Corrective Action Plans

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Contact Person Karen Lunak, Housing Director Corrective Action Plan The HRA will take steps to ensure if an inspection item fails, it will be followed up within 30 days with a note in the file explaining the reason. Housing Staff will use Outlook or other reminder systems to check on the progress of...
Contact Person Karen Lunak, Housing Director Corrective Action Plan The HRA will take steps to ensure if an inspection item fails, it will be followed up within 30 days with a note in the file explaining the reason. Housing Staff will use Outlook or other reminder systems to check on the progress of the inspection. Housing Director will run a monthly report for review and oversight of all failed inspections to verify completion or follow up needed. Planned Completion Date for CAP Started using reminders and monthly reports August 2022.
Federal Agency: U.S. Department of Education Federal Program Name: Special Education Cluster Assistance Listing Number: 84.027 and 84.173 Federal Award Identification Number and Year: H027A220087, 2022 Pass-Through Agency: Minnesota Department of Education Pass-Through Numbers: H027A210087, H027X210...
Federal Agency: U.S. Department of Education Federal Program Name: Special Education Cluster Assistance Listing Number: 84.027 and 84.173 Federal Award Identification Number and Year: H027A220087, 2022 Pass-Through Agency: Minnesota Department of Education Pass-Through Numbers: H027A210087, H027X210087, H173A210086, H173X210086 Award Period: July 1, 2021 ? September 30, 2022 Type of Finding: Significant Deficiency in Internal Control Over Compliance and Compliance Finding Criteria or Specific Requirement: The Uniform Guidance requires charges to Federal awards for salaries and wages must be based on records that accurately reflect the work performed. In addition, these records must be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated, be incorporated into the official records of the entity, and reasonable reflect the total activity for which the employee is compensated. Condition: During our testing of a sample of payroll transactions charged to the grant we noted not all transactions were supported by properly approved documentation. Context: Of a sample of 40 payroll disbursement charged to the grant we noted one disbursement for which an employee was overpaid by $125.76. This amount was not charged to the grant. Questioned Costs: None. Cause: The District?s controls did not catch the fact that the employee`s sick time was paid out at a fulltime rate of 8 hours rather than 7.2 as the employee was a 0.9 FTE. Effect: The District was not in compliance with the Uniform Guidance requirements around cost principles and time and effort documentation. Repeat Finding: This is not a repeat finding. Recommendation: We recommend the District reviews its procedures and controls over payroll to ensure employees are paid their approved wages. Views of Responsible Officials: There is no disagreement with the audit finding.
Federal Agency: U.S. Department of Education Federal Program Name: Special Education Cluster (IDEA) Assistance Listing Number: 84.027 and 84.173 Federal Award Identification Number and Year: H027A220087, 2022 Pass-Through Agency: Minnesota Department of Education Pass-Through Numbers: H027A210087, H...
Federal Agency: U.S. Department of Education Federal Program Name: Special Education Cluster (IDEA) Assistance Listing Number: 84.027 and 84.173 Federal Award Identification Number and Year: H027A220087, 2022 Pass-Through Agency: Minnesota Department of Education Pass-Through Numbers: H027A210087, H027X210087, H173A210086, H173X210086 Award Period: July 1, 2021 ? September 30, 2022 Type of Finding: Material Weakness in Internal Control Over Compliance and Material Noncompliance (Modified Opinion) Criteria or Specific Requirement: IDEA, Part B funds received by a District cannot be used to reduce the level of expenditures for the education of children with disabilities made by the District from local funds, or a combination of state and local funds, below the level of those expenditures for the preceding fiscal year. Condition: During our testing of the District?s maintenance of effort, it was noted that the District?s expenditures from state and local funds for the education of children with disabilities decreased from fiscal year 2021 2022, both in total and per student. Context: Total expenditures for the education of children with disabilities made by the District from state and local funds decreased $1,218,450, or 1.07%, while expenditures per students with IEPs decreased $856 per student, or 5.19%. Questioned Costs: None. Cause: The District did not have an internal control in place to ensure this requirement was being met so it was not properly being monitored. Effect: The District was not in compliance with the Special Education Cluster maintenance of effort compliance requirement. Repeat Finding: This is not a repeat finding. Recommendation: We recommend the District reviews its procedures and controls over calculating and monitoring its maintenance of effort throughout the year to ensure that amounts are sufficiently budgeted for and planned to meet the maintenance of effort requirement. Views of Responsible Officials: There is no disagreement with the audit finding.
Department of Justice Collier County Child Advocacy Council, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings...
Department of Justice Collier County Child Advocacy Council, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 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 Justice 2022-001 Victims of Crime Assistance (VOCA) ? Assistance Listing No. 16.575 Recommendation: Collier County Child Advocacy Council, Inc. should develop controls to ensure potential vendors are checked for suspension or disbarment prior to awarding contracts. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Children?s Advocacy Center will develop a formal procurement checklist, in addition to the existing procurement policy, that will require all project vendors be checked for suspension or disbarment prior to awarding contracts, regardless of funder. Name(s) of the contact person(s) responsible for corrective action: Robert Wilkinson Planned completion date for corrective action plan: 3/31/2023 If the Department of Justice has questions regarding this plan, please call Robert Wilkinson at 239-544-3045.
U.S. Department of Housing and Urban Development The Housing and Redevelopment Authority of St. Cloud, Minnesota (St. Cloud HRA MN038) respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Redpath and C...
U.S. Department of Housing and Urban Development The Housing and Redevelopment Authority of St. Cloud, Minnesota (St. Cloud HRA MN038) respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Redpath and Company 55 E 5th Street Suite 1400 St. Paul, MN 55101 Audit period: Year ended December 31, 2022 The finding from the December 31, 2022 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDING ? FEDERAL AWARD PROGRAMS AUDIT SIGNIFICANT DEFICIENCY Finding 2022-001: Housing Voucher Cluster ? Section 8 Housing Choice Vouchers Program ? ALN No. 14.871 ? Lack of Adherence to Policies in Administrative Plan ? Reopening the Waitlist Corrective Action: Additional controls will be implemented which should ensure that the required publication is taking place. The Administrative Services Manager will provide the Voucher Programs Manager with confirmation that the notice is scheduled for publication. The Voucher Programs Manager will review the notice in the publication once it is published. Completion Date: April 17, 2023 If the U.S. Department of Housing and Urban Development has questions regarding this plan, please call Louise Reis at 320-202-3145. Sincerely yours, Louise Reis Executive Director
Finding 29915 (2022-001)
Significant Deficiency 2022
The Board President and Secretary of Ebenezer Towers met at the bank on April 20, 2023 and completed the transfer.
The Board President and Secretary of Ebenezer Towers met at the bank on April 20, 2023 and completed the transfer.
2022-003 Auditors Findings:- During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. ...
2022-003 Auditors Findings:- During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Corrective Action:- 2022-003 During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.
2022-004 Review of Grant Reporting Contact Person ? Perry Lundon, CEO Planned Corrective Action ? Entity management has discussed the process around grant report preparation and will reinstate the review of grant reports going forward. Completion Date ? Fiscal year 2023
2022-004 Review of Grant Reporting Contact Person ? Perry Lundon, CEO Planned Corrective Action ? Entity management has discussed the process around grant report preparation and will reinstate the review of grant reports going forward. Completion Date ? Fiscal year 2023
2022-003 Schedule of Expenditure of Federal Award Preparation Contact Person ? Perry Lundon, CEO Planned Corrective Action ? The fiscal manager will continue to pull fund income statements by fiscal year to assist in tracking and reconciling grant expenditures. Completion Date ? Fiscal year 2023
2022-003 Schedule of Expenditure of Federal Award Preparation Contact Person ? Perry Lundon, CEO Planned Corrective Action ? The fiscal manager will continue to pull fund income statements by fiscal year to assist in tracking and reconciling grant expenditures. Completion Date ? Fiscal year 2023
All required deposits to the Replacement Reserve have now been made.
All required deposits to the Replacement Reserve have now been made.
Finding 2022-002 U.S Department of State ...
Finding 2022-002 U.S Department of State Professional and Cultural Exchange Programs - Citizen Exchanges ? Assistance Listing No. 19.415 Recommendation: We recommend American Institute For Foreign Study Foundation, Inc. design controls to ensure an adequate review process is in place to review the period of costs incurred to ensure costs are charged to awards in the proper period. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will review more closely to ensure costs are charged to awards within the period of performance. They note that all costs being charged to awards are grant related regardless of the period and that they consistently do not use all approved grant awards. Name of the contact person responsible for corrective action: James Mahoney, CFO Planned completion date for corrective action plan: September 15, 2023 If the U.S. Department of State has questions regarding this plan, please call James Mahoney at 203-399-5143.
Information of the federal program: Federal Grantor: United States Department of the Treasury Assistance Listing No.: 21.027, COVID-19 Coronavirus State and Local Fiscal Recovery Funds Pass-Through Grantor: State of Tennessee Department of Health Ascension Ministry Market: Tennessee Pass-Through Awa...
Information of the federal program: Federal Grantor: United States Department of the Treasury Assistance Listing No.: 21.027, COVID-19 Coronavirus State and Local Fiscal Recovery Funds Pass-Through Grantor: State of Tennessee Department of Health Ascension Ministry Market: Tennessee Pass-Through Award Number: 34352-93122, 34352-90022, 34352-69822 Pass-Through Award Period: 07/06/2021?Ongoing Pass-Through Grantor: Michigan Health & Hospital Association Ascension Ministry Market: Michigan Pass-Through Award Number: Not applicable Pass-Through Award Period: 12/01/2021?09/30/2023 Pass-Through Grantor: Kansas Department of Health & Environment Ascension Ministry Market: Kansas Pass-Through Award Number: Not applicable Pass-Through Award Period: 09/01/2021?02/28/2022 Views of responsible officials: As of February 1, 2023, Ascension has implemented a team calendar that tracks due dates of all reports required to be submitted under federal programs. This calendar is accessible to all team members, including management, for oversight and accountability. Responsible Official: Jennifer Huettl, Accounting Manager, Grants & Research Finance Anticipated completion date: Completed February 1, 2023
CORRECTIVE ACTION PLAN March 29, 2023 Montgomery County, VA respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit period: Jun...
CORRECTIVE ACTION PLAN March 29, 2023 Montgomery County, VA respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit period: June 30, 2022 The findings from the June 30, 2022 Schedule of Findings and Questioned Costs (the ?Schedule?) are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS ? FINANCIAL STATEMENT AUDIT 2022-001: Segregation of Duties (Material Weakness) Condition: A proper segregation of duties has not been established in functions related to payroll, accounts payable, accounts receivable, cash disbursements, and financial reporting. Criteria: A fundamental concept of internal controls is the separation of duties. No one employee should have access to both physical assets and the related accounting records, or to all phases of a transaction. Cause: The size of the County?s account staff and cost/benefit to minimize conflicting duties prohibits complete adherence to segregation of duties. Effect: A lack of segregation of duties exposes the County and School Board to a heightened risk of misappropriation. Recommendation: Steps should be taken to eliminate performance of conflicting duties, where possible, or to implement effective compensating controls. Corrective Action: The County and School Board have taken all steps deemed practical and cost beneficial to minimize conflicting duties. FINDINGS AND QUESTIONED COSTS ? MAJOR FEDERAL AWARD PROGRAM AUDIT 2022-002: SNAP Cluster ? State Administrative Matching Grants for the Supplemental Nutrition Assistant Program ? ALN #10.561, Eligibility Compliance Requirement impacted ? Eligibility Condition: Social Services did not verify the social security number for a household member in one out of twenty five applications selected for testing which were used to determine eligibility and benefit levels. Criteria: Under the requirements in the Uniform Guidance, social security numbers for all household members are required to be verified when applying for SNAP benefits. Cause: Social Services typically verifies all social security numbers for all household members included in the application for benefits, however, one household member was overlooked during the verification process. Effect: The lack of proper social security number verification could result in improper use of on an ineligible individual. Questioned Costs: None Perspective Information: One individual was not verified on one application out of twenty-five household applications selected. Repeat Finding: No Recommendation: Management should implement a procedure to ensure that social security numbers for all household members are properly verified. Corrective Action: Social Services will put into place a procedure to ensure that all social security numbers are verified during the eligibility determination process. If the Federal Audit Clearinghouse has questions regarding this plan, please call Lisa Rayne, Finance Director at (540) 382-6960 for finding 2022-001 and Kelly Edmonson, Social Services Director at (540) 382-6990 for finding 2022-002. Sincerely yours, Lisa Rayne Finance Director Kelly Edmonson Social Services Director
Supporting Data will be retrieved and documented for FY 2021. Furthermore, all future reports will require detail list of all numbers associated with the report will be filed or stored for future possible inquiries from official or responsible parties
Supporting Data will be retrieved and documented for FY 2021. Furthermore, all future reports will require detail list of all numbers associated with the report will be filed or stored for future possible inquiries from official or responsible parties
Finding 2022-03: Allowed and unallowed costs. District Response: A. Federal budgets will be reviewed on a monthly basis and revised as needed. B. Kim Hamm: Federal Programs Director and Julie Clark: Special Services Director C. July 1, 2023
Finding 2022-03: Allowed and unallowed costs. District Response: A. Federal budgets will be reviewed on a monthly basis and revised as needed. B. Kim Hamm: Federal Programs Director and Julie Clark: Special Services Director C. July 1, 2023
View Audit 25360 Questioned Costs: $1
Finding 2022-001: Time and effort reporting Department of Education Passed through the New York State Department of Education 84.027, 84.173 Special Education Cluster Condition/Criteria: Under 2 CFR 200.430, Uniform Guidance requires that payroll systems must be based on records that accurately refl...
Finding 2022-001: Time and effort reporting Department of Education Passed through the New York State Department of Education 84.027, 84.173 Special Education Cluster Condition/Criteria: Under 2 CFR 200.430, Uniform Guidance requires that payroll systems must be based on records that accurately reflect the work performed and are supported by a system of internal controls that provides reasonable assurances that charges are accurate; allowable and reasonable; and properly allocated. Although the District does have a process to track time and effort within the grants, the District did not have proper reporting performed during the school year for teachers that were tested under the grant. Their internal controls failed to detect the lack of reporting performed. Context: A sample of 2 out of 11 employees were haphazardly selected for testing. This was not a statistically valid sample. Cause. The District does not currently have records that support time and effort for teachers under the grant. Effect? The District is not in compliance with time and effort reporting. Recommendation: We recommend the District examine the control procedures in place related to this area and ensure they are designed sufficiently for the District to meet the requirement of 2 CFR 200.430 under Uniform Guidance. Action Taken: Starting September 2022, any staff member who is either fully or partially compensated from a grant has signed a monthly statement noting the hours worked, percentage of his or her FTE funded, and the grant source. This statement is also signed by his or her supervisor.
2022 ? 001 COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completed in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management has report...
2022 ? 001 COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completed in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management has reported Covid-19 expenses to cover the Period 4 funding received. Management has additionally identified additional Covid-19 expenses that were not included with the Period 4 submission that they believe would offset the issue identified above. Action taken in response to finding: The Hospital will ensure that controls are put into place to ensure lost revenue reporting is completed in accordance with HHS guidelines. Name of the contact person responsible for corrective action: Carli Taylor, CFO. Planned completion date for corrective action plan: October 1, 2023.
Corrective Action Plan and Views of Responsible Officials The District has implemented a team comprised of the Associated Superintendents of Business and Education Services and Directors of Fiscal and Technology Services to implement a need assessment before any spending takes place. This group wil...
Corrective Action Plan and Views of Responsible Officials The District has implemented a team comprised of the Associated Superintendents of Business and Education Services and Directors of Fiscal and Technology Services to implement a need assessment before any spending takes place. This group will review and evaluate all processes associated with the program before implementation. All items purchased will be tracked using the new inventory software, and a log with be kept to maintain a record of the assigned in and out of equipment. Implementing this new process will eliminate this finding from re-occurring.
Corrective Action Plan and Views of Responsible Officials The Director of Fiscal Services and payroll staff will collaborate with site administrators to ensure all timecards relating to federal programs are pre-approved before submitting them to payroll for processing. In addition, payroll will not...
Corrective Action Plan and Views of Responsible Officials The Director of Fiscal Services and payroll staff will collaborate with site administrators to ensure all timecards relating to federal programs are pre-approved before submitting them to payroll for processing. In addition, payroll will not process timecards without prior approval.
Finding Number: 2022-001 Lack of Segregation of Duties Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We are always working towards separating the tasks in order to maintain proper segregation of duties the best we can with the amount of staf...
Finding Number: 2022-001 Lack of Segregation of Duties Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We are always working towards separating the tasks in order to maintain proper segregation of duties the best we can with the amount of staff that we currently have. We have determined that the costs outweigh the benefit of hiring additional staff. Name of Responsible Person: Ron Johnson, District Accountant Projected Implementation Date: Estimated, June 2023
2022-003 Planned Corrective Action: Management has just recently begun the creation of both individual grant calendars as well as a shared master grants calendar. These are Outlook based and shared with project staff responsible for submitting the various reports. A new protocol is being developed w...
2022-003 Planned Corrective Action: Management has just recently begun the creation of both individual grant calendars as well as a shared master grants calendar. These are Outlook based and shared with project staff responsible for submitting the various reports. A new protocol is being developed which requires the responsible employee for each reporting deadline to add those dates to their personal calendars and to either update the shared Outlook calendar with submission dates or notify the organizational Grants Manager (currently the staff accountant) when each report is submitted. The Grants Manager will be responsible for oversite of grant reporting deadlines. Responsible Person: Angelique Leis Date of Completion: July 27, 2023
2022-002 Planned Corrective Action: Every year the Organization complies with an in-depth compliance review for LSC in which at least 75 cases that were closed in the previous grant year are randomly selected using an LSC designated randomization process. Those cases are then individually reviewed f...
2022-002 Planned Corrective Action: Every year the Organization complies with an in-depth compliance review for LSC in which at least 75 cases that were closed in the previous grant year are randomly selected using an LSC designated randomization process. Those cases are then individually reviewed for 13 LSC designated errors, in a process called Self Inspection. The resulting information is collected and reported to LSC as part of Ongoing Compliance Oversight. Finally, the Organization must submit a Self-Inspection Certification and Summary Form which lists the number of cases where errors were identified. This process allows the organization to identify trends and make adjustments to protocols and training on an annual basis . The Organization has put in place all necessary protocols to ensure compliance with LSC regulations regarding assessing and documenting client eligibility. Ongoing training and oversight will be provided to intake staff and caseworkers throughout the year to ensure compliance. Responsible Person: Emma Sisti Date of Completion: December 31, 2023
Finding 29466 (2022-001)
Significant Deficiency 2022
Finding 2022-001 Lack of Internal Controls over Reporting Name of Contact Person: Dr. Madeline Aguillard, Superintendent maguillard@kuspuk.org 907-675-4250 Corrective Action Plan: Occasionally, circumstances won?t allow us to complete timely submission of financial reports for our grants....
Finding 2022-001 Lack of Internal Controls over Reporting Name of Contact Person: Dr. Madeline Aguillard, Superintendent maguillard@kuspuk.org 907-675-4250 Corrective Action Plan: Occasionally, circumstances won?t allow us to complete timely submission of financial reports for our grants. This was one of those circumstances. However, we will work to cross-train our staff to ensure that reports will be filed timely in the event that our primary grant managers are unavailable at the different school sites. We understand the need for a back-up plan when these situations arise. Proposed Completion Date: January 31, 2023
Corrective Action Plan: 1. Create a comprehensive timeline (from engagement letter to distribution of final audit) for the auditing process that drives all departments associated with the auditing procedure. 2. Yearly review of auditing timeline with the current auditor for the purpose of making adj...
Corrective Action Plan: 1. Create a comprehensive timeline (from engagement letter to distribution of final audit) for the auditing process that drives all departments associated with the auditing procedure. 2. Yearly review of auditing timeline with the current auditor for the purpose of making adjustments. Anticipated Completion Date: 1. November 1, 2023 (rough draft is already completed) 2. 30-45 days prior to signing of engagement letter
Corrective Action Plan: 1. Evaluate the financial department to ensure the correct number and types of personnel are in place. 2. Review the current Financial Policies and Procedures. 3. Update Financial Policies and Procedures where necessary. 4. Greater accountability for the meeting of deadlines ...
Corrective Action Plan: 1. Evaluate the financial department to ensure the correct number and types of personnel are in place. 2. Review the current Financial Policies and Procedures. 3. Update Financial Policies and Procedures where necessary. 4. Greater accountability for the meeting of deadlines established in financial policies and procedures. Anticipated Completion Date: 1. October 15, 2023 2. December 1, 2023 3. March 1, 2024 4. Ongoing
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