Corrective Action Plans

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Finding: The Department of Health did not have adequate internal controls over and did not comply with requirements to ensure payments to providers were allowable, met cost principles, and were within the period of performance for the Immunization Cooperative Agreements program. Questioned Costs:...
Finding: The Department of Health did not have adequate internal controls over and did not comply with requirements to ensure payments to providers were allowable, met cost principles, and were within the period of performance for the Immunization Cooperative Agreements program. Questioned Costs: Assistance Listing # 93.268 93.268 COVID-19 Status: Corrective action in progress Corrective Action: The Department partially agrees with the finding. The Department agrees that internal controls can be strengthened over provider payments to ensure funds are allowable and spent within the period of performance. The following actions were taken: ? Required payments to providers contain adequate support in line with the A19 matrix and subrecipients? risk assessments. ? Provided additional training to staff in the immunization unit responsible for reviewing invoices. ? Developed tracking sheets which enable staff to record details from backup documentation reviews and payment approvals. The Department will review the control weaknesses identified in the audit related to the consolidated contract payment process and will determine if changes need to be made. The Department disagrees with the audit exceptions and questioned costs identified in the finding. The Department will work with the federal grantor to resolve any questioned costs. Completion Date: Estimated December 2023 Agency Contact: Jeff Arbuckle External Audit Manager PO Box 47890 Olympia, WA 98504-7890 (360) 701-0798 Jeff.Arbuckle@doh.wa.gov
View Audit 23129 Questioned Costs: $1
2022-004 Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing No. 93.959 Material Weakness: See Finding 2022-002
2022-004 Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing No. 93.959 Material Weakness: See Finding 2022-002
View Audit 19918 Questioned Costs: $1
Housing Voucher Cluster ? Assistance Listing Numbers 14.871/14.879 Recommendation: We recommend the Authority implements controls to ensure that the Authority requires HQS deficiencies to be corrected within the timeframe set forth by 2 CFR section 982.404(a). We recommend the Authority implements c...
Housing Voucher Cluster ? Assistance Listing Numbers 14.871/14.879 Recommendation: We recommend the Authority implements controls to ensure that the Authority requires HQS deficiencies to be corrected within the timeframe set forth by 2 CFR section 982.404(a). We recommend the Authority implements controls to ensure abatement is timely for units that do not correct the cited HQS deficiencies within the required timeframe. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Processes have been updated to assure that Yardi system generated letters are being utilized by staff for inspection deficiency correspondence. The vendor, Yardi, assumes responsibility for assuring that this correspondence meets all current regulatory requirements, as may be amended periodically. This will cure the notice deficiencies observed by the audit team. Additional training is being provided to HCP staff to insure they have a clear understanding of communication requirements and the critical timeline that accompanies the mitigation of exigent health and safety findings, other non-life threating deficiencies, as well as the follow-up inspection time frames allowed by HUD. Processes have been updated to require a monthly report of failed HQS inspections, to include all actions taken, be issued to the Director of Housing Choice Voucher and the Director of Rental Assistance and Compliance. This report is due by the first business day monthly and will be reviewed by senior management to determine abatements required and to issue authorization to abate within the HUD required timeframe. Memo records will be recorded on each voucher file to document actions taken. Financing Housing. Building SC. Names of the contact persons responsible for corrective action: Yolanda Dennison and Lisa Wilkerson Planned completion date for corrective action plan: Partially implemented; to be finalized by June 30, 2023.
View Audit 19599 Questioned Costs: $1
Changes in bookkeeping personnel contributed to this error. Benefits were included and not all evidence of costs submitted to auditing on time. Going forward, increase knowledge and awareness of district bookkeeper regarding grant details and covered items so ineligible expenses are not included in ...
Changes in bookkeeping personnel contributed to this error. Benefits were included and not all evidence of costs submitted to auditing on time. Going forward, increase knowledge and awareness of district bookkeeper regarding grant details and covered items so ineligible expenses are not included in expenditure report totals. Additional documentation can be provided upon request. See full Corrective Action Plan on the District letterhead.
View Audit 19552 Questioned Costs: $1
The district did incur the expenses reported for speech therapy service; however, not all evidence of cost submitted to auditing on time showing the portion of payment for outplaced students utilizing speech therapy services. Bookkeeper will include thorough documentation of all expenses claimed wit...
The district did incur the expenses reported for speech therapy service; however, not all evidence of cost submitted to auditing on time showing the portion of payment for outplaced students utilizing speech therapy services. Bookkeeper will include thorough documentation of all expenses claimed with grant files going forward. Additional documentation can be provided upon request. See Full Corrective Action Plan on the District letterhead.
View Audit 19552 Questioned Costs: $1
The District did incur the expenditures reported, however the salary obligations paid out in July and August of 2022 were reported as expenditures through June 30, 2022. Changes in bookkeeping personnel contributed to this error. In the future expenditure reports which include salary obligations yet...
The District did incur the expenditures reported, however the salary obligations paid out in July and August of 2022 were reported as expenditures through June 30, 2022. Changes in bookkeeping personnel contributed to this error. In the future expenditure reports which include salary obligations yet to be paid after June 30th will be recorded as outstanding obligations on the June 30th report with final expenditure report to be submitted by September 20th of the following fiscal year. Additional documentation can be provided upon request. See full Corrective Action Plan on the District letterhead.
View Audit 19552 Questioned Costs: $1
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, procurement, and restricted purpose requirements. Name, address, and telephone of District contact person: Stacy Brown, Director...
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, procurement, and restricted purpose requirements. Name, address, and telephone of District contact person: Stacy Brown, Director of Business Services 800 Second St Woodland, WA 98674-8467 (360) 841-2715 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for disagreement). The district disagrees with some portions of the finding. The district originally was not going to participate in the ECF program as we did not believe we had an unmet need, per the original requirements. We then received notification from our contractor that the FCC had clarified the rules and if we have a policy that shows we only allow district owned and managed devices on our network and we can estimate how many devices (staff and student) would be needed if the school or some schools went back to remote learning, we would qualify for funding. Based on this information and a review of our policies, we decided to apply for the funds. The finding states that we do not have internal controls in place to ensure we have all required elements for our inventories. We were not able to get serial numbers from the vendor but we were able to back into the dates the Chromebooks were entered into inventory and accounted for all 600 student devices and the students to which they were assigned. This also showed that we met the restricted purpose of one device per student or staff member. In response to the finding, the district will make the following corrective actions: 1. The Business Manager will be more diligent in ensuring that all Federal program funds are properly included on the Schedule of Expenditures of Federal Assistance (SEFA). 2. The district will ensure that they are aware of compliance requirements new or unfamiliar Federal grants. 3. The district will ensure that devices or equipment purchased with Federal funds are identified as such and accounted for as such in the district inventory. 4. The district will ensure that Federal and District procurement policies are followed, including sealed bids for purchases greater than $75.000. 5. Once accounting for ECF purchases as federal devices, the district will be able to show that only one device has been issued to each student and staff member. Anticipated date to complete the corrective action: 6/12/23
View Audit 19549 Questioned Costs: $1
? Finding 2022-002 ? On or before September 30, 2023, Management will review all time & effort reporting covering its fiscal year 2023 and implement updates to its certification reporting to ensure calculations are accurately derived and verified through independent review for 100% of each employee?...
? Finding 2022-002 ? On or before September 30, 2023, Management will review all time & effort reporting covering its fiscal year 2023 and implement updates to its certification reporting to ensure calculations are accurately derived and verified through independent review for 100% of each employee?s time and effort and ensure amounts charged to the grant in fiscal year 2023 are supported by these certified records. o Responsible Party: Peggy Wisher
View Audit 19521 Questioned Costs: $1
? Finding 2022-001 ? In June 2023, Management re-educated itself on the terms & conditions of the Hospital Rate Agreement and has adjusted its subaward calculation forms to ensure direct costs included in the base is limited to $25,000 per subaward per grant year for purposes of calculating indirect...
? Finding 2022-001 ? In June 2023, Management re-educated itself on the terms & conditions of the Hospital Rate Agreement and has adjusted its subaward calculation forms to ensure direct costs included in the base is limited to $25,000 per subaward per grant year for purposes of calculating indirect costs. On or before September 30, 2023, Management will review all indirect cost rate calculations covering its fiscal year 2023 and ensure the correct indirect cost rate used was based on the applicable Hospital Rate Agreement. In addition, effective June 2023, Management has changed its process to ensure updates to the indirect cost rate used is applied in the month the updated Hospital Rate Agreement is received from the Federal agency, and no later. o Responsible Party: Peggy Wisher
View Audit 19521 Questioned Costs: $1
Name of auditee: Mar Vista Eldorado, Inc. HUD auditee identification number: 122-EH528-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended June 30, 2022 CAP prepared by Name: Dwight Hargett Position: President/CEO - Management Agent Tele...
Name of auditee: Mar Vista Eldorado, Inc. HUD auditee identification number: 122-EH528-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended June 30, 2022 CAP prepared by Name: Dwight Hargett Position: President/CEO - Management Agent Telephone number: 812-987-8344 Current Findings on the Summary of Auditors Results Statement of Condition 2022-001 (Assistance Listing Number 14.157): The required residual receipts deposit in the amount of $9,607 per the June 30, 2021 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited into the residual receipts account within 90 days after the fiscal year end. Recommendation: Management should make a deposit of $9,607 to the residual receipts account for the underfunded amount. Additionally, management should make deposits, as required by the Regulatory Agreement, on an annual basis. Actions taken or planned on the finding: Management made a deposit of $9,607 on August 4, 2022 to fully fund the residual receipts account for the year ended June 30, 2022.
View Audit 19417 Questioned Costs: $1
Audit Finding 2022-01: Some invoices were duplicated on requests for withdrawal from the replacement reserve. Hence, funds were withdrawn for expenditures which had been included in other requests for withdrawal. We are reviewing our process for requesting withdrawals from the replacement reserve to...
Audit Finding 2022-01: Some invoices were duplicated on requests for withdrawal from the replacement reserve. Hence, funds were withdrawn for expenditures which had been included in other requests for withdrawal. We are reviewing our process for requesting withdrawals from the replacement reserve to ensure there is no duplication of expenditure claimed in the future. We will reimburse the reserve for replacement for the overdrawn funds as soon as possible.
View Audit 19237 Questioned Costs: $1
NHHI - ST. PAUL BARRIER FREE HOUSING CORPORATION HUD PROJECT NO. 092-11423 CORRECTIVE ACTION PLAN Year Ended September 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NHHI - St. Paul Barrier Free Housing Corporation respectfully submits the following correcti...
NHHI - ST. PAUL BARRIER FREE HOUSING CORPORATION HUD PROJECT NO. 092-11423 CORRECTIVE ACTION PLAN Year Ended September 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NHHI - St. Paul Barrier Free Housing Corporation respectfully submits the following corrective action plan for the year ended September 30, 2022. Name and address of independent public accounting firm: Hinrichs & Associates, Ltd. 1000 Shelard Parkway, Suite 110 Minneapolis, MN 55426 Audit Period: September 30, 2022 The findings from the September 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS - FINANCIAL STATEMENT AUDIT NONE FINDINGS - FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: SECTION 223 (f), ASSISTANCE LISTING NUMBER 14.155 The Project withdrew $1,455 from the replacement reserve account for an invoice that was unpaid as of September 30, 2022. Recommendation: The Project should pay the open invoice. Action Taken: The Project agrees with the finding. The Project paid the open invoice in October, 2022. If the Department of Housing and Urban Development has questions regarding this plan, please call JoAnn Rademacher 651-639-9799.
View Audit 18908 Questioned Costs: $1
Finding Synopsis: During audit testing of the expenditure reimbursement request reports, it was noted the accounting records indicated less expenditures incurred than what was requested on the report. Action Steps: Grant expenditure reports will be reconciled to accounting records for the time pe...
Finding Synopsis: During audit testing of the expenditure reimbursement request reports, it was noted the accounting records indicated less expenditures incurred than what was requested on the report. Action Steps: Grant expenditure reports will be reconciled to accounting records for the time period of the expenditure report and for the grant project in its entirety prior to the filing of each expenditure report. Contact person(s): Kerry Herdes, Superintendent and Virginia Keen, Bookkeeper. Anticipated Completion Date: September 1, 2022.
View Audit 22537 Questioned Costs: $1
The College?s business administration implemented training and oversight of HEERF disbursements and incorporated levels of review as outlined in the program agreement. To ensure proper oversight, the College?s business administration now submits a list of their requests of qualifying expenditures to...
The College?s business administration implemented training and oversight of HEERF disbursements and incorporated levels of review as outlined in the program agreement. To ensure proper oversight, the College?s business administration now submits a list of their requests of qualifying expenditures to Finance. Finance reviews the expenses and ensures the payments were processed. Finance notifies the College?s business administration when draw down of the HEERF funds is appropriate.
View Audit 18892 Questioned Costs: $1
The Senior Finance Director is now overseeing and ensuring compliance and education within the business office, along with support from the new leadership within the President?s office. Cross-training and education will occur with the College?s administration and business office to ensure regulatory...
The Senior Finance Director is now overseeing and ensuring compliance and education within the business office, along with support from the new leadership within the President?s office. Cross-training and education will occur with the College?s administration and business office to ensure regulatory standards and requirements are met.
View Audit 18892 Questioned Costs: $1
This is a plan of action that we, as a district, will be implementing in order to correct the Federal finding from our audit. ? 2022-001 - Arkansas DESE Child Nutrition Unit will be contacted for guidance before any transfer to or from Food Services to ensure Ark. Code is followed regarding the Chil...
This is a plan of action that we, as a district, will be implementing in order to correct the Federal finding from our audit. ? 2022-001 - Arkansas DESE Child Nutrition Unit will be contacted for guidance before any transfer to or from Food Services to ensure Ark. Code is followed regarding the Child Nutrition Program. Deanna Clifton, District Treasurer, will contact DESE Child Nutrition Unit to obtain guidance in any action needed regarding the transfer made in Fiscal 2021/2022. Anticipated Completion Date March 15, 2023. I trust that I have covered the points discussed. If you have any questions or if further information is needed, please call me at 870-486-5411, ext. 104. Sincerely, Deanna Clifton District Treasurer/Business Manager
View Audit 18845 Questioned Costs: $1
Finding 1: The District did not obtain prior written approval from the Department of Elementary and Secondary Education (DESE) for the purchase of two pieces of equipment with unit costs greater than the $5,000 threshold as required by COM-22- 047. Corrective Action: The District will comply with al...
Finding 1: The District did not obtain prior written approval from the Department of Elementary and Secondary Education (DESE) for the purchase of two pieces of equipment with unit costs greater than the $5,000 threshold as required by COM-22- 047. Corrective Action: The District will comply with all federal purchasing requirements, including obtaining written approval for equipment with unit costs greater than $5,000. Person Responsible for Corrective Actions: Federal Programs Coordinator Completion Date: This practice will go into effect immediately. Supplemental Findings
View Audit 18563 Questioned Costs: $1
The Office of Vice President of Research and the Controller?s Office will collaborate to ensure effort verification reports are returned no later than 30 calendar days after they have been distributed, including escalating noncompliance to appropriate University leadership. These improvements are ex...
The Office of Vice President of Research and the Controller?s Office will collaborate to ensure effort verification reports are returned no later than 30 calendar days after they have been distributed, including escalating noncompliance to appropriate University leadership. These improvements are expected to be completed by December 2023. Tara Thomason, Controller and Assistance Vice President, is responsible for addressing the above items by December 2023.
View Audit 17372 Questioned Costs: $1
The Office of Vice President of Research and the Controller?s Office worked with the University?s Workday Finance team to configure its accounting system with an automated control that prevents general (nonpayroll) expenditures from being charged to the grant after the period of performance end date...
The Office of Vice President of Research and the Controller?s Office worked with the University?s Workday Finance team to configure its accounting system with an automated control that prevents general (nonpayroll) expenditures from being charged to the grant after the period of performance end date, one root cause of cost transfers. In addition, for payroll expenditures, the above teams updated grant labor costing allocations in its accounting system to contain an end date that coincides with the period of performance end date which restricts labor costs from being charged after the period of performance. The post award specialists will begin reviewing the labor costing allocations on a periodic basis. Also implemented in fiscal year 2023, before each payroll is processed by the Director of Payroll within the accounting system, grants that have ended are identified by the Assistant Controller and Director of Sponsored Program Accounting and the payroll expenditures are removed from the feed and not charged to the grant. The University has also hired individuals whose sole responsibility is to review general (non-payroll) expenditures charged to grants. Further, the University?s post award specialists are continually trained on the importance of allowed and unallowed expenditures and are now reviewing grant level budget versus actual reporting on a periodic basis to identify noncompliance. Tara Thomason, Controller and Assistance Vice President, is responsible for addressing the above items by December 2023.
View Audit 17372 Questioned Costs: $1
The Office of Vice President of Research and the Controller?s Office will collaborate to ensure effort verification reports are returned no later than 30 calendar days after they have been distributed, including escalating noncompliance to appropriate University leadership. These improvements are ex...
The Office of Vice President of Research and the Controller?s Office will collaborate to ensure effort verification reports are returned no later than 30 calendar days after they have been distributed, including escalating noncompliance to appropriate University leadership. These improvements are expected to be completed by December 2023. The Controller?s Office will review its indirect costs configurations within the grants module of Workday to ensure the automated calculation of indirect costs is correct. In addition, the Sponsored Programs Accounting team will manually reconcile indirect costs periodically at the grant level. These improvements are expected to be completed by December 2023. The University continues to have cost transfers in fiscal year 2023 as it reconciles its grants. However, to limit cost transfers in the future, the Office of Vice President of Research and the Controller?s Office worked with the University?s Workday Finance team to configure its accounting system with an automated control that prevents general (non-payroll) expenditures from being charged to the grant after the period of performance end date, one root cause of cost transfers. In addition, for payroll expenditures, the above teams updated grant labor costing allocations in its accounting system to contain an end date that coincides with the period of performance end date which restricts labor costs from being charged after the period of performance. The post award specialists will begin reviewing the labor costing allocations on a periodic basis. Also implemented in fiscal year 2023, before each payroll is processed by the Director of Payroll within the accounting system, grants that have ended are identified by the Assistant Controller and Director of Sponsored Program Accounting and the payroll expenditures are removed from the feed and not charged to the grant. The University has also hired individuals whose sole responsibility is to review general (non-payroll) expenditures charged to grants. Further, the University?s post award specialists are continually trained on the importance of allowed and unallowed expenditures and are now reviewing grant level budget versus actual reporting on a periodic basis to identify noncompliance. Tara Thomason, Controller and Assistance Vice President, is responsible for addressing the above items by December 2023.
View Audit 17372 Questioned Costs: $1
The University created additional reporting to identify student grade level reported on student system (SGASTDN) to the calculated grade level (ROASTAT) and any blanks. In addition, to the report which was created prior to this citing, training directly from the software provider has been scheduled....
The University created additional reporting to identify student grade level reported on student system (SGASTDN) to the calculated grade level (ROASTAT) and any blanks. In addition, to the report which was created prior to this citing, training directly from the software provider has been scheduled. The University will review the option of creating a specific budget or packaging group for students in certificate programs. This would afford rules to award only level one loan limits regardless of calculated grade level. Standard cost of attendance (coa) is posted by system processing rules. In certain situations, the coa may be adjusted manually by staff. The student information system does track and log these updates. The University will increase training regarding coa adjustments, strengthen standard posting of changes and why. A report has been created to identify any change to the standard budget component. This will be added as a point of review for the compliance coordinator. The primary risk area is summer since it is a manual process. The use of algorithmic budgeting will assist with changes to coa as well. In addition, the University is working with software provider to establish algorithmic budgeting rules. This option allows cost of attendance (coa) to be completed by enrollment period versus aid periods. The benefit is coa can be estimated at full-time and prior to disbursement adjust coa to part-time. The office of student financial services is working with the University to identify and address additional human resources needed to best address increased volume and greater compliance. Cari Wickliffe, Assistant Vice President and Director of Student Financial Services, is responsible for addressing the above items by July 1, 2023.
View Audit 17372 Questioned Costs: $1
There is no disagreement with the finding. District will follow their Procurement and Suspension and Debarment policy for small purchases and proposals by obtaining price quotes from a minimum of two vendors and maintain documentation. Name of responsible official: Kim Dax, Business Manager Exp...
There is no disagreement with the finding. District will follow their Procurement and Suspension and Debarment policy for small purchases and proposals by obtaining price quotes from a minimum of two vendors and maintain documentation. Name of responsible official: Kim Dax, Business Manager Expected date of completion: The planned completion date is September 1, 2022
View Audit 17079 Questioned Costs: $1
The District will be developing procedures to include improved documentation of grant expenditures, create a uniform set of grant budget/revenue codes to track individual grants, and compare expenditures to the grant applications to confirm the grant funds are expended appropriately. These actions w...
The District will be developing procedures to include improved documentation of grant expenditures, create a uniform set of grant budget/revenue codes to track individual grants, and compare expenditures to the grant applications to confirm the grant funds are expended appropriately. These actions will be completed by Robyn Bhend, School Business Manager by June 30, 2023.
View Audit 16198 Questioned Costs: $1
Expenditures submitted for the Alabama Medicaid Administrative Claiming program included expenditures supported by federal funds and undocumented costs. Contact Person: Dr. Brock Nolin, Superintendent Corrective Action: Claims will be adjusted to correct the duplication of federal funds...
Expenditures submitted for the Alabama Medicaid Administrative Claiming program included expenditures supported by federal funds and undocumented costs. Contact Person: Dr. Brock Nolin, Superintendent Corrective Action: Claims will be adjusted to correct the duplication of federal funds and undocumented costs. Policies and procedures will be implemented according to the recommendations found in the Schedule of Findings and Questioned Costs. Proposed Completion Date: Prior to the submission of the July ? September 2023 claim.
View Audit 17333 Questioned Costs: $1
View of Responsible Officials and Planned Corrective Action: EC3 agrees with the recommendation of its auditor, Maher Duessel, that the EC3 Finance Department must ensure that EC3 follows the approved and compliant purchasing practices. However, in the beginning, the College was still in a start-up...
View of Responsible Officials and Planned Corrective Action: EC3 agrees with the recommendation of its auditor, Maher Duessel, that the EC3 Finance Department must ensure that EC3 follows the approved and compliant purchasing practices. However, in the beginning, the College was still in a start-up mode and most of its essential purchases from Vendors could not meet EC3?s aggressive timetable to get the College up and running. So being practical, the College needed to act fast to get its provisions in place to get the College up and running, and although this was an informal process, the Management team diligently reviewed, justified, and approved all the purchases based on the supporting documentation. As of August 2022, the Finance Department has recognized the lack of internal control over the financial purchasing process and has informally enforced the purchasing policy. The Finance Department will be reviewing all EC3 financial policies, including its purchasing policy and will be making recommendations to the EC3?s Cabinet and Board of Trustees. The Finance Department will and must enforce the purchasing policy, once approved, update the policy online and ensure the policy is followed by EC3 staff and its compliant with the Commonwealth of Pennsylvania Policies.
View Audit 17089 Questioned Costs: $1
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