Corrective Action Plans

Finding 479703 (2021-003)

Material Weakness 2021

City of Pekin

IL

Internal Control / Segregation of Duties

The Director of Finance, along with staff, will review and perform monthly bank reconciliations on a timely basis and investigate any variances. Staff will review and make journal entries in real time as they occur to better prepare for monthly reconciliations. Reviewing transactions daily enables e...

The Director of Finance, along with staff, will review and perform monthly bank reconciliations on a timely basis and investigate any variances. Staff will review and make journal entries in real time as they occur to better prepare for monthly reconciliations. Reviewing transactions daily enables efficient reconciliations as supporting documents will be readily available.

View Audit 316258

Finding 479701 (2021-001)

Material Weakness 2021

City of Pekin

IL

Cash Management Internal Control / Segregation of Duties

The Director of Finance, along with staff, will evaluate all revenues, receivables, payable, and expenses as part of the audit preparation process and prepare fully adjusted financial statements prior to audit fieldwork. The Finance Department will conduct monthly reconciliations and perform month e...

The Director of Finance, along with staff, will evaluate all revenues, receivables, payable, and expenses as part of the audit preparation process and prepare fully adjusted financial statements prior to audit fieldwork. The Finance Department will conduct monthly reconciliations and perform month end closing procedures to better prepare for audits. The month end closing procedures should ensure that all expenses are allocated appropriately between funds prior to year-end adjustments.

View Audit 316258

Finding 479128 (2021-003)

Material Weakness 2021

Wyola School District No. 29

MT

Questioned Costs Internal Control / Segregation of Duties

The District is currently taking steps to provide adequate control over the payroll process. This includes the review of each payroll by the Superintendent and Financial Consultant. The newly hired Superintendent is overseeing all Human Resources functions at the District.

View Audit 315621 Questioned Costs: $1

Finding 478559 (2021-007)

Material Weakness 2021

City of Adelanto

CA

Subrecipient Monitoring Reporting Matching / Level of Effort / Earmarking

Corrective action has been immediately implemented in response to the auditors' recommendation. As financial reporting is still in process of getting to current, the City anticipates findings to be reduced in future fiscal years.

View Audit 315185

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

1. Review and Revise Payroll Policies and Procedures August 2024 Fiscal Staff/Management Team Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensat...

1. Review and Revise Payroll Policies and Procedures August 2024 Fiscal Staff/Management Team Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

2. Board of Director and Policy Council approval of revised Policies and Procedures September 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal servi...

2. Board of Director and Policy Council approval of revised Policies and Procedures September 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

3. Training Staff on Revised Policies and Procedures September 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial 10 management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation ...

3. Training Staff on Revised Policies and Procedures September 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial 10 management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

4. Implement revise Policies and Procedures October 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benef...

4. Implement revise Policies and Procedures October 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

5. Monitor Implementation of the policies and procedures November 2024 Executive Director Payroll Policies and Procedures and Payroll reports from payrolls system Uniform Guidance 45 CFR Part 75.342 Monitoring and reporting program performance and 45 CFR Part 75.302(b)(3) Financial management and st...

5. Monitor Implementation of the policies and procedures November 2024 Executive Director Payroll Policies and Procedures and Payroll reports from payrolls system Uniform Guidance 45 CFR Part 75.342 Monitoring and reporting program performance and 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

6. Provide copies of the reports to the Executive Director, Board and Policy council November 2024 Executive Director Monitoring summary report and Payroll reports from payrolls system Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems 11 an...

6. Provide copies of the reports to the Executive Director, Board and Policy council November 2024 Executive Director Monitoring summary report and Payroll reports from payrolls system Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems 11 and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

7. If necessary, conduct additional revision to the policies and procedures. November 2024 Executive Director & Management Team Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - pers...

7. If necessary, conduct additional revision to the policies and procedures. November 2024 Executive Director & Management Team Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

8. Conduct follow-up monitoring to ensure fully implementation. December 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compen...

8. Conduct follow-up monitoring to ensure fully implementation. December 2024 Executive Director Payroll Policies and Procedures Uniform Guidance 45 CFR Part 75.302(b)(3) Financial management and standards for financial management systems and 75.430 Compensation - personal services and 75.431 Compensation - fringe benefits.

View Audit 315155

Finding 478526 (2021-004)

Material Weakness 2021

Child Development Council of Franklin County

OH

Internal Control / Segregation of Duties

9. Complete Summary Schedule January 2025 Executive Director Summary Schedule Uniform Guidance 45 CFR Part 75.511 Audit findings follow-up

View Audit 315155

Finding 478306 (2021-002)

Material Weakness 2021

City of Compton

CA

HUD Housing Programs Material Weakness Reporting

Management Response and Corrective Action Plan City's Response: The City concurs with the recommendation. Corrective Action Plan: The City Controller's Office drafted a grants policy that is currently under review by City Management. Community development staff will ensure a succession plan is in pl...

Management Response and Corrective Action Plan City's Response: The City concurs with the recommendation. Corrective Action Plan: The City Controller's Office drafted a grants policy that is currently under review by City Management. Community development staff will ensure a succession plan is in place for any staff turnover and for report preparation compliance. Planned Implementation Date: December 31, 2024 Responsible Person(s): City Manager, Community Development Director, and City Controller

View Audit 314981

Finding 478182 (2021-001)

Material Weakness 2021

La'i'opua 2020

HI

Reporting Internal Control / Segregation of Duties

In response to the negative finding of the 2019, 2020 and 2021 audits, immediate actions have been taken by L2020 to address the issues and prevent reoccurrence in the future. The individuals who were previously responsible for financial reporting and cash management during the audit are no longer e...

In response to the negative finding of the 2019, 2020 and 2021 audits, immediate actions have been taken by L2020 to address the issues and prevent reoccurrence in the future. The individuals who were previously responsible for financial reporting and cash management during the audit are no longer employed at L2020. Going forward, Rebecca “Kawehi” Inaba, appointed as the Executive Director in late 2021, will take charge of ensuring that L2020 remains compliant with all financial requirements, including conducting audits in a timely manner. The organization expresses confidence in her ability to keep L2020 up to date with all financial obligations. In an effort to enhance control and oversight, L2020 will be instituting a quality control review process for all forthcoming report submissions. This measure aims to identify any discrepancies or delays in submissions, enabling corrective actions to be taken promptly. L2020 remains dedicated to upholding transparency and accountability in their financial practices. These proactive steps are crucial in enhancing processes and performance. The organization appreciates understanding and support as they strive for improved financial management practices at L2020.

View Audit 314855

Finding 406473 (2021-002)

Significant Deficiency 2021

Leech Lake Tribal College

AZ

Reporting Significant Deficiency Matching / Level of Effort / Earmarking § 200.328

The College will ensure that all grant reports are reviewed in detail and information reported will be traced to the source reports by the reviewer. The College also implemented policies and procedures to ensure all grant reports are submitted prior to the due date.

View Audit 311635

Finding 406469 (2021-001)

Material Weakness 2021

Leech Lake Tribal College

AZ

Material Weakness Reporting Internal Control / Segregation of Duties § 200.512

Management has implemented policies and procedures to ensure the timely submission of single audit reporting package.

View Audit 311635

Finding 406447 (2021-006)

Significant Deficiency 2021

City of Jersey City

NJ

Internal Control / Segregation of Duties Cash Management HUD Housing Programs

Corrective Action: The Chief Financial Officer will oversee efforts to close out the old accounts in a timely manner and make sure all systems are reconciled. Internal controls have been set into place to ensure future compliance. The Municipal Comptroller will train and continue to work closely wi...

Corrective Action: The Chief Financial Officer will oversee efforts to close out the old accounts in a timely manner and make sure all systems are reconciled. Internal controls have been set into place to ensure future compliance. The Municipal Comptroller will train and continue to work closely with personnel in charge of reporting and processing IDIS and vouchers drawdowns. The Division of Accounts & Control will continue to maintain a sub-ledger to ensure IDIS and the City’s financial system tie out prior to the processing of any payments, and each payment request will require an IDIS activity reference number in order to be processed. Monthly reconciliation of funds has been implemented and copies are sent to US HUD on a monthly basis. In addition, the City has hired a 3rd party grant consultant to help navigate and strengthen our overall processes. Implementation Date: Ongoing

View Audit 311633

Finding 406040 (2021-003)

Significant Deficiency 2021

Hospital Damas INC

PR

Subrecipient Monitoring Allowable Costs / Cost Principles Reporting § 200.512

Finding No. 2021-003 – Reporting - Late filing of data collection form and reporting package Corrective Action Plan Commencing immediately, Mr. José R. Rodríguez, Accounting Manager, will be the designated officer in charge of concluding all necessary procedures, including the audit of financial sta...

Finding No. 2021-003 – Reporting - Late filing of data collection form and reporting package Corrective Action Plan Commencing immediately, Mr. José R. Rodríguez, Accounting Manager, will be the designated officer in charge of concluding all necessary procedures, including the audit of financial statements and single audit, for the Hospital to file its reporting package within it´s due date, as required by the CFR. Also, Mr. Julio Colón, Chief Financial Officer, will be the designated officer in charge of supervising and monitoring compliance with timely submittance each year. Name (s) of the Contact Person (s) Responsible for Corrective Action Mr. Julio Colón, Chief Financial Officer Anticipated Completion Date December 2024

View Audit 311582

Finding 406039 (2021-002)

Significant Deficiency 2021

Hospital Damas INC

PR

Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303

Finding No. 2021-002 - Reporting Corrective Action Plan On July 29, 2022, all pending reports were submitted to AAFAF. Also, commencing immediately, Mr. José R. Rodríguez, Accounting Manager, will be de designated officer in charge of submitting the report by its due date and Mr. Julio Colón, Chief ...

Finding No. 2021-002 - Reporting Corrective Action Plan On July 29, 2022, all pending reports were submitted to AAFAF. Also, commencing immediately, Mr. José R. Rodríguez, Accounting Manager, will be de designated officer in charge of submitting the report by its due date and Mr. Julio Colón, Chief Financial Officer, will be de designated officer in charge of supervising and monitoring compliance with timely submittance each month. Name (s) of the Contact Person (s) Responsible for Corrective Action Julio Colón, Chief Financial Officer Anticipated Completion Date Completed on July 29, 2022

View Audit 311582

Finding 404941 (2021-008)

None 2021

Clark County Fiscal Court

KY

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Subrecipient Monitoring § 200.303

County Judge/Executive’s Response: The Fiscal Court has contracted with Compass to ensure are compliant.

View Audit 311338

Finding 404940 (2021-007)

Material Weakness 2021

Clark County Fiscal Court

KY

Questioned Costs Allowable Costs / Cost Principles Cash Management § 200.303

County Judge/Executive’s Response: The Fiscal Court has contracted with Compass to ensure that expenses for Federal Reimbursement are eligible for reimbursement.

View Audit 311338 Questioned Costs: $1

Finding 404909 (2021-005)

Significant Deficiency 2021

Iroquois Memorial Hospital

IL

Internal Control / Segregation of Duties Reporting Significant Deficiency

The CFO of Iroquois Memorial Hospital and Resident Home worked in fiscal year 2024 to catch up past audits and is working to catch-up account reconciliations and have proper support for balances within the general ledger and financial statements. This will also allow for timely filing of Uniform Gui...

The CFO of Iroquois Memorial Hospital and Resident Home worked in fiscal year 2024 to catch up past audits and is working to catch-up account reconciliations and have proper support for balances within the general ledger and financial statements. This will also allow for timely filing of Uniform Guidance audits in the future. The audits for the years ended September 30, 2023, 2022, and 2021, were completed and dated June 28, 2024; whereas under prior management of the hospital the last financial statement for the year ended September 30, 2020 was completed by the current management team in 2023 as was left uncompleted by prior hospital management. The team at the Organization plans to continue to be timely with audits in the future.

View Audit 311307

Finding 404908 (2021-004)

Significant Deficiency 2021

Iroquois Memorial Hospital

IL

Allowable Costs / Cost Principles Cash Management Reporting

The CFO and accounting team at Iroquois Memorial Hospital and Resident Home worked with its financial statement auditors and the HRSA audit support desk for Provider Relief Funds to identify a plan to update its documentation as well as update its internal records to reflect allowable costs under th...

The CFO and accounting team at Iroquois Memorial Hospital and Resident Home worked with its financial statement auditors and the HRSA audit support desk for Provider Relief Funds to identify a plan to update its documentation as well as update its internal records to reflect allowable costs under the program. One of the updates included utilization of additional lost revenue to cover nonallowable expenses under the first phases of reporting for Provider Relief Funds due to elimination of some expenses and reduction for Medicare cost reimbursement against expenses. Management developed a more detailed expense log and review those against current terms and conditions prior to any future portal submissions and took into account the use of additional lost revenue. The worksheets were mocked up internally as if these were submitted in the portal in Phase I reporting so that in the future for the next phases of reporting, these lost revenues are not utilized toward future Provider Relief Funding. One additional control being added for this reporting is that the CEO and CFO will be also completing a detailed review of the spreadsheets for entry into the portal and comparing this to the Compliance Supplement which governs the use of the Provider Relief Funds as to allowable costs as well as the Frequently Asked Questions (FAQs) available on HRSAs website. This may impact future reports, so management will ensure to take these updates into account on any future provider relief funds are they are released or future grant receipts if the Organization receives new grants in the future.

View Audit 311307

Finding 403385 (2021-001)

Material Weakness 2021

Oficina Del Procurador De Las Personas De Edad Avanzada

PR

Internal Control / Segregation of Duties Material Weakness Reporting § 200.512

As we mentioned in the SA 2020 Corrective Action Plan, we expected to finish SA 2021 in FY 2023, as well as SA 2022. We were not able to achieve this goal as face-to-face work had not yet been fully normalized due to a Pandemic Covid-19.Normality in terms of face-to-face work was fully implemented i...

As we mentioned in the SA 2020 Corrective Action Plan, we expected to finish SA 2021 in FY 2023, as well as SA 2022. We were not able to achieve this goal as face-to-face work had not yet been fully normalized due to a Pandemic Covid-19.Normality in terms of face-to-face work was fully implemented in 2022-2023. We currently have a contract to achieve the SA 2022 which will start in April 2024. We will continue to enter into a unified contract to achieve SA 2023 and SA 2024 completion on or before December 31, 2024. We have worked hard planning for this goal.

View Audit 310511

Corrective Action Plans

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