Corrective Action Plans

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The finding from Section III – Allowable Costs/Cost Principles Finding 2023-003 – Time and Effort Certifications Condition: Uniform Guidance requires an employee whose salary and wages are supported, in whole or in part, with Federal funds to document his/her time spent working on Federal programs...
The finding from Section III – Allowable Costs/Cost Principles Finding 2023-003 – Time and Effort Certifications Condition: Uniform Guidance requires an employee whose salary and wages are supported, in whole or in part, with Federal funds to document his/her time spent working on Federal programs in order to ensure that charges to each Federal program reflect an accurate account of the employee’s time and effort devoted to that program. If an employee works solely on a single Federal award or cost objective, charges for the employee’s salary and wages must be supported by periodic certifications that the employee worked solely on that program or cost objective for the period covered by the certification. Those certifications must: - Be prepared at least semiannually. - Signed by the employee or supervisory official having firsthand knowledge of the work performed by the employee. Views of Responsible Officials and Planned Corrective Actions: The District Business Manager will work directly with the Federal Programs Coordinator, as well as any additional parties involved in the process of funding positions utilizing Federal Grants, to ensure that the resources are provided for proper training and reporting under the guidance provided. This will ensure that non-allowable costs are not charged to federal codes in the accounting system and assure that any federally funded employees are certified regularly based on the guidelines. In addition, controls will be established and implemented to verify compliance and appropriate approvals on each level within the administration.
Corrective action the auditee plans to take in response to the finding: The Prosser School District does not concur with the audit finding being issued by the State Auditor’s Office. Allowable activities and costs/restricted purpose – unmet need The District was acutely aware of the requirement for ...
Corrective action the auditee plans to take in response to the finding: The Prosser School District does not concur with the audit finding being issued by the State Auditor’s Office. Allowable activities and costs/restricted purpose – unmet need The District was acutely aware of the requirement for the Emergency Connectivity Fund to be used to fill an “unmet need” to keep students engaged and continue their learning progression during the COVID-19 pandemic, which presented unique and challenging circumstances that had to be addressed immediately. According to the FCC’s requirement, “Applicants may only request support for eligible equipment and/or services for students who lack access to connected devices and broadband connections sufficient to engage in remote learning during the relevant funding period. Schools have the discretion to determine whether a student’s existing device is adequate for remote learning”. In our district, it was established that district-managed devices were essential for all students to fully participate in remote learning and that personal devices were not sufficient for remote learning. District owned devices ensured that students had access to pre-loaded apps and curriculum that were not available on personal devices, thus leveling the playing field for all learners. When students were off-campus, district-managed devices were necessary for full participation in remote learning. These devices were checked out configured with Go Guardian, CIPAcompliant filtering, and secure testing environments required for state assessments such as SmarterBalance and WIDA. Such security and functionality cannot be replicated on personal devices, making district devices indispensable. District owned devices allowed instructional staff to interact with remote learners that were on district owned devices where they could not interact the same way with students on personal devices. Because of this students without access to these district-managed devices would miss out on critical educational experiences and opportunities, thereby creating a disparity in educational quality and equity. Based on this, and considering the number of devices requested over two funding years, it is clear that we did not purchase more devices than were necessary to fill our “unmet need”. Additionally, it was deemed that students on a personal device during remote learning could not be assisted by the technology department in the event of an technical issue causing disruption to learning for that student and potentially the entire class, which would have further hindered the student/ teachers’ abilities to sufficiently engage in remote learning. Restricted purpose – per-location and per-user limitations The District was also acutely aware of the requirement that the devices purchased with the Emergency Connectivity Fund were only to be checked out to students and educational staff, and to only be check out one per user. Our check out program was designed with measures to monitor and flag any attempt to check out an additional device to someone who already had one. This system ensured compliance with this requirement, allowing us to effectively manage our devices and prevent any misuse or over-allocation of resources. By implementing these controls, we maintained accountability and ensured that each student received the necessary support without duplication. Our devices continue to be checked out using our system.
View Audit 318329 Questioned Costs: $1
On July 31, 2024, the Authority issued the audited financial statements for the fiscal year 2023 and Single Audit reporting package corresponding to year ended June 30, 2023 will be submitted on or before August 31, 2024. Currently, the audit for the fiscal year 2024 is in process and the Authority ...
On July 31, 2024, the Authority issued the audited financial statements for the fiscal year 2023 and Single Audit reporting package corresponding to year ended June 30, 2023 will be submitted on or before August 31, 2024. Currently, the audit for the fiscal year 2024 is in process and the Authority expects to issue and submit the 2024 financial statements and Single Audit reporting package within the established due date.
We will only assign the indirect cost rate allowable per the grant in the book per the related CFR.
We will only assign the indirect cost rate allowable per the grant in the book per the related CFR.
View Audit 318281 Questioned Costs: $1
We will not assign any direct labor costs on timesheets to grant programs on which the agency is already capturing an indirect cost rate recovery.
We will not assign any direct labor costs on timesheets to grant programs on which the agency is already capturing an indirect cost rate recovery.
View Audit 318281 Questioned Costs: $1
Special Tests and Provisions 93.224/93.527 - Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Public Housing Primary Care, and School Based Health Centers); (HHS Community Health Center Program) Recommendation: We recommend that management ...
Special Tests and Provisions 93.224/93.527 - Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Public Housing Primary Care, and School Based Health Centers); (HHS Community Health Center Program) Recommendation: We recommend that management continue to work and educate front desk and intake staff on the importance of the required patient application documentation so that the required support is filed before applying a sliding fee discount to a patient account. In addition, continue with the system of monitoring that was established during fiscal year 2023 to review random samples of applications and sliding fees applied. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: We agreed with the above comment, and we are working with our intake and finance staff to ensure all documentation is maintained on file and scanned into the EMR system to maintain the required supporting documentation. During 2023 we have implemented a system of monitoring sliding fees applied to patient accounts. Name of the contact person responsible for corrective action: Doni Miller Planned completion date for corrective action plan: Fiscal year 2024
Our Katahdin has engaged an outside consultant to help bring our record keeping and internal financial statements up to date. We are also revising all of our internal processes, including those used to properly identify costs related to grant programs. Responsible official: Stephanie Walsh, Board Tr...
Our Katahdin has engaged an outside consultant to help bring our record keeping and internal financial statements up to date. We are also revising all of our internal processes, including those used to properly identify costs related to grant programs. Responsible official: Stephanie Walsh, Board Treasurer, 207-233-9228 Expected completion date: October 31, 2024
Our Katahdin has engaged an outside consultant to help bring our record keeping and internal financial statements up to date. We will improve accounting of Modified Total Direct Costs in order to better determine the correct Indirect Costs. Responsible official: Stephanie Walsh, Board Treasurer, 207...
Our Katahdin has engaged an outside consultant to help bring our record keeping and internal financial statements up to date. We will improve accounting of Modified Total Direct Costs in order to better determine the correct Indirect Costs. Responsible official: Stephanie Walsh, Board Treasurer, 207-233-9228 Expected completion date: October 31, 2024
Our Katahdin will properly verify all vendors going forward and document and retain this verification. Responsible official: Stephanie Walsh, Board Treasurer, 207-233-9228 Expected completion date: October 31, 2024
Our Katahdin will properly verify all vendors going forward and document and retain this verification. Responsible official: Stephanie Walsh, Board Treasurer, 207-233-9228 Expected completion date: October 31, 2024
Clinic management team acknowledges that from the audit selection made of 60 patients, 22 were not recertified during the six-month period and the supporting documentation was not always obtained or retained related to income verification, household size, residency, and health insurance status. A de...
Clinic management team acknowledges that from the audit selection made of 60 patients, 22 were not recertified during the six-month period and the supporting documentation was not always obtained or retained related to income verification, household size, residency, and health insurance status. A detail plan of correction has been developed and is listed below. With the exception of the last bullet below, these corrections were implemented in the fourth quarter of 2023 as a result of the 2022 finding. The last bullet was implemented in the first quarter of 2024. • Revamped the job titles and description to encourage better return on recruitment efforts of medical case manager positions. • A position of Certified Case Counselor (CCC) – Supervisor, was created and filled to provide direct oversight over the medical case managers that perform the bi-annual certifications, and other daily tasks. • Added a quality management process, where Clinic clients are called ahead of time to notify them of their recertification requirements. • Data Analyst(s) generate a report of patients due for recertification 60 days in advance of the due date. The CCC-Supervisor is directly accountable to review the progress of the re-certification and the process is monitored by the Assistant Manager of the clinic. The CCC-Supervisor and Assistant Manager monitor retention of all patient required supporting documentation in the patients’ medical records. • Patients that do not provide the required supporting documentation showing compliance with program eligibility as outlined in the grant agreement or are otherwise not able to be recertified six months after certification will be classified as inactive in the database used to submit invoices to the Ryan White HIV/AIDS Program. Contact Person: Rajesh Mehta, Chief Financial Officer, Peter Ho Memorial Clinic Expected Completion Date: September 30, 2024
Statement of Condition #2023-001 (CFDA 14.157): During the year ended December 31, 2023, the Corporation made a payment on the CRA loan of $1,157 without HUD approval. Recommendation: Management should submit a residual receipts request to HUD for the withdrawal in the amount of $1,157. In the futu...
Statement of Condition #2023-001 (CFDA 14.157): During the year ended December 31, 2023, the Corporation made a payment on the CRA loan of $1,157 without HUD approval. Recommendation: Management should submit a residual receipts request to HUD for the withdrawal in the amount of $1,157. In the future, management should obtain approval from HUD before making any payments on the CRA loan. Action(s) taken or planned on the finding: Management concurs with the finding and will submit a residual receipts withdrawal request in the amount of $1,157 during the year ended December 31, 2024.
View Audit 318198 Questioned Costs: $1
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said,...
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said, by September 1, 2024, the Assistant Superintendent for Business will, together with the pertintent Business Office staff, review the existing procedures for these internal controls to ensure all are being implemented properly for the coming fiscal year. Additionally, the Assistant Superintendent for Business will have monthly reviews with the Treasurer to ensure these internal control processes are being correctly followed.
View Audit 318191 Questioned Costs: $1
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said,...
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said, by September 1, 2024, the Assistant Superintendent for Business will, together with the pertintent Business Office staff, review the existing procedures for these internal controls to ensure all are being implemented properly for the coming fiscal year. Additionally, the Assistant Superintendent for Business will have monthly reviews with the Treasurer to ensure these internal control processes are being correctly followed.
View Audit 318191 Questioned Costs: $1
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said,...
Corrective Action: The district concurs and understands the importance of maintaining internal controls related to Education Stabilization Fund requirements. However, due to turnover of half the Business Office staff in June 2023, the district procedures could not be effectively followed. That said, by September 1, 2024, the Assistant Superintendent for Business will, together with the pertintent Business Office staff, review the existing procedures for these internal controls to ensure all are being implemented properly for the coming fiscal year. Additionally, the Assistant Superintendent for Business will have monthly reviews with the Treasurer to ensure these internal control processes are being correctly followed.
View Audit 318191 Questioned Costs: $1
Finding No. 2023-002 Late Filing of Audit Package and Data Collection Form Description of Finding: The audit package and data collection form were not filed with the FAC within the required timeframe for the year ended June 30, 2023. Statement of Concurrence: Hampden County Career Center, Inc. con...
Finding No. 2023-002 Late Filing of Audit Package and Data Collection Form Description of Finding: The audit package and data collection form were not filed with the FAC within the required timeframe for the year ended June 30, 2023. Statement of Concurrence: Hampden County Career Center, Inc. concurs with the audit finding. Corrective Action: Hampden County Career Center, Inc. has replaced the finance director who left during the audit that resulted in the delay. Name of Contact Person: David Gadaire, President and CEO, DGadaire@masshireholyoke.org Projected Completion Date: Immediate – the position of the finance director has since been filed and the Organization does not expect any such delays in the future.
Finding No. 2023-001 Late Filing of Audit Package and Data Collection Form Description of Finding: In fiscal year 2023, the Center’s accounting processes and internal controls over financial reporting did not meet timeliness standards. As a result, the financial close process including the grant sc...
Finding No. 2023-001 Late Filing of Audit Package and Data Collection Form Description of Finding: In fiscal year 2023, the Center’s accounting processes and internal controls over financial reporting did not meet timeliness standards. As a result, the financial close process including the grant schedule was not completed within the standard period. Statement of Concurrence: Hampden County Career Center, Inc. concurs with the audit finding. Corrective Action: Hampden County Career Center, Inc. has replaced the finance director who left during the audit that resulted in the delay. Name of Contact Person: David Gadaire, President and CEO, DGadaire@masshireholyoke.org Projected Completion Date: Immediate – the position of the finance director has since been filed and the Organization does not expect any such delays in the future.
Corrective Action Plan - Finding 2023-001 Subrecipient Monitoring Department of Treasury COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - ALN #21.027.The County will implement procedures to formally document and complete a risk assessment of subrecipients and for the development of mon...
Corrective Action Plan - Finding 2023-001 Subrecipient Monitoring Department of Treasury COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - ALN #21.027.The County will implement procedures to formally document and complete a risk assessment of subrecipients and for the development of monitoring procedures to address the risks. This corrective action plan calls for the County to annually prepare a risk assessment for each subrecipient and provider documented monitoring to address the risk. The County Budget Director will collect the audits for the respective subrecipient by June 30th. For those that have not completed their audit by June 30th, a follow up reminder will be sent each month inquiring as to the status for date of completion until which time the audit is received.The County Budget Director has developed a tracking spreadsheet to include receipt date of audit, review date of audit, risk assessment level and comments regarding audit. Any subrecipient receiving over $500,000 will automatically be considered a higher risk. In addition, any subrecipient that has findings or comments within their audit will also be considered a higher risk Currently, all expenditure requests must include copies of invoices and canceled checks to ensure that payment has been made prior to reimbursement. Quarterly reports are submitted and reviewed to update the County on progress of the projects. For those subrecipients that are documented as higher risk, additional monitoring procedures will occur. These procedures may include meeting with the subrecipient to discuss other funding sources to fund the project or follow up to any corrective action plans put in place to address the audit findings or comments. Anticipated Completion Date: September 30, 2024.Person Responsible for Corrective Action: Ann Brown Budget Director County of Butler PO Box 1208 Butler, PA 16003-1208 724-284-5105 abrown@co.butler.pa.us
View Audit 318160 Questioned Costs: $1
Finding 485421 (2023-002)
Significant Deficiency 2023
Corrective Action Plan - Finding 2023-002 Internal Control over Eligibility Department of Health and Human Services Foster Care Title IV-E - ALN #93.658 and Adoption Assistance Title IV-E - ALN #93.659. The County has reimplemented the previously performed procedure of completion and a sign off of a...
Corrective Action Plan - Finding 2023-002 Internal Control over Eligibility Department of Health and Human Services Foster Care Title IV-E - ALN #93.658 and Adoption Assistance Title IV-E - ALN #93.659. The County has reimplemented the previously performed procedure of completion and a sign off of a checklist of the documents reviewed in the Tile IV-E eligibility file. This review will be performed by an independent employee. This will typically be the TANF eligibility employee. A check mark will be placed on the check list beside each document that is reviewed and will include the initials of the employee completing the review. Any questions or concerns will be directed back to the original employee that performed the initial verification. Anticipated Completion Date: August 9, 2024. Person Responsible for Corrective Action: William Kepple Financial Operations Officer Human Services Department County of Butler PO Box 1208 Butler, PA 16003-1208. 724-284-5120. wkepple@co.butler.pa.us
Temporary Assistance for Needy Families, Foster Care Title IV-E, Low Income Home Energy Assistance - Assistance Listing No. 93.558, 93.658, 93.568 Condition: During our testing, we noted 2 employees who were not removed from the County Benefits Management System (CBMS) within a reasonable timeframe...
Temporary Assistance for Needy Families, Foster Care Title IV-E, Low Income Home Energy Assistance - Assistance Listing No. 93.558, 93.658, 93.568 Condition: During our testing, we noted 2 employees who were not removed from the County Benefits Management System (CBMS) within a reasonable timeframe after employment change at the county. Recommendation: We recommend the county implement a control to ensure the state accounts are offboarded when employees separate employment or move departments that do not require them to keep CBMS access. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The county has added a compensating control to ensure that State accounts are offboarded when employees separate from the County or change departments that do not require them to keep their CBMS access. Name(s) of the contact person(s) responsible for corrective action: Jen Sherwood, Director of Human Services Planned completion date for corrective action plan: June 30, 2024
U.S. DEPARTMENT OF TREASURY 2023-001 COVID-19 Coronavirus State & Local Fiscal Recovery Fund (ARPA) – Assistance Listing No.21.027 Recommendation: We recommend the County strengthen internal controls over the review process of disbursements. This can include ensuring it is clear what documentation i...
U.S. DEPARTMENT OF TREASURY 2023-001 COVID-19 Coronavirus State & Local Fiscal Recovery Fund (ARPA) – Assistance Listing No.21.027 Recommendation: We recommend the County strengthen internal controls over the review process of disbursements. This can include ensuring it is clear what documentation is required to support approval. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: McLean County is in the process of drafting financial policies that include procedures for cash disbursements. The financial policy will address the approval process from the department head all the way through to the Treasurer’s Office for payment. McLean County is also in the process of selecting a new ERP system that invoices will be processed through and will require electronically stamped approvals through all phases of review by the Auditor and Treasurer’s offices. Name(s) of the contact person(s) responsible for corrective action: Cassy Taylor Planned completion date for corrective action plan: 11/1/2024 for Financial Policies and 1/1/2026 for ERP implementation.
Finding 485329 (2023-002)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agenci...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agencies. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure timely notice is given to other departments of an individual’s termination and the information provided to granting agencies is reviewed. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
Finding 485328 (2023-001)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no ...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
2023-006 – Reporting (Repeat Finding) Auditor Description of Condition and Effect. The City has not performed all of the required Coronavirus State and Local Fiscal Recovery Funds expenditure reporting. Specifically, the Project and Expenditure reports for first and second quarter of 2023 were not f...
2023-006 – Reporting (Repeat Finding) Auditor Description of Condition and Effect. The City has not performed all of the required Coronavirus State and Local Fiscal Recovery Funds expenditure reporting. Specifically, the Project and Expenditure reports for first and second quarter of 2023 were not filed. However, these reports were filed for the third and fourth quarter of 2023. As a result of this condition, the City did not comply completely with the reporting requirements of the Coronavirus State and Local Fiscal Recovery Funds grant. Auditor Recommendation. We recommend that the City review the reporting requirements for each grant and complete all required reporting as required under the terms of the grant agreement. Corrective Action. City staff has accessed these reports and attempted to submit all required reports. Ongoing reports have been submitted on time. Assistance will be sought with federal agencies as necessary. Responsible Person. City Manager Anticipated Completion Date. December 31, 2024
Finding 485272 (2023-001)
Significant Deficiency 2023
The Chief Procurement Officer will follow all federal and state procurement standards. CPO will review and make necessary changes to documentation procedures for procurement to ensure that all federal and state requirements are met. Chief Procurement Officer has reviewed federal and state procu...
The Chief Procurement Officer will follow all federal and state procurement standards. CPO will review and make necessary changes to documentation procedures for procurement to ensure that all federal and state requirements are met. Chief Procurement Officer has reviewed federal and state procurement compliance. He will update changes to documentation of procurement by December 31, 2024
View Audit 318025 Questioned Costs: $1
Finding 485251 (2023-002)
Significant Deficiency 2023
Finding 2023-002 Condition The County did not submit any reports under the Transparency Act as required during the year under audit. Our sample was not statistically valid. Corrective Action Plan Corrective Action Planned: The County will initiate a process to ensure reports will be filed as require...
Finding 2023-002 Condition The County did not submit any reports under the Transparency Act as required during the year under audit. Our sample was not statistically valid. Corrective Action Plan Corrective Action Planned: The County will initiate a process to ensure reports will be filed as required by the Federal Funding Accounting and Transparency Act. In addition, the County will determine if previous reports are to be prepared and submitted. On a prospective basis, the County will review and revise our procedures as necessary to ensure requirements are met of the Federal Funding Accounting and Transparency Act. Name(s) of Contact Person(s) Responsible for Corrective Action: Melissa Gallagher, Chief Financial Officer Anticipated Completion Date: December 31, 2024
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