Corrective Action Plans

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During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Finan...
During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Financial Officer Anticipated Completion Date: Change is in process and full adoption is anticipated by September 30, 2022 Corrective Action Plan: The Hospital is going to continue and improve its understanding of the guidance related to this type of reporting and work with their external advisors to ensure future portal submissions are compliant with said guidance.
View Audit 55266 Questioned Costs: $1
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria rel...
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria related to recordkeeping. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Plainfield Community School Corporation will implement a policy that mitigates the risk of noncompliance with the required recordkeeping for the Child Nutrition Cluster. Name(s) of the contact person(s) responsible for corrective action: Kelly Collins Planned completion date for corrective action plan: April 2023
CORRECTIVE ACTION PLAN Name and Number of the Project: Plan Homes, Inc No. 112-HD007 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2022 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regarding our non...
CORRECTIVE ACTION PLAN Name and Number of the Project: Plan Homes, Inc No. 112-HD007 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2022 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regarding our noncompliance as cited in the accompanying Schedule of Findings and Questioned Costs. ACTIONS TAKEN FINDING 1: Section 202 Capital Advance, CFDA 14:157 CORRECTIVE ACTION COMPLETED: On March 27, 2023 the Company deposited $1,414 into the security deposit account. Finding 2022-001 Cleared. We have prepared the corrective action plan as required by the standards applicable to financial statements contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principals, and Audit Requirements for Federal Awards. Any questions regarding the above corrective action plan should be directed to Ms. Connie Quillen, Vice President, Asset Living.
View Audit 55441 Questioned Costs: $1
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. ...
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. Corrective Action Plan: Management has converted internal accounting software to a more robust system that provides a platform to assist in tracking federal assistance listing numbers. t a process that will require a quarterly reconciliation of the Schedule of Expenditures of Federal Awards to underlying accounting records.
Concur: Departments are responsible for the operational compliance of their grant awards. The Aviation Department is in the process of reclassifying a position to a contract compliance specialist which will help ensure future compliance. Financial Management Services (FMS) will establish a process t...
Concur: Departments are responsible for the operational compliance of their grant awards. The Aviation Department is in the process of reclassifying a position to a contract compliance specialist which will help ensure future compliance. Financial Management Services (FMS) will establish a process to assist departments in meeting compliance requirements. A contract review checklist will be implemented by FMS to assist with the identification of all compliance requirements for each award. FMS currently holds grant kickoff meetings with departments, and additional focus on contract compliance will be emphasized at that time. Departments will be required to provide FMS additional compliance documentation. FMS will review the documentation for reasonableness and load the records to the PeopleSoft Project Definition page as evidence of timely compliance. As an additional measure, system reminders will be emailed to departments and FMS providing notification of upcoming deadlines. FMS will continue to provide training for grant management personnel to reinforce key concepts of grant compliance. This action plan will be completed by September 30, 2023. Contact Person: Reginald Zeno, Chief Financial Officer, FMS 817-392-8517 Contact Person: Tony Rousseau, Assistant Finance Director, FMS 817-392-8338
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Allowability & Eligibility Corrective Action Plan: Coaching has been provided to the appropriate review staff. Contact: Major General Bohac Anticipated Completion Date: Completed
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Allowability & Eligibility Corrective Action Plan: Coaching has been provided to the appropriate review staff. Contact: Major General Bohac Anticipated Completion Date: Completed
View Audit 55212 Questioned Costs: $1
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
Finding 59840 (2022-045)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in the findings has been opened. In addition, during monthly one on one meetings with staff, the administrator will review cases to determine if the appropriate steps are being taken and narrated in the case file. Contact: Anne Harvey Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: MCO Financial Audits are currently being completed by a third party vendor for the three HH MCOs and the Dental PAPH. The department is holding regular meetings with the vendor to ensure that thes...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: MCO Financial Audits are currently being completed by a third party vendor for the three HH MCOs and the Dental PAPH. The department is holding regular meetings with the vendor to ensure that these are completed in SFY2023. The project Plan projects final audit reports to be provided to the state in May 2023, for posting during SFY2023. Additionally, the Agency will amend the contracts to ensure the MCO and PAHP audited financial reports are conducted in accordance with generally accepted accounting principles (GAAP). Contact: Jeremy Brunssen Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs ...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs plan to cover this with all teammates during their 4th quarter?s meeting and District 3?s SDA will send out communication to all teammates that reminds teammates of the expectations. Contact: Tony Green Anticipated Completion Date: 12/30/2022
View Audit 55212 Questioned Costs: $1
Finding 59836 (2022-041)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: Myers & Stauffer is currently in the process of completing Field audits for 2018-2021 Cost reports with an expected completion date of 12/15/22. Myers & Stauffer will identify high risk facilities...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: Myers & Stauffer is currently in the process of completing Field audits for 2018-2021 Cost reports with an expected completion date of 12/15/22. Myers & Stauffer will identify high risk facilities for the 2022 Cost report by 3/15/2023 and Field Audit work on 2022 Cost Reports has an anticipated completion date of 6/30/2023. Contact: Jerry Vanderbeek; Danny Vanourney Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59834 (2022-039)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annua...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Training materials will continue to be updated and made available to assist providers with EVV and for submitting accurate billing. Training will be at least annually for direct staff involved with assisting providers. EVV website to be kept updated with program guidelines and regulations. DHHS will engage the vendor to explore technical options to resolve any technical related issues identified in the report, and develop any additional quality assurance measures necessary when a technical solution is not achievable in the short term. Contact: Kathy Scheele Anticipated Completion Date: 06/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 ? COVID-19 Child Care and Development Block Grant ? Special Tests and Provisions Corrective Action Plan: DHHS will enhance current controls and procedures related to stabilization and other grant programs, that use ARP Act funds. Contact: Nicole Vint Anticipated Completion Date...
Program: AL 93.575 ? COVID-19 Child Care and Development Block Grant ? Special Tests and Provisions Corrective Action Plan: DHHS will enhance current controls and procedures related to stabilization and other grant programs, that use ARP Act funds. Contact: Nicole Vint Anticipated Completion Date: 6/30/2024
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: The Agency continues to work on written internal policy regarding expectations for timeliness of investigations involving Child Care Subsidy. We are also working to improve the existing risk assessme...
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: The Agency continues to work on written internal policy regarding expectations for timeliness of investigations involving Child Care Subsidy. We are also working to improve the existing risk assessment tool for provider referral for investigations. In addition, the SIU manager will review open Child Care Subsidy investigations on a monthly basis to ensure they are being actively worked. SIU manager is also reminding staff of expectations to retain documentation of casework. Contact: Cari Crosby Anticipated Completion Date: 4/30/2023
View Audit 55212 Questioned Costs: $1
Finding 59822 (2022-036)
Significant Deficiency 2022
Program: AL 93.575 ? Child Care and Development Block Grant ? Period of Performance Corrective Action Plan: DHHS has already taken steps to prevent this from occurring again with NSP. DHHS also worked with the Office of Child Care (OCC), after last year?s finding, and corrected both the 2021 and 2...
Program: AL 93.575 ? Child Care and Development Block Grant ? Period of Performance Corrective Action Plan: DHHS has already taken steps to prevent this from occurring again with NSP. DHHS also worked with the Office of Child Care (OCC), after last year?s finding, and corrected both the 2021 and 2022 findings. The use of funds to pay agency employee payroll has already been corrected. DHHS will use allowable obligation and liquidation schedules when contracting with other state entities and paying state employees. Contact: Nicole Vint; Rebecca Kempkes Anticipated Completion Date: 12/12/2022
View Audit 55212 Questioned Costs: $1
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: Through the SFM, DHHS will have further communication with the delegated authorities to clarify the expectations and timeframes for fire inspections in child care programs. Through the Nebraska Dep...
Program: AL 93.575 and 93.596 ? CCDF Cluster ? Special Tests and Provisions Corrective Action Plan: Through the SFM, DHHS will have further communication with the delegated authorities to clarify the expectations and timeframes for fire inspections in child care programs. Through the Nebraska Department of Environment and Energy (NDEE) Agency, DHHS will have further communication with the delegated authorities to clarify the expectations and timeframes for sanitation inspections in child care programs. DHHS will continue to implement policies and procedures for file reviews by CCSL and fire and sanitation inspection referrals. DHHS will continue to complete the statutory child care inspection requirements. In 2022, DHHS will explore statutory, regulatory and/or contract options to place more accountability on the licensee and referred agencies for maintaining current fire and sanitation approvals. Contact: Lindsy Braddock; Becky Wisell Anticipated Completion Date: 7/1/2023
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the ...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the future. Contact: Will Varicak Anticipated Completion Date: 12/31/2023
Finding Number: 2022-003 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Performance Reporting Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not submit a report of ...
Finding Number: 2022-003 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Performance Reporting Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not submit a report of Section 3 activities for a specific project to IDIS as required. Cause: The County?s policies and procedures were not sufficient to ensure that Section 3 reports were completed and submitted to IDIS as required by program regulations. Internal controls did not prevent or detect the error. Resolution: DHCD established Policies and Procedures governing all entitlement programs, including the Community Development Block Grant Program. All projects subject to Section 3 must have a preconstruction conference where Section 3 is discussed, among other required regulations. They must also submit Section 3 documentation before the project is closed- out and reimbursement is processed. Responsible Party: Aspasia Xypolia, Director, DHCD Anticipated corrective action plan completion date: The Department will continue to follow the established procedures going forward to ensure that all projects subject to the Section 3 requirement will be reviewed and approved for compliance prior to the approval of close-out and reimbursement. The department does have the Section 3 report for all project including this specific project, however it was not processed through the Integrated Disbursement and Information System (IDIS), which was effective July 2021. This particular report (attached) will be submitted through the FHEO Section 3 Performance Evaluation and Registry System (SPEARS). Any questions concerning the findings or corrective action plan can be directed to Aspasia Xypolia, Director, DHCD at (301) 883-5501.
Finding Number: 2022-002 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Federal Funding Accountability and Transparency Act (FFATA) Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s Count...
Finding Number: 2022-002 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Federal Funding Accountability and Transparency Act (FFATA) Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not report required subaward information to FSRS for first-tier subawards of $30,000 or more. Cause: The County?s policies and procedures were not sufficient to ensure that required subaward information was reported to FSRS. Internal controls did not prevent or detect the errors. Resolution: DHCD established Policies and Procedures governing all entitlement programs, including the Community Development Block Grant Program. DHCD will provide the Office of Management of Budget (OMB) with all subawards of $30,000 or more monthly to upload into the FSRS system. Responsible Party: Aspasia Xypolia, Director, DHCD Anticipated corrective action plan completion date: The Department will coordinate with OMB to upload the required data of the sub awardees receiving $30,000 or more in entitlement funds. DHCD has the necessary sub-awardee data for current and prior years to begin updating the required data. Any questions concerning the findings or corrective action plan can be directed to Aspasia Xypolia, Director, DHCD at 301-883- 6511.
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to en...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to ensure requirements related to the grant agreement and the reporting compliance requirements are satisfied, the City Controller will prepare the project and expenditure reports and the Assistant Controller, or the 2nd Assistant Controller will review the project and expenditure reports before they are submitted. Anticipated Completion Date: The process will begin with the reports due April 30, 2023.
1. Explanation of Disagreement with Audit Finding The City agrees with the audit finding. 2. Actions Planned in Response to Finding The City will ensure internal controls over compliance with procurement compliance requirements are designed and implemented. 3. Official Responsible for Ensuring CAP T...
1. Explanation of Disagreement with Audit Finding The City agrees with the audit finding. 2. Actions Planned in Response to Finding The City will ensure internal controls over compliance with procurement compliance requirements are designed and implemented. 3. Official Responsible for Ensuring CAP Tara Heyne, City Clerk, is the official responsible for ensuring the corrective action of the deficiency. 4. Planned Completion Date for CAP The planned completion date for the CAP is June 30, 2023. 5. Plan to Monitor Completion of CAP The City Council will be monitoring this CAP.
The District will work to implement procedures so vendors are verified to the suspensions and debarred list.
The District will work to implement procedures so vendors are verified to the suspensions and debarred list.
2022-001 ? Eligibility - Tenant File Documentation Finding Type. Immaterial noncompliance, Significant deficiency in internal controls over compliance (Eligibility) Federal programs U.S. Department of Housing and Urban Development ? Supportive Housing for the Elderly (ALN# 14.157) Condition. Out...
2022-001 ? Eligibility - Tenant File Documentation Finding Type. Immaterial noncompliance, Significant deficiency in internal controls over compliance (Eligibility) Federal programs U.S. Department of Housing and Urban Development ? Supportive Housing for the Elderly (ALN# 14.157) Condition. Out of a sample of 6 tenant files, it was noted: 1. Two out of six instances where the resident's cash balance was verified using the ending balance; however, the 6-month average balance should have been used; 2. One out of six instances where the resident's medical expenses were improperly calculated; 3. One out of six instances where the tenant's security deposit and/or prorated rent were not disbursed to them in the required 30 days; 4. One out of six instances where there was no verification of pension income performed on the most recent recertification. Effect. As a result of this condition, certain tenant files did not contain all required supporting documentation. In addition, employees did not follow HUD guideline procedures, and/or did not properly calculate the tenant subsidy in HUD Form 50059. While there were no significant differences in the amount of subsidies allowed compared to subsidies received, the lack of effective internal controls could lead to future significant noncompliance. Plan. Management agrees with finding 2022-001. All files are to be inspected in the current fiscal year to ensure compliance with HUD regulations. File maintenance will be competed following each move in and annual recertification. In addition to one-on-one training, the housing administrator has signed up for additional training including a WebEx on annual recertification and a basic EIV course. Additional training sessions are forthcoming. Contact Person Responsible for This Corrective Action: Laura Maisevich, Senior Housing Manager Anticipated completion date: December 31, 2022
Finding: 2022-004 Name of Contact Person: Jeremy Christiansen, Superintendent Corrective Action: The District relies on the auditor to propose adjustments necessary to prepare the schedule of expenditures of federal awards including the related note disclosures. The District reviews the schedul...
Finding: 2022-004 Name of Contact Person: Jeremy Christiansen, Superintendent Corrective Action: The District relies on the auditor to propose adjustments necessary to prepare the schedule of expenditures of federal awards including the related note disclosures. The District reviews the schedule of expenditures of federal awards and approves all adjustments. Proposed Completion Date: Immediately
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