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Corrective Action Plans

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Finding 398383 (2022-003)
Material Weakness 2022
Farestart
WA
Questioned Costs Reporting
FareStart has also established protocols for monitoring and tracking key deadlines related to the submission of audit documentation, including the Single Audit Reporting Package and Data Collection Form. Management has allocated resources as necessary to ensure that audit requests are addressed prom...
FareStart has also established protocols for monitoring and tracking key deadlines related to the submission of audit documentation, including the Single Audit Reporting Package and Data Collection Form. Management has allocated resources as necessary to ensure that audit requests are addressed promptly, even during periods of staffing transition or reduced capacity. Ongoing monitoring and evaluation will be conducted to ensure the effectiveness of these measures. Progress updates on the implementation of the corrective action plan will be provided to FareStart's management team and Board of Directors and any significant developments or challenges will be promptly communicated for appropriate guidance and decision-making. By proactively addressing the identified deficiencies and implementing robust corrective measures, FareStart is committed to strengthening its internal controls, enhancing compliance with federal program requirements, and ensuring the timely and accurate reporting of financial information.
View Audit 307068
Finding 398354 (2022-003)
Significant Deficiency 2022
Eastern Plains Community Action Agency, Inc.
NM
Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be rev...
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be reviewed to ensure the appropriate approvals and signatures are obtained. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
View Audit 307024
Finding 398353 (2022-002)
Significant Deficiency 2022
Eastern Plains Community Action Agency, Inc.
NM
Equipment & Real Property Management Internal Control / Segregation of Duties Questioned Costs § 200.303
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective du...
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective due dates. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
View Audit 307024
Finding 398190 (2022-006)
Material Weakness 2022
St. Vincent General Hospital District
CO
Special Tests & Provisions Questioned Costs Subrecipient Monitoring § 200.303
Finding 2022‐006 – Special Tests and Provisions Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Assistance Listing #10.766 Finding Summary: The Hospital did not have adequate internal control policies in place to ensure...
Finding 2022‐006 – Special Tests and Provisions Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Assistance Listing #10.766 Finding Summary: The Hospital did not have adequate internal control policies in place to ensure review and approval over the reserve funds, monitoring of all required debt covenants, proper funding of the reserve accounts, or to ensure that proper procedures are followed for obtaining USDA approval for any withdrawals from the debt service reserve funds. Responsible Individuals: Kelly Johnston, CFO Status: The Hospital enhance internal control policies to ensure formal documentation of reviews for the reserve fund reconciliations is retained, monitoring that the required debt covenants are monitored and reviewed, reserve funds are properly funded, and that there are proper procedures in place for obtaining USDA approval for any future withdrawals from the debt service reserve funds. Anticipated Completion Date: 6/30/2024
View Audit 306892
Finding 398189 (2022-005)
Material Weakness 2022
St. Vincent General Hospital District
CO
Questioned Costs Material Weakness Reporting
Finding 2022‐005 – Reporting Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Assistance Listing #10.766 Finding Summary: The Hospital did not submit the quarterly reports for 2022 to the United States Department of Agri...
Finding 2022‐005 – Reporting Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Assistance Listing #10.766 Finding Summary: The Hospital did not submit the quarterly reports for 2022 to the United States Department of Agriculture and the interim financing lender and did not send the annual budget, financial statements, cost report, and debt service reserve calculation to the United States Department of Agriculture. Responsible Individuals: Kelly Johnston, CFO Status: Management will implement policies and procedures surrounding the reporting required under the United States Department of Agriculture loan program as well as provide the required reports on a timely basis to all respective parties. Anticipated Completion Date: 6/30/2024
View Audit 306892
Finding 397881 (2022-006)
Significant Deficiency 2022
Keystone College
PA
Questioned Costs Student Financial Aid Matching / Level of Effort / Earmarking
College will put controls in place between Registrar and Financial Aid to ensure enrollment status of students
College will put controls in place between Registrar and Financial Aid to ensure enrollment status of students
View Audit 306623 Questioned Costs: $1
Finding 397880 (2022-005)
Significant Deficiency 2022
Keystone College
PA
Student Financial Aid Questioned Costs Matching / Level of Effort / Earmarking
Administration adjusted job responsibilities of current staff and made process changes to work with third party financial aid servicer to validate federal awards prior to submission
Administration adjusted job responsibilities of current staff and made process changes to work with third party financial aid servicer to validate federal awards prior to submission
View Audit 306623
Finding 397879 (2022-004)
Significant Deficiency 2022
Keystone College
PA
Cash Management Questioned Costs Reporting
College will implement training for staff to ensure compliance with future federal awards
College will implement training for staff to ensure compliance with future federal awards
View Audit 306623
Finding 397878 (2022-003)
Significant Deficiency 2022
Keystone College
PA
Questioned Costs Subrecipient Monitoring Cash Management
The College is reviewing processes in place with third party financial aid servicer and internal policies to implement controls over compliance
The College is reviewing processes in place with third party financial aid servicer and internal policies to implement controls over compliance
View Audit 306623 Questioned Costs: $1
Finding 397013 (2022-007)
Material Weakness 2022
North Central Housing Authority
ND
Questioned Costs HUD Housing Programs Material Weakness
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper supporting documentation is retained. Planned Completion Date for CAP Immediately
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper supporting documentation is retained. Planned Completion Date for CAP Immediately
View Audit 306400
Finding 397011 (2022-005)
Material Weakness 2022
North Central Housing Authority
ND
Questioned Costs HUD Housing Programs Material Weakness
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper supporting documentation is retained. Planned Completion Date for CAP Immediately
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper supporting documentation is retained. Planned Completion Date for CAP Immediately
View Audit 306400
Finding 397010 (2022-004)
Material Weakness 2022
North Central Housing Authority
ND
Questioned Costs HUD Housing Programs Material Weakness
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper personnel perform reconciliations within a timely manner of year end. Planned Completion Date for CAP Imm...
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to work with HUD and review staffing as well as work with the fee accountant to ensure the proper personnel perform reconciliations within a timely manner of year end. Planned Completion Date for CAP Immediately
View Audit 306400
Finding 397009 (2022-003)
Material Weakness 2022
North Central Housing Authority
ND
HUD Housing Programs Questioned Costs Eligibility
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to provide occupancy training to staff to prevent future exceptions. Planned Completion Date for CAP Immediately
Contact Person Tim Greene, Executive Director Corrective Action Plan The Authority will continue to provide occupancy training to staff to prevent future exceptions. Planned Completion Date for CAP Immediately
View Audit 306400
Finding 396991 (2022-007)
Significant Deficiency 2022
College of Micronesia - Fsm
FM
Questioned Costs Procurement, Suspension & Debarment § 200.319
The college will strengthen its financial reporting by implementing the following: 1) Review and improve procedure related to procurement 2) Coordination with grantor regarding grant requirements 2) Review and improve recording of transactions and financial statements presentation. Contact Person ...
The college will strengthen its financial reporting by implementing the following: 1) Review and improve procedure related to procurement 2) Coordination with grantor regarding grant requirements 2) Review and improve recording of transactions and financial statements presentation. Contact Person : Roselle B. Togonon Completion Date: June 30, 2024
View Audit 306394 Questioned Costs: $1
Finding 396983 (2022-003)
Material Weakness 2022
Cornerstone Whole Healthcare Organization, Inc.
ID
Cash Management Questioned Costs Material Weakness
Plan of Action: Drafted new procedure that will be implemented 5/15/24 and will develop a tracking system in Microsoft Forms for the Project Director or Authorizing Officer requesting and approval funds by 6/1/24. Date of implementation: 6/1/2024
Plan of Action: Drafted new procedure that will be implemented 5/15/24 and will develop a tracking system in Microsoft Forms for the Project Director or Authorizing Officer requesting and approval funds by 6/1/24. Date of implementation: 6/1/2024
View Audit 306383 Questioned Costs: $1
Finding 396979 (2022-002)
Material Weakness 2022
Cornerstone Whole Healthcare Organization, Inc.
ID
Questioned Costs Procurement, Suspension & Debarment Material Weakness
Plan of Action: The organization updated its F1.14 Federal Grants Management Policy on update 6/1/2023 and was approved by HRSA and reviewed and approved by the organizational board on 9/12/2023. The Annual Policy Bulletin will be reviewed and implemented annually. Date of implementation: 9/12/2023
Plan of Action: The organization updated its F1.14 Federal Grants Management Policy on update 6/1/2023 and was approved by HRSA and reviewed and approved by the organizational board on 9/12/2023. The Annual Policy Bulletin will be reviewed and implemented annually. Date of implementation: 9/12/2023
View Audit 306383
Finding 396732 (2022-021)
Significant Deficiency 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs HUD Housing Programs
Views of Responsible Officials and Planned Corrective Actions: At the time of the inquiry, FHA Development, Inc., which is a non-profit partner of the PHA and whose properties were managed by the PHA, changed attorneys. The Executive Director of the PHA did so without the consent of the Board. A re...
Views of Responsible Officials and Planned Corrective Actions: At the time of the inquiry, FHA Development, Inc., which is a non-profit partner of the PHA and whose properties were managed by the PHA, changed attorneys. The Executive Director of the PHA did so without the consent of the Board. A relationship no longer exists between the attorney and the PHA or FHA Development, Inc. The PHA will work to ensure no similar situation arises within its control and that the PHA will take all legal remedies available should the attorney or any future attorney fail to respond to audit inquiries.
View Audit 306360
Finding 396731 (2022-020)
Significant Deficiency 2022
Housing Authority of the City of Fayetteville
IL
HUD Housing Programs Questioned Costs
Views of Responsible Officials and Planned Corrective Actions: The disruption caused by the COVID pandemic and staff turnover had an impact on the adherence to proper inspection protocols. The Executive Director and the Director of Programs have implemented a strict annual inspection regimen for al...
Views of Responsible Officials and Planned Corrective Actions: The disruption caused by the COVID pandemic and staff turnover had an impact on the adherence to proper inspection protocols. The Executive Director and the Director of Programs have implemented a strict annual inspection regimen for all units. In addition, internal file audits and quality control inspections are carried out by either the Executive Director or the Director of Programs to uphold and verify compliance with these standards. The future Compliance Specialist will be responsible for conducting a review as well.
View Audit 306360
Finding 396730 (2022-019)
Material Weakness 2022
Housing Authority of the City of Fayetteville
IL
HUD Housing Programs Questioned Costs Internal Control / Segregation of Duties
Views of Responsible Officials and Planned Corrective Actions: The Executive Director and Director of Finance are committed to guaranteeing that all invoices receive proper initials or signatures from either of them or a designated representative of the Executive Director. This protocol will be in ...
Views of Responsible Officials and Planned Corrective Actions: The Executive Director and Director of Finance are committed to guaranteeing that all invoices receive proper initials or signatures from either of them or a designated representative of the Executive Director. This protocol will be in place to confirm the accuracy and authorization of invoices. Furthermore, a comprehensive Accounts Payable Procedure has been established to guide all staff purchases, ensuring accuracy and compliance.
View Audit 306360
Finding 396729 (2022-018)
Material Weakness 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs Procurement, Suspension & Debarment HUD Housing Programs
Views of Responsible Officials and Planned Corrective Actions: Due to a change in personnel, the current administration encountered difficulties in locating and furnishing credit card receipts. The Executive Director and Director of Finance have conscientiously implemented strategies since assuming...
Views of Responsible Officials and Planned Corrective Actions: Due to a change in personnel, the current administration encountered difficulties in locating and furnishing credit card receipts. The Executive Director and Director of Finance have conscientiously implemented strategies since assuming their roles to create a structured electronic record-keeping system for all receipts. They have also established a meticulous protocol for the preservation of original documents, streamlining the review process for greater convenience and efficiency.
View Audit 306360
Finding 396728 (2022-017)
Significant Deficiency 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
Views of Responsible Officials and Planned Corrective Actions: As a result of a staffing transition, the present administration encountered challenges in locating and furnishing Davis-Bacon certified payroll reports. To address this concern, the Executive Director and Director of Finance are intens...
Views of Responsible Officials and Planned Corrective Actions: As a result of a staffing transition, the present administration encountered challenges in locating and furnishing Davis-Bacon certified payroll reports. To address this concern, the Executive Director and Director of Finance are intensifying their efforts to enhance the preservation of records and ensuring that all requested information is readily accessible for audit scrutiny. The Executive Director will be overseeing labor standard compliance by conducting onsite interviews with construction workers, scrutinizing payroll reports, and overseeing any necessary additional enforcement actions as suggested.
View Audit 306360
Finding 396727 (2022-016)
Material Weakness 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs Procurement, Suspension & Debarment Reporting
Views of Responsible Officials and Planned Corrective Actions: Owing to a transition in staff, the current administration faced challenges in locating and providing requested documents that substantiate all expenditures. The Executive Director and Director of Finance have diligently undertaken meas...
Views of Responsible Officials and Planned Corrective Actions: Owing to a transition in staff, the current administration faced challenges in locating and providing requested documents that substantiate all expenditures. The Executive Director and Director of Finance have diligently undertaken measures since the commencement of their roles to establish a systematic electronic filing system for all documentation, alongside a meticulous arrangement for the preservation of original documents, facilitating convenient and efficient review processes.
View Audit 306360
Finding 396726 (2022-015)
Material Weakness 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs Internal Control / Segregation of Duties
Views of Responsible Officials and Planned Corrective Actions: Fayetteville Housing Authority will thoroughly examine all expenses associated with the Emergency Grant to confirm that these expenditures exclusively pertain to the replacement of HVAC piping, domestic water piping, and sewer line pipi...
Views of Responsible Officials and Planned Corrective Actions: Fayetteville Housing Authority will thoroughly examine all expenses associated with the Emergency Grant to confirm that these expenditures exclusively pertain to the replacement of HVAC piping, domestic water piping, and sewer line piping. Should any expenses be found unrelated to piping replacements, Fayetteville Housing Authority will assess available options for reimbursing those funds to the funding agency.
View Audit 306360
Finding 396725 (2022-014)
Significant Deficiency 2022
Housing Authority of the City of Fayetteville
IL
Procurement, Suspension & Debarment Questioned Costs HUD Housing Programs
Views of Responsible Officials and Planned Corrective Actions: Fayetteville Housing Authority is committed to conducting a comprehensive review of all contract files to ascertain that they contain thorough documentation of the contract, associated expenditures, and progress reports. In the future, ...
Views of Responsible Officials and Planned Corrective Actions: Fayetteville Housing Authority is committed to conducting a comprehensive review of all contract files to ascertain that they contain thorough documentation of the contract, associated expenditures, and progress reports. In the future, contract files will be maintained in strict accordance with HUD procurement policies.
View Audit 306360 Questioned Costs: $1
Finding 396724 (2022-013)
Significant Deficiency 2022
Housing Authority of the City of Fayetteville
IL
Questioned Costs Procurement, Suspension & Debarment
Views of Responsible Officials and Planned Corrective Actions: A procurement policy aligned with Federal and State regulations has been approved by the Board. The Executive Director bears the responsibility of guaranteeing the adherence to correct procurement procedures. Additionally, a Capital Nee...
Views of Responsible Officials and Planned Corrective Actions: A procurement policy aligned with Federal and State regulations has been approved by the Board. The Executive Director bears the responsibility of guaranteeing the adherence to correct procurement procedures. Additionally, a Capital Needs Assessment has been executed for Public Housing to aid in the identification of forthcoming procurement requirements and in developing the agency's five-year plan. In further commitment to maintaining procurement excellence, two Board Commissioners, the Executive Director, the Director of Finance, and the Executive Assistant have undergone comprehensive training provided by NAHRO in the field of procurement.
View Audit 306360 Questioned Costs: $1
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