Corrective Action Plans

Finding 31480 (2022-001)

Significant Deficiency 2022

OR

Student Financial Aid Reporting Subrecipient Monitoring

FINDINGS ? FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Education 2022-001 ? Student Financial Assistance Cluster ? CFDA No. 84.268, 84.063 Special Tests and Provisions ? Enrollment Reporting ? Significant Deficiency in Internal Control over Compliance Recommendation: The auditors recommend the ...

FINDINGS ? FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Education 2022-001 ? Student Financial Assistance Cluster ? CFDA No. 84.268, 84.063 Special Tests and Provisions ? Enrollment Reporting ? Significant Deficiency in Internal Control over Compliance Recommendation: The auditors recommend the College follow and enhance existing policies to ensure all student changes in status are identified timely and submitted accurately within the required time frame. The auditors also recommend a review of roles and responsibilities surrounding this process be evaluated and, if deemed necessary, revised. Lastly, the auditors recommend the College establish a formal internal monitoring control whereby a designated individual with NSLDS access, on a sample basis, spot checks the status updates on NSLDS so to internally audit the NSC submissions. Action taken: The College concurs with this finding. The College has made progress in the restructuring of positions and duties in the financial aid and registrar offices within the Student Services area. This will assist in improving coordination between those parties involved in degree and enrollment reporting as well as contributing to the streamlining of the reporting and correction process to eliminate errors and findings. Each of these departments will coordinate training and standard operating procedures for timely and accurate reporting to the appropriate entities. The College has intentions of fulfilling the following actions to make continued progress toward compliance under this finding: ? Hire Enterprise Network Position in Student Services to assist with reporting and student information services. ? Provide ongoing and intensive trainings for new Financial Adi Staff, new Registrar and the Enterprise Network position, once filled. ? Collaborate with appropriate colleagues in Oregon using similar Student Information Systems that are currently addressing or have previously addressed enrollment reporting concerns. ? Utilize an external review service of Financial Aid software for recommendations on improvements. ? Identify college policy to address and draft to support accurate enrollment reporting. Name of Responsible Party: Diahann Derrick, Director of Financial Aid Anticipated completion date: June 30, 2023

View Audit 25834

Finding 31478 (2022-001)

Material Weakness 2022

Yuma Regional Medical Center

AZ

Eligibility Material Weakness Reporting

To Whom It May Concern: This letter includes the corrective action plan in response to the audit finding from the Single Audit for the 2020-2021 Award Year. Audit Finding: 2022-001: Under the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program, providers are required to s...

To Whom It May Concern: This letter includes the corrective action plan in response to the audit finding from the Single Audit for the 2020-2021 Award Year. Audit Finding: 2022-001: Under the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program, providers are required to submit reporting to the Health Resources Services Administration (HRSA). During the single audit, it was determined that roughly $2.4 million of expenses were reported as general expenses in Period 2, were also included as general expenses in Period 1 reporting. We agree with the audit finding and action will be taken to improve this gap going forward by updating procedures for these kinds of requirements. Controls will be implemented whereby there will be a secondary reviewer along with the appropriate sign-off validating the data has been accurately reported to ensure we are in compliance. The contact person responsible for the corrective action plan is James Salerno. The corrective action plan has been implemented as of January 1, 2023. Please let me know if you have any additional questions.

View Audit 27124

Finding 31455 (2022-002)

Significant Deficiency 2022

Great Plains Health

NE

Allowable Costs / Cost Principles Cash Management Reporting

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the coronaviru...

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the coronavirus and represent actual costs. Condition: During the process of identifying expenses that were incurred to prevent, prepare for or respond to the coronavirus pandemic, management utilized projected expenses claimed for reimbursement. Planned Corrective Action: Management will enhance its internal controls over federal award compliance to ensure that only eligible costs are included in amounts expended. Contact Person: Summer Owen, CFO Anticipated Completion Date: December 31, 2023

View Audit 25771

Finding 31414 (2022-003)

Material Weakness 2022

Pipeline Research Council International, Inc.

VA

Questioned Costs Allowable Costs / Cost Principles Material Weakness

2022-003 Period of Performance USDOT Auditor?s Recommendation: PRCI management should develop and implement procedures and modify accounting structures to ensure compliance with period of performance requirements. Explanation of disagreement with the audit finding: There is no disagreement with th...

2022-003 Period of Performance USDOT Auditor?s Recommendation: PRCI management should develop and implement procedures and modify accounting structures to ensure compliance with period of performance requirements. Explanation of disagreement with the audit finding: There is no disagreement with the audit finding. Action taken in response to finding: PRCI has worked with the awarding agency to ensure that all grants are extended to an appropriate period of performance. PRCI additionally has reviewed the contracts with its vendors to ensure that they are billing timely for the contractual obligations of the grant awards. PRCI staff will work with USDOT staff to rectify any current contracted agreements where this same finding may exist in the future but acceptance for any agreement changes would be required by both parties.

View Audit 35902 Questioned Costs: $1

Finding 31412 (2022-001)

Significant Deficiency 2022

McCormick Commission of Public Works

SC

HUD Housing Programs Significant Deficiency Internal Control / Segregation of Duties

SIFNIFICANT DEFICIENCY: 2022-001 SEGREGATION OF DUTIES: NAME OF CONTACT PERSON: CHERYL DANIELS, GENERAL MANAGER. CORRECTIVE ACTION: THE DUTIES WILL BE SEGREGATED AS MUCH AS POSSIBLE AND THE COMMISSIONERS WILL REMAIN INVOLVED IN THE FINANCIAL AFFAIRS OF THE COMMISSION TO PROVIDE OVERSIGHT AND INDEPEN...

SIFNIFICANT DEFICIENCY: 2022-001 SEGREGATION OF DUTIES: NAME OF CONTACT PERSON: CHERYL DANIELS, GENERAL MANAGER. CORRECTIVE ACTION: THE DUTIES WILL BE SEGREGATED AS MUCH AS POSSIBLE AND THE COMMISSIONERS WILL REMAIN INVOLVED IN THE FINANCIAL AFFAIRS OF THE COMMISSION TO PROVIDE OVERSIGHT AND INDEPENDENT REVIEW FUNCTIONS. PROPOSED COMPLETION DATE: MANAGEMENT WILL IMPLEMENT THE ABOVE ACTION IMMEDIATELY.

View Audit 35901

Finding 31411 (2022-002)

Significant Deficiency 2022

International Society of Travel Medicine, Inc.

GA

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Condition Salaries and wages were charged to the project based on projected amounts and not actual incurred costs. As a result of this oversight error, the Society overcharged $9,728 of direct costs. Correction action A review of actual expenses for staff salary and benefits will be completed to en...

Condition Salaries and wages were charged to the project based on projected amounts and not actual incurred costs. As a result of this oversight error, the Society overcharged $9,728 of direct costs. Correction action A review of actual expenses for staff salary and benefits will be completed to ensure actual amounts for all relevant personnel are charged to the project. Rather than using a projected amount, monthly entries will be posted based on actual expenditures. Responsible Person Whitney Alexander, Acting Executive Director Anticipated completion date As of December 2022, we have begun reviewing expenditures and anticipate posting an entry in January 2023 to true up current year entries that have been recorded this fiscal year. We expect monthly entries based on actual expenditures to commence in January 2023.

View Audit 35900 Questioned Costs: $1

Finding 31408 (2022-001)

None 2022

Millbrook Central School District

NY

Cash Management Internal Control / Segregation of Duties

Audit Recommendation (1): Federal Program: Assistance Listing No.: 10.559 Summer Food Service Program for Children Recommendation: In order to prevent future occurrences of this deficiency, we recommend that management ensure that good record keeping is kept at all buildings of the meals served. We...

Audit Recommendation (1): Federal Program: Assistance Listing No.: 10.559 Summer Food Service Program for Children Recommendation: In order to prevent future occurrences of this deficiency, we recommend that management ensure that good record keeping is kept at all buildings of the meals served. We also recommend the records are reviewed more efficiently each month for accuracy. Implementation Plan of Action(s): ? The District reverted back to using its school food management computer-based system for meal tracking using student ID numbers upon a full return from remote and hybrid learning models implemented in response to the COVID-19 pandemic. Note: This is a repeat finding from the previous year's audit. The testing for this item occurred prior to the full implementation of the previous CAP during the months of October, November, and December 2021. The previous CAP was implemented effective January 2022 - no issues of this nature were found thereafter. Implementation Date: January 17, 2022 Person(s) Responsible for Implementation: ? Holly Heady, School Food Service Director

View Audit 32853

Finding 31404 (2022-003)

Material Weakness 2022

Frankfort Independent School District

KY

Internal Control / Segregation of Duties

Finding 2022-003 AL 84.425D & 84.425U ? Material Weakness ? Indirect Costs. In accordance with 2 CFR 200, indirect cost rates must be applied in accordance with the terms of the grant agreement. For the Education Stabilization Fund the Kentucky Department of Education approves the indirect cost rate...

Finding 2022-003 AL 84.425D & 84.425U ? Material Weakness ? Indirect Costs. In accordance with 2 CFR 200, indirect cost rates must be applied in accordance with the terms of the grant agreement. For the Education Stabilization Fund the Kentucky Department of Education approves the indirect cost rates as well as the methodology of determining indirect costs. Recommendation: We recommend the District review its internal controls related to its calculation of indirect costs for all programs. Action taken: The District will review on a periodic basis the alignment of indirect cost rates and the calculations being used to ensure accuracy. Status: Resolved. Rates have been resolved and corrected in processing.

View Audit 32444

Finding 31398 (2022-005)

Material Weakness 2022

Griggsville-Perry Community Unit School District #4

IL

Internal Control / Segregation of Duties

Finding No.: 2022-005 U.S. Department of Agriculture ? 2021 & 2022 Child Nutrition Cluster ? CFDA No. 10.555/10.553/10.649 Condition: The District's accounting function is controlled by a limited number of individuals resulting in the inadequate segregation of duties. Plan: The District is revi...

Finding No.: 2022-005 U.S. Department of Agriculture ? 2021 & 2022 Child Nutrition Cluster ? CFDA No. 10.555/10.553/10.649 Condition: The District's accounting function is controlled by a limited number of individuals resulting in the inadequate segregation of duties. Plan: The District is reviewing its financial policies and procedures to better segregate duties where possible. The Superintendent will make the Board aware of their responsibility in regards to reviewing and approving financial items and asking questions. Anticipated Date of Completion: Ongoing

View Audit 31237

Finding 31397 (2022-006)

Material Weakness 2022

Griggsville-Perry Community Unit School District #4

IL

Internal Control / Segregation of Duties

Finding No.: 2022-006 U.S. Department of Education ? 2021 Elementary and Secondary School Emergency Relief Fund ? CFDA No. 84.425 Condition: The District's accounting function is controlled by a limited number of individuals resulting in the inadequate segregation of duties. Plan: The District ...

Finding No.: 2022-006 U.S. Department of Education ? 2021 Elementary and Secondary School Emergency Relief Fund ? CFDA No. 84.425 Condition: The District's accounting function is controlled by a limited number of individuals resulting in the inadequate segregation of duties. Plan: The District is reviewing its financial policies and procedures to better segregate duties where possible. The Superintendent will make the Board aware of their responsibility in regards to reviewing and approving financial items and asking questions. Anticipated Date of Completion: Ongoing

View Audit 31237

Finding 31380 (2022-002)

Significant Deficiency 2022

Hospital Development Company D/b/a Roane General Hospital

WV

Special Tests & Provisions Reporting Matching / Level of Effort / Earmarking

Finding 2022-002 Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Criteria: Section 4.6 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service coverage ratio...

Finding 2022-002 Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Criteria: Section 4.6 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service coverage ratio of at least 1.25. Additionally, Section 5(j) of the Community Facilities Loan Resolution Agreement stipulates that the Hospital will not modify or amend its organizational documents, including any articles of incorporation or bylaws without the written consent of the Government. Section 4.3 of the USDA's Loan Guarantee Agreement stipulates that the borrower must maintain certain financial reporting covenants, such as debt service coverage ratio of at least 1.25 days cash on hand in excess of 65 days, and obtaining an audited fiscal year-end financial statement audited by independent certified public accountants withing one hundred ten days subsequent to year end. Condition and Context: The Hospital did not maintain a debt service coverage ratio of at least 1.25 or days cash on hand in excess of 65 days, as of September 30, 2022. Additionally, the Hospital amended its bylaws in September 2022 without written consent of the Government. The Hospital?s audited financial statements as of September 30, 2022 were issued subsequent to one hundred ten days following September 30, 2022. Corrective Action Planned: Management has contacted the financial institutions and the United States Department of Agriculture, for waivers of debt covenants to prevent triggering an event of default. Additionally, management has reviewed and modified its internal controls to ensure monitoring of ongoing compliance. Name of Contact Person Responsible for Corrective Action: Amy Downey, Chief Financial Officer, 200 Hospital Drive, Spencer, WV 25276 Anticipated Completion Date: February 17, 2023

View Audit 25654

Finding 31368 (2022-002)

Material Weakness 2022

Granger School District No. 204

WA

Subrecipient Monitoring Internal Control / Segregation of Duties Special Tests & Provisions

Finding ref number: 2022-002 Finding caption: The District did not have adequate internal controls for ensuring compliance with wage rate requirements. Name, address, and telephone of District contact person: Tammy Thompson (509) 854-3172 701 E Avenue Granger, WA 98932 Corrective action the audi...

Finding ref number: 2022-002 Finding caption: The District did not have adequate internal controls for ensuring compliance with wage rate requirements. Name, address, and telephone of District contact person: Tammy Thompson (509) 854-3172 701 E Avenue Granger, WA 98932 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for disagreement). The District Management relied upon the contracted Project Manager & company to ensure all applicable laws were followed. The District used Department of Enterprise to manage the replacement of the HVAC system at the Middle & Elementary schools, which was a recommended use of funds by WA OSPI. The District was not aware of the requirement to collect weekly, certified payroll reports from the contractor. Should the district utilize Federal Funds for future construction projects, district management will request weekly certified payrolls from the construction company. Anticipated date to complete the corrective action: 5/18/2023

View Audit 36689

Finding 31355 (2022-001)

Material Weakness 2022

Edison Board of Education

NJ

Questioned Costs Internal Control / Segregation of Duties Procurement, Suspension & Debarment

Not available at the moment

View Audit 35604 Questioned Costs: $1

Finding 31346 (2022-002)

Material Weakness 2022

Gilbert Community School District

IA

Internal Control / Segregation of Duties

The District will continue to look at best practices for internal controls to be used for the District. The District will utilize all office employees when possible to achieve the highest level of segregation of duties as possible.

View Audit 33796

Finding 31345 (2022-003)

Significant Deficiency 2022

Dekalb County

IL

Subrecipient Monitoring Reporting Matching / Level of Effort / Earmarking § 200.303

Finding 2022-003 Condition Quarterly reports submitted to the Department of Treasury are not being reviewed by someone other than the preparer. Corrective Action Plan Corrective Action Planned: Currently, the County has a review process in place, but it was not being documented properly. Going ...

Finding 2022-003 Condition Quarterly reports submitted to the Department of Treasury are not being reviewed by someone other than the preparer. Corrective Action Plan Corrective Action Planned: Currently, the County has a review process in place, but it was not being documented properly. Going forward, the County will implement a review process that will include a signature of the reviewer. Name(s) of Contact Person(s) Responsible for Corrective Action: Robert Miller, Comptroller Anticipated Completion Date: July 2023

View Audit 33794

Finding 31316 (2022-001)

Material Weakness 2022

Catholic Charities West Virginia,inc.

WV

Material Weakness Reporting Internal Control / Segregation of Duties

2022-001 Grant Revenue Condition: Catholic Charities West Virginia erroneously applied conditional contribution guidance to certain grants which did not meet the criteria for conditional contributions. This caused an overstatement of current year grant revenues and refundable advances, and an unders...

2022-001 Grant Revenue Condition: Catholic Charities West Virginia erroneously applied conditional contribution guidance to certain grants which did not meet the criteria for conditional contributions. This caused an overstatement of current year grant revenues and refundable advances, and an understatement of current year accounts receivable and net assets, along with a restatement of the prior year balances as described in Note 2 to the financial statements. Recommendation: We recommend that management review its policies and procedures surrounding grant revenue accounting to ensure recorded amounts are in accordance with accounting principles generally accepted in the United States of America (GAAP). Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: We have reviewed grant revenue guidance with staff and implemented procedures to ensure that contributions and grants are properly recognized as conditional or unconditional. Name(s) of the contact person(s) responsible for corrective action: Danielle Doerr Planned completion date for corrective action plan: February 3, 2023

View Audit 31968

Finding 31276 (2022-001)

Significant Deficiency 2022

Volunteers of America Western Washington and Subsidiary

WA

Eligibility Internal Control / Segregation of Duties

See Corrective Action Plan for chart/table

View Audit 34201

Finding 31271 (2022-002)

Significant Deficiency 2022

Volunteers of America Western Washington and Subsidiary

WA

Eligibility Internal Control / Segregation of Duties

See Corrective Action Plan for chart/table

View Audit 34201

Finding 31267 (2022-004)

Significant Deficiency 2022

Ravenwood Mental Health Center, INC

OH

Questioned Costs Cash Management Significant Deficiency § 200.516

Finding 2022-004: Allowable Costs - Significant Deficiency in Internal Control over Allowable Costs/Cost principles Official's Response and Corrective Action Plan: Prior accounting staff was gone by December 2021. New financial staff was hired and in place in the 4th quarter of April 2022. We made...

Finding 2022-004: Allowable Costs - Significant Deficiency in Internal Control over Allowable Costs/Cost principles Official's Response and Corrective Action Plan: Prior accounting staff was gone by December 2021. New financial staff was hired and in place in the 4th quarter of April 2022. We made changes in the accounting department during the past year to improve the overall functionality. Since we tripled our amount of grants, it was necessary to increase the accounting staff to maintain them, as well as increase overall efficiencies. We now have a staff of 4 accountants, as well as a new CFO with nonprofit/grant experience. The late filling of vacant positions delayed some of our internal processes during their training. We added monthly meetings with internal staff to make sure we have a good communication flow and appropriate documentation for new and existing grants which are monitored monthly Anticipated Completion Date: June 30, 2023

View Audit 31455 Questioned Costs: $1

Finding 31264 (2022-003)

Significant Deficiency 2022

Stockton Port District

CA

Reporting Significant Deficiency Matching / Level of Effort / Earmarking § 200.303

Finding 2022-003 Federal Agency: U.S. Department of Homeland Security Federal Financial Assistance Listing: 97.056 Applicable Federal Award Number: EMW-2019-PU-00447 & EMW-2020-PU-00288 Program Name: Port Security Grants Program Compliance Requirement: Reporting Type of Finding: Significant Deficien...

Finding 2022-003 Federal Agency: U.S. Department of Homeland Security Federal Financial Assistance Listing: 97.056 Applicable Federal Award Number: EMW-2019-PU-00447 & EMW-2020-PU-00288 Program Name: Port Security Grants Program Compliance Requirement: Reporting Type of Finding: Significant Deficiency, Instance of Non-compliance Views of Responsible Officials: We concur. Corrective Action Plan: Update reporting procedures to include documentation of the individual that prepared the semi-annual performance reports Responsible Individual(s): Steve Larson, Grants Manager Jeff Wingfield, Deputy Port Director, Regulatory & Public Affairs Anticipated Completion Date: Procedures to be updated by March 31, 2023.

View Audit 30245

Finding 31256 (2022-001)

Material Weakness 2022

Lynnville-Sully Community School District

IA

Internal Control / Segregation of Duties

We will continue to review our procedures and implement additional controls where possible.

View Audit 26590

Finding 31247 (2022-001)

None 2022

Newbury Elderly Housing, Inc.

NH

HUD Housing Programs Reporting Internal Control / Segregation of Duties

No corrective action necessary, completed prior to year end. See finding.

View Audit 26553

Finding 31245 (2022-004)

Significant Deficiency 2022

Lac Qui Parle County

MN

Procurement, Suspension & Debarment Internal Control / Segregation of Duties

2022-004 Suspension and Debarment Federal Agency: U.S. Department of Treasury Federal Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Compliance Requirement Affected: Suspension and Debarment Award Period: Year-Ended December 31, 2022 Typ...

2022-004 Suspension and Debarment Federal Agency: U.S. Department of Treasury Federal Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Compliance Requirement Affected: Suspension and Debarment Award Period: Year-Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: We recommend County management design procedures and controls to ensure compliance with suspension and debarment provisions. Before entering into a contract, a check should be performed and retained to support the contractor status. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will implement a process to ensure that reviews over suspension and debarment criteria are documented. Name of the contact person responsible for corrective action plan: Jake Sieg, County Administrator Planned completion date for corrective action plan: December 31, 2023

View Audit 25731

Finding 31234 (2022-001)

Material Weakness 2022

Benton Harbor Area Schools

MI

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties § 200.430

Department: Grants Condition: The District did not maintain adequate support documentation to substantiate salaries and wages charged to the Title I, Part A grant. Corrective Action: At the start of the 2022-23 school year BHAS implemented a new process to monitor staff salaries funded using title...

Department: Grants Condition: The District did not maintain adequate support documentation to substantiate salaries and wages charged to the Title I, Part A grant. Corrective Action: At the start of the 2022-23 school year BHAS implemented a new process to monitor staff salaries funded using title funds. An online platform was created for staff to fill out and submit ?Time and Effort? logs to their building principals for signature All staff funded in this manner were required to attend a 30-minute PD about how to fill out their logs each week and how to submit online to their principals. Once principals reviewed logs, they upload them to a shared drive folder created by building, month, and weekending. Grant Coordinator and Grant Account then reviews folders on a monthly basis and if individual logs are missing a notice is sent to that building principal and individual to complete and submit missing ?Time and Effort? sheet. Person(s) Responsible for Executing Corrective Action: ? Grant Coordinator ? Grant Accountant ? Building Principals ? Funded Staff Member Anticipated Completion Date: 12/31/22

View Audit 30731 Questioned Costs: $1

Finding 31233 (2022-001)

Significant Deficiency 2022

Valley Crossroads, Inc.

UT

HUD Housing Programs Procurement, Suspension & Debarment Allowable Costs / Cost Principles

1. Finding 2022-001 a. Comments on the Finding and Each Recommendation: Management agrees with the finding. b. Action(s) Taken or Planned on the Finding The Corporation will take the following steps: (1) Develop a plan to address staffing and turnover issues: we will work with the HR department to d...

1. Finding 2022-001 a. Comments on the Finding and Each Recommendation: Management agrees with the finding. b. Action(s) Taken or Planned on the Finding The Corporation will take the following steps: (1) Develop a plan to address staffing and turnover issues: we will work with the HR department to develop a plan to address staffing and turnover issues. This may include conducting a salary and benefits review to ensure that we are competitive in the market, providing opportunities for professional development and growth, and creating a positive work environment; (2) Prioritize the completion of annual recertifications: we will work with the team to prioritize the completion of annual recertifications. This will involve allocating additional resources, if necessary, and bringing in outside help to complete the recertifications on time; (3) Develop a monitoring plan: we will develop a monitoring plan to ensure that annual reexaminations are completed on time. This will include regular checks of tenant files and random sampling to ensure compliance with the regulations; (4) Train staff: we will ensure that all staff involved in the annual reexamination process are trained on the importance of completing them on time, the potential consequences of failing to do so, and the regulations and policies related to annual reexaminations; and (5) Implement a tracking system: we will implement a tracking system to ensure that annual reexaminations are completed on time. The system will include reminders for staff and tenants and a process for tracking the progress of each recertification.

View Audit 36537

Corrective Action Plans

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