Corrective Action Plans

Finding 24070 (2022-001)

Significant Deficiency 2022

Mental Health Association of South Central Kansas, INC

KS

Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303

Finding 2022-001 (Significant Deficiency) Condition: The final performance report for the grant year requires the submission of additional performance metrics. The reported metrics included correct underlying data; however, two of the nine required metrics included calculation errors for the grant y...

Finding 2022-001 (Significant Deficiency) Condition: The final performance report for the grant year requires the submission of additional performance metrics. The reported metrics included correct underlying data; however, two of the nine required metrics included calculation errors for the grant year ended June 30, 2022. Criteria: 2 CFR 200.303(a) states the Association is required to establish and maintain effective internal control over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Cause: Secondary review of performance calculations were not performed. Effect: Not providing accurate performance metrics may lead to inaccurate conclusions on the program's effectiveness. Corrective Plan: The agency has put into place a secondary review in which the report is prepared by the Program Coordinator, in conjunction with the Administrative Assistant, and then reviewed for accuracy by the Senior Director of Grants and Aging. Additionally, the Senior Director will require supporting documentation of metrics being evaluated in conjunction with the report itself to further ensure accuracy.

View Audit 20285

Finding 24066 (2022-003)

Material Weakness 2022

Metropolitan Consortium of Community Developers

MN

Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking § 200.212 § 200.318

2022-003 Finding: Procurement, Suspension and Debarment Non-federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended or debarred. Out of five loans selected for testing, two of the loan agreements did not include a representat...

2022-003 Finding: Procurement, Suspension and Debarment Non-federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended or debarred. Out of five loans selected for testing, two of the loan agreements did not include a representation that the borrower is not currently debarred, suspended, excluded, or disqualified by any Federal department or agency, and no other procedures were performed by the Organization to determine if these two borrowers were debarred, suspended, excluded, or disqualified. A subsequent review of the borrowers determined that neither was debarred, suspended, excluded, or disqualified. Views of Responsible Officials and Planned Corrective Actions: Management agrees with this finding. MCCD currently has a section in its loan documents for borrowers to certify that they, any coborrowers or principals, are not presently debarred, suspended, or proposed for debarment from transactions by any Federal department or agency. The two loans referenced in the finding are loans where MCCD was a participating lender; we used the lead lender?s loan documents. The lead lender?s loan documents did not have a section for the borrower to certify they are not debarred, suspended or are being proposed for debarment from transactions by Federal departments or agencies. MCCD will create and implement a policy to verify that borrowers are not debarred, suspended or are being proposed for debarment from transactions by Federal departments or agencies when making a participation loan. MCCD?s Loan Program staff will (1) check the suspension and debarment list through the federal government?s website, and (2) save a copy of the of the results to the borrower?s loan file. Responsible Official: Trish DeAnda, Chief Financial Officer Completion Date: April 21, 2023

View Audit 20221

Finding 24050 (2022-002)

Material Weakness 2022

Point University, Inc. and Subsidiaries

GA

Student Financial Aid Material Weakness Reporting

2022-002 Disbursement Date Reporting to COD Student Financial Aid Cluster ? Assistance Listing No. Various Auditors? Recommendation: The University must review their policies and procedures to ensure accurate reporting to COD.Explanation of disagreement with audit finding: There is no disagreement w...

2022-002 Disbursement Date Reporting to COD Student Financial Aid Cluster ? Assistance Listing No. Various Auditors? Recommendation: The University must review their policies and procedures to ensure accurate reporting to COD.Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Implemented multistage review process to highlight differentials between COD and system disbursement date. Fiscal Year 2022 dates are accurate. Further, implementation of new SIS, Ellucian Colleague will correct the discrepancy issue due to automated functions that will align disbursement dates. Name(s) of the contact person(s) responsible for corrective action: Rusty Hassell, Chief Enrollment Officer; Rachal Wortham, Director of Financial Aid Quality and Compliance; Amanda Schmidt, Director of Student Accounts Planned completion date for corrective action plan: Fiscal year 2022 are corrected and accurate as of March 2023. System transcription complete August 2023.

View Audit 20116

Finding 24049 (2022-001)

Significant Deficiency 2022

Point University, Inc. and Subsidiaries

GA

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

2022?001 Direct Loan Awarding Federal Direct Student Loans ? Assistance Listing No. 84.268 Auditors? Recommendation: We recommend that the University ensures they have appropriate policies and procedures, as well as safeguards in place to ensure loan eligibility is correctly determined. Explanation ...

2022?001 Direct Loan Awarding Federal Direct Student Loans ? Assistance Listing No. 84.268 Auditors? Recommendation: We recommend that the University ensures they have appropriate policies and procedures, as well as safeguards in place to ensure loan eligibility is correctly determined. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Point has completed the following: 1. Extensive training delivered by external vendor, Enrollment Fuel, in October 2022 focusing on financial aid awarding and cost of attendance. 2. Point University has contracted with Financial Aid Services, Inc. (FAS), whose services begin in April 2023. As an approved third-party financial servicing vendor, FAS will conduct student packaging and review to determine appropriate loan amounts are awarded for all degree-seeking students. 3. The institution will be is changing from BBAY to SAY packaging beginning in Fall 2023 for all students. Uniform packaging procedures for all students which will improve accuracy. 4. The institution is transitioning student information system to Ellucian Colleague, which is being configured for more automated packaging, which will reduce manual errors. Name(s) of the contact person(s) responsible for corrective action: Rusty Hassell, Chief Enrollment Officer; Rachal Wortham, Director of Financial Aid Quality and Compliance; Holly Hardnett, Director of Financial Aid Planned completion date for corrective action plan: 1. October 2022 ? training complete 2. April 2023 ? FAS implementation complete 3. August 2023 4. August 2023

View Audit 20116 Questioned Costs: $1

Finding 24048 (2022-003)

Material Weakness 2022

Laporte Community School Corporation

IN

Matching / Level of Effort / Earmarking Special Tests & Provisions § 200.303

FINDING 2022-003 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: LaPorte Community School Corporation will review the...

FINDING 2022-003 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: LaPorte Community School Corporation will review the wage schedule of contractors associated with federal grants with each pay application submitted to ensure proper documentation has been submitted. Anticipated Completion Date: May 15, 2023

View Audit 20038

Finding 24047 (2022-004)

Material Weakness 2022

Laporte Community School Corporation

IN

Subrecipient Monitoring Material Weakness Reporting § 200.302 § 200.303 § 200.328 § 200.329

FINDING 2022-004 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: LaPorte Community School Corporation will review the...

FINDING 2022-004 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: LaPorte Community School Corporation will review the Education Stabilization Fund schedule of disbursements more closely prior to submission. Anticipated Completion Date: May 15, 2023

View Audit 20038

Finding 24045 (2022-005)

Material Weakness 2022

Laporte Community School Corporation

IN

Matching / Level of Effort / Earmarking Allowable Costs / Cost Principles § 200.208 § 200.303 § 200.403

FINDING 2022-005 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt, Assistant Superintendent of Business & Operations Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: L...

FINDING 2022-005 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Hunt, Assistant Superintendent of Business & Operations Contact Phone Number: (219) 362-7056 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: LaPorte Community School Corporation will review more closely the submission of costs of the Federal Special Education Grant to ensure that earmarking requirements of the Matching, Level of Effort, Earmarking compliance is followed. Anticipated Completion Date: May 15, 2023

View Audit 20038

Finding 24043 (2022-005)

Significant Deficiency 2022

Cottey College

MO

Matching / Level of Effort / Earmarking Reporting Significant Deficiency § 200.303

Reporting CFDA No: 84.425E and 84.425F Recommendation: We recommend the College review its reporting procedures to ensure all required steps are included as well as the supporting documentation to prepare the report is retained. The reports should be reviewed by someone other than the preparer of th...

Reporting CFDA No: 84.425E and 84.425F Recommendation: We recommend the College review its reporting procedures to ensure all required steps are included as well as the supporting documentation to prepare the report is retained. The reports should be reviewed by someone other than the preparer of the report and this review should be documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College has already begun these changes and reports will be reviewed for accuracy and timeliness before submission to the federal agency other than the preparer. Cottey College will be compliant with federal programs? regulations and guidelines. Name(s) of the contact person(s) responsible for corrective action: Kimberly Marshall Planned completion date for corrective action plan: 06/30/2023

View Audit 19960

Finding 24033 (2022-004)

Significant Deficiency 2022

Cottey College

MO

Student Financial Aid Reporting Significant Deficiency

NSLDS Reporting CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College review its reporting procedures to ensure the students' statuses and effective dates are accurately reported to NSLDS as required by regulations. Explanation of disagreement with audit fi...

NSLDS Reporting CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College review its reporting procedures to ensure the students' statuses and effective dates are accurately reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The withdrawal process has been updated to include a review of the official withdrawal date by both the Registrar and Director of Financial Aid. This will ensure that the withdrawal date reported to Jenzabar, NSLDS, R2T4 and all internal reporting is accurate. Going forward, the Director of Financial Aid will review the draft withdrawal date from the Registrar?s Office. If discrepancy or concerns are found, the Director of Financial Aid will email the Registrar, they will then work together to determine the correct date of withdrawal. Once this date is confirmed, R2T4 and NSLDS reporting will take place. Name(s) of the contact person(s) responsible for corrective action: Hannah Masters and William Stanfill Planned completion date for corrective action plan: 05/04/2023

View Audit 19960

Finding 24032 (2022-003)

Significant Deficiency 2022

Cottey College

MO

Student Financial Aid Reporting Significant Deficiency

COD Reporting CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College evaluate its procedures and policies around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit findi...

COD Reporting CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College evaluate its procedures and policies around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The withdrawal process has been updated to include a review of the official withdrawal date by both the Registrar and Director of Financial Aid. This will ensure that the withdrawal date reported to Jenzabar, NSLDS, R2T4 and all internal reporting is accurate. Going forward, the Director of Financial Aid will review the draft withdrawal date from the Registrar?s Office. If discrepancy or concerns are found, the Director of Financial Aid will email the Registrar, they will then work together to determine the correct date of withdrawal. Once this date is confirmed, R2T4 and NSLDS reporting will take place. Name(s) of the contact person(s) responsible for corrective action: Hannah Masters and William Stanfill Planned completion date for corrective action plan: 05/04/2023

View Audit 19960

Finding 24031 (2022-002)

Significant Deficiency 2022

Cottey College

MO

Student Financial Aid Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Return of Title IV Aid CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College review the R2T4 requirements and implement procedures to ensure the R2T4 calculations are using the correct withdrawal date and are accurately completed. Explanation of disagreemen...

Return of Title IV Aid CFDA No: 84.007; 84.033; 84.038; 84.063; 84.268; 84.379 Recommendation: We recommend the College review the R2T4 requirements and implement procedures to ensure the R2T4 calculations are using the correct withdrawal date and are accurately completed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The financial aid office is currently hiring for a new position that will oversee student accounts. Once this position is filled, we will implement our updated policy and procedure that requires review and collaboration to monitor COD disbursement date, financial aid software disbursement date and student billing statement disbursement date. This will ensure both financial aid staff and student accounts staff will confirm each date in all areas. Name(s) of the contact person(s) responsible for corrective action: Hannah Masters Planned completion date for corrective action plan: 06/30/2023

View Audit 19960

Finding 24012 (2022-015)

Significant Deficiency 2022

City of Baltimore, Maryland

MD

Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.303 § 200.309

Finding 2022-015 U.S. Department of Health and Human Services AL No. 93.568 Total Low-Income Home Energy Assistance Significant Deficiency over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: The Office of Home and Energy Programs (OHEP) bureau of The Mayors Office...

Finding 2022-015 U.S. Department of Health and Human Services AL No. 93.568 Total Low-Income Home Energy Assistance Significant Deficiency over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: The Office of Home and Energy Programs (OHEP) bureau of The Mayors Office of Children and Family Success (MOCFS) agency has implemented a plan to locate needed files from previous and current fiscal years. The agency has implemented a scanning and uploading Standard Operating Procedure (SOP) that requires each case file to be digitally attached to its application and supporting documents. This will remedy this finding in its totality. Contact Person: OHEP Director ? Rigel Moore Completion Date: March 10, 2023

View Audit 23759 Questioned Costs: $1

Finding 23980 (2022-019)

Significant Deficiency 2022

City of Baltimore, Maryland

MD

Reporting Significant Deficiency Matching / Level of Effort / Earmarking § 200.302 § 200.303

Finding 2022-019 U.S. Department of Health and Human Services AL No. 93.778 Medical Assistance Program (Medicaid; Title XIX) Significant Deficiency and Internal Control Deficiency over Reporting Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to maintain co...

Finding 2022-019 U.S. Department of Health and Human Services AL No. 93.778 Medical Assistance Program (Medicaid; Title XIX) Significant Deficiency and Internal Control Deficiency over Reporting Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to maintain compliance with reporting requirements. BCHD will continue to work with the Department of Finance to ensure parameters for generating reports are the same and there is an agreed upon reconciliation when the parameters for reporting are not the same. Policies and procedures will be updated to ensure what is reported on Federal Financial Reports are reconciled to general ledger details in addition to ensuring all submitted reports have proper approvals documented. Accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759

Finding 23979 (2022-018)

Material Weakness 2022

City of Baltimore, Maryland

MD

Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.303 § 200.309

Finding 2022-018 U.S. Department of Health and Human Services AL No. 93.778 Medical Assistance Program (Medicaid; Title XIX) Material Weakness over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the period ...

Finding 2022-018 U.S. Department of Health and Human Services AL No. 93.778 Medical Assistance Program (Medicaid; Title XIX) Material Weakness over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the period of performance to be charged to the correct grant period within the general ledger. BCHD will ensure that if there are any exceptions that allow for costs to be charged outside the period of performance, the proper supporting documents will be kept. Baltimore City's new financial system, Workday, allows for all supporting documentation to be kept electronically in one system. Policies and procedures for internal controls will be updated to incorporate processes in Workday, and accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759 Questioned Costs: $1

Finding 23962 (2022-017)

Material Weakness 2022

City of Baltimore, Maryland

MD

Material Weakness Reporting Matching / Level of Effort / Earmarking § 200.302 § 200.303

Finding 2022-017 U.S. Department of Health and Human Services AL No. 93.767 Children?s Health Insurance Program (CHIP) Significant Deficiency Over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will continue to work with the City's Finance department to ensure what is r...

Finding 2022-017 U.S. Department of Health and Human Services AL No. 93.767 Children?s Health Insurance Program (CHIP) Significant Deficiency Over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will continue to work with the City's Finance department to ensure what is recorded on the general ledger reconciles to what is reported in the Form 440. The implementation of Workday Finance module should alleviate these findings. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759

Finding 23961 (2022-016)

Material Weakness 2022

City of Baltimore, Maryland

MD

Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.303 § 200.309

Finding 2022-016 U.S. Department of Health and Human Services AL No. 93.767 Children?s Health Insurance Program (CHIP) Material Weakness Over Compliance and Internal Control over Period of Performance Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to al...

Finding 2022-016 U.S. Department of Health and Human Services AL No. 93.767 Children?s Health Insurance Program (CHIP) Material Weakness Over Compliance and Internal Control over Period of Performance Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the period of performance to be charged to a grant. BCHD will ensure that if there are any exceptions that allow for costs to be charged outside the period of performance, the proper supporting documents will be kept. Baltimore City's new financial system, Workday, allows for all supporting documentation to be kept electronically in one system. Policies and procedures for internal controls will be updated to incorporate processes in Workday and the accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759 Questioned Costs: $1

Finding 23925 (2022-024)

Significant Deficiency 2022

City of Baltimore, Maryland

MD

Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.303 § 200.309

Finding 2022-024 U.S. Department of Health and Human Services AL No. 93.977 Totally Sexually Transmitted Diseases (STD) Prevention and Control Grants Significant Deficiency in Compliance and Internal Control over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: B...

Finding 2022-024 U.S. Department of Health and Human Services AL No. 93.977 Totally Sexually Transmitted Diseases (STD) Prevention and Control Grants Significant Deficiency in Compliance and Internal Control over Period of Performance Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the period of performance to be charged to the correct grant period within the general ledger. BCHD will ensure that if there are any exceptions that allow for costs to be charged outside the period of performance, the proper supporting documents will be kept. Baltimore City's new financial system, Workday, allows for all supporting documentation to be kept electronically in one system. Policies and procedures for internal controls will be updated to incorporate processes in Workday and the accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759 Questioned Costs: $1

Finding 23923 (2022-006)

None 2022

City of Baltimore, Maryland

MD

Reporting Subrecipient Monitoring Matching / Level of Effort / Earmarking § 200.303 § 200.414 § 200.502 § 200.508 § 200.510

Finding 2022-006 Programs: All Material Weakness over Schedule of Expenditures of Federal Awards (SEFA) Reporting Repeat Finding: Yes Auditee?s Corrective Action Plan: The City has purchased Workday, an Enterprise Resource Planning (ERP) system, and implemented the software with the assistanc...

Finding 2022-006 Programs: All Material Weakness over Schedule of Expenditures of Federal Awards (SEFA) Reporting Repeat Finding: Yes Auditee?s Corrective Action Plan: The City has purchased Workday, an Enterprise Resource Planning (ERP) system, and implemented the software with the assistance of Accenture consultants. Although Workday is ?live? as of August 2022, the City is currently working to refine the software and fully utilize functionality. The Workday grants modules requires the grant funding source be defined prior to grant approval and fields are available for the AL titles and numbers and sub-recipients? information. The implementation of the Workday grants modules centralizes much of the grant management function by requiring the agencies to upload the grant documents into Workday. The City has: ? Held weekly meetings for two years with agency grant representatives to design and configure the Workday grant module. ? Uploaded the grant award, sponsor information and grant budget data into a Workday. ? Implemented a ?new grant? request which uses a Workday business process. ? In the process of reviewing and correcting recoverable costs per grant award so it is properly reported. Contact Person: Michael Moiseyev, Chief Financial Officer, Baltimore City. Completion Date: June 2024

View Audit 23759

Finding 23879 (2022-004)

Significant Deficiency 2022

Jewish Family Service Association of Cleveland Ohio

OH

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

Identifying Number: Finding 2022-004 Finding: During our testing of internal controls associated with the Alzheimer?s Program, the Association was not able to provide evidence for the time allocation associated with an employee whose salary was allocated to the program. In addition, for the Alzhe...

Identifying Number: Finding 2022-004 Finding: During our testing of internal controls associated with the Alzheimer?s Program, the Association was not able to provide evidence for the time allocation associated with an employee whose salary was allocated to the program. In addition, for the Alzheimer?s Program, management provided an excel spreadsheet to support the charges that were made to the program rather than reporting from their financial management system that is compliant with Section 200.302. We acknowledge that the Association did track Alzheimer?s program expenditures within a cost center, however, not all of the charges made to the program were properly captured within the cost center. Corrective Action Taken or Planned: We assert that we exercised significant diligence and oversight over the handling of the federal dollars associated with the Alzheimer?s program funding (ALN #93.470) to ensure that such expenditures were (i) for allowable activities and consisted of allowable costs, (ii) tracked within a cost center in the organization?s general ledger and in an Excel spreadsheet that was compiled from support such as invoices and payroll records; and (iii) were not applied against other sources of funding. This was accomplished through the following: ? All invoices submitted to the Alzheimer?s cost center were required to be submitted with signature for approval by their supervisor and were complete appropriately. All expenditures were appropriately documented with necessary signatures, and were submitted for valid purposes. ? The time allocation of the identified employee was approved y the federal government through the budgeting process, and then through quarterly reports submitted through their portal. The internal Personnel Payroll Action Form was not correctly changed to reflect the appropriate allocation of the employee across programs. The employee was thus charged correctly to the federal government, and the federal government reimbursed the agency appropriately. In the future, program allocation will be reconciled in the personnel system to coincide with grant requirements. While we assert that proper oversight of this program was exercised, we understand that the auditors were not able to view the evidence of such review via sign-offs. We will update our policies and procedures to require evidence of our oversight responsibilities be required by means such as sign-offs, email approvals, etc. Further, we will work to adapt our accounting systems to be able to track activity related to federal grants within its own cost center (or sub cost center) so as to minimize the need for external management systems such as Excel spreadsheets. While expenditures against this funding were tracked within a cost center, there were other costs also included in the cost center (thus the use of the Excel spreadsheet to isolate the costs under this federal program). Going forward, a sub cost center for such funds will be utilized, if possible, to eliminate the need for a separate Excel spreadsheet. Name of contact person and title: William Bode, Controller Anticipated completion date: Immediately

View Audit 18508

Finding 23877 (2022-003)

Material Weakness 2022

Jewish Family Service Association of Cleveland Ohio

OH

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

Identifying Number: Finding 2022-003 Finding: During our testing of internal controls associated with the ARP program, the Association was not able to provide evidence of the review of time records and invoices to ensure that allowable costs were charged to the program. In addition, management pr...

Identifying Number: Finding 2022-003 Finding: During our testing of internal controls associated with the ARP program, the Association was not able to provide evidence of the review of time records and invoices to ensure that allowable costs were charged to the program. In addition, management provided an excel spreadsheet to support the charges that were made to the program rather than reporting from their financial management system that is compliant with Section 200.302. Therefore, we could not substantiate the double-counting of expenses did not occur. Corrective Action Taken or Planned: We assert that we exercised significant diligence and oversight over the handling of the federal dollars associated with the ARP funding (ALN 93.498) to ensure that such expenditures were (i) for allowable activities and consisted of allowable costs, (ii) tracked in an Excel spreadsheet that was compiled from support such as invoices and payroll records; and (iii) were not applied against other sources of funding. This was accomplished through the following: ? All invoices submitted against the ARP program were required and did have signature approval of the purchaser and supervisor ? Documentation of all activity was managed from all ARP sources, across all internal department and cost centers through a highly detailed excel spreadsheet managed by a third party contractor. This data was then reviewed by the agency Controller, CFO, and CEO regularly for accuracy against regular updates from the federal government regarding program reporting requirements and issued clarifications from the federal government. While we assert that proper oversight of this program was exercised, we understand that the auditors were not able to view evidence of such review via sign-offs. We will update our policies and procedures to require evidence of our oversight responsibilities be required by means such as sign-offs, email approvals, etc. Further, we will work to adapt our accounting system to be able to track activity related to federal grants within its own cost center (or sub cost center) so as to minimize the need for external financial management systems such as Excel spreadsheets. Name of contact person and title: William Bode, Controller Anticipated completion date: Immediately

View Audit 18508

Finding 23876 (2022-002)

Material Weakness 2022

Jewish Family Service Association of Cleveland Ohio

OH

Reporting Matching / Level of Effort / Earmarking

Identifying Number: Finding No. 2022-002 Finding: The data collection form related to the year ended June 30, 2021, was not submitted to the FAC within the earlier of 30 days after the receipt of the auditor?s reports or 9 months after the end of the audit period. Corrective Action Taken or Planned:...

Identifying Number: Finding No. 2022-002 Finding: The data collection form related to the year ended June 30, 2021, was not submitted to the FAC within the earlier of 30 days after the receipt of the auditor?s reports or 9 months after the end of the audit period. Corrective Action Taken or Planned: To ensure that the data collection form is submitted timely in the future, the following procedures will be followed: ? The deadline date for filing will be communicated to the Director of Performance Improvements & Outcomes (Compliance Officer) for addition to the calendar for organization compliance deadlines ? The deadline date for filing will be communicated to the Executive Assistant to the CEO and CFO to be recorded on the calendar of both. ? The deadline date will be communicated to the Controller for tracking with other accounting deadlines. ? The Controller or staff assigned by controller will upload the single audit to the Federal Audit Clearinghouse site prior to the deadline. The CFO will review the upload and certify the upload. Once the auditor certifies the single audit upload on the Federal Audit Clearinghouse site, the CFO will submit the single audit. ? Once the single audit is accepted by the Federal Audit Clearinghouse, the CFO will forward the notification to the Compliance Officer, CEO, Executive Assistant and Controller. Name of contact person and title: William Bode, Controller Anticipated completion date: Immediately

View Audit 18508

Finding 23860 (2022-023)

Significant Deficiency 2022

City of Baltimore, Maryland

MD

Reporting Subrecipient Monitoring Period of Performance § 200.302 § 200.303

Finding 2022-023 U.S. Department of Health and Human Services AL No. 93.940 HIV Prevention Activities Health Department Based Significant Deficiency in Compliance and Internal Control Over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will implement controls to maint...

Finding 2022-023 U.S. Department of Health and Human Services AL No. 93.940 HIV Prevention Activities Health Department Based Significant Deficiency in Compliance and Internal Control Over Reporting Repeat Finding: No Auditee?s Corrective Action Plan: BCHD will implement controls to maintain compliance with reporting requirements. BCHD will continue to work with the Department of Finance to ensure parameters for generating reports are the same and there is an agreed upon reconciliation when the parameters for reporting are not the same. Policies and procedures will be updated to ensure what is reported on 440 Reports are reconciled to general ledger details in addition to ensuring all submitted reports have proper approvals documented. Accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759

Finding 23859 (2022-022)

Material Weakness 2022

City of Baltimore, Maryland

MD

Questioned Costs Reporting Subrecipient Monitoring § 200.303 § 200.309

Finding 2022-022 U.S. Department of Health and Human Services AL No. 93.940 HIV Prevention Activities Health Department Based Material Weakness over Period of Performance Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the peri...

Finding 2022-022 U.S. Department of Health and Human Services AL No. 93.940 HIV Prevention Activities Health Department Based Material Weakness over Period of Performance Repeat Finding: Yes Auditee?s Corrective Action Plan: BCHD will implement controls to allow only costs within the period of performance to be charged to a grant. BCHD will ensure that if there are any exceptions that allow for costs to be charged outside the period of performance, the proper supporting documents will be kept. Baltimore City's new financial system, Workday, allows for all supporting documentation to be kept electronically in one system. Policies and procedures for internal controls will be updated to incorporate processes in Workday and the accounting staff will be trained appropriately. Contact Person: Chief Financial Officer ? Unyime Ekpa Completion Date: December 2023

View Audit 23759 Questioned Costs: $1

Finding 23794 (2022-001)

Significant Deficiency 2022

Kremmling Memorial Hospital District

CO

Material Weakness Reporting Significant Deficiency

2021-001 Reporting and Written Policies and Procedures Corrective action planned: Middle Park Health (MPH) management agrees that quarterly financial reporting to USDA as required did not occur in 2022. Turnover in finance leadership during 2022 contributed to this oversight among other factors. At ...

2021-001 Reporting and Written Policies and Procedures Corrective action planned: Middle Park Health (MPH) management agrees that quarterly financial reporting to USDA as required did not occur in 2022. Turnover in finance leadership during 2022 contributed to this oversight among other factors. At no point did MPH receive communication from USDA surrounding lack of compliance with this requirement. Upon discovering this weakness, MPH promptly implemented corrective action. Reminders have been set following the approval of each quarter?s financial statements by the Board of Directors to submit quarterly financial reports to USDA contacts. The first set of quarterly financials for 2023 were submitted to the USDA on April 28, 2023 and USDA confirmed receipt of these documents as well as confirming that the distribution list used by MPH for this submission was appropriate. MPH does not anticipate further noncompliance with this requirement. MPH will also develop written policies and procedures for the required reporting. Anticipated completion date: April 27, 2023 Contact person responsible for corrective action: Emily Ebert, CFO & Mikealena Horner, Accountant

View Audit 18290

Finding 23786 (2022-008)

Significant Deficiency 2022

City of Baltimore, Maryland

MD

Eligibility HUD Housing Programs Significant Deficiency § 200.303

Finding 2022-008 U.S. Department of Housing and Urban Development (HUD) AL No. 14.241 Housing Opportunities for Persons with AIDS Significant Deficiency and Internal Control Deficiency over Eligibility Repeat Finding: No Auditee?s Corrective Action Plan: MOHS does have a written process in ...

Finding 2022-008 U.S. Department of Housing and Urban Development (HUD) AL No. 14.241 Housing Opportunities for Persons with AIDS Significant Deficiency and Internal Control Deficiency over Eligibility Repeat Finding: No Auditee?s Corrective Action Plan: MOHS does have a written process in place for review of participant eligibility. The Housing Coordinator performs quality assurance reviews of participant eligibility and verifies documentation is maintained in the records. During the review period, the Housing Coordinator position was vacant. MOHS has started the process to fill the position. MOHS anticipates the Housing Coordinator position will be filled by Summer 2023. Contact Person: Compliance Supervisor ? Donata Patrick Completion Date: July 2023

View Audit 23759

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