Corrective Action Plans

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The final approved budget will be used in determining funding requirements. Monthly deposits into the reserve have been restarted and the reserve is scheduled to reach the 25% funding threshold in the upcoming fiscal year.
The final approved budget will be used in determining funding requirements. Monthly deposits into the reserve have been restarted and the reserve is scheduled to reach the 25% funding threshold in the upcoming fiscal year.
View Audit 353124 Questioned Costs: $1
Agent will be diligent in practicing procedures already in place. The agent will obtain HUD approval of any replace from HUD controlled reserves prior to releasing funds.
Agent will be diligent in practicing procedures already in place. The agent will obtain HUD approval of any replace from HUD controlled reserves prior to releasing funds.
View Audit 353089 Questioned Costs: $1
Finding 554452 (2024-001)
Significant Deficiency 2024
Agent will be diligent in practicing procedures already in place. The agent will obtain HUD approval of any replace from HUD controlled reserves prior to releasing funds.
Agent will be diligent in practicing procedures already in place. The agent will obtain HUD approval of any replace from HUD controlled reserves prior to releasing funds.
View Audit 353089 Questioned Costs: $1
Finding #2024-001: Comments on the Finding and Each Recommendation: During the year ended December 31, 2024, the Corporation did not make the HUD required number of deposits to the reserve for replacements. Management should transfer $6,000 from the operating account to the reserve for replacements ...
Finding #2024-001: Comments on the Finding and Each Recommendation: During the year ended December 31, 2024, the Corporation did not make the HUD required number of deposits to the reserve for replacements. Management should transfer $6,000 from the operating account to the reserve for replacements account. Action(s) taken or planned on the finding: Management concurs with the finding and recommendation. Management deposited $6,000 to the reserve for replacements account on February 27, 2025. No further action is required.
View Audit 352926 Questioned Costs: $1
Percentages used for allocations will be reviewed annually across all grants/programs and updated during the budget process. These allocations will be reviewed by the CFO.
Percentages used for allocations will be reviewed annually across all grants/programs and updated during the budget process. These allocations will be reviewed by the CFO.
View Audit 352907 Questioned Costs: $1
The YWCA will implement the following changes in its accounting procedures. 1. The Staff Accountant will review the period each expenditure is related to and record the invoice to the appropriate period when entering it into accounts payable. The month and year will be noted on the invoice. 2. The C...
The YWCA will implement the following changes in its accounting procedures. 1. The Staff Accountant will review the period each expenditure is related to and record the invoice to the appropriate period when entering it into accounts payable. The month and year will be noted on the invoice. 2. The CFO will review the month and year noted by the Staff Accountant prior to entry into accounts payable.
View Audit 352907 Questioned Costs: $1
Finding 554300 (2024-002)
Significant Deficiency 2024
The City will develop, document, and implement formal grant summary requirements review process and audit preparedness policy and procedures. The responsibilities, deliverables, and deadlines will be clearly outlined and communicated to all staff members. The City will remedy the customer account cr...
The City will develop, document, and implement formal grant summary requirements review process and audit preparedness policy and procedures. The responsibilities, deliverables, and deadlines will be clearly outlined and communicated to all staff members. The City will remedy the customer account credit balances by October 2025. Management intends to review and adjust the customer account balances.
View Audit 352902 Questioned Costs: $1
The Corporation, through various efforts of management, has begun to start receiving past due rental assistance payments from HUD and will make the required deposits as cash flow permits.
The Corporation, through various efforts of management, has begun to start receiving past due rental assistance payments from HUD and will make the required deposits as cash flow permits.
View Audit 352863 Questioned Costs: $1
The Corporation, through various efforts of management, has begun to start receiving past due rental assistance payments from HUD and will make the required deposits as cash flow permits.
The Corporation, through various efforts of management, has begun to start receiving past due rental assistance payments from HUD and will make the required deposits as cash flow permits.
View Audit 352863 Questioned Costs: $1
Finding 2024-001: During the year ended December 31 2024 reserve deposits totaling $45256 were not made as required by the regulatory agreement (1) Comments on the Finding and Each Recommendation: The Organization did not have sufficient cash flow to make the required deposits. The management agent ...
Finding 2024-001: During the year ended December 31 2024 reserve deposits totaling $45256 were not made as required by the regulatory agreement (1) Comments on the Finding and Each Recommendation: The Organization did not have sufficient cash flow to make the required deposits. The management agent has reflected the delinquent reserve payments as payable at December 31 2024 and is making deposits as cash flow allows; (2) Actions Taken on the Finding: The Organization obtained a 6 month suspension of deposits and is making the delinquent deposits as cash flow allows
View Audit 352857 Questioned Costs: $1
Finding 2024-001: During the year ended December 31 2024 reserve deposits totaling $9000 were not made as required by the regulatory agreement. (1) Comments on the Finding and Each Recommendation: The Organization did not have sufficient cash flow to make the required deposits. The management agent ...
Finding 2024-001: During the year ended December 31 2024 reserve deposits totaling $9000 were not made as required by the regulatory agreement. (1) Comments on the Finding and Each Recommendation: The Organization did not have sufficient cash flow to make the required deposits. The management agent has reflected the delinquent reserve payments as a payable at December 31 2024 and is making deposits as cash flow allows. (2) Actions Taken on the Finding: The Organization is making the delinquent depoist as cash flow allows
View Audit 352855 Questioned Costs: $1
Corrective action plan: Management is in the process of implementing a method for employees to charge their time to grants, as needed, from the payroll system. Personnel responsible for corrective action: Timothy Jodway, Interim Chief Financial Officer. Estimated corrective action completion date: M...
Corrective action plan: Management is in the process of implementing a method for employees to charge their time to grants, as needed, from the payroll system. Personnel responsible for corrective action: Timothy Jodway, Interim Chief Financial Officer. Estimated corrective action completion date: May 2025
View Audit 352776 Questioned Costs: $1
Management Response/Corrective Action Plan: The School Department completed the necessary time and effort documents for expense reimbursement that were approved by the Department of Education. The time and effort was not specific to actual time worked for those split among multiple grants or funds. ...
Management Response/Corrective Action Plan: The School Department completed the necessary time and effort documents for expense reimbursement that were approved by the Department of Education. The time and effort was not specific to actual time worked for those split among multiple grants or funds. Moving forward, any employee who has time split between multiple grants or Federal and non-Federal activities will be expected to complete a personnel activity report. This report will record actual time spent working on eligible activities for each fund. If the employee has a regular schedule, the employee’s schedule will suffice as their personnel activity report, as long as it follows the guidelines. The personnel activity reports will be requested each month during the reimbursement request process and will be signed by the employee and their supervisor.
View Audit 352733 Questioned Costs: $1
Management Response/Corrective Action Plan: We have had a lot of turnover in the business office with a new finance director, payroll coordinator, and finance accounts coordinator (bookkeeper). Since being notified of the issue, we have put procedures in place to ensure issues related to MainePERS ...
Management Response/Corrective Action Plan: We have had a lot of turnover in the business office with a new finance director, payroll coordinator, and finance accounts coordinator (bookkeeper). Since being notified of the issue, we have put procedures in place to ensure issues related to MainePERS contributions do not occur and/or are resolved in a timely manner. As employees are hired, or change funding accounts, the payroll coordinator now has procedures in place to check the appropriate deductions for each account. We also are up to date with MainePERS reconciliation, which includes reviewing contributions for federally funded employees. If an error occurs, the process will cause us to review the issue and reconcile the accounts as necessary.
View Audit 352733 Questioned Costs: $1
Management Response/Corrective Action Plan: The School Department completed the necessary time and effort documents for expense reimbursement that were approved by the Department of Education. The time and effort was not specific to actual time worked for those split among multiple grants or funds. ...
Management Response/Corrective Action Plan: The School Department completed the necessary time and effort documents for expense reimbursement that were approved by the Department of Education. The time and effort was not specific to actual time worked for those split among multiple grants or funds. Moving forward, any employee who has time split between multiple grants or Federal and non-Federal activities will be expected to complete a personnel activity report. This report will record actual time spent working on eligible activities for each fund. If the employee has a regular schedule, the employee’s schedule will suffice as their personnel activity report, as long as it follows the guidelines. The personnel activity reports will be requested each month during the reimbursement request process and will be signed by the employee and their supervisor.
View Audit 352733 Questioned Costs: $1
The District acknowledges this finding and is committed to strengthening internal controls to ensure compliance with federal time accounting requirements. The State and Federal Programs Department has received training on Time and Effort procedures, and additionally training is being provided to sch...
The District acknowledges this finding and is committed to strengthening internal controls to ensure compliance with federal time accounting requirements. The State and Federal Programs Department has received training on Time and Effort procedures, and additionally training is being provided to school sites to reinforce accurate time certification and documentation for federal fund expenditures. To address the deficiencies, the district will shift from an annual to a monthly reconciliation process, ensuring that employee salaries charged to Title I accurately reflect actual work performed. The State and Federal Programs Department will collaborate with the Budget Department to systematically track employees funded through Title I and verify that all required PARs are completed and maintained.
View Audit 352638 Questioned Costs: $1
The District acknowledges this finding and is committed to strengthening controls over graduation cohort documentation. To address this, we will provide targeted training for school site staff on proper cohort coding, allowable documentation, and compliance requirements. Additionally, we will implem...
The District acknowledges this finding and is committed to strengthening controls over graduation cohort documentation. To address this, we will provide targeted training for school site staff on proper cohort coding, allowable documentation, and compliance requirements. Additionally, we will implement a standardized review process to ensure that all student cohort removals have appropiate supporting records and are retained in a centralilzed system for audit purposes. To further enhance compliance, the District will conduct periodic internal audits to verify accuracy of past and future cohort removals, updating records as necessary. Clear procedural guidelines will be established, and a designated compliance team will oversee adherence to these protocols. These corrective actions will ensure accurate graduation reporting and prevent the recurrence of this issue.
View Audit 352638 Questioned Costs: $1
Department of Housing and Urban Development Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Special Tests and Provision – Material Weakness in Internal Control over Compliance and Noncompliance Finding Summary Health centers must prepare and apply a sliding f...
Department of Housing and Urban Development Federal Financial Assistance Listing #93.224 and #93.527 Community Health Center Cluster Special Tests and Provision – Material Weakness in Internal Control over Compliance and Noncompliance Finding Summary Health centers must prepare and apply a sliding fee discount schedule (Sliding Fee Discounts) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Internal controls in place did not ensure that the sliding fee discount was not given until all income verification was obtained. Or in cases where the sliding fee discount was given pending income verification, the income verification was not completed which resulted in sliding fee discounts being given without adequate support. Responsible Individuals Nedy Terrazas, Assoc COO, Simon Bahta, EPIC EHR Mgr and Briana Renner, CFO Status Management of DAP Health, Inc. has policies and procedures in place which require the completion of the income verification and obtaining the necessary information for the sliding fee discount prior to a sliding fee discount being given. However, with the acquisition of the new clinics, the policies and procedures already in place were not being followed appropriately at all clinics. Management has had staff complete additional training and provided education to explain why the sliding fee discounts cannot be given until a completed file, including income verification support, is obtained. Anticipated Completion Date June 30, 2025
View Audit 352630 Questioned Costs: $1
Identifying Number: 2024-0001 Finding: Eligibility – Determining Federal Direct Student Loan Awards Applicable Regulation: Per 34 CFR 685.203(b)(iii), in the case of a graduate or professional student for a period of enrollment beginning on or after July 1, 2012, the total amount the student may bo...
Identifying Number: 2024-0001 Finding: Eligibility – Determining Federal Direct Student Loan Awards Applicable Regulation: Per 34 CFR 685.203(b)(iii), in the case of a graduate or professional student for a period of enrollment beginning on or after July 1, 2012, the total amount the student may borrow for any academic year of study under the Unsubsidized Loan program may not exceed $8,500. Per 34 CFR 685.203(c)(2)(v), the additional amount that a student described in paragraph (c)(1)(i) of this section may borrow under the Direct Unsubsidized Loan Program for any academic year of student may not exceed the following: in the case of a graduate or professional student, $12,000. Finding: UWS improperly awarded 6 out of 6 students Unsubsidized Federal Direct Loans in excess of the maximum amount for one academic year of $20,500. Summary: During testing of eligibility, six out six students selected for testing within the Doctor of Naturopathic Program were overawarded Unsubsidized Federal Direct Loans. Eligibility testing was performed over 40 other students with no exceptions. We determined that UWS improperly awarded 6 out of 6 students Unsubsidized Federal Direct Loans in excess of the maximum amount for one academic year of $20,500. The total overawards accumulated to $119,443 in total loan funds. The students were awarded the higher annual Direct Unsubsidized Loan limits for certain graduate and professional health professions students. Schools may award the increased unsubsidized amounts to students who are enrolled at least half time in certain health professions programs. The programs must be accredited by specific accrediting agencies for students to qualify for additional unsubsidized loan amounts. The UWS Naturopathic Medicine Doctoral program has not yet achieved the required accreditation from The Council on Naturopathic Medical Education Corrective Action Planned or Taken: During the course of an internal audit of student awards in the Naturopathic Medicine Doctoral program it was determined that the required programmatic accreditation had not been achieved from the Council on Naturopathic Medical Education to qualify for the additional Health Professions unsubsidized loan eligibility. As a result of this finding a thorough audit was completed for all students that were enrolled in the program since the first class began in October of 2023. In total six students were identified, and awards were adjusted to the proper annual loan limit of $20,500. The Institution made students whole by forgiving any student balances that would have been paid by theover award amount. In addition, the software configuration was changed to ensure moving forward that students receive up to the proper maximum of $20,500 until proper accreditation is achieved. Contact Person: Michelle Miller, Senior Vice President of Enrollment Management mmiller10@tcsedsystem.edu Anticipated Completion Date: September 13, 2024
View Audit 352615 Questioned Costs: $1
Views of responsible officials and planned corrective action: The Authority has recognized the material weakness in the Section 8 Housing Choice Vouchers and Mainstream Vouchers programs and will implement internal control procedures that will ensure compliance with federal regulations. CMHA is awar...
Views of responsible officials and planned corrective action: The Authority has recognized the material weakness in the Section 8 Housing Choice Vouchers and Mainstream Vouchers programs and will implement internal control procedures that will ensure compliance with federal regulations. CMHA is aware that the HAB/MRI software does not store waitlist reports by date processed and since then, CMHA has been saving Excel files of the waitlist reports. The applicants that were selected for the audit were applicants that had preference points. All applicants with preference points were contacted at the same time to be informed that they were eligible for a voucher. The CMHA waitlists were ran by preference points and time/date of application. Once those applicants were pulled the waitlist was not saved to Excel. The preference point list was then sorted alphabetically for sign in purposes and tracking of applicant documentation. This is the list that was provided to the auditor. Melissa Beadle, Deputy Director, will be responsible to implement this corrective action by June 30, 2025.
View Audit 352576 Questioned Costs: $1
Finding Number: 2024-001 Condition: EWI overcharged indirect costs to the granting agencies by $26,632 during 2024. Planned Corrective Action: Management has taken measures to strengthen the review of indirect costs charged to the grants. Contact person responsible for the corrective action: Angi Co...
Finding Number: 2024-001 Condition: EWI overcharged indirect costs to the granting agencies by $26,632 during 2024. Planned Corrective Action: Management has taken measures to strengthen the review of indirect costs charged to the grants. Contact person responsible for the corrective action: Angi Cox, Director of Accounting Services Anticipated Completion Date: 06/30/2025
View Audit 352552 Questioned Costs: $1
The Project received the necessary approval from HUD for a withdrawal from the reserve for replacement, however the withdrawal was duplicated and taken out of the reserve for replacement twice. The amount of questioned costs Totaled $4,906 during the year ended December 31, 2024. LSS identified the...
The Project received the necessary approval from HUD for a withdrawal from the reserve for replacement, however the withdrawal was duplicated and taken out of the reserve for replacement twice. The amount of questioned costs Totaled $4,906 during the year ended December 31, 2024. LSS identified the duplication of the HUD approved reserve for replacement withdrawal and properly corrected the reserve for replacement bank account balance in March 2025. The LSS finance team is taking ownership for the request for replacement reserve process from operations during 2025 and also updated the online banking dual control process during March 2025. Once we receive HUD approval for future reserve requests, we will review the general ledger for the previous reserve for replacement activity prior to releasing cash within the banking system. Anticipated Completion Date: March 2025 Responsible Contact Person: Randy Oleszak CFO 414-246-2353
View Audit 352493 Questioned Costs: $1
The district will do periodic reviews of supporting documentation to ensure all expenditures are accounted for correctly moving forward as discussed with Kyle Polhill.
The district will do periodic reviews of supporting documentation to ensure all expenditures are accounted for correctly moving forward as discussed with Kyle Polhill.
View Audit 352483 Questioned Costs: $1
Audit Finding Reference: 2024-001 Management’s Response and Planned Corrective Action: The District will ensure that any further retention bonuses be formally reviewed and approved by the School Board and Superintendent. Stipends for work performed are now included in a formal Letter of Agreeme...
Audit Finding Reference: 2024-001 Management’s Response and Planned Corrective Action: The District will ensure that any further retention bonuses be formally reviewed and approved by the School Board and Superintendent. Stipends for work performed are now included in a formal Letter of Agreement and signed by the employee and administrator. Name of Contact Person and Completion Date: Name: Kathryn Ducharme Anticipated Completion Date – July 1, 2024
View Audit 352406 Questioned Costs: $1
FINDING No. 2024-003: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: Management should implement procedures to ensure the required monthly funding amount is deposited into the replacement reserve account monthly. Action Taken: The Project agrees with the finding and the ...
FINDING No. 2024-003: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: Management should implement procedures to ensure the required monthly funding amount is deposited into the replacement reserve account monthly. Action Taken: The Project agrees with the finding and the auditor’s recommendations have been adopted. Deposits are made on a monthly basis with balances being monitored by property leadership and accounting.
View Audit 352378 Questioned Costs: $1
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