Corrective Action Plans

Finding 541812 (2024-002)

Material Weakness 2024

South Carolina State Housing Finance and Development Authority

SC

Questioned Costs Special Tests & Provisions Material Weakness

Housing Voucher Cluster – Assistance Listing Numbers 14.871/14.879 Compliance Requirement: Special Tests and Provisions – Housing Quality Standards (HQS) Inspections Recommendation: We recommend the Authority implements controls to ensure that required HQS are completed timely. Views of responsib...

Housing Voucher Cluster – Assistance Listing Numbers 14.871/14.879 Compliance Requirement: Special Tests and Provisions – Housing Quality Standards (HQS) Inspections Recommendation: We recommend the Authority implements controls to ensure that required HQS are completed timely. Views of responsible officials: There is no disagreement with the audit finding. Action planned/taken in response to finding: Management commits to re-review applicable CFR and Admin Polices to assure we are starting from a good foundation and adjust HQS processes as needed to bring all HQS inspections into compliance. Management to provide refresher process training on HQS expected timelines and documentation required to be in OnBase. No later than May 2025, SC Housing is restructuring the HCV department. This realignment will result in a dedicated inspection team that is not burdened with ancillary administrative tasks that have contributed to their inability to meet critical deadlines. Additionally, inspectors will have the flexibility to inspect 4-5 days per week as necessary. One of the key inspectors is physically located in the Low Country area which will minimize the travel time required to inspect in this region. Two of the inspections with findings were in a portfolio assigned to an employee exhibiting substandard performance who was subsequently terminated. These cases have been reassigned. Name(s) of the contact person(s) responsible for corrective action: Lisa Wilkerson, Director of Rental Assistance and Compliance Lenzy Morris, Director of HCVP Operations Planned completion date for corrective action plan: Restructure in planned for late April, initial training will begin immediately and continue as needed.

View Audit 350735

Finding 541796 (2024-005)

Significant Deficiency 2024

Baylor College of Medicine

TX

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

Finding 2024‐005 Student Financial Assistance Cluster ALN: 84.268 Finding: The College did not submit the required monthly reconciliation for the direct loan program Corrective Action Plan: To address the issue of not submitting the required monthly reconciliation for the Direct Loan Program, the...

Finding 2024‐005 Student Financial Assistance Cluster ALN: 84.268 Finding: The College did not submit the required monthly reconciliation for the direct loan program Corrective Action Plan: To address the issue of not submitting the required monthly reconciliation for the Direct Loan Program, the Financial Aid office has implemented a process to ensure Direct Loan reconciliation is completed monthly. An outlook calendar reminder entry will serve as a reminder to begin the reconciliation process on the 15th of each month. The Senior Financial Aid Counselor requests a YTD SAS report from COD, which contains loan data from the central processor, the report is delivered to our electronic mailbox within 24 hours. The Senior Financial Aid Counselor runs a second report from the SIS System to generate YTD loan disbursement information. The files are reformatted and compared by the Senior Financial Aid Counselor. Any discrepancies are reviewed and resolved in the appropriate system (COD or SIS), dependent on the discrepancy. The Senior Counselor notifies the Senior Manager of Financial Aid that the comparison and updates are complete. The Senior Manager of Financial Aid then reviews delta from the compared data and verifies that corrections are made in the correct system. The Senior Manager ensures that resolved amount is within the COD delta found on the summary page in COD and a screenshot is maintained in the reconciliation file. Senior Manager marks “Sr Manager Reviewed” column on the loan reconciliation spreadsheet with a date of review as evidence. The completed reconciliation is maintained in the Financial Aid Shared Directory. Person Responsible: Scott Moore, Senior Manager, Financial Aid, Baylor College of Medicine Expected Completion: April 2024

View Audit 350695

Finding 541794 (2024-004)

Material Weakness 2024

Baylor College of Medicine

TX

Questioned Costs Reporting Matching / Level of Effort / Earmarking § 200.303

Finding 2024-004 Reporting ALN: 21.027 Finding: The College did not submit monthly reports for the CSLFRF or TCMHCC grants by the 15th of each month. Corrective Action Plan: BCM agrees that these reports were not submitted by the 15th deadline. Going forward, BCM will require the department to at...

Finding 2024-004 Reporting ALN: 21.027 Finding: The College did not submit monthly reports for the CSLFRF or TCMHCC grants by the 15th of each month. Corrective Action Plan: BCM agrees that these reports were not submitted by the 15th deadline. Going forward, BCM will require the department to attest that the programmatic reports were submitted when the monthly financial reports are submitted on the TCMHCC grant. Person Responsible: Chryll Batiste, Director, Research Administration, Baylor College of Medicine Expected Completion: April 2025

View Audit 350695

Finding 541119 (2024-003)

Material Weakness 2024

Baylor College of Medicine

TX

Questioned Costs Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303

2024-003 Indirect Costs ALN: Research and Development Cluster (R&D), 21.027 Finding: The College did not retain documentation and evidence of review of the indirect cost amounts being charged to the R&D and CSLFRF programs. Management performed a monthly control that included reviewing a sample of...

2024-003 Indirect Costs ALN: Research and Development Cluster (R&D), 21.027 Finding: The College did not retain documentation and evidence of review of the indirect cost amounts being charged to the R&D and CSLFRF programs. Management performed a monthly control that included reviewing a sample of indirect costs charged to grants on a sample basis. The College had a new ERP implementation that went into effect on January 1, 2024. Management did not perform the monthly control subsequent to the ERP implementation for the last 6 months of year. Corrective Action Plan: With the implementation of the new ERP system, BCM went from an on-premises solution to a software-as-a-service solution. Since we no longer have access to modify the code that calculates the F&A expense on awards, management concluded that previous random testing control was no longer necessary. Management also believes that there are numerous compensating reporting controls that would alert us if the F&A calculations were not accurate. Notably, management’s compensating controls and the testing the audit firm conducted identified no instances where the F&A calculations were inaccurate. However, to satisfy this audit finding we will be resuming the manual control procedure used with the legacy system. Person Responsible: Chryll Batiste, Director, Research Administration, Baylor College of Medicine Expected Completion: April 2025

View Audit 350695

Finding 541117 (2024-002)

Significant Deficiency 2024

Baylor College of Medicine

TX

Procurement, Suspension & Debarment Questioned Costs § 200.303 § 200.318

Finding 2024-002 Procurement ALN: 93.855 Finding: The College did not have effective internal controls and procedures in place to ensure the College maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other r...

Finding 2024-002 Procurement ALN: 93.855 Finding: The College did not have effective internal controls and procedures in place to ensure the College maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other required elements. Corrective Action Plan: BCM management agrees that a sole source documentation form was not completed for this procurement. We do believe that this would have been easily justified as a sole source procurement as this vendor had unique capabilities required by the grant. The master service agreement for this procurement was effective September 1, 2019, and the related PO for this scope of work was issued on June 15, 2023. Since this time period, BCM has implemented a new procure to pay system with improved internal controls and approval routings. With this new system, we believe we have already put in place the appropriate corrective actions necessary to prevent this from happening going forward. Person Responsible: Rob Falivene, Vice President, Supply Chain Services, Baylor College of Medicine Expected Completion: March 2025

View Audit 350695 Questioned Costs: $1

Finding 541115 (2024-002)

Material Weakness 2024

Housing Authority of the County of Lebanon

PA

Questioned Costs HUD Housing Programs Eligibility

Authority's Response and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers Program to ensure that established internal control policies included within the Plan are being followed. Kare...

Authority's Response and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers Program to ensure that established internal control policies included within the Plan are being followed. Karen Raugh, Executive Director, is responsible for implementing this corrective action by June 30, 2025.

View Audit 350689 Questioned Costs: $1

Finding 541103 (2024-003)

None 2024

Overton County, Tennessee

TN

Questioned Costs Reporting

Deficiencies were also in the 2022-2023 school year in regard to actions of former employees improperly receiving compensation for time not worked during the afterschool program and inaccurately reporting attendance for the afterschool program. Immedately upon finding the deficiencies, all deficienc...

Deficiencies were also in the 2022-2023 school year in regard to actions of former employees improperly receiving compensation for time not worked during the afterschool program and inaccurately reporting attendance for the afterschool program. Immedately upon finding the deficiencies, all deficiencies were corrected during FY 23.

View Audit 350683 Questioned Costs: $1

Finding 541078 (2024-004)

Material Weakness 2024

Ninnekah School District I-51

OK

Questioned Costs Subrecipient Monitoring Material Weakness

The District has undergone training regarding the Davis-Bacon Act and will now adhere to its requirements when federal funds are utilized for construction projects. This includes compliance with contracts, specifically incorporating prevailing wage clauses and ensuring that federal wage rates and fr...

The District has undergone training regarding the Davis-Bacon Act and will now adhere to its requirements when federal funds are utilized for construction projects. This includes compliance with contracts, specifically incorporating prevailing wage clauses and ensuring that federal wage rates and fringe benefits are met through a diligent monitoring process. This process involves the collection and review of weekly certified payroll reports from contractors or subcontractors. The District will also ensure that all information pertaining to the Davis-Bacon Act is displayed at the job site to maintain compliance. Furthermore, all accounting and management personnel will participate in annual training to remain informed about the Davis-Bacon Act's requirements. All actions are scheduled to be completed by June 30, 2025.

View Audit 350679

Finding 541077 (2024-003)

Material Weakness 2024

Ninnekah School District I-51

OK

Reporting Internal Control / Segregation of Duties Questioned Costs

The accounting staff and management responsible for coding within the District will consistently oversee and conduct monthly edit checks in the accounting software to assess all expenses and confirm their coding accuracy. These monthly checks will help identify any coding mistakes in the Oklahoma Co...

The accounting staff and management responsible for coding within the District will consistently oversee and conduct monthly edit checks in the accounting software to assess all expenses and confirm their coding accuracy. These monthly checks will help identify any coding mistakes in the Oklahoma Cost Accounting System, ensuring that expenses are thoroughly reviewed and corrected as necessary. Any inquiries or issues regarding coding will be addressed in collaboration with the Oklahoma State Department of Education and/or school auditors to confirm the appropriate coding options. Monthly spreadsheets have been developed and will be submitted to the Superintendent for evaluation following the reconciliation of claims related to Federal expenditures. The Expenditures of Federal Awards will match the numbers submitted to the Oklahoma Cost Accounting System. Additionally, encumbrances will be examined at the end of the year and will be closed if found to be inaccurate. All actions will be corrected by June 30, 2025.

View Audit 350679

Finding 541074 (2024-003)

Material Weakness 2024

Scenic Bluffs Health Center, INC

WI

Questioned Costs Eligibility Material Weakness

Special Tests and Provisions Health Centers Cluster – Assistance Listing No. 93.224 and 93.527 Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all patient information received, prior to it being entered into the system to ensure proper classific...

Special Tests and Provisions Health Centers Cluster – Assistance Listing No. 93.224 and 93.527 Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all patient information received, prior to it being entered into the system to ensure proper classification of the sliding fee scale. As part of this, the Organization should ensure the accuracy and completeness of the patient information prior to entering into the billing software. Management should work to conduct internal audits of patient visits to determine all required patient information has been obtained and properly entered into the system in accordance with the Organization’s sliding fee scale policy. Action taken in response to finding: A monthly internal audit of the sliding fee (HNP) will be implemented and as of April 1, 2025 to ensure accuracy of the documentation and calculations. Name(s) of the contact person(s) responsible for corrective action: Daria Sztaba, CFO Planned completion date for corrective action plan: April 1, 2025 and it will continue moving forward on a monthly basis.

View Audit 350678

Finding 541073 (2024-002)

Significant Deficiency 2024

Scenic Bluffs Health Center, INC

WI

Cash Management Questioned Costs Significant Deficiency § 200.430

Allowable Activities and Costs Health Centers Cluster – Assistance Listing No. 93.224 and 93.527 Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all wages charged to federal and state grant prior to initiating a drawdown request or submitting a ...

Allowable Activities and Costs Health Centers Cluster – Assistance Listing No. 93.224 and 93.527 Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all wages charged to federal and state grant prior to initiating a drawdown request or submitting a reimbursement request to the grantor. As part of this, the Organization should implement a process to review changes to salary and wage information as changes are made or identified.. Action taken in response to finding: The process has been changed as of July 1, 2024 and will continue forward. Name(s) of the contact person(s) responsible for corrective action: Daria Sztaba, CFO Planned completion date for corrective action plan: July 1, 2024

View Audit 350678 Questioned Costs: $1

Finding 541071 (2024-001)

Significant Deficiency 2024

Mental Health Association of Maryland, Inc.

MD

Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking Questioned Costs § 200.430

Views of Responsible Officials: We acknowledge the audit finding regarding the documentation of personnel time. To address this issue, we have implemented the following corrective actions and will continue to enhance our process: 1. Enhanced Training: We are providing comprehensive training to all r...

Views of Responsible Officials: We acknowledge the audit finding regarding the documentation of personnel time. To address this issue, we have implemented the following corrective actions and will continue to enhance our process: 1. Enhanced Training: We are providing comprehensive training to all relevant staff on the importance of accurate timesheet entry/review and the proper procedures for documenting and allocating personnel expenses. 2. Improved Internal Controls: We have strengthened our internal control procedures to ensure that timesheets are completed accurately, reviewed thoroughly, and retained properly. Allocations are additionally entered into the payroll system for further accuracy. These are reviewed and approved then entered into the accounting system. This is then reconciled to the payroll system for further accuracy. 3. Regular Audits: We are conducting regular internal audits of timesheet and payroll records to ensure ongoing compliance with documentation standards and to identify any areas needing improvement. 4. Accessible Records: We have established a system for the retention of allocation documentation in a readily accessible format to facilitate future audits and ensure transparency. 5. Addressing Turnover: We recognize that high turnover rates within the finance and program departments have contributed to these issues. To mitigate this, we will continue to focus on improving staff retention through enhanced support, training, and development opportunities, ensuring continuity and consistency in our documentation processes.

View Audit 350674

Finding 541059 (2024-001)

Significant Deficiency 2024

Endicott College

MA

Questioned Costs Student Financial Aid Allowable Costs / Cost Principles

Finding During testing it was identified that for one (1) of thirty (30) students selected for test work, one (1) of the ten (10) required verification elements, specifically the parents’ education credits, was not accurately reflected within the student’s SAR and was not submitted for correction by...

Finding During testing it was identified that for one (1) of thirty (30) students selected for test work, one (1) of the ten (10) required verification elements, specifically the parents’ education credits, was not accurately reflected within the student’s SAR and was not submitted for correction by the institution. Endicott College Responsible Contact Maria Morelli, Director of Financial Aid Corrective Action Plan Anticipated Completion Date March 2025

View Audit 350651

Finding 541032 (2024-001)

Material Weakness 2024

Prince George's County, MD

MD

Matching / Level of Effort / Earmarking Questioned Costs Material Weakness § 200.303

Action taken in response to finding: • The Department has revised its internal policy and procedures to include timelines and a tracking mechanism to ensure the timely submission of fiscal reports and documents. Name(s) of the contact person(s) responsible for corrective action: • Anthony Walker, As...

Action taken in response to finding: • The Department has revised its internal policy and procedures to include timelines and a tracking mechanism to ensure the timely submission of fiscal reports and documents. Name(s) of the contact person(s) responsible for corrective action: • Anthony Walker, Associate Director of the Management Services Division • Anissa Curtis, Budget Analyst III for Aging and Disabilities Services Division Planned completion date for corrective action plan: • Items previously cited for submission have been updated and at this time the Department is in compliance with all fiscal reports. • Revisions to the internal Policy and Procedures have been corrected and disseminated to appropriate staff.

View Audit 350638

Finding 541029 (2024-002)

Significant Deficiency 2024

Alamosa School District Re-11j

CO

Questioned Costs Internal Control / Segregation of Duties § 200.303

Action Taken: The District will improve internal controls over Federal Grants to make sure that they are in compliance with all compliance requirements, including the review of certified payroll on construction projects completed with Federal funding to make sure that prevailing wages are paid.

View Audit 350636

Finding 541023 (2024-002)

Material Weakness 2024

Elkhart and St. Joseph Counties Head Start Consortium

IN

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Questioned Costs § 200.303

We will ensure all vouchers are reviewed by a secondary individual, all supporting backup is maintained for each claim, and all payroll amounts agree to approved contracts.

View Audit 350620 Questioned Costs: $1

Finding 540998 (2024-002)

None 2024

New York Law School

NY

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

We concur with this finding. Last year the school implemented a significant upgrade to its student information system, Banner. The transition to Banner SaaS was difficult and resulted in significant breakdowns in operations that are slowly recovering, and efforts are underway to implement modificati...

We concur with this finding. Last year the school implemented a significant upgrade to its student information system, Banner. The transition to Banner SaaS was difficult and resulted in significant breakdowns in operations that are slowly recovering, and efforts are underway to implement modifications to ensure smooth operations. This, along with omissions on our part resulted in noncompliance with the reporting requirements. We will going forward, institute timely submissions to meet the requirements, while we continue to work with our vendors in fixing the software issues that produce the required reports.

View Audit 350606

Finding 540997 (2024-001)

None 2024

New York Law School

NY

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

We concur with the audit finding regarding the need to ensure disbursement reporting is completed within the required 15-day threshold. As stated, of the 40 disbursements selected for testing, one disbursement was reported late. The instance noted was an isolated case that occurred during the instit...

We concur with the audit finding regarding the need to ensure disbursement reporting is completed within the required 15-day threshold. As stated, of the 40 disbursements selected for testing, one disbursement was reported late. The instance noted was an isolated case that occurred during the institution's transition to a new system platform. We recognize the importance of timely reporting to maintain compliance with federal regulations. Corrective Action: The Office of Student Financial Services has reinforced existing procedures to ensure that all disbursement data—specifically the disbursement date and amount—is accurately reviewed, recorded, and reported within 15 calendar days of the disbursement being made. This process is effective immediately. Additional Monitoring Measures: 1. A designated financial aid team member will conduct weekly reviews of all disbursement records to verify timely reporting. 2. A monthly reconciliation report will be generated to confirm that all disbursements made during the month have been reported within the required timeframe. 3. The Executive Director of Financial Aid will review the monthly reconciliation reports and certify compliance. 4. Calendar alerts have been implemented to prompt staff of upcoming reporting deadlines. Training and Accountability: 1. Staff responsible for disbursement reporting have been trained on the new system process for this federal requirement, which includes ongoing discussion with the Ellucian team as we continue to navigate Banner SaaS. 2. Ongoing monitoring and periodic internal audits will be conducted to ensure sustained compliance. The corrective action plan has been fully implemented and is currently in effect. We are committed to maintaining compliance with all federal regulations governing financial aid disbursements.

View Audit 350606

Finding 540976 (2024-002)

Significant Deficiency 2024

Lewistown Community Unit Schools District 97

IL

Questioned Costs Subrecipient Monitoring Cash Management § 200.305

Condition: The District's expenditure reports filed for June 30, 2024 included expenditures in the amount of $19,645 paid in July 2024. These amounts were not reported as committed or obligated. Plan: Grant expenditure reports will be prepared on the cash basis and obligations reported. The liquidat...

Condition: The District's expenditure reports filed for June 30, 2024 included expenditures in the amount of $19,645 paid in July 2024. These amounts were not reported as committed or obligated. Plan: Grant expenditure reports will be prepared on the cash basis and obligations reported. The liquidation of the obligations will be reported on subsequent expenditure reports. Management Response: There is no disagreement with this finding, and management will monitor all future federal reimbursement requests. Committed and obligated expenditure reports will be reported appropriately, and will be paid within 90 days after project completion.

View Audit 350586

Finding 540974 (2024-001)

Significant Deficiency 2024

Sheldon Terrace Supportive Housing Corporation Hud Proj. No. 017-Hd040

CT

Internal Control / Segregation of Duties Questioned Costs Significant Deficiency

2024-001 Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: Department of Housing and Urban Development requires any surplus funds in the project funds account at the end of the fiscal year to be deposited in a federally insured account...

2024-001 Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: Department of Housing and Urban Development requires any surplus funds in the project funds account at the end of the fiscal year to be deposited in a federally insured account within 60 days following the end of the fiscal year. Condition: As of June 30, 2024, Sheldon Terrace Supportive Housing Corporation has a surplus cash of $10,585. A residual receipt account is established but the required deposit was not made within 60 days following the end of the fiscal year. Questioned costs: None Context: We reviewed the surplus cash calculation noting that the Project has a surplus cash of $10,585 at the end of the fiscal year 24. Surplus cash should have been deposited within 60 days following the end of the fiscal year. Cause: This was an oversight by management. Effect: The required deposit was not made as required by the Department of Housing and Urban Development. Repeat Finding: No Recommendation: It is recommended that management Make the required deposit as soon as possible. Views of Responsible Officials: There is no disagreement with the audit finding. Action taken in response to finding: Required deposit will be made by March 31, 2025. Name of the contact person responsible for corrective action: Angela Westwood, CFO Planned completion date for corrective action plan: March 31, 2025.

View Audit 350582

Finding 540972 (2024-001)

Significant Deficiency 2024

Regional School Unit No. 57

ME

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Management’s Response/Corrective Action Plan: The management of the District understands the importance of maintaining appropriate authorization and documentation of the Title I grant requirements, including the requirement to remove students from the graduation cohort. The cause of this deficiency...

Management’s Response/Corrective Action Plan: The management of the District understands the importance of maintaining appropriate authorization and documentation of the Title I grant requirements, including the requirement to remove students from the graduation cohort. The cause of this deficiency resulted from a significant change in District management which resulted in lack of appropriate documentation for some students removed from the cohort. The District's corrective action plan includes reviewing all Title I grant requirements on a regular basis to ensure all requirements are maintained in a timely and appropriate manner. Specifically, the administrative team of the RSU will meet on a regular basis to ensure all graduation cohort requirements are documented and internally reviewed for compliance.

View Audit 350579

Finding 540969 (2024-002)

Significant Deficiency 2024

Continuum of Care, Inc. and Affiliates

CT

Internal Control / Segregation of Duties Questioned Costs Significant Deficiency

Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: Department of Housing and Urban Development requires any surplus funds in the project funds account at the end of the fiscal year to be deposited in a federally insured account within 6...

Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: Department of Housing and Urban Development requires any surplus funds in the project funds account at the end of the fiscal year to be deposited in a federally insured account within 60 days following the end of the fiscal year. Condition: As of June 30, 2024, Continuum Supportive Housing of West Hartford, Inc. has a surplus cash of $50,759. The required deposit into a residual receipt account was not made within 60 days following the end of the fiscal year. Questioned costs: None Context: We reviewed the surplus cash calculation noting that the Project has a surplus cash of $50,759 at the end of the fiscal year 24. Surplus cash should have been deposited within 60 days following the end of the fiscal year. Cause: This was an oversight by management. Effect: The required deposit was not made as required by the Department of Housing and Urban Development. Repeat Finding: No Recommendation: It is recommended that management make the required deposit as soon as possible. Views of Responsible Officials: There is no disagreement with the audit finding. Action taken in response to finding:. Required deposit will be made by March 31, 2025. Name of the contact person responsible for corrective action: Angela Westwood, CFO Planned completion date for corrective action plan: March 31, 2025.

View Audit 350577

Finding 540968 (2024-001)

Significant Deficiency 2024

Continuum of Care, Inc. and Affiliates

CT

Questioned Costs Significant Deficiency Internal Control / Segregation of Duties

Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: According to the client's internal control over payroll disbursements, hourly employees must maintain timesheets which are approved and signed by the property manager. Condition: Upon p...

Supportive Housing for Persons With Disabilities – Assistance Listing No. 14.181 Criteria or Specific Requirement: According to the client's internal control over payroll disbursements, hourly employees must maintain timesheets which are approved and signed by the property manager. Condition: Upon performing testing over payroll disbursements, we noted that there was no approval of the timesheet for the payroll disbursements tested. Questioned costs: None Context: The timesheet for 5 out of 5 payroll disbursements tested was not properly approved by the property manager. Cause: Turnover of property manager at the property management company and weaknesses in internal controls over payroll disbursements. Effect: There is no evidence of proper approval of payroll disbursement. Repeat Finding: Yes Recommendation: We recommend that management strengthen controls over review of payroll. Views of Responsible Officials: There is no disagreement with the audit finding. Action taken in response to finding: Although other controls assist to safeguard and mitigate compensation errors, the property manager will ensure that all time sheets are properly approved prior to payment, and if necessary the VP of Operations or the President of the managing agent will provide further assurance of internal controls through reviews. Name of the contact person responsible for corrective action: Angela Westwood, CFO Planned completion date for corrective action plan: May 30, 2025.

View Audit 350577

Finding 540966 (2024-016)

Material Weakness 2024

State of New Jersey

NJ

Questioned Costs Subrecipient Monitoring Material Weakness § 200.303

The Department has completed its corrective action plan from the prior audit. DLPS has been in full compliance with the FFATA reporting requirement since August 2024. COMPLETION DATE/ CONTACT PERSON & PHONE# Fiscal Year 2024 and Ongoing Salvatore Marcello (609) 882-2000 ext.3046 Salvatore.Marcello...

The Department has completed its corrective action plan from the prior audit. DLPS has been in full compliance with the FFATA reporting requirement since August 2024. COMPLETION DATE/ CONTACT PERSON & PHONE# Fiscal Year 2024 and Ongoing Salvatore Marcello (609) 882-2000 ext.3046 Salvatore.Marcello@njsp.gov

View Audit 350571

Finding 540959 (2024-012)

Significant Deficiency 2024

State of New Jersey

NJ

Questioned Costs Special Tests & Provisions Subrecipient Monitoring § 200.303

The Department of Human Services’ Division of Family Development (DHS/DFD) acknowledges the audit finding that 3 of the 40 sampled providers had not been inspected as required by program policy. DHS/DFD contracts with the Department of Children and Families’ Office of Licensing (“OOL”) as the regula...

The Department of Human Services’ Division of Family Development (DHS/DFD) acknowledges the audit finding that 3 of the 40 sampled providers had not been inspected as required by program policy. DHS/DFD contracts with the Department of Children and Families’ Office of Licensing (“OOL”) as the regulatory authority to monitor and inspect licensed centers and family child care providers. In response to this finding, OOL has implemented internal measures to ensure that monitoring occurs on an annual basis. These measure include the use of the New Jersey Child Care Information System (NJCCIS). A subsequent inspection of licensed child care centers was conducted on September 13, 2024. Regarding the two other family child care providers, the Child Care Resource and Referral (“CCR&R”) works in conjunction with OOL to track health and safety inspections. However, CCR&R did not monitor the two family child care providers in 2023. Since then, monitoring has been carried out in 2024 which included a review of the annual training requirements for these providers. To enhance compliance with inspections, CCR&R has acquired updated software to improve its monitoring capabilities. Copies of the 2024 inspection reports can be provided upon request. The DFD’s Office of Child Care will develop internal controls and procedures to ensure that inspections are performed as required by program policy. COMPLETION DATE/ CONTACT PERSON December 31, 2025 Andrea Breitwieser 609-588-4503 Andrea.Breitwieser@dhs.nj.gov

View Audit 350571

Corrective Action Plans

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