Corrective Action Plans

Finding 400648 (2023-001)

Significant Deficiency 2023

NC

Subrecipient Monitoring Eligibility Significant Deficiency

Finding 2023-001, Significant Deficiency - Eligibility Corrective Action Plan: Goal: To ensure necessary Medicaid corrections are made by caseworkers in a timely manner and verified as completed by Medicaid management and/or Quality Assurance staff. Plan: The County will include a due date to th...

Finding 2023-001, Significant Deficiency - Eligibility Corrective Action Plan: Goal: To ensure necessary Medicaid corrections are made by caseworkers in a timely manner and verified as completed by Medicaid management and/or Quality Assurance staff. Plan: The County will include a due date to the auditing tool so that correction tasks request can be tracked and monitored for completion and accurateness. Eligibility, Internal Control and Procedural Errors will be given 5 business days to be corrected by workers. Performance Improvement Strategies: 1. Training will be given to supervisors, lead workers, and QA staff on proper usage and monitoring of due date requirements added to the audit tool. 2. Copies of reports will be stored in the shared Teams Channel for Medicaid Services. 3. Supervisor will follow up with caseworkers on 6th business days to ensure corrections have been made. 4. Every month, program managers will select 10 examples from the Medicaid Audit Finding spreadsheet to make sure supervisor have handled the error corrections made by their team. Responsible Parties: Medicaid Program Mangers Amanda Burdge, Jennifer Hurdle and Alison Westbrook Timeframes: A Medicaid Division Meeting will be held with all supervisors to discuss the expectation of monthly audits, corrections, and staying in compliance with State requirements. Also, explain the expectations of the Program Managers audit. Held no later than June 15, 2024.

View Audit 308707

Finding 400627 (2023-006)

None 2023

Pillar College and Subsidiaries

NJ

Student Financial Aid Cash Management Matching / Level of Effort / Earmarking

Credit Balances Held Beyond Payment Period Planned Corrective Action: Per our policies, accounts are reviewed weekly and credit balances are processed within the 14-day period. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Impl...

Credit Balances Held Beyond Payment Period Planned Corrective Action: Per our policies, accounts are reviewed weekly and credit balances are processed within the 14-day period. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Spring 2024.

View Audit 308676

Finding 400622 (2023-003)

Material Weakness 2023

Pillar College and Subsidiaries

NJ

Questioned Costs Student Financial Aid Eligibility

Disbursements to Ineligible Students Planned Corrective Action: With the new automation process we have exceptions that will prevent the funding from posting if there is no LDA listed. We have also updated the Disbursement Criteria Approval to help prevent inaccurate disbursements from posting. Pers...

Disbursements to Ineligible Students Planned Corrective Action: With the new automation process we have exceptions that will prevent the funding from posting if there is no LDA listed. We have also updated the Disbursement Criteria Approval to help prevent inaccurate disbursements from posting. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Fall 2023.

View Audit 308676 Questioned Costs: $1

Finding 400595 (2023-004)

Material Weakness 2023

City of Portsmouth

OH

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

2023-004 FFATA Reporting Recommendation: We recommend the City establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS no later than the end of the month following the month of issuance of each subaward. Explanation of disagreemen...

2023-004 FFATA Reporting Recommendation: We recommend the City establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS no later than the end of the month following the month of issuance of each subaward. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review City’s policy and Establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS n later than the end of the month following the month of issuance of each subaward. Name(s) of the contact person(s) responsible for corrective action: Jeffrey Crimer, Doug Weller, Kyera Pope. Planned completion date for corrective action plan: 06/30/2024. Moving forward: No later than the end of the month following the month of issuance of each subaward.

View Audit 308638

Finding 400593 (2023-003)

Significant Deficiency 2023

City of Portsmouth

OH

Questioned Costs Period of Performance Subrecipient Monitoring § 200.303 § 200.308 § 200.309 § 200.403

2023-003 – Period of Performance Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that expenditures are not charged to federal awards during the period of performance. Explanation of disagreement with audit finding: There is no disagreement with the audit ...

2023-003 – Period of Performance Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that expenditures are not charged to federal awards during the period of performance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Office of Special Education and Related services and the Portsmouth Finance department will monitor expenditures on an ongoing basis to ensure the funds are spent in accordance with the period of performance of the grant. The Finance department will review all purchases and notify the Office of Special Education if purchases are unallowable and do not follow the period of performance and have alternate suggestions on how the purchase can be made. Name(s) of the contact person(s) responsible for corrective action: Pamela Battle-Hardy, Director of Special Education and Related Services Planned completion date for corrective action plan: January 1, 2025

View Audit 308638 Questioned Costs: $1

Finding 400591 (2023-002)

Material Weakness 2023

City of Portsmouth

OH

Questioned Costs Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking § 200.300 § 200.303 § 200.306 § 200.308 § 200.309

2023-002 – Allowable Costs/Cost Principles Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that it retains documentation supporting time and effort on federal grants and that this documentation is available for audit purposes. Explanation of disagreement ...

2023-002 – Allowable Costs/Cost Principles Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that it retains documentation supporting time and effort on federal grants and that this documentation is available for audit purposes. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Office of Special Education and related services, in collaboration with Portsmouth Schools Finance department will monitor that the certification of pay certifications are completed on a semi-annual basis. Finance will communicate via email, the list of personnel required to have the certification and also review once they are completed by the Office of Special Education. Finance will review all dates and signatures. Name(s) of the contact person(s) responsible for corrective action: Pamela Battle-Hardy, Director of Special Education and Related Services Planned completion date for corrective action plan: January 1, 2025

View Audit 308638 Questioned Costs: $1

Finding 400586 (2023-001)

Significant Deficiency 2023

City of Portsmouth

OH

Subrecipient Monitoring HUD Housing Programs Reporting § 200.303

2023-001 Reporting- IDIS Recommendation: We recommend that the City review its policies and procedures to ensure that compliance with federal reporting requirements are evident. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review grant policy and proc...

2023-001 Reporting- IDIS Recommendation: We recommend that the City review its policies and procedures to ensure that compliance with federal reporting requirements are evident. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review grant policy and procedures to ensure that City’s policy and procedure is in compliance with federal reporting requirements. Name(s) of the contact person(s) responsible for corrective action: Jeffrey Crimer, Doug Weller, Kyera Pope. Planned completion date for corrective action plan: 06/30/2024.

View Audit 308638

Finding 400564 (2023-001)

Significant Deficiency 2023

Generations United, Inc.

DC

Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303 § 200.318 § 200.319 § 200.320

Views of Responsible Officials: The Organization will complete and implement a formal, written procurement policy.

View Audit 308614

Finding 400556 (2023-001)

Material Weakness 2023

Center for Integrated Care D/b/a Seattle Institute of East Asian Medicine

WA

Cash Management Eligibility Material Weakness

Condition: The Organization did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 7 of the 8 students in the sample (87.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility compli...

Condition: The Organization did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 7 of the 8 students in the sample (87.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility compliance requirement. Statistical sampling was not used in making sample selections. Corrective Action Plan: The issue regarding reporting of loan disbursement dates occurred as the result of a miscommunication between the Financial Aid officer at SIEAM and our CPA. Our accountant was unaware that the specific disbursement date reported by Campus Ivy was required to be the disbursement date recorded in our student ledgers. All disbursements occurred very close to the date, but were not recorded on the exact date. This miscommunication and knowledge gap has already been remedied. At this time, both our CPA and our Financial Aid officer understand the statutory requirement for this reporting and have made the needed changes. Responsible Person for Correction Action Plan: Craig Mitchell, President, in conjunction with Sabu Kallingal, Dean of Students and Financial Aid Officer, and Franz Aponte, CPA. Implementation Date for Corrective Action Plan: The CAP was implemented on May 17, 2024.

View Audit 308594

Finding 400551 (2023-001)

Material Weakness 2023

Associated Beth Rivka School for Girls and Affiliates

NY

Cash Management Subrecipient Monitoring Matching / Level of Effort / Earmarking § 200.305

Finding 2023-001: Cash Management – Disbursement U.S. Department of Education – Education Stabilization Fund ALN 84.425F COVID-19 Institutional Portion Criteria: Non-federal entities must minimize the time elapsing between the transfer of funds from the US Treasury or pass-through entity and disb...

Finding 2023-001: Cash Management – Disbursement U.S. Department of Education – Education Stabilization Fund ALN 84.425F COVID-19 Institutional Portion Criteria: Non-federal entities must minimize the time elapsing between the transfer of funds from the US Treasury or pass-through entity and disbursement by the non-federal entity for direct program or project costs and the proportionate share of allowable indirect costs, whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means (2 CFR section 200.305(b)). Condition: Management implemented a financial management system that meets the specified standards for fund control and accountability, but the system failed to ensure disbursement of funds within the required timeframe. Questioned Costs: None noted. Repeat Finding: This is a repeat finding. Management was only made aware of this finding after it was repeated. Cause: Management did not accurately identify the required timeframe of disbursement for funds received under the Institutional Portion subprogram. A mitigating factor is the uniqueness of the Institutional Portion subprogram. Effect: Institutional Portion funds used to defray expenses associated with coronavirus were not disbursed within the required 3 calendar days of the drawdown from ED’s G5 grants system. Planned Corrective Action Management concurs with the finding. Since the program is not applicable to the organization after the issuance date of the financial statements, no corrective action is necessary. Responsible person: Sholom Goldstein, Executive Director Completed date: June 11, 2024

View Audit 308580

Finding 400510 (2023-001)

Significant Deficiency 2023

Tyler Family Circle of Care

TX

Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.302 § 200.303

Recommendation: We recommend that the Organization should ensure that program managers compare all program reports to the reporting requirements within the grant documents to ensure all quantitative and qualitative information is appropriately included prior to submittal to the oversight Organizatio...

Recommendation: We recommend that the Organization should ensure that program managers compare all program reports to the reporting requirements within the grant documents to ensure all quantitative and qualitative information is appropriately included prior to submittal to the oversight Organization. Views of responsible officials: There is no disagreement with the audit finding.

View Audit 308501

Finding 400508 (2023-001)

None 2023

Meds Apartments

IL

Reporting Matching / Level of Effort / Earmarking

The Corporation has implemented procedures to ensure timely completion and submission of the annual reporting package.

View Audit 308500

Finding 400507 (2023-001)

None 2023

Grant Village

IL

Reporting Matching / Level of Effort / Earmarking

The Corporation has implemented procedures to ensure timely completion and submission of the annual reporting package. The prior year reporting package will be submitted in 2023.

View Audit 308499

Finding 400459 (2023-004)

Significant Deficiency 2023

Pioneer Housing Development Inc. Dba John Paul Apartments 092-11212

MN

Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking

Finding 2023-004 Special Tests and Provisions Noncompliance and Significant Deficiency in Internal Control over Compliance U.S. Department of Housing and Urban Development CFA #14.134 Section 207 Insured Loan Balance Finding Summary: Upon termination of lease, Minnesota statutes require that the Pro...

Finding 2023-004 Special Tests and Provisions Noncompliance and Significant Deficiency in Internal Control over Compliance U.S. Department of Housing and Urban Development CFA #14.134 Section 207 Insured Loan Balance Finding Summary: Upon termination of lease, Minnesota statutes require that the Project refund tenant security deposits within 21 days of termination of tenancy. The Project did not pay out one deposit within the 21 day requirement for termination of tenancy. Responsible Individuals: Kevin Rymanowski, SVP, Finance/CFO Corrective Action Plan: Management agrees with the finding and will work to refund tenant security deposits within 21 days of termination of tenancy. Anticipated Completion Date: December 31, 2024

View Audit 308479

Finding 400376 (2023-002)

Significant Deficiency 2023

Guam Community College

GU

Questioned Costs Student Financial Aid Matching / Level of Effort / Earmarking § 200.303

Finding No.: 2023-002 Views of responsible officials and planned corrective actions: We agree with the finding. The College’s internal controls did not detect errors that the Banner system withdrawal report contained incomplete data therefore causing Title IV funds to not be returned within the re...

Finding No.: 2023-002 Views of responsible officials and planned corrective actions: We agree with the finding. The College’s internal controls did not detect errors that the Banner system withdrawal report contained incomplete data therefore causing Title IV funds to not be returned within the required time frame. The College will revise existing Return to Title IV procedures to improve the collaboration between the Financial Aid and Admission Offices in identifying all students subject to Return to Title IV. On 04/25/2024, the Assistant Director of Assessment, Institutional Effectiveness & Research (AIER) began this process by instructing the Admission Office Team on the correct withdrawal codes to utilize. This change should ensure all appropriate students are identified in the withdrawal report. In addition to uniformly applying the proper withdrawal codes, additional reports will be utilized for data comparison purposes. Previously, only the withdrawal reports from our Banner system were utilized to identify students who had withdrawn from some or all of their classes. These reports were generated at the end of a term after grades were finalized. Moving forward, withdrawal reports generated from our Envisions Argos system will be used along with our Banner system reports to help ensure all students with some level of withdrawal status are identified. The Financial Aid Office is working with AIER to create a withdrawal report that contains the required data needed to identify students who have withdrawn from classes. The use of both the Banner report and Argos report will assist our office to identify students who have officially withdrawn from classes as well as those who have unofficially withdrawn from classes (i.e., students receiving all failing, technical failure, incomplete, or similar grades). The College will also strengthen their controls surrounding the timely review of student withdrawals to ensure Return of Title IV calculations are completed in a timely manner and refunds are returned to the Department of Education within the required 45-day timeframe. Records of 14 students (10 students identified in the ARGOS report from AIER together with the four students identified by FAO as official withdrawal students) have been reviewed and the Return to Title IV calculations have been completed for the eight students who did not complete 60% of the term. The process to return the funds to ED commenced the week of 05/13/24. After this process has been completed, corrections to our Award Year 2022-2023 FISAP report data will be submitted to COD. Contact Person: Gemma-Lee P. Santos, Financial Aid Coordinator Expected Completion Date: June 30, 2024

View Audit 308414 Questioned Costs: $1

Finding 400292 (2023-002)

None 2023

Auburn University

AL

Student Financial Aid Reporting Matching / Level of Effort / Earmarking

MANAGEMENT VIEWS AND CORRECTIVE ACTION PLAN REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH THE OMB UNIFORM GUIDANCE SEPTEMBER 30, 2023 Finding 2023-002 Timely Student Enrollment Change Submissions to National Student Loan Data Systems (NSLDS) AUM agrees with finding 2023-002 which originated in fisca...

MANAGEMENT VIEWS AND CORRECTIVE ACTION PLAN REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH THE OMB UNIFORM GUIDANCE SEPTEMBER 30, 2023 Finding 2023-002 Timely Student Enrollment Change Submissions to National Student Loan Data Systems (NSLDS) AUM agrees with finding 2023-002 which originated in fiscal year 2023. To ensure Auburn University at Montgomery is in compliance with 34 CFR 690.83(b)(2) and 34 CFR 685.309, Auburn University at Montgomery will implement the following corrective action plan: The Registrar’s Office has initiated inquiries with the National Student Clearinghouse (NSC) regarding enrollment information AUM reported in January 2023 to NSC for the student identified in this finding. This information appears to not have been reported timely by NSC to the National Student Loan Data System (NSLDS). Further, AUM will make inquiries of NSLDS to determine if the data file was in fact received by NLSDS from NSC in January 2023 and not properly updated by NSLDS. Upon completion of our inquiries, AUM will implement an appropriate review control to ensure data files submitted to NSC are timely reported to NSLDS such that all changes in student enrollment status are reported within the reporting period timelines identified in the finding. Contact: Dr. Sheila Washington Registrar Christopher White Assistant Vice Chancellor and Controller Anticipated Completion Date: July 31, 2024

View Audit 308385

Finding 400291 (2023-001)

None 2023

Auburn University

AL

Student Financial Aid Matching / Level of Effort / Earmarking

MANAGEMENT VIEWS AND CORRECTIVE ACTION PLAN REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH THE OMB UNIFORM GUIDANCE SEPTEMBER 30, 2023 Finding 2023-001 Monthly Direct Loan Reconciliation AUM agrees with finding 2023-001 which originated in fiscal year 2023. To ensure Auburn University at Montgomery ...

MANAGEMENT VIEWS AND CORRECTIVE ACTION PLAN REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH THE OMB UNIFORM GUIDANCE SEPTEMBER 30, 2023 Finding 2023-001 Monthly Direct Loan Reconciliation AUM agrees with finding 2023-001 which originated in fiscal year 2023. To ensure Auburn University at Montgomery is in compliance with 34 CFR 685.300(b)(5), AUM will implement the following corrective action plan: The Financial Aid Office has begun addressing this issue by drafting an updated procedure guide on the monthly Direct Loan Reconciliation in order to remain compliant with 34 CFR 685.300(b)(5). The revised procedure guide details the correct way to document any discrepancies on the face of the reconciliation to demonstrate that the Student Banner Loan Funds have been reconciled to Common Origination Disbursement (COD). The updated procedure guide also details the proper way to maintain documentation with the completed reconciliation electronically. The Director of Financial Aid will train department employees on the updated procedure guide and will ensure that the reconciliation is reconciled monthly. Additionally, Financial Services will perform a monthly review and approval on the face of the reconciliation to further document the reconciliation has been performed appropriately. The Financial Aid Office will cross-train other employees on how to properly perform the monthly Direct Loan Reconciliation in order to remain compliant with 34 CFR 685.300(b)(5). Cross-training other employees in the Financial Aid office will ensure that there are not any reconciliations missed in the event of additional employee turnover or employee absence. Additionally, Financial Aid will submit the monthly reconciliation to Financial Services for review and approval to further ensure continuity of the reconciliation during future personnel changes. Contact: Steve Smith Senior Director of Financial Aid Christopher White Assistant Vice Chancellor and Controller Anticipated Completion Date: June 30, 2024

View Audit 308385

Finding 400232 (2023-004)

Material Weakness 2023

Bibb County Board of Education

AL

Questioned Costs Matching / Level of Effort / Earmarking Special Tests & Provisions

We are aware of Title 29, U.S. Code of Federal Regulations, Part 5, Sub-Part A Davis Bacon and Related Acts Provisions and Procedures (the "Davis-Bacon Act") when using COVID-19 Education Stabilization Funds to fund construction contracts in excess of $2,000. We will ensure the David-Bacon Act wage...

We are aware of Title 29, U.S. Code of Federal Regulations, Part 5, Sub-Part A Davis Bacon and Related Acts Provisions and Procedures (the "Davis-Bacon Act") when using COVID-19 Education Stabilization Funds to fund construction contracts in excess of $2,000. We will ensure the David-Bacon Act wage rate is included in all construction contracts over $2,000.

View Audit 308344 Questioned Costs: $1

Finding 400216 (2023-003)

Significant Deficiency 2023

Wyandot, Inc.

KS

Cash Management Eligibility Significant Deficiency

Corrective Actions Taken or Planned: Going forward for payments, under the direction of the Executive Director, Rachel Erpelding, the Kim Wilson Housing Staff will sign-off on the access database check request sheets and have the Executive Director provide her physical signature as written evidence ...

Corrective Actions Taken or Planned: Going forward for payments, under the direction of the Executive Director, Rachel Erpelding, the Kim Wilson Housing Staff will sign-off on the access database check request sheets and have the Executive Director provide her physical signature as written evidence of the review and approval process for housing payments. For drawdowns, beginning July 2023, the Director of Fiscal Services, Linnea Cullumber, implemented a monthly reconcile process between the housing check payment requests and grant billing drawdown support provided by the Kim Wilson Housing Staff. The accounting staff now reconcile the payment and drawdown support, then retain the email correspondence supporting the drawdown process providing confirmation of review and approval. Rachel Erpelding, Executive Director of Kim Wilson Housing, and Linnea Cullumber, Director of Fiscal Services are responsible for this corrective action plan. The anticipated completion date is 3/31/24.

View Audit 308340

Finding 400215 (2023-002)

Significant Deficiency 2023

Wyandot, Inc.

KS

Cash Management Significant Deficiency Matching / Level of Effort / Earmarking

Corrective Actions Taken or Planned: Under the direction of the Executive Director, Rachel Erpelding, the Grant Specialist with Kim Wilson Housing is responsible for collecting data and tracking the grant match total in the housing access database. During the fiscal year ended June 30, 2023, there ...

Corrective Actions Taken or Planned: Under the direction of the Executive Director, Rachel Erpelding, the Grant Specialist with Kim Wilson Housing is responsible for collecting data and tracking the grant match total in the housing access database. During the fiscal year ended June 30, 2023, there wasn’t a 2nd level physical signature of approval on the match tracking documents. Going forward, the Grant Specialist will print and sign the match tracking document and the Executive Director will approve the printed tracking sheet from the housing database. Rachel Erpelding, Executive Director of Kim Wilson Housing, is responsible for this corrective action plan. The anticipated completion date is 3/31/24.

View Audit 308340

Finding 400210 (2023-011)

Material Weakness 2023

State of Iowa

IA

Questioned Costs Allowable Costs / Cost Principles HUD Housing Programs

The Department will work with the U.S. Department of Education to identify appropriate steps for resolution. In addition, Department leadership directed ESEA and federal grants management training for the Bureau of Federal Programs and all other relevant department staff, which will provided by the...

The Department will work with the U.S. Department of Education to identify appropriate steps for resolution. In addition, Department leadership directed ESEA and federal grants management training for the Bureau of Federal Programs and all other relevant department staff, which will provided by the Council for Chief State Schools Officer’s Federal Education Group beginning in April of 2024.

View Audit 308332 Questioned Costs: $1

Finding 400193 (2023-002)

Significant Deficiency 2023

State of Iowa

IA

Allowable Costs / Cost Principles Reporting Matching / Level of Effort / Earmarking

The Department will review allocable rates during the time frame to determine if corrective disbursement entries are needed to their respective program codes. The Department began the process in October 2023. The Department will also revise, and update policies and procedures related to allocable c...

The Department will review allocable rates during the time frame to determine if corrective disbursement entries are needed to their respective program codes. The Department began the process in October 2023. The Department will also revise, and update policies and procedures related to allocable costs based on time entries.

View Audit 308332

Finding 400191 (2023-001)

Significant Deficiency 2023

State of Iowa

IA

Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking Reporting

The Department has implemented a payroll policy and procedure, that requires staff to enter a work reporting code for time worked and addresses timelines in which correcting entries must be completed. The Department will review all pay periods during the time frame to determine if corrective disburs...

The Department has implemented a payroll policy and procedure, that requires staff to enter a work reporting code for time worked and addresses timelines in which correcting entries must be completed. The Department will review all pay periods during the time frame to determine if corrective disbursement entries need to be made to properly allocate actual time reported to their respective program codes. The Department began the process in October 2023.

View Audit 308332

Finding 400189 (2023-003)

None 2023

California Institute for Behavioral Health Solutions

CA

Subrecipient Monitoring Reporting Matching / Level of Effort / Earmarking

A. Contact Person: Victor Kogler, vkogler@cibhs.org B. Corrective Action Planned: 1. Quarterly report data collected and maintained by CIBHS, for example website statistics, number of grantee technical assistance sessions, session content and number of attendees. Will be compiled by the YOR Californ...

A. Contact Person: Victor Kogler, vkogler@cibhs.org B. Corrective Action Planned: 1. Quarterly report data collected and maintained by CIBHS, for example website statistics, number of grantee technical assistance sessions, session content and number of attendees. Will be compiled by the YOR California Senior Project Coordinator, a CIBHS employee. These records will be converted to PDF, printed and archived in a file cabinet at our offices at 1760 Creekside Oaks Dr., Ste. 175, Sacramento, CA 95833. The PDF files will also be stored in a dedicated folder on the project SharePoint site. 2. Quarterly report data collected and maintained by AHP, for example Learning Collaborative attendees; training webinar attendees; number of grantee newsletters produced and distributed; and grantee activities and caseloads will be sent in PDF format to the YOR California Senior Project Coordinator at CIBHS. These records will be printed and archived in a file cabinet at our offices at 1760 Creekside Oaks Dr., Ste. 175, Sacramento, CA 95833. The PDF files will also be stored in a dedicated folder on the project SharePoint site. 3. A provision will be added to CIBHS’s contract with AHP to make the submission of data supporting the quarterly report a contractual obligation. C. Anticipated Completion Date: 6/30/2024

View Audit 308324

Finding 400137 (2023-101)

Significant Deficiency 2023

Mid-State Child Care and Nutrition

AZ

Procurement, Suspension & Debarment Cash Management Matching / Level of Effort / Earmarking § 200.303

CORRECTIVE ACTION PLAN SEPTEMBER 30, 2023 REFERENCE: 2023-101 REPEAT FINDING REFERENCE: 2022-001 CFDA NUMBER: 10.558 – CHILD AND ADULT CARE FOOD PROGRAM U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION - 2023 PASSED THROUGH ARIZONA STATE DEPARTMENT OF EDUCATION GRANT NUMBER 6AZ300003 CLIENT R...

CORRECTIVE ACTION PLAN SEPTEMBER 30, 2023 REFERENCE: 2023-101 REPEAT FINDING REFERENCE: 2022-001 CFDA NUMBER: 10.558 – CHILD AND ADULT CARE FOOD PROGRAM U.S. DEPARTMENT OF AGRICULTURE - FOOD AND NUTRITION - 2023 PASSED THROUGH ARIZONA STATE DEPARTMENT OF EDUCATION GRANT NUMBER 6AZ300003 CLIENT RESPONSE AND CORRECTIVE ACTION PLAN We concur with the condition. 1. Name of the contact person responsible for corrective action: Deanna Barrowdale, Director 2. Corrective action planned: Corrective action planned will include technical assistance with staff on review of the menu/meal counts, creditable meal components for accuracy, dates received, and children in attendance and ratios. Director and Co-Director will carefully review the provider menus to ensure that menus are mathematically accurate. We will contact our providers via newsletter, website, annual training and correspondence of ongoing changes and reminders for compliance of credible mealtimes and reimbursement. 3. Anticipated completion date: FY 2024

View Audit 308251

Corrective Action Plans

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