Corrective Action Plans

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

Finding 23697 (2022-032)

Significant Deficiency 2022

State of Michigan

MI

Reporting Matching / Level of Effort / Earmarking § 200.334

Finding 2022-032 Pandemic EBT Food Benefits, ALN 10.542 - Report of Disaster Supplemental Nutrition Assistance Benefit Issuance Management Views MDHHS disagrees that federal regulations require MDHHS to maintain copies or screenshots of the Report of Disaster Food Stamp Benefit Issuance (FNS-292B)...

Finding 2022-032 Pandemic EBT Food Benefits, ALN 10.542 - Report of Disaster Supplemental Nutrition Assistance Benefit Issuance Management Views MDHHS disagrees that federal regulations require MDHHS to maintain copies or screenshots of the Report of Disaster Food Stamp Benefit Issuance (FNS-292B) information reported on the federal website. MDHHS normally has the ability to access the information on the federal system. However, during audit fieldwork, the FNS-292B information that MDHHS submitted on the federal website was not viewable to the auditors because the reports were under federal review. MDHHS did not a retain a copy or screen prints of the submitted reports; however, MDHHS did maintain the underlying reports used to compile the submitted FNS-292B reports and this was provided to the auditors during fieldwork. Planned Corrective Action Although MDHHS disagrees that federal regulations require MDHHS to maintain copies or screenshots of FNS-292B information reported on the federal website, MDHHS will maintain screenshots of the report submission going forward. Anticipated Completion Date Completed Responsible Individual(s) Dawn Sweeney, MDHHS

View Audit 20093

Finding 23652 (2022-007)

Significant Deficiency 2022

State of Michigan

MI

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

Finding 2022-007 ADP Security Program Management Views MDHHS agrees with part a. of the finding. MDHHS and DTMB disagree with parts b. and c. of the finding. For part b., for the first system identified, although DTMB did not proactively schedule an annual disaster recovery test, DTMB successfully...

Finding 2022-007 ADP Security Program Management Views MDHHS agrees with part a. of the finding. MDHHS and DTMB disagree with parts b. and c. of the finding. For part b., for the first system identified, although DTMB did not proactively schedule an annual disaster recovery test, DTMB successfully performed an actual failover and supporting documentation was provided to the auditors. The actual failover demonstrated that the disaster recovery plan (DRP) worked, was complete, and no delays were experienced in restoring the critical system, therefore DTMB did not perform additional testing activities and it was unnecessary to perform a separate review or update. For the second system identified, the DRP was tested in accordance with the SOM Standard and DTMB provided the auditors with supporting documentation that updates were made to the DRP within the SOM DRP repository. The State?s environment and data centers leverage an infrastructure that is comprised of fully redundant load balanced systems at alternate sites, data mirroring, and data replication to help ensure high availability. For part c, although MDHHS agrees that system security plans were not updated timely for the systems cited, MDHHS disagrees that effective controls were not implemented to ensure confidentiality, integrity, and availability of its automated data processing (ADP) information systems. MDHHS also disagrees that the security of critical systems was at risk by failing to mitigate potential vulnerabilities as described above. MDHHS has compensating controls in place to ensure confidentiality, integrity, and availability of its ADP information systems in addition to mitigating potential vulnerabilities. MDHHS monitors remediation of Plans of Actions and Milestones for all information systems even after expiration of the authority to operate. In addition, MDHHS is required to audit a portion of these systems (Community Health Automated Medicaid Processing System (CHAMPS), Bridges, Enterprise Common Controls) as part of responsibilities related to the Affordable Care Act and the Medicaid Expansion marketplace. Those audits are conducted to show compliance with federal information security and privacy requirements related to the data stored in those systems. In addition, 2 of the 3 ADP systems cited for not having an updated risk assessment are reviewed biennially through the Internal Control Evaluation process where control evidence is updated to demonstrate effectiveness of controls. Planned Corrective Action For part a., MDHHS will add the missing elements identified to the business continuity plan (BCP) and perform annual reviewing and testing of the BCP. For parts b. and c., MDHHS and DTMB disagree with the finding and do not intend to take further action. Anticipated Completion Date a. December 31, 2023 b. and c. Not applicable Responsible Individual(s) Jim Bowen, MDHHS Nathan Buckwalter, DTMB Heather Frick, DTMB Alana Lowe, MDHHS Jennifer Tate, MDHHS

View Audit 20093

Finding 23645 (2022-002)

Significant Deficiency 2022

San Diego Blood Bank

CA

Questioned Costs Allowable Costs / Cost Principles Significant Deficiency § 200.430

2022-002 Research and Development Cluster ? Assistance Listing No. 93.310 Recommendation: We recommend the Blood Bank implement procedures to ensure all personnel charges to the program are supported by the minimum time and effort documentation outlined within 200 CFR 200.430. Explanation of disagr...

2022-002 Research and Development Cluster ? Assistance Listing No. 93.310 Recommendation: We recommend the Blood Bank implement procedures to ensure all personnel charges to the program are supported by the minimum time and effort documentation outlined within 200 CFR 200.430. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Blood Bank added review and approval processes to compare actual vs budgeted vs allowable time and effort. Names of the contact persons responsible for corrective action: Bryan Eleazar, CFO; Lisa Alexander, Direct of Grant Accounting; Jeanette Lysse, Controller Planned completion date for corrective action plan: October 29, 2021

View Audit 19755 Questioned Costs: $1

Finding 23600 (2022-001)

Significant Deficiency 2022

Rowan-Cabarrus Young Men's Christian Association

NC

Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties Special Tests & Provisions

Finding 2022-001 United States Small Business Administration Program Name: Economic Injury Disaster Loan Federal Assistance Listing Number - 59.008 Responsible Individuals: Jamie Morgan, Chief Executive Officer Finding Summary: The YMCA should implement proper internal controls and procedures to ens...

Finding 2022-001 United States Small Business Administration Program Name: Economic Injury Disaster Loan Federal Assistance Listing Number - 59.008 Responsible Individuals: Jamie Morgan, Chief Executive Officer Finding Summary: The YMCA should implement proper internal controls and procedures to ensure that documentation filing requirements included in the loan agreement are identified and related filings made in a timely manner. Corrective Action Plan: The YMCA did not provide proof of hazard insurance to the lender within the timeline specified by the loan agreement; however, sufficient insurance coverage was maintained and was active during the required period. The YMCA provided the lender with the proof of insurance in June 2023. The YMCA will contact the lender to determine the specific form and content of the requested financial statements and provide the information to the lender as soon as possible. Anticipated Completion Date: The proof of hazard insurance was sent to the lender in June 2023. The filing of the YMCA's financial statements with the lender is ongoing and is expected to be completed in July 2023.

View Audit 26072

Finding 23599 (2022-005)

None 2022

City of Poplar Housing Authority

MT

Equipment & Real Property Management Special Tests & Provisions Reporting

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-005 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and pro...

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-005 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and provisions, Reporting, Equipment and real property management Questioned Costs: None Name of Contact Person and Title: Susie Kirker, Board Chair Criteria: The Projects are required to prepare proper certifications for all tenants as well as close open maintenance items in a timely manner. Condition and Context: The Projects are in a non-compliance workout plan with RD due to various non-compliance findings. Effect: The Project is operating in non-compliance with RD rules and regulations. Cause: The prior management did not comply with RD rules and regulations relating to improper maintenance of the buildings, certification of tenants, and the insurance reserve not being established. Management Response: Management will continue to work to bring the Projects in compliance with RD rules and regulations in 2023. Status: In progress Anticipated Completion Date: Estimated 2023

View Audit 26071

Finding 23598 (2022-004)

None 2022

City of Poplar Housing Authority

MT

Special Tests & Provisions Matching / Level of Effort / Earmarking

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-004 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and pro...

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-004 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and provisions Questioned Costs: None Name of Contact Person and Title: Susie Kirker, Board Chair Criteria: RD projects are required to setup and maintain reserves for insurance payments. Condition and Context: Edgewater Estates did not establish and fund an account for insurance reserves. Effect: The Project is not in compliance with RD regulations and procedures. Cause: The Project has not opened an account for insurance reserves. Management Response: Management was able to pay the insurance premiums during 2022. The Management plans on establishing an insurance reserve account in 2023. Status: In progress Anticipated Completion Date: Estimated 2023

View Audit 26071

Finding 23597 (2022-003)

None 2022

City of Poplar Housing Authority

MT

Special Tests & Provisions Matching / Level of Effort / Earmarking

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-003 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and pro...

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-003 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and provisions Questioned Costs: None Name of Contact Person and Title: Susie Kirker, Board Chair Criteria: Edgewater Estates did not maintain the replacement reserve funds in interest-bearing accounts in 2022. Condition and Context: The Project did not establish interest-bearing accounts for the replacement reserve funds as required by RD. Effect: RD projects are required to maintain interest bearing accounts for replacement reserve funds. Cause: The Project is not in compliance with RD regulations and procedures. Management Response: Management plans on establishing interest-bearing replacement reserve accounts in 2023. Status: In progress Anticipated Completion Date: Estimated 2023

View Audit 26071

Finding 23596 (2022-002)

Material Weakness 2022

City of Poplar Housing Authority

MT

Equipment & Real Property Management Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-002 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Equipment and Real Pr...

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-002 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Equipment and Real Property Management Questioned Costs: None Name of Contact Person and Title: Susie Kirker, Board Chair Criteria: Assets recorded on the financial statements should be supported by documentation showing the original cost or purchase price. Condition and Context: The Projects did not maintain adequate documentation to support the fixed assets recorded on the financial statements. Effect: The Projects are not in compliance with RD regulations or standards which require that assets recorded on the financial statements be supported with documentation showing the original purchase price or cost. Cause: The City of Poplar Housing Authority did not maintain adequate records to support the purchase price of the apartment buildings or the land on which the apartment buildings were built. Management Response: Management will continue to look for the supporting documentation for the original purchase price or cost of the Projects and the land on which the apartments were built. Status: In progress Anticipated Completion Date: Estimated 2023

View Audit 26071

Finding 23595 (2022-001)

None 2022

City of Poplar Housing Authority

MT

Special Tests & Provisions Matching / Level of Effort / Earmarking

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-001 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and pro...

FEDERAL AWARDS FINDING CORRECTIVE ACTION PLAN Year ended December 31, 2022 Finding 2022-001 Federal assistance listing number and name: 10.415 Rural Rent Housing Loans Awards numbers and years: 2022 Federal agency: United States Department of Agriculture Compliance Requirement: Special tests and provisions Questioned Costs: None Name of Contact Person and Title: Susie Kirker, Board Chair Criteria: Edgewater Estates and Combs Memorial did not establish or adequately fund the security deposit accounts in 2022. Condition and Context: Those Projects did not maintain the full amount of security deposit funds potentially owed to the tenants. Effect: The Projects are not in compliance with RD regulations and procedures. Cause: The Projects did not maintain the full amount of security deposit funds potentially owed to the tenants. Management Response: Management plans on fully funding the security deposit accounts for the amounts owed to tenants. Status: In progress Anticipated Completion Date: Estimated 2023

View Audit 26071

Finding 23594 (2022-003)

None 2022

Healthy School Food Collaborative, Inc.

LA

Matching / Level of Effort / Earmarking

2022-003 - TIMELY SUBMISSION OF FEDERAL AUDIT CLEARINGHOUSE FILING (NON-COMPLIANCE) Corrective Action Planned: We will begin the auditing process in a timely fashion going forward and adhere to stricter timelines internally to prevent this from recurring. Anticipated Completion Date: March 31, 2024

View Audit 26070

Finding 23574 (2022-001)

None 2022

Horizon Education Centers

OH

Reporting Matching / Level of Effort / Earmarking

Finding 2022-001 Summary: Although Horizon?s data collection form for the year end ended December 31, 2021 was not submitted to the FAC within the 30 days after the receipt of the auditor?s reports, that was more than nine months after the end of the audit period. The firm engaged by Horizon to p...

Finding 2022-001 Summary: Although Horizon?s data collection form for the year end ended December 31, 2021 was not submitted to the FAC within the 30 days after the receipt of the auditor?s reports, that was more than nine months after the end of the audit period. The firm engaged by Horizon to prepare the report was hard hit with staffing issues and Covid and they were severely behind schedule. Corrective Action: Horizon has engaged a different firm to prepare the 2022 report. They plan to provide the report to Horizon in August, 2023 and Horizon will submit the data collection form within 30 days thereafter in compliance with the law. Contact Person: Sharon Knaggs, CFO Anticipated Completion Date: August 31, 2023.

View Audit 19400

Finding 23571 (2022-003)

Significant Deficiency 2022

Medical University of South Carolina

SC

Questioned Costs Allowable Costs / Cost Principles Cash Management § 200.305

Date: April 21, 2023 Subject: Corrective Action Plan Please find below the Medical University of South Carolina?s (MUSC) Corrective Action Plan for the finding presented by KPMG relating to our fiscal year 2022 audit conducted under the Uniform Guidance. Audit finding reference number: 2022-003 Ca...

Date: April 21, 2023 Subject: Corrective Action Plan Please find below the Medical University of South Carolina?s (MUSC) Corrective Action Plan for the finding presented by KPMG relating to our fiscal year 2022 audit conducted under the Uniform Guidance. Audit finding reference number: 2022-003 Cash Management Cause and potential effect as presented in the Summary of Findings and Questioned Costs: For 3 of the 40 samples tested, taxes were properly accrued as allowable costs but were drawn prior to payment by the University. While these costs are deemed allowable, they were not paid for prior to seeking reimbursement from the federal agency. The taxes drawn prior to payment totaled $4,035 out of a total of $784,941 tested in the sample of 40. The control to ensure that all costs were paid for prior to seeking reimbursement was not operating effectively to identify instances of noncompliance related to the applicable taxes. Name(s) of the contact person(s) responsible for corrective action: Velma G. Stamp, Director, Grants and Contracts Accounting Michael Laird, Manager, Financial Reporting, Grants and Contracts Accounting Corrective action planned: MUSC tested purchases to determine the extent of the finding. It was found that this issue was isolated to the Department of Lab Animal Research (DLAR) animal purchases made with the departmental Purchasing Card. Once this determination was made all DLAR animal purchasing card transactions were identified, for the period being audited, in order to calculate the use tax required to be paid. MUSC?s tax office then submitted amendments for each month, remitting the additional use tax as well as the applicable penalties to the South Carolina Department of Revenue. No adjustments were needed to be made to the grants impacted as these are otherwise allowable costs. We believe MUSC?s system operates adequately when use tax is flagged as required by our policies and procedures. This instance occurred due to input errors by the employee responsible for this area. As such, we have conducted training with the employee as well as the employee?s manager instructing how purchasing card transactions subject to use tax must be identified when allocating credit card purchases. In addition, we will monitor DLAR credit card purchases to ensure MUSC?s policies and procedures are being adhered to. Anticipated completion date: This corrective action has been implemented and the monitoring will be ongoing. Questions or requests for additional information related to this Corrective Action Plan may be directed to me via email at stampvg@musc.edu or by telephone at 843-792-3657. Sincerely, Velma G. Stamp, Director

View Audit 19410 Questioned Costs: $1

Finding 23522 (2022-069)

Material Weakness 2022

State of Rhode Island

RI

Questioned Costs Subrecipient Monitoring Eligibility

2022-069a ? There are ongoing projects efforts with the Gainwell Technologies (the MMIS Fiscal Agent) to clean up the gaps in the TPL process that leads to inaccurate TPL data within the MMIS, those projects include: ? Changing the logic in the MMIS to end date members active TPL segments when Medic...

2022-069a ? There are ongoing projects efforts with the Gainwell Technologies (the MMIS Fiscal Agent) to clean up the gaps in the TPL process that leads to inaccurate TPL data within the MMIS, those projects include: ? Changing the logic in the MMIS to end date members active TPL segments when Medicaid eligibility is lost ? Cleaning up active TPL segments for members with dates of death in the MMIS ? Project request to clean up inaccurate Policy begin dates that are being changed by incoming ?MMA file? (From CMS) data ? Project to update coverage type codes for Medicare Advantage plans to have their own distinct code ? Expanding logic on MMA file to include more Medicaid members so more Medicare information can be taken in by the MMIS Additionally, there is work with Deloitte and Gainwell to ensure we have accurate TPL information within the RIBridges system. 2022-069b ? EOHHS has worked with Gainwell Technologies (the MMIS Fiscal Agent) to supply the MCOs with monthly files that include their enrolled members who have active TPL information within MMIS. These files have been generated and QCd by the systems team. We are currently in process with the MCO team to determine how these files will be delivered to the MCOs and define the expectations of how the MCOs use these files. Anticipated Completion Date: December 2024 Contact Person: Jeffrey Schmeltz, Chief of Family Health Systems Executive Office of Health and Human Services jeffrey.schmeltz@ohhs.ri.gov

View Audit 23102 Questioned Costs: $1

Finding 23503 (2022-062)

Material Weakness 2022

State of Rhode Island

RI

Questioned Costs Eligibility Matching / Level of Effort / Earmarking

The Office of Child Care (OCC) has reviewed available training materials related to CCAP eligibility and case processing and has identified certain gaps where additional training/clarification, and more frequent communication to processing staff is needed ? specifically in income calculation/input o...

The Office of Child Care (OCC) has reviewed available training materials related to CCAP eligibility and case processing and has identified certain gaps where additional training/clarification, and more frequent communication to processing staff is needed ? specifically in income calculation/input of paystubs, confirming asset declarations and confirming need hours. OCC has requested to work with CSDL to create a CCAP specific training to provide in-depth coverage of program requirements. OCC has presented at quarterly meetings to highlight error findings and the critical importance of accurate documentation ? specifically citizenship of the child and residency. OCC works continuously with field staff and Deloitte through weekly theme meetings to identify areas where system changes can improve accuracy of eligibility determinations. OCC is currently reviewing the grace period/short-term approval policy, how it is applied to specific cases and how it is implemented in RIBridges. Anticipated Completion Date: April 2024 Contact Person: Sharon Fitzgerald, CCAP Administrator Department of Human Services sharon.fitzgerald@dhs.ri.gov

View Audit 23102 Questioned Costs: $1

Finding 23494 (2022-003)

Significant Deficiency 2022

Story County Hospital and Long Term Care Facility

IA

Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.327 § 200.328

Significant Deficiency ? Item No. 2022-003 Criteria: The Hospital must establish and maintain effective internal control over federal awards that provides reasonable assurance that the Hospital is managing the federal awards in compliance with federal statutes, regulations and terms and conditions o...

Significant Deficiency ? Item No. 2022-003 Criteria: The Hospital must establish and maintain effective internal control over federal awards that provides reasonable assurance that the Hospital is managing the federal awards in compliance with federal statutes, regulations and terms and conditions of the federal award. 2 CFR 200.327 and 2 CFR 200.328 require the auditee to collect financial information and monitor its activities under federal awards to assure compliance with applicable federal requirements and performance expectations are being achieved and report these items in accordance with program requirements. Terms and conditions of the federal award require the audited financial statements to be provided to the federal agency annually within 9 months of fiscal year-end, as well as quarterly internal financial statements. Condition: The Hospital did not submit the audited financial statements within the prescribed period or request an extension and did not submit any quarterly reports to the federal agency. The Hospital was not asked for the information after they failed to submit it. The audit financial statements are readily available to the federal agency through the federal clearinghouse website. Planned Corrective Action: Management agrees with the finding and are implementing procedures to ensure that the required financial reports are submitted in a timely manner in accordance with the terms and conditions of the federal award. Planned Completion Date: June 30, 2023 Person Responsible: Nate Thompson, Chief Executive Officer

View Audit 18723

Finding 23461 (2022-057)

Significant Deficiency 2022

State of Rhode Island

RI

Reporting Matching / Level of Effort / Earmarking

Rhode Island College has provided additional training to the employee responsible for timely reporting and documentation of the reports. Additionally, the College has set up additional reviews and reminders to ensure that the data reported is timely and documented. Anticipated Completion Date: Com...

Rhode Island College has provided additional training to the employee responsible for timely reporting and documentation of the reports. Additionally, the College has set up additional reviews and reminders to ensure that the data reported is timely and documented. Anticipated Completion Date: Completed Contact Person: Nelia Kruger, Controller Rhode Island College nkruger@ric.edu

View Audit 23102

Finding 23441 (2022-047)

Significant Deficiency 2022

State of Rhode Island

RI

Matching / Level of Effort / Earmarking Subrecipient Monitoring

Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with earmarking. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation lor...

Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with earmarking. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation loren.doyle@dot.ri.gov

View Audit 23102

Finding 23440 (2022-046)

Significant Deficiency 2022

State of Rhode Island

RI

Matching / Level of Effort / Earmarking

Effective March 8, 2023, the Maintenance of Effort (MOE) is no longer required. This elimination of this requirement was part of a Federal Register published on February 6, 2023. 23 CFR part 1300 (Docket No. NHTSA-2022-0036) states: The 5-State DOTs acknowledged that NHTSA removed the Maintenance ...

Effective March 8, 2023, the Maintenance of Effort (MOE) is no longer required. This elimination of this requirement was part of a Federal Register published on February 6, 2023. 23 CFR part 1300 (Docket No. NHTSA-2022-0036) states: The 5-State DOTs acknowledged that NHTSA removed the Maintenance of Effort (MOE) requirement in the NPRM and requested that NHTSA retain that change. The BIL removed this requirement, and therefore NHTSA retains that change. Anticipated Completion Date: Completed Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation loren.doyle@dot.ri.gov

View Audit 23102

Corrective Action Plans

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