Corrective Action Plans

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Going forward if we ever anticipate using federal funds for any type of building renovation, we will seek advice from our lawyer to see if the Davis Bacon Act applies.
Going forward if we ever anticipate using federal funds for any type of building renovation, we will seek advice from our lawyer to see if the Davis Bacon Act applies.
Finding 372580 (2022-001)
Significant Deficiency 2022
Views of Responsible Officials: At the end of 2022, upon the completion of our 2022 audit, where recommendations were made, an updated time-tracking protocol was introduced for employees engaged in our federal project. This protocol was formulated within the constraints of the payroll system then in...
Views of Responsible Officials: At the end of 2022, upon the completion of our 2022 audit, where recommendations were made, an updated time-tracking protocol was introduced for employees engaged in our federal project. This protocol was formulated within the constraints of the payroll system then in use. As of 2024, Think of Us is transitioning to a new payroll system with an advanced time-tracking feature, surpassing the limitations of our prior payroll processor. This enhancement enables us to implement more refined and appropriate protocols.
Finding 372246 (2022-001)
Significant Deficiency 2022
Audit Finding Reference: 2022-001 Planned Corrective Action: The City has adopted an Airport Revenue Policy on 6/8/2023. Name of Contact Person and Completion Date: Name 1 Carl Gross, Airport Manager Name 2 Vicki Lee, Finance Director Anticipated Completion Date – Completed 6/8/2023
Audit Finding Reference: 2022-001 Planned Corrective Action: The City has adopted an Airport Revenue Policy on 6/8/2023. Name of Contact Person and Completion Date: Name 1 Carl Gross, Airport Manager Name 2 Vicki Lee, Finance Director Anticipated Completion Date – Completed 6/8/2023
Finding 2022-003 Activities Allowed/Unallowed Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The system of internal c...
Finding 2022-003 Activities Allowed/Unallowed Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The system of internal control in use during the year did not consistently provide supporting documentation sufficient to verify expenditures. Also, the performance of important control procedures is not documented when performed. Actions Planned in Response to the Finding: The Board of Directors will create a document retention and destruction policy and monitor the Organization’s adherence to that policy. Official Responsible for Ensuring the CAP: Chief Operating Officer Planned Completion Date for the CAP: September 30, 2024
View Audit 293225 Questioned Costs: $1
To: U.S. Department of Health and Human Services-Passed through Minnesota Department of Human Services RE: Single Audit Corrective Action Plan for the fiscal year ended December 31, 2022 Name and address of independent accounting firm: BWK Rogers PC 431 South Seventh Street, Suite 2424 Minneapoli...
To: U.S. Department of Health and Human Services-Passed through Minnesota Department of Human Services RE: Single Audit Corrective Action Plan for the fiscal year ended December 31, 2022 Name and address of independent accounting firm: BWK Rogers PC 431 South Seventh Street, Suite 2424 Minneapolis, MN 55415 African American Child Wellness Institute submits the following corrective action plan for the year ended December 31, 2022. Please contact Akinyele Akinsanya at 763-522-0100. Finding 2022-001 Noncompliance – Allowable Costs/Cost Principles Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The Organization did not create and install a system of financial reporting for federal funds that would record expenses charged to each federal grant into a cost center as those expenses were incurred. Actions Planned in Response to the Finding: The chart of accounts in the accounting software will be revised to include cost centers for each federal grant. The support for each expenditure (other than payroll) will be attached to the transaction in the accounting software. Organization staff will receive additional training on OMB Uniform Guidance requirements and related aspects of federal grant management and reporting. Official Responsible for Ensuring the CAP: Chief Operating Officer Planned Completion Date for the CAP: June 30, 2024
View Audit 293225 Questioned Costs: $1
Finding 2022-008: Reporting (Significant Deficiency over Internal Control and Instances of Noncompliance - Reporting) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implement...
Finding 2022-008: Reporting (Significant Deficiency over Internal Control and Instances of Noncompliance - Reporting) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implement policies and procedures to ensure performance reports are prepared and reviewed by separate individuals with evidence of review documented and that financial reports are submitted timely. The Health System will also ensure the “VSPS Point of View” is implemented for all programs. Anticipated Completion Date: by March 31, 2024 Responsible Person: : Ann Metzger, Vice President Finance
Finding 2022-007: Costs Incurred & Paid Prior to Reimbursements (Significant Deficiency over Internal Control and Instance of Noncompliance – Cash Management; Period of Performance) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policie...
Finding 2022-007: Costs Incurred & Paid Prior to Reimbursements (Significant Deficiency over Internal Control and Instance of Noncompliance – Cash Management; Period of Performance) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implements policies, procedures, and processes to make sure that funds are disbursed for incurred expenditures prior to reimbursement requests. Anticipated Completion Date: by March 31, 2024 Responsible Person: : Ann Metzger, Vice President Finance
Finding 2022-006: Charges Not Specified in Grant Contracts (Significant Deficiency over Internal Control and Instances of Noncompliance – Allowable Costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and proce...
Finding 2022-006: Charges Not Specified in Grant Contracts (Significant Deficiency over Internal Control and Instances of Noncompliance – Allowable Costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implement policies, procedures, and processes to make sure that expenditures are charged to the program in accordance with the grant contracts and that all invoices are reviewed and approved prior to disbursements. Anticipated Completion Date: by March 31, 2024 Responsible Person: : Ann Metzger, Vice President Finance
Finding 2022-005: Gift Card Tracking (Significant Deficiency over Internal Control and Instance of Noncompliance – Allowable Costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program ...
Finding 2022-005: Gift Card Tracking (Significant Deficiency over Internal Control and Instance of Noncompliance – Allowable Costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implements policies, procedures, and processes to properly track the distribution of gift cards for victims of crime. Anticipated Completion Date: by March 31, 2024 Responsible Person: : Ann Metzger, Vice President Finance
Finding 2022-002: Approval of non-payroll expenditures (Significant Deficiency over Internal Control and Instances of Noncompliance over Major Federal Program and Questioned Costs – Allowable costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health Sys...
Finding 2022-002: Approval of non-payroll expenditures (Significant Deficiency over Internal Control and Instances of Noncompliance over Major Federal Program and Questioned Costs – Allowable costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures for non-payroll expenditures to ensure management’s review/approval is documented. Anticipated Completion Date: by March 31, 2024 Responsible Person: Ann Metzger, Vice President Finance
Finding 2022-001: Payrate Approval Letters (Significant Deficiency over Internal Control and Instances of Noncompliance over Major Federal Program – Allowable costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policie...
Finding 2022-001: Payrate Approval Letters (Significant Deficiency over Internal Control and Instances of Noncompliance over Major Federal Program – Allowable costs/Cost Principles) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the Leave Management program to ensure management adheres to the current policies, procedures, and processes for retaining leave approval forms and that the forms are prepared and reviewed by separate individuals with evidence of review documented. Anticipated Completion Date: by March 31, 2024 Responsible Person: Ann Metzger, Vice President Finance
View of Responsible Officials: Management will review the loan agreements and discuss with USDA to determine if there have been any changes to the monthly reserve deposit requirement since the original loan agreement. If not, a catchup deposit will be made and the monthly deposits will be corrected...
View of Responsible Officials: Management will review the loan agreements and discuss with USDA to determine if there have been any changes to the monthly reserve deposit requirement since the original loan agreement. If not, a catchup deposit will be made and the monthly deposits will be corrected. Responsible Party Brian Voigt, Interim CFO Estimated Completion June 30, 2024
View of Responsible Officials: Management acknowledges there were significant capacity issues as a result of turnover and a software system conversion during 2022, which caused constraints and resulted in the late audit completion and filing the SFSAC. Management will assure that the 2023 audit is...
View of Responsible Officials: Management acknowledges there were significant capacity issues as a result of turnover and a software system conversion during 2022, which caused constraints and resulted in the late audit completion and filing the SFSAC. Management will assure that the 2023 audit is submitted to the Federal Audit Clearinghouse by the due date of June 30, 2024. Responsible Party Brian Voigt, Interim CFO Estimated Completion June 30, 2024
Management and its contracted accounting staff will monitor financial reports and activities of Listening House to ensure proper recording.
Management and its contracted accounting staff will monitor financial reports and activities of Listening House to ensure proper recording.
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Numb...
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Number: N/A Corrective Action Plan: Fort Defiance Housing Corporation will incorporate a new procedure when qualifying residents for move-in. In accordance with USDA's 538 policy (shown below). The Agency has established certain rent restrictions to preserve affordability of GRRHP units over time. The rent restrictions for the program are as follows: • The monthly rent for any individual housing unit, including any tenant-paid utilities, must not exceed an amount equal to l /I 2'h of 30 percent of 115 percent of AMI, adjusted for family size (based on the income limits in the most recent update of RD Instruction 1980-D, Exhibit C). • On an annual basis, the average monthly rent for a project, taking into account all individual unit rents, including any tenant-paid utilities, must not exceed l/12'h of 30 percent of 100 percent of a1mual AMI, adjusted for family size [7 CFR 3565.203). To comply with these rent restrictions, the borrower must establish an estimate of tenant-paid utility costs. The calculation for tenant-paid utilities for each unit size and type of heating fuel must be made at initial occupancy when the rent structure is established. Form RD 3560 Housing Project Budget/Ulility Allowance", may be used for this purpose. In order to comply with the restrictions on rent stipulated in the USDA Handbook HB-1-3565,Chapter 8, section 5 Part E, Fort Defiance Housing will establish an estimate of tenant-paid utility costs at initial occupancy. In order to obtain this tenant paid utility cost estimate for the USDA section 538 residents, Fort Defiance housing will use the USDA section 515 tenant paid utility cost estimate provided by USDA as a proxy. This proxy will be available to all properties that have both section 538 and 515 homes located in the same county. These properties include Kayenta Estates and Church Rock Estates. The Rio Puerco Estates property consists only of section 538 properties and therefore we are not able to use the section 515 properties as a proxy. In order to comply with the USDA restrictions on rent policy, Fort Defiance Housing will use a 25% sample of utility bills from residents already residing in the same property. The sample will be broken down by unit size which is determined by the number of bedrooms and we will obtain a sample of 25% for each unit size in order to get a more accurate estimate. These estimates will be updated annually or when new information is received from utility companies of costs increases. Lastly, the analysis will be reviewed and approved by proper levels of management to evidence compliance with the requirements listed in the handbook. In order to comply with the restrictions on rent stipulated in the USDA Handbook HB-1-3565,Chapter 8, section 5 Part E, Fort Defiance Housing will establish an estimate of tenant-paid utility costs at initial occupancy. In order to obtain this tenant paid utility cost estimate for the USDA section 538 residents, Fort Defiance housing will use the USDA section 515 tenant paid utility cost estimate provided by USDA as a proxy. This proxy will be available to all properties that have both section 538 and 515 homes located in the same county. These properties include Kayenta Estates and Church Rock Estates. The Rio Puerco Estates property consists only of section 538 properties and therefore we are not able to use the section 515 properties as a proxy. In order to comply with the USDA restrictions on rent policy, Fort Defiance Housing will use a 25% sample of utility bills from residents already residing in the same property. The sample will be broken down by unit size which is determined by the number of bedrooms and we will obtain a sample of 25% for each unit size in order to get a more accurate estimate. These estimates will be updated annually or when new information is received from utility companies of costs increases. Lastly, the analysis will be reviewed and approved by proper levels of management to evidence compliance with the requirements listed in the handbook. Please see below: 3 Bedroom - 44 homes -11 utility bills 4 Bedroom -28 homes - 7 utility bills 5 Bedroom -1 homes - 1 utility bill
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Numb...
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Number: N/A Criteria – Section 200.512 of the Uniform Guidance states that the single audit shall be completed and the data collection form and reporting package shall be submitted within the earlier of 30 calendar days after receipt of the auditor’s report, or nine months after the end of the audit period. Condition and Context - The Organization did not complete its single audit and submit its data collection form and reporting package for the year ended December 31st, 2022 by the required deadline. Cause and Effect – Due to the delay in resolving the finding noted at 2022-02, the Organization was late in completing its single audit and submitting its data collection form and reporting package to the Federal Audit Clearinghouse. Questioned Costs - None identified. Recommendation – We recommend that the Organization improve its financial reporting close process in order to complete its annual single audit and submit the data collection form and reporting package to the Federal Audit Clearinghouse by the required deadline.
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the procedure to clearly specify a separate notice to all parents who borrow using the Parent Plus. Each borrowing parent will receive a notification ...
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the procedure to clearly specify a separate notice to all parents who borrow using the Parent Plus. Each borrowing parent will receive a notification mailed to the address used on the Parent Plus application. The current financial aid procedures were updated in spring of 2022 and carried out successfully. Anticipated Completion Date: June 1, 2023
Contact Person: Dr. Laura Stultz, Interim Provost Corrective Action: The College has had significant staff turnover within the last year. The Office of Academic Records was operating with one staff member at that time. It is now operating at full staff capacity and will be better able to follow up ...
Contact Person: Dr. Laura Stultz, Interim Provost Corrective Action: The College has had significant staff turnover within the last year. The Office of Academic Records was operating with one staff member at that time. It is now operating at full staff capacity and will be better able to follow up on reporting errors to make necessary corrections. The findings for students with incorrect NSLDS status reports have already been corrected. Amy Smith has corrected those errors March 2023. The College is working on a better, more comprehensive withdrawal policy in the next academic year which will assist in identifying non-returning students at an earlier date to better fit the 60- day allotted time frame. In addition, the Office of Academic Records plans to alter enrollment reporting schedules to better fit our academic calendar to meet the 60-day time frame requirement. This change should capture our Fall and Winter graduates within the allotted time requirement. Anticipated Completion Date: March 2023
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the transmittal procedure to include reversing a federal aid posting in the event that it cannot be reconciled within ten days of its initial creation...
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the transmittal procedure to include reversing a federal aid posting in the event that it cannot be reconciled within ten days of its initial creation. The aid will be reposted once the issue is resolved and reported to COD on the day of positing. The current financial aid procedures have been updated. Anticipated Completion Date: June 1, 2023
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The loans have been purchased by Birmingham-Southern College. Anticipated Completion Date: January 10, 2024
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The loans have been purchased by Birmingham-Southern College. Anticipated Completion Date: January 10, 2024
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the rules in the SIS system to not allow payment until the NSLDS reporting has been processed. The current financial aid procedures have been updated ...
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the rules in the SIS system to not allow payment until the NSLDS reporting has been processed. The current financial aid procedures have been updated and the rules are currently in place. Anticipated Completion Date: June 1, 2023
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Return to Title IV calculation was off due to the denominator of total days being incorrectly counted. The Director of Financial Aid will calculate the total days for each semester to...
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Return to Title IV calculation was off due to the denominator of total days being incorrectly counted. The Director of Financial Aid will calculate the total days for each semester to be used for the calculation and publish them in the annual policy and procedure manual. The current financial aid procedures have been updated. Anticipated Completion Date: June 1, 2023
FINDING 2022-004 Finding Subject: COVID-19 - Education Stabilization Fund - Special Tests and Provisions - Wage Rate Requirements Summary of Finding: An effective internal control system was not designed, nor implemented at the School Corporation to ensure compliance with requirements related to the...
FINDING 2022-004 Finding Subject: COVID-19 - Education Stabilization Fund - Special Tests and Provisions - Wage Rate Requirements Summary of Finding: An effective internal control system was not designed, nor implemented at the School Corporation to ensure compliance with requirements related to the grant agreement and the Special Tests and Provisions - Wage Rate Requirements compliance requirement. All laborers and mechanics employed by contractors or subcontractors to work on construction contracts in excess of $2,000 financed by federal assistance funds must be paid wages not less than those established for the locality of the project (prevailing wage rates) by the Department of Labor (DOL) to their laborers and mechanics. Nonfederal entities are to include in their construction contracts subject to the Wage Rate Requirements a provision that the contractor or subcontractor comply with these requirements and the DOL regulations. This would include a requirement to submit a copy of the payroll and statement of compliance to the entity for each week in which contract work was performed. The School Corporation did not follow their policies or procedures to ensure that construction contracts in excess of $2,000 paid from federal grant funds included a prevailing wage rate clause. Two construction contracts were paid from the COVID-19 – Education Stabilization Fund grant funds, totaling $1,711,535, during the audit period. The provision that addresses the Wage Rate requirements was included in both contracts, however the unit did not comply with the requirement to submit a copy of the payroll and statement of compliance to the entity for each week in which contract work was performed. No certified payrolls were provided to the School Corporation throughout the course of the project. Contact Person Responsible for Corrective Action: Matthew Miles, CFO Contact Phone Number and Email Address: 317-423-8380 mattmiles@msdlt.k12.in.us Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The School District will obtain regular contractor certified payrolls for all renovation projects paid for by ESSER. Anticipated Completion Date: The School District will implement changes described in the Corrective Action Plan in February 2024.
FINDING 2022-003 Finding Subject: COVID-19 - Education Stabilization Fund - Reporting Summary of Finding: An effective internal control system was not designed, nor implemented at the School Corporation to ensure compliance with requirements related to the grant agreement and the Reporting complianc...
FINDING 2022-003 Finding Subject: COVID-19 - Education Stabilization Fund - Reporting Summary of Finding: An effective internal control system was not designed, nor implemented at the School Corporation to ensure compliance with requirements related to the grant agreement and the Reporting compliance requirements. The annual Elementary and Secondary School Emergency Relief (ESSER) Data Collection reports were complied, prepared and submitted by three different staff members; however, this process was not properly designed or implemented to prevent, or detect and correct, errors. The School Corporation completed and submitted three annual Data Collection reports (Reports) for the ESSER grants. For two of the three reports tested, the report was not supported by the unit’s records. The financial information provided did not agree to the data submitted in the Reports, therefore we could not determine their accuracy. The lack of internal controls and noncompliance were systemic issues throughout the audit period. Contact Person Responsible for Corrective Action: Matthew Miles, CFO Contact Phone Number and Email Address: 317-423-8380 mattmiles@msdlt.k12.in.us Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The School District will work to ensure the ESSER report amounts tie to the accounting records and will improved record keeping of supporting documentation. If the amounts do not match, District will document support for all claims. Anticipated Completion Date: The School District will implement changes described in the Corrective Action Plan in February 2024.
Recommendation:We recommend management and the board of directors should review reporting frequently to make sure that they are complying with the requirements. Management Response: We agree with the recommendation and the record retention policy that was adopted on November 14, 2022 should prevent...
Recommendation:We recommend management and the board of directors should review reporting frequently to make sure that they are complying with the requirements. Management Response: We agree with the recommendation and the record retention policy that was adopted on November 14, 2022 should prevent this from happening in the future.
View Audit 291395 Questioned Costs: $1
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