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Corrective Action Plans

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Finding 555943 (2024-001)
Significant Deficiency 2024
The Pinemont Apartments, Inc.
TX
Questioned Costs Procurement, Suspension & Debarment HUD Housing Programs
Certain expenses for mold remediation were capitalized and should have been expensed. A significant audit adjustment was made. Response: Management will implement procedures to ensure all transactions are properly recorded in the future.
Certain expenses for mold remediation were capitalized and should have been expensed. A significant audit adjustment was made. Response: Management will implement procedures to ensure all transactions are properly recorded in the future.
View Audit 354657
Finding 555939 (2024-001)
Significant Deficiency 2024
Plum Presbyterian Housing, Inc. D/b/a Plum Creek Acres
PA
HUD Housing Programs Questioned Costs Procurement, Suspension & Debarment
The following represents the Corrective Action Plan related to the audit finding listed in the Schedule of Findings and Questioned Costs included in the December 31, 2024 audited financial statements of Plum Presbyterian Senior Housing, Inc. d/b/a Plum Creek Acres (the “Corporation”). Finding 2024-0...
The following represents the Corrective Action Plan related to the audit finding listed in the Schedule of Findings and Questioned Costs included in the December 31, 2024 audited financial statements of Plum Presbyterian Senior Housing, Inc. d/b/a Plum Creek Acres (the “Corporation”). Finding 2024-001: Incomplete Documentation of New Residents Condition and Criteria: The Corporation is required to have all new residents sign a Form HUD-9887 and a Resident Rights and Responsibilities document upon move-in. The Corporation did not have these documents signed and maintained in the resident file for one out of four residents selected for testwork. Management Response and Corrective Action Plan: Management agrees with the finding. The Corporation is implementing an updated standard review process over the resident files to prevent and detect errors on a timely basis.
View Audit 354632
Finding 555938 (2024-001)
Significant Deficiency 2024
East Liberty Supportive Housing, Inc. D/b/a Negley Commons
PA
HUD Housing Programs Questioned Costs Eligibility
The following represents the Corrective Action Plan related to the audit finding listed in the Schedule of Findings and Questioned Costs included in the December 31, 2024 audited financial statements of East Liberty Supportive Housing, Inc. d/b/a Negley Commons (the “Corporation”). Finding 2024-001:...
The following represents the Corrective Action Plan related to the audit finding listed in the Schedule of Findings and Questioned Costs included in the December 31, 2024 audited financial statements of East Liberty Supportive Housing, Inc. d/b/a Negley Commons (the “Corporation”). Finding 2024-001: Incomplete Documentation of New Residents Condition and Criteria: The Corporation is required to have all new residents provide their social security number upon move-in. The Corporation did not have a social security card maintained in the resident file for two out of three residents selected for testwork. Management Response and Corrective Action Plan: Management agrees with the finding. The Corporation is implementing an updated standard review process over the resident files to prevent and detect errors on a timely basis.
View Audit 354630
Finding 555920 (2024-005)
Significant Deficiency 2024
School District of Osceola
WI
Questioned Costs Reporting Internal Control / Segregation of Duties
The District submitted corrected versions of the Quarterly Financial Summaries to SBS after audit fieldwork. The District plans for the Finance Director to review Quarterly Financial Summaries and Annual Cost reports and document this review before submitting to SBS. Shannon Grindell, Sharon Weise O...
The District submitted corrected versions of the Quarterly Financial Summaries to SBS after audit fieldwork. The District plans for the Finance Director to review Quarterly Financial Summaries and Annual Cost reports and document this review before submitting to SBS. Shannon Grindell, Sharon Weise Ongoing
View Audit 354588
Finding 555917 (2024-004)
Significant Deficiency 2024
School District of Osceola
WI
Questioned Costs Allowable Costs / Cost Principles Reporting
The District acknowledges this finding. Due to its size, it is not cost effective to have more than one person in the food service department working with the claims. The District will assign someone in the District office to review all claims. Shannon Grindell, Susan Mayer Ongoing
The District acknowledges this finding. Due to its size, it is not cost effective to have more than one person in the food service department working with the claims. The District will assign someone in the District office to review all claims. Shannon Grindell, Susan Mayer Ongoing
View Audit 354588
Finding 555899 (2024-001)
Significant Deficiency 2024
Marillac Community Health Centers
LA
Questioned Costs Eligibility Internal Control / Segregation of Duties
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors recommended the Organization to review internal controls in regards to retaining the completed sliding fee applications in the patients record to support the sliding fee discount pr...
Federal Program: Consolidated Health Centers Grant Assistance Listing No. 93.224 & 93.527 Recommendation: Our auditors recommended the Organization to review internal controls in regards to retaining the completed sliding fee applications in the patients record to support the sliding fee discount provided to the patient. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees that this was a clerical error and an isolated incident. To improve the process and minimize errors, eligibility applications will now be processed at the Grand Junction, Colorado office by a different eligibility staff. This team will enter applications into the electronic medical record system and maintain either paper or digital copies for one year to ensure no applications are lost. This new procedure will provide an additional safeguard in the application process.
View Audit 354557
Martin Luther King Gardens Urban Renewal, Inc.
NJ
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
Auditee Response and Action Plan Management of the Project is aware they are responsible for complying with laws and regulations. Management is in the process of establishing a bank account titled Reserve Replacement and will transfer the appropriate balance into the account once established.
Auditee Response and Action Plan Management of the Project is aware they are responsible for complying with laws and regulations. Management is in the process of establishing a bank account titled Reserve Replacement and will transfer the appropriate balance into the account once established.
View Audit 354548
Finding 555839 (2024-001)
Significant Deficiency 2024
Coolidge Court, INC
CA
Questioned Costs HUD Housing Programs Eligibility
Develop and implement a standardized file checklist for all tenant files Conduct staff training on housing documentation requirements and retention Perform a comprehensive audit of all current tenant files Correct all deficiencies found in tenant files and document corrections Establish a monthl...
Develop and implement a standardized file checklist for all tenant files Conduct staff training on housing documentation requirements and retention Perform a comprehensive audit of all current tenant files Correct all deficiencies found in tenant files and document corrections Establish a monthly internal file review schedule Implement a digital tracking system for file compliance status Housing Program Mgr DONE In Progress Housing Program Mgr 5/9/2025 In Progress Assigned Housing Team Ongoing In Progress Assigned Program Staff Quarterly In Progress Assigned Program Staff 5/1/2025 In Progress Housing Program Mgr 5/1/2025 Not Started Proposed Completion Date: 06/30/2025 Contact Person: Antonechia Smith – Housing Program Manager Kasi Jones – Property Manager
View Audit 354536 Questioned Costs: $1
County of Scott, Virginia
VA
Questioned Costs Cash Management Reporting
We recommend the School Board implement a review process to ensure the manually entered meal counts agree to the supporting documentation.
We recommend the School Board implement a review process to ensure the manually entered meal counts agree to the supporting documentation.
View Audit 354535 Questioned Costs: $1
Finding 555814 (2024-001)
Material Weakness 2024
Walker County Board of Education
AL
Questioned Costs Procurement, Suspension & Debarment Subrecipient Monitoring
We will follow the appropriate procurement policies when using federal award funding in accordance with Section 200.320 (b) of the Uniform Guidance. This will be further emphasized by having the CSFO train the staff that use federal funding. The policies and other rules will be emphasized formally...
We will follow the appropriate procurement policies when using federal award funding in accordance with Section 200.320 (b) of the Uniform Guidance. This will be further emphasized by having the CSFO train the staff that use federal funding. The policies and other rules will be emphasized formally.
View Audit 354526 Questioned Costs: $1
Finding 555807 (2024-001)
Material Weakness 2024
Northern Cambria School District
PA
Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles § 200.439
CONDITION: The Northern Cambria School District contracted Eber HVAC, Inc. for the School District’s RTU Replacement Project which constitutes a construction-related purchase respectively which requires prior approval from the Pennsylvania Department of Education (PDE). The School District did not o...
CONDITION: The Northern Cambria School District contracted Eber HVAC, Inc. for the School District’s RTU Replacement Project which constitutes a construction-related purchase respectively which requires prior approval from the Pennsylvania Department of Education (PDE). The School District did not obtain the required prior approval from PDE for this expenditure. This is a repeat finding (2023-001) for the prior fiscal year. CRITERIA: PDE and Section 2 CFR 200.439(b) of the Uniform Guidance require prior written approval by the federal or pass-through awarding agency for capital purchases including equipment, buildings, and land. Capital expenditures for special purpose equipment with a unit cost of $5,000 or more must also have prior approval. MANAGEMENT’S CORRECTIVE ACTION PLAN: Management will complete the Prior Approval Form for the Pennsylvania Department of Education (PDE) and obtain approval from PDE in advance of incurring any future federally funded expenditures, that meet PDE’s criteria as a capital purchase, to ensure compliance with PDE and Section 2 CFR 200.439(b) of the Uniform Guidance. This procedure will be implemented effective immediately for all future applicable capital purchases.
View Audit 354514 Questioned Costs: $1
Bremen Community High School District 228
IL
Questioned Costs Reporting
The District will implement a process to track the submission time of the data collection form and audit package.
The District will implement a process to track the submission time of the data collection form and audit package.
View Audit 354497
Finding 555796 (2024-002)
Significant Deficiency 2024
Ivy Plaza Housing Corporation
OH
HUD Housing Programs Questioned Costs Special Tests & Provisions
Finding 2024-002 HUD Approval Process for Residual Receipts Withdrawal Program Name/Assistance Listing Title: Supportive Elderly Housing Section 202 Federal Assistance Listing No: 14.157 Corrective Action Plan: To address the issue of withdrawing funds from the residual receipts account without ...
Finding 2024-002 HUD Approval Process for Residual Receipts Withdrawal Program Name/Assistance Listing Title: Supportive Elderly Housing Section 202 Federal Assistance Listing No: 14.157 Corrective Action Plan: To address the issue of withdrawing funds from the residual receipts account without prior HUD approval, we will take corrective actions to ensure compliance with HUD regulations. We will communicate this with HUD to determine if replenishment is required and provide supporting documentation for review. If HUD mandates replenishment, we will explore available funding sources to restore the withdrawn amount. Additionally, we will enhance documentation procedures, implement stricter internal controls to ensure prior approval for withdrawals, and designate a compliance contact to facilitate future HUD communications. A tracking system will also be developed to oversee fund withdrawals and prevent similar occurrences in the future. Proposed Completion Date: 12/31/2025
View Audit 354481 Questioned Costs: $1
Finding 555795 (2024-001)
Significant Deficiency 2024
Ivy Plaza Housing Corporation
OH
Questioned Costs HUD Housing Programs Subrecipient Monitoring
2024-001 Strengthening Compliance with Replacement Reserve Deposit Requirements Program Name/Assistance Listing Title: Supportive Elderly Housing Section 202 Federal Assistance Listing No: 14.157 Corrective Action Plan: To address the identified shortfall in replacement reserve deposits, we wil...
2024-001 Strengthening Compliance with Replacement Reserve Deposit Requirements Program Name/Assistance Listing Title: Supportive Elderly Housing Section 202 Federal Assistance Listing No: 14.157 Corrective Action Plan: To address the identified shortfall in replacement reserve deposits, we will implement measures to ensure compliance with HUD requirements. Moving forward, we will prioritize making timely deposits and closely monitor reserve balances to prevent future delays. A tracking sheet will be established to record monthly payments, and quarterly reviews will be conducted to identify and address any shortfalls proactively. Additionally, we will schedule a check-in meeting with our accounting firm by the third quarter to review reserve balances and ensure all funding obligations are met. We will also find ways to fund the deficit as soon as possible to restore compliance and maintain financial stability. These actions will strengthen financial oversight and help maintain compliance with HUD regulations. Proposed Completion Date: 12/31/2025
View Audit 354481 Questioned Costs: $1
Park Ridge-Niles School District 64
IL
Questioned Costs Reporting
The District will implement a process to track the submission time of the data collection form and audit package.
The District will implement a process to track the submission time of the data collection form and audit package.
View Audit 354465
Finding 555772 (2024-001)
Significant Deficiency 2024
Alliance for Community Empowerment, Inc.
CT
Questioned Costs Allowable Costs / Cost Principles Period of Performance
CT Energy Assistance Program– Assistance Listing No. 93.568 Recommendation: We recommend Alliance for Community Empowerment, Inc. design controls to ensure an adequate review process is in place to review the period of costs incurred to ensure costs are charged to grants in the proper period. Action...
CT Energy Assistance Program– Assistance Listing No. 93.568 Recommendation: We recommend Alliance for Community Empowerment, Inc. design controls to ensure an adequate review process is in place to review the period of costs incurred to ensure costs are charged to grants in the proper period. Action taken in response to finding: All expenditures will be reviewed and recorded in the proper period of performance. The correction was put into place during the audit and all expenditures have been reviewed during entry and at the point of signature from the Finance Director. Name of the contact person responsible for corrective action: Indi Hayes, Finance Director Planned completion date for corrective action plan: March 21, 2025
View Audit 354453 Questioned Costs: $1
Finding 555763 (2024-002)
Material Weakness 2024
Feeding Illinois
IL
Questioned Costs Cash Management Internal Control / Segregation of Duties
Finding No.: 2024-002 Internal Control Over Grant Expenditures Federal Program Name: FEMA Feeding Mission CFDA Numbers: 97.036 Federal Agency: U.S. Department of Human Services Finding: During testing of grant expenditures, it was noted that 2 out of 2 reimbursements tested were modified by ...
Finding No.: 2024-002 Internal Control Over Grant Expenditures Federal Program Name: FEMA Feeding Mission CFDA Numbers: 97.036 Federal Agency: U.S. Department of Human Services Finding: During testing of grant expenditures, it was noted that 2 out of 2 reimbursements tested were modified by the State Agency overseeing the grant. Feeding Illinois did not properly calculate the number of expenditures for reimbursement. Questioned Costs: N/A Systemic or Isolated: This instance of noncompliance is systemic. Effect of Finding: The Organization submitted grant expenditures both in excess of amounts reimbursed. Recommendation: We recommend that the Organization perform a more detailed review of the information submitted to verify the accuracy prior to submission for reimbursement. . Corrective Action Plan: All future federal grant programs that require substantial lines of information and calculations to be submitted for reimbursement of allowable costs will be reviewed by at least two qualified persons before submission to the administering agency (e.g. IDHS).. Contact Person Responsible for Corrective Action: Stephen Ericson, Executive Director Anticipated Completion Date: June 30, 2025
View Audit 354427
Independence Heights INC
TX
Questioned Costs Reporting
Audit Finding 2024-0001 - Review of the security deposit account showed that the balance as of December 31, 2024 was insufficient to cover the tenant security deposit liability and was not held in an interest bearing account. - Management response: The Project had a shortfall of operational cash an...
Audit Finding 2024-0001 - Review of the security deposit account showed that the balance as of December 31, 2024 was insufficient to cover the tenant security deposit liability and was not held in an interest bearing account. - Management response: The Project had a shortfall of operational cash and used some funds from the security deposit account. The fees associated with an interest bearing bank account would outweigh the benefits of interest based on the size of the security deposit account. Auditee will replenish the money to the security deposit account as soon as possible. Management will also research the feasibility of finding a bank account that will pay sufficient interest to cover any fees charged.
View Audit 354401
Independence Heights INC
TX
Questioned Costs HUD Housing Programs Reporting
Audit Finding 2024-0002 - Funds were withdrawn from the replacement reserve without HUD’s written authorization. - Management response: The Project had a shortfall of operational cash and had to withdraw from the replacement reserve. Auditee will replenish the money to the replacement reserve as s...
Audit Finding 2024-0002 - Funds were withdrawn from the replacement reserve without HUD’s written authorization. - Management response: The Project had a shortfall of operational cash and had to withdraw from the replacement reserve. Auditee will replenish the money to the replacement reserve as soon as possible.
View Audit 354401
Finding 555741 (2024-002)
Significant Deficiency 2024
Victory Oaks, Inc.
MD
Questioned Costs HUD Housing Programs Matching / Level of Effort / Earmarking
a. Comments on the Finding and Each Recommendation Management agrees that an expense in the amount of $3,941 was paid on behalf of an affiliate from project cash without HUD approval. We attribute this finding to a clerical error made during invoice processing. b. Action(s) Taken or Planned on the F...
a. Comments on the Finding and Each Recommendation Management agrees that an expense in the amount of $3,941 was paid on behalf of an affiliate from project cash without HUD approval. We attribute this finding to a clerical error made during invoice processing. b. Action(s) Taken or Planned on the Finding The Management Agent will ensure that invoices will be recorded accurately and according to HUD guidelines. A list of service accounts by property is cross-referenced prior to invoice approval and utility accounts will be transferred to a third party for processing and payment.
View Audit 354366 Questioned Costs: $1
Finding 555738 (2024-003)
Significant Deficiency 2024
Victory Heights, Inc.
MD
HUD Housing Programs Questioned Costs Subrecipient Monitoring
a. Comments on the Finding and Each Recommendation Management acknowledges that the security deposit was not returned within 30 days of move-out for certain selected files. We attribute this finding to prior days of move-out for certain selected files. We attribute this finding to prior management h...
a. Comments on the Finding and Each Recommendation Management acknowledges that the security deposit was not returned within 30 days of move-out for certain selected files. We attribute this finding to prior days of move-out for certain selected files. We attribute this finding to prior management handling of compliance as well as the delay in software set-up at management transition. b. Action(s) Taken or Planned on the Finding As there has been a change in the Management Agent, the agent will ensure that move-outs are processed within the proper time frame. Management has instituted company policy as well as corporate compliance monitoring that requires timely processing.
View Audit 354365
Finding 555735 (2024-001)
Significant Deficiency 2024
Victory Heights, Inc.
MD
HUD Housing Programs Questioned Costs Cash Management
a. Comments on the Finding and Each Recommendation Management agrees that when the PRAC renewal for 2024 was submitted, they failed to include a return to HUD the balance of the residual receipts above $250 per unit. This is accounted to the recent Management Agent transition on 7/1/2024 and transit...
a. Comments on the Finding and Each Recommendation Management agrees that when the PRAC renewal for 2024 was submitted, they failed to include a return to HUD the balance of the residual receipts above $250 per unit. This is accounted to the recent Management Agent transition on 7/1/2024 and transition of software and accounts. b. Action(s) Taken or Planned on the Finding Current management has submitted a 9250 to HUD for approval of release of Residual Receipt funds above $250 per unit to be returned to HUD. As part of the PRAC renewal process, current management will follow HUD guidelines that require a submission of a 9250 residual receipt request with the renewal submission.
View Audit 354365
Finding 555718 (2024-001)
Significant Deficiency 2024
Cambridge Apartments, Inc.
MD
Questioned Costs HUD Housing Programs Matching / Level of Effort / Earmarking
a. Comments on the Finding and Each Recommendation Management agrees that certain costs were paid on behalf of an affiliate project. We attribute this finding to an error by prior management. b. Action(s) Taken or Planned on the Finding As there has been a change in the Management Agent, the new age...
a. Comments on the Finding and Each Recommendation Management agrees that certain costs were paid on behalf of an affiliate project. We attribute this finding to an error by prior management. b. Action(s) Taken or Planned on the Finding As there has been a change in the Management Agent, the new agent will ensure invoices are recorded to the correct property. The site has been reimbursed for the $2,969 as of March 2025.
View Audit 354356 Questioned Costs: $1
Finding 555717 (2024-002)
Significant Deficiency 2024
Avondale Park Apartments, INC
MD
HUD Housing Programs Questioned Costs Cash Management
a. Comments on the Finding and Each Recommendation Management agrees that when prior Management agent submitted the PRAC renewal for 2024, they failed to include a return to HUD the balance of the residual receipts above $250 per unit. ...
a. Comments on the Finding and Each Recommendation Management agrees that when prior Management agent submitted the PRAC renewal for 2024, they failed to include a return to HUD the balance of the residual receipts above $250 per unit. b. Action(s) Taken or Planned on the Finding Current management has submitted a 9250 to HUD for approval of release of Residual Receipt funds above $250 per unit to be returned to HUD. As part of the PRAC renewal process, current management will follow HUD guidelines that require a submission of a 9250 residual receipt request with the renewal submission.
View Audit 354355
Finding 555695 (2024-002)
Significant Deficiency 2024
Wyoming Housing Network, Inc. and Subsidiaries
WY
Questioned Costs Special Tests & Provisions Subrecipient Monitoring
Finding #2024-002 Comments on the Finding and Each Recommendation: During the year ended September 30, 2024, the Corporation made three withdrawals from the reserve for replacements account totaling $31,043 without obtaining RD approval. Management should request retroactive approval for the reserve...
Finding #2024-002 Comments on the Finding and Each Recommendation: During the year ended September 30, 2024, the Corporation made three withdrawals from the reserve for replacements account totaling $31,043 without obtaining RD approval. Management should request retroactive approval for the reserve for replacements withdrawals totaling $31,043 and obtain RD approval prior to making withdrawals from the reserve for replacements account in the future. Action(s) taken or planned on the finding: Management concurs with the finding. Management requested and received retroactive approval for the reserve for replacements withdrawals totaling $31,043 and will obtain RD approval prior to making withdrawals from the reserve for replacements account in the future.
View Audit 354311 Questioned Costs: $1
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