Corrective Action Plans

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The Organization will implement controls and procedures to ensure that the financial statements are prepared in accordance with generally accepted accounting principles.
The Organization will implement controls and procedures to ensure that the financial statements are prepared in accordance with generally accepted accounting principles.
The City will implement procedures to comply with segregation of duties to the best of our ability with limited staff. The City will utilize Council Members, the Mayor and CPA, when possible, to segregate duties.
The City will implement procedures to comply with segregation of duties to the best of our ability with limited staff. The City will utilize Council Members, the Mayor and CPA, when possible, to segregate duties.
IMPLEMENT SEFA RECONCILIATION CONTROL MATRIX DOCUMENTATION, MONITORING AND TRAINING
IMPLEMENT SEFA RECONCILIATION CONTROL MATRIX DOCUMENTATION, MONITORING AND TRAINING
Finding 2023-004 Lack of Internal Control over Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Dora Mathew, Tribal Executive Director Mary Carl, Tribal Financial Officer Corrective Action Plan: Nunakauyarmiut Tribe concurs with the finding and has strengthened its gra...
Finding 2023-004 Lack of Internal Control over Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Dora Mathew, Tribal Executive Director Mary Carl, Tribal Financial Officer Corrective Action Plan: Nunakauyarmiut Tribe concurs with the finding and has strengthened its grant and financial reporting procedures. The Tribe will maintain a centralized schedule of federal awards and required reporting deadlines identifying the awarding agency, award number, period of performance, reporting frequency, report type, due date, responsible staff member, and submission status. Finance, Administration, and applicable program personnel will coordinate to ensure that financial and program information necessary to complete required reports is available before applicable deadlines. Financial reports will be reconciled to the Tribe's accounting records before submission. Copies of submitted reports, supporting documentation, and evidence of submission will be retained in the applicable grant file. Management will periodically review the reporting schedule to identify upcoming or outstanding requirements and take corrective action when necessary. Proposed Completion Date: September 30, 2026.
US Department of Homeland Security (DHS), Federal Emergency Management Agency 2023-005 Hazard Mitigation Grant Program – Assistance Listing No. 97.039 Recommendation: We recommend management implement procedures requiring documented review and approval of all grant reports prepared by outside consul...
US Department of Homeland Security (DHS), Federal Emergency Management Agency 2023-005 Hazard Mitigation Grant Program – Assistance Listing No. 97.039 Recommendation: We recommend management implement procedures requiring documented review and approval of all grant reports prepared by outside consultants prior to submission. Documentation should be retained to demonstrate management's oversight and review. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management understands the importance of reviewing the progress reports. Management believes that the one instance out of the four tested was an isolated instance. The Township implemented policies and procedures to ensure that the Township will comply going forward. These policies include management review of the statements and a clear notation of the approval. Name(s) of the contact person(s) responsible for corrective action: Timothy Tieperman, Township Manager Planned completion date for corrective action plan: June 2026
US Department of Treasury 2023-003 American Rescue Plan Act/Coronavirus State and Local Fiscal Recovery Funds (ARPA) – Assistance Listing No. 21.027 Recommendation: We recommend the Township strengthen its internal controls over federal grant reporting by assigning responsibility for monitoring gran...
US Department of Treasury 2023-003 American Rescue Plan Act/Coronavirus State and Local Fiscal Recovery Funds (ARPA) – Assistance Listing No. 21.027 Recommendation: We recommend the Township strengthen its internal controls over federal grant reporting by assigning responsibility for monitoring grant requirements, maintaining a centralized calendar of reporting deadlines, implementing supervisory review procedures prior to report due dates, and retaining documentation evidencing the preparation, review, and submission of required reports. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Township adopted written policies and procedures governing federal funds. These policies include review of the reporting requirements of the grant upon the grant award to ensure reporting compliance and maintaining a centralized calendar of reporting deadlines. Name(s) of the contact person(s) responsible for corrective action: Timothy Tieperman, Township Manager Planned completion date for corrective action plan: June 2026
The Institute will adopt written procurement policies and procedures that conform to the Uniform Guidance procurement standards, present them to the Board of Directors for approval, and train the personnel responsible for procurement on their use. Anticipated completion date: December 31, 2026. Resp...
The Institute will adopt written procurement policies and procedures that conform to the Uniform Guidance procurement standards, present them to the Board of Directors for approval, and train the personnel responsible for procurement on their use. Anticipated completion date: December 31, 2026. Responsible contact person: Kathy Walker, Executive Director.
The Institute has engaged an auditor to complete the December 31, 2022, 2023, 2024, and 2025 Single Audits concurrently, and will submit each reporting package and data collection form to the Federal Audit Clearinghouse as each audit is completed. Thereafter, the Institute will complete the audit an...
The Institute has engaged an auditor to complete the December 31, 2022, 2023, 2024, and 2025 Single Audits concurrently, and will submit each reporting package and data collection form to the Federal Audit Clearinghouse as each audit is completed. Thereafter, the Institute will complete the audit and submit the reporting package within nine months after year end. Anticipated completion date: December 31, 2026. Responsible contact person: Kathy Walker, Executive Director.
Response: The City concurs with auditors. The City would show that the Federal funds that were received for FEMA projects were properly deposited into the City’s banking accounts but were not properly entered on the City’s financial records and the recently rehired City Clerk and Senior Accountant w...
Response: The City concurs with auditors. The City would show that the Federal funds that were received for FEMA projects were properly deposited into the City’s banking accounts but were not properly entered on the City’s financial records and the recently rehired City Clerk and Senior Accountant will ensure proper recording of all receipts deposited.
Name of Contact Person Responsible for Corrective Action Plan: Marian Governor
Name of Contact Person Responsible for Corrective Action Plan: Marian Governor
• Outstanding debt owed to Head Start
• Outstanding debt owed to Head Start
• Outstanding debt owed to ADECA
• Outstanding debt owed to ADECA
• Identified 401(k) missed payments customarily charged to grant funds
• Identified 401(k) missed payments customarily charged to grant funds
• Costs associated with missed filings and late filings
• Costs associated with missed filings and late filings
• IRS-related debts and obligations incurred during the Agency's progression
• IRS-related debts and obligations incurred during the Agency's progression
Management will be requesting that all applicable funding sources allow the agency to utilize the fully forgiven PPP funds in accordance with the justification outlined above. Management asserts that the use of PPP funds was reasonable, necessary, and consistent
Management will be requesting that all applicable funding sources allow the agency to utilize the fully forgiven PPP funds in accordance with the justification outlined above. Management asserts that the use of PPP funds was reasonable, necessary, and consistent
with maintaining organizational solvency during an unprecedented period of financial constraint.
with maintaining organizational solvency during an unprecedented period of financial constraint.
Finding Number: 2023-004 Condition: The County did not have controls in place during the year under audit to ensure that the required certified payrolls were received by contractors and subcontractors. Planned Corrective Action: Develop a process with Neighborhood Housing and Development Department ...
Finding Number: 2023-004 Condition: The County did not have controls in place during the year under audit to ensure that the required certified payrolls were received by contractors and subcontractors. Planned Corrective Action: Develop a process with Neighborhood Housing and Development Department ensuring all appropriate documentation has been reviewed and received. Contact person responsible for corrective action: Khadija Walker-Fobbs Anticipated Completion Date: 07/15/2024
Finding 2023-003 Inadequate Internal Control over Federal Procurement and Suspension and Debarment Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect During the audit, we noted that the Organization had not esta...
Finding 2023-003 Inadequate Internal Control over Federal Procurement and Suspension and Debarment Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect During the audit, we noted that the Organization had not established and implemented sufficient controls over procurements charged to the federal program. The Organization could not provide sufficient documentation demonstrating that: • The rationale for the procurement method and contractor selection was documented; • Potential conflicts of interest were evaluated; • Applicable contractors were verified as not suspended, debarred, or otherwise excluded; • Required federal provisions were included in applicable contracts; and • Contractor performance and compliance with contract terms were appropriately monitored. The absence of appropriately designed and implemented controls creates a reasonable possibility that material noncompliance with federal procurement or suspension and debarment requirements could occur and not be prevented, or detected and corrected, on a timely basis. This could result in unsupported procurement decisions, transactions with excluded or otherwise ineligible contractors, contracts that omit required federal provisions, or inadequate oversight of contractor performance. Auditor Recommendation Management should adopt written federal procurement procedures and implement a standardized review process for procurements charged to federal awards. The process should address and document the procurement method and contractor selection, potential conflicts of interest, contractor eligibility, required federal contract provisions, and oversight of contractor performance. Documentation should be retained with each procurement file and be subject to appropriate management review and approval. Proposed Corrective Action The Organization agrees with the finding. Management will adopt written federal procurement procedures and use a standardized checklist for each procurement charged to a federal award. The checklist will document the procurement method, contractor selection and price basis, evaluation of potential conflicts of interest, contractor eligibility verification, applicable federal contract provisions, and contractor oversight. A designated management reviewer will approve the completed procurement file, and the supporting records will be retained in accordance with the applicable award requirements. Responsible Person: Anticipated Completion Date: June 30, 2027
Corrective Action Plan 2023 – 007 FINDING 2023-007 Contact Person Responsible for Corrective Action: Kevin Beaver, Clerk – Treasurer Contact Phone Number and Email Address: Ph. 812-533-1053 Kevin.Beaver@westterrehautein.gov Views of Responsible Officials: We Concur with the SBOA Findings Finding Sub...
Corrective Action Plan 2023 – 007 FINDING 2023-007 Contact Person Responsible for Corrective Action: Kevin Beaver, Clerk – Treasurer Contact Phone Number and Email Address: Ph. 812-533-1053 Kevin.Beaver@westterrehautein.gov Views of Responsible Officials: We Concur with the SBOA Findings Finding Subject: Scope Limitation Corrective Action Plan 1. Establish Formal SEFA Preparation Procedures The Clerk-Treasurer will develop and implement written procedures for the preparation and review of the Schedule of Expenditures of Federal Awards. Procedures will require: • Identification of all federal awards received during the year. • Verification of applicable Assistance Listing Numbers (ALNs). • Documentation supporting all reported expenditures. • Completion of a SEFA preparation checklist before submission. 2. Create and Maintain a Federal Awards Inventory The Town will establish a centralized listing of all federal awards received. The inventory will include: • Federal agency • Program name • Assistance Listing Number (ALN) • Grant period • Award amount • Annual expenditures • Pass-through entity information, when applicable The inventory will be reviewed and updated monthly. 3. Implement Reconciliation Procedures for Federal Expenditures Prior to preparation of the AFR and SEFA, federal expenditures will be reconciled to: • General ledger accounts • Grant reimbursement requests • Supporting grant documentation • Cash drawdowns and receipts Any discrepancies identified during the reconciliation process will be investigated and resolved before submission. 4. Implement Independent Review Controls An independent review of the SEFA will be performed before submission. The review will verify: • Completeness of all federal programs. • Accuracy of reported expenditures. • Correct Assistance Listing Numbers. • Agreement of reported amounts to support records and reconciliations. Evidence of review will be documented through a monthly signed and dated review checklist. 5. Strengthen Grant Documentation and Record Retention The Town will maintain separate grant files for each federal program containing: • Award agreements • Amendments • Reimbursement requests • Financial reports • Supporting expenditure documentation • Correspondence with grantor agencies Records will be maintained in accordance with federal and state retention requirements. 6. Establish Ongoing Monitoring Procedures The Town will perform monthly reviews of federal grant activity to ensure expenditures are properly recorded and reported. Monitoring procedures will include: • Review of grant expenditures by program. • Verification of ALN assignments. • Review of grant balances and reimbursement activity. • Follow-up and correction of identified issues. Results of quarterly reviews will be documented and retained. Quarterly monitoring reports Responsible Party: Clerk – Treasurer and Town Council President. Completion Date: immediate first steps, March 3, 2027, for full implementation. _____________________________ Kevin Beaver, Clerk – Treasurer
Finding 1239037 (2023-001)
Material Weakness 2023
Upmc
PA
Condition: With the decommissioning of the related CHIP Application Processing System (CAPS) on April 17, 2023, by the Pennsylvania Department of Human Services (PA DHS), the evidence to support UPMC’s completion of these processes is not available for the period January 1, 2023 to April 16, 2023. P...
Condition: With the decommissioning of the related CHIP Application Processing System (CAPS) on April 17, 2023, by the Pennsylvania Department of Human Services (PA DHS), the evidence to support UPMC’s completion of these processes is not available for the period January 1, 2023 to April 16, 2023. PA DHS is unable to provide all the required data from the archived version of CAPS, including certain enrollee or application data points; notes and commentary documented by the MCOs; and evidence of the date/time procedures were performed. This information is necessary to test internal controls over compliance and compliance over eligibility and special tests and provisions. Therefore, EY was not able to support internal controls over compliance and compliance over the eligibility or the special tests and provisions compliance requirements through re-performance and issued a disclaimer of opinion based on the scope limitation. Corrective Action Plan: UPMC follows the processes and procedures set forth by Pennsylvania Department of Human Services. As such, no corrective action will be taken.
Organization’s response: The Organization concurs with the finding and will implement our recommendation immediately. Corrective Action Plan: The Organization will implement enhanced internal controls over compliance with federal award requirements by establishing a formal compliance calendar that i...
Organization’s response: The Organization concurs with the finding and will implement our recommendation immediately. Corrective Action Plan: The Organization will implement enhanced internal controls over compliance with federal award requirements by establishing a formal compliance calendar that includes all key reporting deadlines, including audit and FAC submission requirements. Responsibilities for each compliance requirement will be clearly assigned to specific personnel. Management will monitor the calendar regularly to ensure all deadlines are met. Additionally, the Organization will implement a review process to ensure submissions are accurate, complete, and timely. Contact: BreNita Jackson, Executive Director
Significant Deficiency Finding No. 2023-007: Reporting U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria A non-Federal entity that expends $7...
Significant Deficiency Finding No. 2023-007: Reporting U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria A non-Federal entity that expends $750,000 or more in Federal awards during the year must have a single audit conducted in accordance with 2 CFR §200.514. Pursuant to 2 CFR §200.512, the audit must be completed and Form SF-SAC: Data Collection Form and reporting package must be submitted within the earlier of 30 calendar days after receipt of the auditors’ report(s), or nine months after year end of the audit period. Condition We noted that KMNH has not submitted the single audit reports required by the Uniform Guidance, including the Data Collection Form to the Federal Audit Clearinghouse for the year ended December 31, 2023, within the stipulated nine months after the end of the audit period. Cause KMNH is not in compliance with the Uniform Guidance terms and conditions regarding the submission dates of the single audit report and Data Collection Form for the year ended December 31, 2023. Effect KMNH is not in compliance with the Uniform Guidance terms and conditions regarding the submission dates of the single audit report and Data Collection Form for the year ended December 31, 2023. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding No. 2022- 005. Recommendation We again recommend that KMNH incorporate internal controls to ensure compliance with the Uniform Guidance with respect to the submission deadline of single audit reports and the Data Collection Form. Corrective Action Responsible Party: Executive Director KMNH agrees with the finding and recommendation and have updated internal controls to monitor audit submissions to the Federal Audit Clearinghouse.
Material Weakness Finding No. 2023-005: Allowable Costs/Cost Principles U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria Pursuant to the Uni...
Material Weakness Finding No. 2023-005: Allowable Costs/Cost Principles U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria Pursuant to the Uniform Guidance, 2 CFR 200.403, Allowable Costs, costs must be necessary, reasonable, and adequately documented to be allowable under federal awards. Futhermore, 2 CFR, 200.303 states that the non-federal entity must establish and maintain effective internal control over the federal award that provides reasonable assurance that the entity is managing the award in compliance with federal statutes and regulations. Condition We noted that during 2023, KMNH’s chief executive officer performed accounting functions including recording cash disbursement transactions and reconciliation of the monthly bank statement balances to the cash balances in the general ledger. In addition, there was no evidence of a supervisory review of supporting documentation for expenditures. Cause Due to the limited number of employees, there is not only a lack of consistent supervisory review of supporting documentation of expenditures, but also a lack of segregation of duties to ensure that disbursement transactions are accurately recorded and are compliant with the Uniform Guidance allowable costs/cost principles. Effect Without proper segregation of duties and supervisory review of supporting documentation of expenditures, there is a reasonable possibility that a material misstatement of KMNH’s expenditures of federal awards will not be prevented or detected and corrected on a timely basis. Recommendation We recommend that KMNH engage an accountant to provide relevant services and to implement a supervisory review process of supporting documentation of expenditures and to develop appropriate policies and procedures to ensure proper segregation of duties. Corrective Action Responsible Party: Director of Operations KMNH agrees with the finding and recommendation and will continue its efforts to hire a bookkeeper.
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