Corrective Action Plans

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Policies and procedures have been implemented to ensure compliance with reporting requirements, and to ensure proper documentation is available from the State reporting system (AccuFund) for all fiscal reporting.
Policies and procedures have been implemented to ensure compliance with reporting requirements, and to ensure proper documentation is available from the State reporting system (AccuFund) for all fiscal reporting.
Finding 497542 (2023-003)
Significant Deficiency 2023
Going forward, we will adjust the utility accruals based on the most recent utility billings.
Going forward, we will adjust the utility accruals based on the most recent utility billings.
Finding 497541 (2023-002)
Significant Deficiency 2023
Going forward we will adjust our accruals for real estate taxes based on the most recent property tax bill available.
Going forward we will adjust our accruals for real estate taxes based on the most recent property tax bill available.
Finding 497534 (2023-004)
Significant Deficiency 2023
Management agrees that HUD approved a 9250 on April 11, 2022, in the amount of $21,073 for a loan from the Reserve for Replacement Account which has not been repaid. Bethel Towers continues to experience increased expenses, specifically with utilities. The property is also experiencing vacancy and r...
Management agrees that HUD approved a 9250 on April 11, 2022, in the amount of $21,073 for a loan from the Reserve for Replacement Account which has not been repaid. Bethel Towers continues to experience increased expenses, specifically with utilities. The property is also experiencing vacancy and receivable issues causing the property to not receive its monthly gross rent potential. The property is aware there is an outstanding loan owed to the Reserve for Replacement Account and intends to repay that loan as soon as the property is financially stable and able to repay it.
Adventist Health implemented an action plan and established internal controls last year, following the conclusion of 2022 UG audit. Since the program has ended, no action is required at this time. We have also worked with HRSA to address any issues and findings from previous years. In the future,...
Adventist Health implemented an action plan and established internal controls last year, following the conclusion of 2022 UG audit. Since the program has ended, no action is required at this time. We have also worked with HRSA to address any issues and findings from previous years. In the future, similar programs will be managed by the Grants Management team, utilizing the established internal controls.
Finding 497516 (2023-005)
Significant Deficiency 2023
o As of June 30, 2024, LifeWire has implemented a new software package called VELA in which direct services staff enter their actual time worked to contracts, which is then reviewed and approved by their supervisors and reported to Finance staff for payroll processing. By December 31, 2024, the Fina...
o As of June 30, 2024, LifeWire has implemented a new software package called VELA in which direct services staff enter their actual time worked to contracts, which is then reviewed and approved by their supervisors and reported to Finance staff for payroll processing. By December 31, 2024, the Finance staff will ensure all 2024 actual hours worked toward contracts have been reviewed and approved by all direct services staff whose time is billed and approved by their supervisors. o Name of Responsible Individual: Jeannette Biffle, Controller
Finding 497511 (2023-004)
Significant Deficiency 2023
o By September 30, 2024, following the guidance of our CoC contract manager, the LifeWire Finance staff will have revised and resubmitted CoC RFRs submitted in 2024 to reflect match funds appropriately. All RFRs will indicate written documentation of review and approval by the Co-ED of Organizationa...
o By September 30, 2024, following the guidance of our CoC contract manager, the LifeWire Finance staff will have revised and resubmitted CoC RFRs submitted in 2024 to reflect match funds appropriately. All RFRs will indicate written documentation of review and approval by the Co-ED of Organizational Operations for match fund calculations and support required by our funders. Documentation of reports, review and approval is filed and maintained appropriately. o Name of Responsible Individual: Jeannette Biffle, Controller
The Project is relatively small with only one administrative staff. Further the Board of Directors is a volunteer board and not a managing board. It does not have the time nor expertise to provide the necessary services to correct the internal control deficiencies noted. The Board of Directors has r...
The Project is relatively small with only one administrative staff. Further the Board of Directors is a volunteer board and not a managing board. It does not have the time nor expertise to provide the necessary services to correct the internal control deficiencies noted. The Board of Directors has reviewed this issue, and determined there are no additional procedures which can reasonably be done to eliminate these deficiencies. As such, the Board of Directors accepts this finding.
The District will check all prevailing wage rates for all contractors that work on projects that are governed by the Davis Bacon Act. All Davis Bacon projects will include a list of contractors on the project to ensure completeness of the Prevailing Wage Reports.
The District will check all prevailing wage rates for all contractors that work on projects that are governed by the Davis Bacon Act. All Davis Bacon projects will include a list of contractors on the project to ensure completeness of the Prevailing Wage Reports.
2023-001 SECURITY DEPOSITS Grantor: U.S. Department of Agriculture Award Name: Rural Rental Housing Loans Award Year: 2023 Award Numbers: Various CFDA Number: 10.415 Criteria: Tenant security deposit accounts must be fully funded and maintained in a separate bank account. Condition: During our audit...
2023-001 SECURITY DEPOSITS Grantor: U.S. Department of Agriculture Award Name: Rural Rental Housing Loans Award Year: 2023 Award Numbers: Various CFDA Number: 10.415 Criteria: Tenant security deposit accounts must be fully funded and maintained in a separate bank account. Condition: During our audit testing, we noted that while the Project maintained a separate bank account for tenant security deposits, it was not fully funded. Cause: Tenant security deposits subledger is not reconciled with tenant security deposits bank account to ensure account is fully funded. Effect: Tenant security deposits bank account is underfunded. Questioned Costs: None noted. Recommendation: The Project should implement controls to ensure that the tenant security deposits bank account is fully funded. Management’s Views and Corrective Action Plan: Management will subsequently correct this and transfer tenant funds received for their security deposit from the operating bank account to the tenant security deposits bank account to ensure it is fully funded.
Finding ref number: 2023-002 Finding caption: The Council’s internal controls were inadequate for ensuring compliance with federal reporting requirements for the Economic Assistance Adjustment Program. Name, address, and telephone of Council contact person: Michelle M. Holt, BFCOG Executive Director...
Finding ref number: 2023-002 Finding caption: The Council’s internal controls were inadequate for ensuring compliance with federal reporting requirements for the Economic Assistance Adjustment Program. Name, address, and telephone of Council contact person: Michelle M. Holt, BFCOG Executive Director 587 Stevens Drive Richland, WA 99352 509-492-4410 BFCOG is submitting the following statement in response to the finding: BFCOG concurs with this finding. An unfortunate comedy of errors led to the creation, submission, and acceptance of the FY2023 Mid-Year and Year-End Financial Reports for the EDA CARES Revolving Loan Fund activities. These errors included changes in BFCOG key staff at the end of 2022 and again mid-way through 2023, a lack of understanding by BFCOG staff of the EDA Portal and the report's pre-population and cumulation functions, a lack of documentation to support the submitted reports, and a lack of review for accuracy by BOTH BFCOG and EDA. The internal financial reports necessary to accurately complete the EDA Financial Reports were readily available, as was training on the EDA Portal and Report functions. BFCOG, indeed, was lacking internal controls. It is important to note that the EDA RLF Administrator accepted both reports as submitted and without requesting correction, even though they had nearly identical data to the 2022 year-end report. Had either report been returned by EDA for correction, the problem could have been identified and corrected promptly. Corrective action the auditee plans to take in response to the finding: CORRECTIVE ACTION PLAN: 1. Creation of GUIDE FOR EDA CARES REVOLVING LOAN FUND SEMI-ANNUAL FINANCIALREPORTING PROCESS FOR BFCOG-47289WA FOR EDA AWARD NUMBER 07-79-07622document. This process has been reviewed with the BFCOG Primary Contact/ReportingOfficial (Z. Ratkai), Authorized Representative/Lending Director (M. Holt), and EDA’s RLFProgram Administrator (J. Goldsberry) to ensure adequate training for upcoming reportingcycles and proper review both internally and at the EDA level. 2. Guidance was received from the EDA RLF Program Administrator that there is no mechanismfor correcting the reports filed in error and to make necessary corrections when filing the2024 Mid-Year Financial Report as the data is cumulative. 3. File the 2024 Mid-Year Financial Report accurately and on time and document the reviewand submission paper trail for future reference. Anticipated date to complete the corrective action: Completed on 7/3/2024
Finding 497358 (2023-001)
Significant Deficiency 2023
Corrective Action: We concur with the recommendation. On an annual basis, Maryland MEP prepares an annual budget detailing Federal and Non-Federal sources and uses of funds which is reviewed and approved by both the NIST MEP Program Office and the NIST Grants Management Division. In the future, M...
Corrective Action: We concur with the recommendation. On an annual basis, Maryland MEP prepares an annual budget detailing Federal and Non-Federal sources and uses of funds which is reviewed and approved by both the NIST MEP Program Office and the NIST Grants Management Division. In the future, Maryland MEP will provide additional clarity and detail on the sources of non-federal cost share.
View Audit 320094 Questioned Costs: $1
Finding 497358 (2023-001)
Significant Deficiency 2023
The cost sharing in question was not required as the program was eligible for cost-share relief under the legislated guidelines available to the program. A review of these costs is currently being conducted by NIST and Maryland MEP is working closely with NIST to review this open item.
The cost sharing in question was not required as the program was eligible for cost-share relief under the legislated guidelines available to the program. A review of these costs is currently being conducted by NIST and Maryland MEP is working closely with NIST to review this open item.
View Audit 320094 Questioned Costs: $1
Finding 497346 (2023-005)
Significant Deficiency 2023
Finding Reference Number: 2023-005 Description of Finding: The expenditure information provided to report the amounts of the SEFA contained totals representing transfers from other funds instead of individual expenditure amounts. Statement of Concurrence or Nonconcurrence: Financial ...
Finding Reference Number: 2023-005 Description of Finding: The expenditure information provided to report the amounts of the SEFA contained totals representing transfers from other funds instead of individual expenditure amounts. Statement of Concurrence or Nonconcurrence: Financial information contained large transfers for projects that crossed multiple funds and funding sources. Corrective Action: During FY23/24 the town implemented individual expenditure detail for federal awards expenditures in the general ledger and supplemental listings. Invoices and payroll are direct billed to projects contained within the project’s fund. The town now only transfers minimally as needed for overhead type of transactions. Name of Contact Person: Aimee Beleu, Finance Director, (530) 872-6291, abeleu@townofparadise.com Projected Completion Date: 4/1/2024
Description of Finding: There were 42 audit adjustments and closing entries posted during the audit to report the Towns’s financial statements in accordance with Generally Accepted Accounting Principles (GAAP). The large number of adjustments identified during the course of the audit indicates t...
Description of Finding: There were 42 audit adjustments and closing entries posted during the audit to report the Towns’s financial statements in accordance with Generally Accepted Accounting Principles (GAAP). The large number of adjustments identified during the course of the audit indicates that the Town does not have internal controls in place to prevent or detect misstatements on a timely bases. Areas where accounts and transactions were not adequately reconciled and evaluated for proper recording prior to the start of the audit field work and areas that require improvement included in the following: • Procedures to ensure beginning fund balance/net position roll-forward to prior year audited financial statements. • Procedures for ensuring revenue received in advance of qualifying expenditures are properly deferred. • Procedures to ensure retentions payable is properly accrued. • Procedures for tracking grant expenditures to ensure revenue is accrued to the extent of reimbursable expenditures incurred and evaluation of proper accounting treatment of transactions as earned, unearned, or unavailable revenue. • Procedures to ensure capital outlay is properly reconciled to capital asset additions. • Procedures to ensure that building permit fees not earned are properly accounted for as unearned revenue. • Procedures to ensure all loans issued by the Town are properly recorded in the general ledger. • Procedures for evaluating when entries should be posted to fund balance and whether fund balance/net position/restrictions and investment in capital assets are properly reflected. • Procedures to ensure interfund transactions, including due to and from other funds, advances to and from other funds and transfer in and out, excluding those with agency funds, are in balance. Statement of Concurrence or Nonconcurrence: There was a large number of audit adjustments as the audit progressed. Some of those are standard within a yearly closing period. Corrective Action: Staff turnover contributed to the need for multiple adjustments after the fact. Of the five positions within the department five were vacated within a 12 month period. During and leading up to the closing of the FY 22/23 year, a complete turnover of staff occurred including all senior staff within the Finance Department. There were a number of journal entries that required a depth of historical knowledge to perform properly. Budgeted large transfers and project transfers complicated the process of closing projects and funds. All positions are currently filled. To reduce the need for as many audit adjustments, a new process was implemented during the FY 23/24. Payroll and invoices are being direct billed to the funds and projects to reduce the need for unnecessary transfers. This step will simplify the structure of funds. This standard accounting practice will enable staff to reconcile, evaluate, and accrue much more timely and accurately. Name of Contact Person: Aimee Beleu, Finance Director, (530) 872-6291, abeleu@townofparadise.com Projected Completion Date: 4/1/24
Recommendation: Procedures should be implemented to create a materially accurate Schedule of Expenditures of Federal and State award financial statement, which should include ascertaining between loan and grant expenditures, and understanding the process for reporting loan balances on the SEFSA. Vi...
Recommendation: Procedures should be implemented to create a materially accurate Schedule of Expenditures of Federal and State award financial statement, which should include ascertaining between loan and grant expenditures, and understanding the process for reporting loan balances on the SEFSA. Views of Responsible Officials and Planned Corrective Actions: In order to create a materially accurate Schedule of Expenditures of Federal and State award financial statement, the Authority will establish procedures to ascertain loan and grant expenditures, as well as taking into account the Uniform Guidance requirement for presenting loan balances on the SEFSA.
Finding 497334 (2023-001)
Significant Deficiency 2023
Planned Corrective Action: Savio believes that our internal control system is effective in determining allowable costs charged to the grant. In addition to the reviews done by the Controller, there is an additional third party review to ensure all costs are allowable. We do believe that we could bet...
Planned Corrective Action: Savio believes that our internal control system is effective in determining allowable costs charged to the grant. In addition to the reviews done by the Controller, there is an additional third party review to ensure all costs are allowable. We do believe that we could better segregate the controls within the Organization to further improve the system of internal controls. We will modify our controls to require that all expenses along with the indirect rate and calculation will be reviewed and approved by the Development department rather than the controller to provide a better review process for appropriateness and support of costs before reimbursement, as recommended by the auditor. Since the Development department writes the grants they would have the best knowledge on what expenses qualify and verify support. This will be implemented immediately. Name of Contact Person: Eric Heppe, Controller, EHeppe@saviohouse.org Anticipated completion date: September 2024 invoicing process
FINDING 2023-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The City submitted four P&E reports during the audit period; however, the controls in place were not effective to prevent, or detect and correct, errors. As a result, errors...
FINDING 2023-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The City submitted four P&E reports during the audit period; however, the controls in place were not effective to prevent, or detect and correct, errors. As a result, errors in reporting were identified. The current period and cumulative expenditures reported consisted of the amounts expended by the beneficiaries who were awarded funds from the City, rather than total amounts expended to the beneficiaries, resulting in current period expenditures and cumulative expenditures being incorrectly reported on all four reports as follows:  Quarterly Report: October 1, 2022 to December 31, 2022 Current period expenditures were overstated by $40,350. Cumulative expenditures were understated by $262,057.  Quarterly Report: January 1, 2023 to March 31, 2023 Current period expenditures were understated by $2,338,864. Cumulative expenditures were understated by $2,499,656.  Quarterly Report: April 1, 2023 to June 30, 2023 Current period expenditures were understated by $1,200,000. Cumulative expenditures were understated by $3,699,656.  Quarterly Report: July 1, 2023 to September 30, 2023 Current period expenditures were overstated by $2,126,306. Cumulative expenditures were understated by $1,573,349. Contact Person Responsible for Corrective Action: Linda Moeller Contact Phone Number and Email Address: 812-948-5333 and lmoeller@cityofnewalbany.com Views of Responsible Officials and Explanation and Reasons for Disagreement:  We concur with the finding.  However, the issue and non-compliance deals with the interpretation of the federal rules regarding the appropriate amounts to report and when to report them by subrecipients of the monies. INDIANA STATE BOARD OF ACCOUNTS 19 Office of the Controller  New Albany City Hall  142 E Main Street, Suite 314  New Albany, Indiana 47150 Telephone: 812-948-5333  www.cityofnewalbany.com City of New Albany, Indiana Linda Moeller City Controller  The non-compliance is not related to policies or controls not being effective to prevent, detect or correct errors. In fact, the reporting system initially implemented by the City and put in the federal reports provided the actual expenditures for those periods by recipients of the grants.  However, the City does agree that after full examination and review of the federal rules the initial full amount of funds provided to the subrecipients should have been reported in full versus the actual expenditures during the periods. Description of Corrective Action Plan:  Current period and cumulative expenditures reported will consist of the amounts advanced to subrecipients. Anticipated Completion Date:  The City has already made this correction in its most recent Quarterly Report April 1, 2024 to June 30, 2024.
Finding 497311 (2023-003)
Significant Deficiency 2023
FINDING 2023-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County submitted one Project and Expenditure report during the audit period. The Chief Deputy County Auditor was responsible for preparing and submitting the Project and...
FINDING 2023-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County submitted one Project and Expenditure report during the audit period. The Chief Deputy County Auditor was responsible for preparing and submitting the Project and Expenditure report and the County Auditor reviewed and approved the report prior to submission; however, there was no documentation that suggested that this review process was in place that could be provided. Contact Person Responsible for Corrective Action: Debra Walker Contact Phone Number and Email Address: 765-529-2800 dwalker@henrycounty.in.gov Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: The County Auditor and Deputy Auditor will review the Project and Expenditure report together and sign the printed out copy of the report. Anticipated Completion Date: Immediately.
The Bureau was unable to provide documentation that their annual report was submitted to the Kentucky Department of Tourism and as such, the report was unable to be tested. Mary Watkins and Julie Kirkpatrick will ensure that copies of all reports submitted to the Kentucky Department of Tourism, and ...
The Bureau was unable to provide documentation that their annual report was submitted to the Kentucky Department of Tourism and as such, the report was unable to be tested. Mary Watkins and Julie Kirkpatrick will ensure that copies of all reports submitted to the Kentucky Department of Tourism, and documentation of timely submission will be retained.
Finding 497246 (2023-007)
Significant Deficiency 2023
Block Grants for Prevention and Treatment of Substance Abuse - Assistance Listing No. 93.959 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expe...
Block Grants for Prevention and Treatment of Substance Abuse - Assistance Listing No. 93.959 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures were received). Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Training on accrual basis of accounting is presented during year-end training. The Department will participate in trainings offered by the County regarding the accrual basis of accounting for expenditures and will ensure accruals are properly captured within the proper period. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 20
Finding 497243 (2023-006)
Significant Deficiency 2023
Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures we...
Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures were received). Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Training on accrual basis of accounting is presented during year-end training. As accruals are only recorded in the Financial Management System (FMS) on an annual basis department will have to manually accrue expenditures when charging other departments for costs incurred. The Aging and Adult Services Department will participate in trainings offered by the County regarding the accrual basis of accounting for expenditures and will ensure sure accruals are properly captured in the proper period when charging costs to BHRS. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 2024
Finding 497240 (2023-005)
Significant Deficiency 2023
COVID-19 Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County review its process over the allocation of payroll expenditures, based on time worked, to determine what adjustments to its system need to be made. Explanation of disagre...
COVID-19 Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County review its process over the allocation of payroll expenditures, based on time worked, to determine what adjustments to its system need to be made. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Aging and Adult Services Department will assess the payroll allocation process, and necessary adjustments will be made. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 2024
View Audit 319826 Questioned Costs: $1
National Farmworker Jobs Program - Assistance Listing No. 17.264 Recommendation: We recommend the County implement policies and procedures to ensure that FFATA reporting occurs for all subawards of $30,000 or more for all federal awards and that the reporting be performed timely. Explanation of disa...
National Farmworker Jobs Program - Assistance Listing No. 17.264 Recommendation: We recommend the County implement policies and procedures to ensure that FFATA reporting occurs for all subawards of $30,000 or more for all federal awards and that the reporting be performed timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: All County departments receiving federal funding will be notified about this requirement. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 2024
District will ensure compliance by prevailing wage documentation will be provided to the district with the original pay app request.
District will ensure compliance by prevailing wage documentation will be provided to the district with the original pay app request.
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