi-annual grant performance reports and email them to the Fire Chief or Deputy Fire Chief for approval before the grant administrator submits them on behalf of the City regardless of the dollar amount. Anticipated Completion Date: July 16, 2026 INDIANA
Finding Summary – During the audit, it was determined that an employee used a District purchasing card to make unauthorized personal purchases that were subsequently charged to the Twenty-First Century Community Learning Centers federal program. Existing monitoring and approval procedures did not id...
Finding Summary – During the audit, it was determined that an employee used a District purchasing card to make unauthorized personal purchases that were subsequently charged to the Twenty-First Century Community Learning Centers federal program. Existing monitoring and approval procedures did not identify the improper expenditures. As a result, approximately $7,000 of unallowable costs were charged to the federal award, resulting in a significant deficiency in internal control over compliance related to allowable costs and cost principles. Contact Person Responsible for Corrective Action – Dr. Chace Ramey, Superintendent Corrective Actions Planned – The District has implemented additional review and monitoring procedures over purchasing card transactions and federal program expenditures. Supporting documentation is reviewed to ensure expenditures are allowable, properly approved, and directly related to program purposes. District administration will continue to monitor compliance with federal requirements to reduce the risk of unallowable costs being charged to federal awards. Anticipated Completion Date of Corrective Action Plan – June 30, 2026.
The issue was corrected before the audit concluded. A written invoice authorization proess is in place, and all invoices now require written approval before processing.
The issue was corrected before the audit concluded. A written invoice authorization proess is in place, and all invoices now require written approval before processing.
Finding 2025-001 Department of Homeland Security and Emergency Management Federal Financial Assistance Listing 97.036 Disaster Grant Public Assistance Allowable Costs/Activities Allowed or Unallowed Material Weakness in Internal Control over Compliance Finding Summary: In the testing of allowable co...
Finding 2025-001 Department of Homeland Security and Emergency Management Federal Financial Assistance Listing 97.036 Disaster Grant Public Assistance Allowable Costs/Activities Allowed or Unallowed Material Weakness in Internal Control over Compliance Finding Summary: In the testing of allowable costs and activities, there were instances where material inventory expenses were submitted for federal reimbursement at a cost per unit that did not agree to the replacement cost. Responsible Individuals: Troy Knutson, Andy Weiss, and Ann Watson Corrective Action Plan: The Cooperative will perform a thorough review and reconciliation of supporting documentation for expenditures, including material transactions, before amounts are claimed for reimbursement. Anticipated Completion Date: December 31, 2026
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
Recommendation: We recommend that the City implement controls over USDA reports to ensure that they are reviewed prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The City will work to ensure t...
Recommendation: We recommend that the City implement controls over USDA reports to ensure that they are reviewed prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The City will work to ensure that the management reports are reviewed prior to submission. Name of the contact person responsible for corrective action: Christina Regas, City Administrator Planned completion date for corrective action plan: December 31, 2026.
FINDING 2025-001 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Amy Borns Contact Phone Number and Email Address: 812-663-8582 ext 1 & aborns@greensburg.in.gov Views of Responsible Officials: We concur with th...
FINDING 2025-001 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Amy Borns Contact Phone Number and Email Address: 812-663-8582 ext 1 & aborns@greensburg.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: When the SLFRF Compliance report is completed by the Clerk-Treasurer, either the Accounts Payable/Receivable Specialist or the Personnel Administrator will double check it and sign off (or send an email) concurring with the report. Anticipated Completion Date: This will be completed no later than April 30, 2027.
The School has made personnel and policy changes and has put in place a purchase order process of approval that documents expenditures in compliance with audit regulations. The School has also made coding corrections and implemented proper controls over program expenditures.
The School has made personnel and policy changes and has put in place a purchase order process of approval that documents expenditures in compliance with audit regulations. The School has also made coding corrections and implemented proper controls over program expenditures.
The School has implemented an improved inventory control system that conducts inventory and records all information into APSCN as required.
The School has implemented an improved inventory control system that conducts inventory and records all information into APSCN as required.
The School has contacted DESE for guidance regarding this matter and has implemented proper controls over Title One program expenditures.
The School has contacted DESE for guidance regarding this matter and has implemented proper controls over Title One program expenditures.
The School has made personnel and policy changes and has also been in contact with DESE for guidance. The School has since made coding corrections and implemented proper controls over program expenditures.
The School has made personnel and policy changes and has also been in contact with DESE for guidance. The School has since made coding corrections and implemented proper controls over program expenditures.
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report di...
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report did not reconcile with the amounts recorded in its general ledger. Cause The Town does not have adequate controls and procedures over reporting. Effect The Town's annual report did not reconcile to the total amount expended. Recommendation The Town should review their established policies and procedures and make any necessary changes to ensure an effective control environment. Management's Corrective Action Plan The Town will review their established policies and procedures and make any necessary changes to ensure an effective control environment.
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report di...
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report did not reconcile with the amounts recorded in its general ledger. Cause The Town does not have adequate controls and procedures over reporting. Effect The Town's annual report did not reconcile to the total amount expended. Recommendation The Town should review their established policies and procedures and make any necessary changes to ensure an effective control environment. Management's Corrective Action Plan The Town will review their established policies and procedures and make any necessary changes to ensure an effective control environment.
Department of Health and Human Services: ParkTree Community Health Center (PCHC) respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: 01/1/25 – 12/31/25 The findings from the schedule of findings and questioned costs are discussed below. The f...
Department of Health and Human Services: ParkTree Community Health Center (PCHC) respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: 01/1/25 – 12/31/25 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS Department of Health and Human Services 2025-01 Health Center Cluster– Assistance Listing No. 93.HCP Recommendation: CLA recommends that PCHC implement a second-level, independent review of demographic data and income verification information entered into the patient billing system to help ensure each patient’s sliding fee classification and corresponding discount is accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Corrective Action Plan: ParkTree Community Health Center will implement a second-level independent review process for all new Sliding Fee Discount Program (SFDP) applications and annual renewals. Under this process, demographic information, household income documentation, family size, and the assigned sliding fee classification will be independently verified by a designated supervisor or other qualified staff member before the sliding fee discount is finalized in NextGen. Front desk receptionists and enrollment staff receive ongoing training and best practice reminders to ensure that all SFDP applications and supporting documentation are completed accurately and in a timely manner. Management has also implemented a weekly internal review process to verify that applications are complete, that appropriate supporting documentation is retained in each patient's file, and that assigned sliding fee classifications are accurate and consistent with PCHC's Board-approved SFDP policies and procedures. In addition, periodic quality assurance reviews will continue to be conducted to monitor compliance, identify trends, and provide corrective coaching when discrepancies are identified. These enhanced controls are designed to strengthen internal controls, improve compliance with the SFDP, and help ensure that each patient's sliding fee classification and corresponding discount are accurately applied in NextGen. Name of Contact Person Responsible for Corrective Action: Alfonso Aguilera Planned Completion Date: December 31, 2026 If the U.S Department of Health and Human Services has any questions regarding this Corrective Action Plan, please contact Alfonso Aguilera at (909)-865-9501, Ext. 3970.
Finding Type: Material Weakness in Compliance and Internal Control over Compliance Finding No. 2025-01 Recommendation: Management should implement procedures to ensure an accurate schedule of expenditures of federal awards with a corresponding reconciliation to the accrual basis trial balance. It is...
Finding Type: Material Weakness in Compliance and Internal Control over Compliance Finding No. 2025-01 Recommendation: Management should implement procedures to ensure an accurate schedule of expenditures of federal awards with a corresponding reconciliation to the accrual basis trial balance. It is recommended that management establish and enforce review and approval procedures related to the schedule of expenditures of federal awards and the accrual basis trial balance. Responsible Official: David M. Holder, Chairman Corrective Action Plan: The County acknowledges the importance regarding the accuracy of the schedule of expenditures of federal awards and corresponding reconciliation to the accrual basis trial balance. The County is considering providing additional training for current personnel along with the employment of additional personnel with suitable knowledge, skills, and experience to fulfill the fund-based accounting duties and other fiscal duties of the Treasurer’s office. Planned completion date for corrective action plan: Fiscal year 2026
Finding #2025-001- Material Audit Adjustments Condition: The auditor proposed adjusting journal entries during the audit process to adjust City account balances. We deem these entries to be significant in relation to the financial statements. Since the City did not make these adjustments in its acco...
Finding #2025-001- Material Audit Adjustments Condition: The auditor proposed adjusting journal entries during the audit process to adjust City account balances. We deem these entries to be significant in relation to the financial statements. Since the City did not make these adjustments in its accounting system prior to the audit, a material weakness was determined to exist in the City’s internal controls. Effect: Financial reports generated by the accounting system may not provide an accurate reflection of the City’s financial position or activities. Cause: Financial information was not recorded in a timely manner and numerous adjustments were needed in order to correct account balances. Criteria: Material adjusting journal entries not prepared by the City before the audit are considered an internal control weakness. Recommendation: Policies and procedures should be implemented to ensure account balances are properly recorded in a timely manner. Response: The City will establish policies and procedures to reduce the number of adjusting journal entries proposed by the auditor in future years. Contact Person: David Kurihara, Clerk/Treasurer Anticipated Completion: Summer 2026
SIGNIFICANT DEFICIENCY 2025-001 Inadequate Internal Controls Over Monthly Grant Billings and Allowable Costs Recommendation: Monthly grant billings should be prepared by the CEO and reviewed by the Director of Operations prior to submission. This will establish segregation of duties and reduce the r...
SIGNIFICANT DEFICIENCY 2025-001 Inadequate Internal Controls Over Monthly Grant Billings and Allowable Costs Recommendation: Monthly grant billings should be prepared by the CEO and reviewed by the Director of Operations prior to submission. This will establish segregation of duties and reduce the risk of billing errors. In addition, management should implement a quarterly oversight review by the board to confirm that allowable cost requirements are being followed. The Manchester Community Resource Center, Inc recognizes that during the 28 years of operation, this is the first audit finding for the agency. The total overbilling was less than 3% of the overall contract. The agency acknowledges the overbilling resulted from inadequate internal controls over the invoicing process. Specifically, the existing procedures does not define the segregation of duties. Management review controls were not adequate to identify billing errors before invoices were sent to the contracting agency. Corrective Actions: The organization has taken immediate and long-term corrective actions to address this finding and strengthen its financial management system. Immediate Actions: • Management will conduct a comprehensive review of all invoices submitted under the affected contract to identify any additional discrepancies. • Immediately following the completion of the financial audit, the contracting agency will be notified of the error, and arrangements will be made to reimburse the overpayment. • Staff responsible for contract billing received immediate instruction regarding allowable costs, billing requirements, and contract compliance. Internal Control Improvements: The Board of Directors will work with management to review and revise the organization's written financial policies and internal controls related to contract billing. Revised procedures will include: • A standardized invoice preparation checklist. • Verification that all billed costs are supported by accounting records and source documentation. • A reconciliation of invoices to the general ledger and contract budget before submission. • Documentation of all calculations supporting each invoice. • Written supervisory approval of every invoice prior to submission. Maintain a grant billing file containing all supporting documentation for each invoice. • Have the finance committee review federal grant billing as part of its regular meetings. Segregation of Duties: To the greatest extent possible, billing responsibilities will be separated among multiple individuals. The employee preparing the invoice will not be the sole individual responsible for reviewing and approving the invoice prior to submission. When staffing limitations prevent full segregation of duties, an independent management review will be documented. Management Oversight: The Chief Executive Officer will prepare all invoice packets that will include supporting documentation. The Director of Operations will perform and document a secondary review of each invoice before it is submitted to the funding agency. This review will verify: • Mathematical accuracy. • Compliance with contract requirements. • Accuracy of supporting documentation. • Proper allocation of costs. • Consistency with the approved budget and contract terms. Board Oversight: The Board of Directors will enhance its financial oversight by: • Reviewing, revising, and approving the financial policies and internal controls. • Receiving periodic reports regarding grant and contract billing compliance. • Reviewing the results of any internal monitoring activities and ensuring corrective actions remain effective. Staff Training All employees involved in grant administration, accounting, payroll allocation, and invoicing will receive annual training on: • Federal grant requirements. • Uniform Guidance financial management requirements. • Contract-specific billing procedures. • Internal control responsibilities. • Documentation standards. Training will also be provided whenever significant changes occur in funding requirements or internal procedures. Ongoing Monitoring: Management will implement quarterly internal compliance reviews of a sample of invoices to verify adherence to the revised procedures. Any deficiencies identified will be corrected immediately, and additional staff training will be provided as needed. The organization will also conduct an annual review of its financial policies and internal controls to ensure they remain effective and compliant with applicable federal requirements. Ongoing Responsible Parties: • Chief Executive Officer • Director of Operations • Board Treasurer • Board of Directors Expected Completion Date: The revised policies, staff training, and implementation of the new internal control procedures will be completed within 90 days of the audit report issuance. Ongoing monitoring and Board oversight will continue thereafter. The contracting agency will be notified of overbilling and arrangements for reimbursement will be completed immediately upon the filing of the annual financial audit.
Auditor's Recommendation: Strengthen controls over eligibility determinations by requiring Program Managers to document and retain evidence of review and approval of all intake forms/applications before services are provided. Management should also implement periodic monitoring procedures to ensure ...
Auditor's Recommendation: Strengthen controls over eligibility determinations by requiring Program Managers to document and retain evidence of review and approval of all intake forms/applications before services are provided. Management should also implement periodic monitoring procedures to ensure review approvals are consistently documented and maintained for audit purposes. Management Response: ODI is diligent in understanding and implementing the steps necessary to review and collect the required documentation to determine client eligibility for programs. Due to the large number of clients serviced and the volume of documents collected and reviewed, many of the programs track eligibility via proprietary on line portals provided by the funders to capture and document the steps performed to determine eligibility. These portals automatically determine whether a client is eligible based on the information provided. The Program Managers see the client eligibility on the portal when they assign caseworkers to the clients, but there is no formal Program Manager signature provided or captured in the portal. Corrective Action: • Regarding the specific program 90ZQ(l}011-01-0 Support for Trauma-Affected Refugees (STAR} referenced in this finding, client eligibility is determined by requirements established by the Office of Refugee Resettlement (ORR} that apply to other programs administered by ODI. To address the auditor's recommendation regarding this program, ODI will set up a procedure to review and retain documentation for clients entering the STAR program or who were referred from other ORR programs showing they are eligible to receive the STAR services. •Regarding the specific program ALSP23-0001 Afghan Legal Services Project (ALSP}, ODI has serviced, and is still servicing, approximately 500 clients. Although ODI asserts that it has and retains the documentation to demonstrate client eligibility for this program, to address the auditor's recommendation, ODI will set up a procedure to track and document that the program manager will approve. Responsible Personnel: Mao Vang, Health & SOT Program Director; Alyssa Eckels, ILS Program Director Implementation Date: Immediate implementation
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