Corrective Action Plans

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U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-008: Procurement – Material Weakness Recommendation: We recommend the Organization strengthen its policies and procedures to ensure procurement is adequately doc...
U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-008: Procurement – Material Weakness Recommendation: We recommend the Organization strengthen its policies and procedures to ensure procurement is adequately documented so that goods and services are purchased in accordance with Uniform Guidance and other federal guidelines. Grantee Response and Corrective Action Plan 2022-008: We acknowledge the gap identified between our policy framework and its execution, particularly in the area of maintaining supporting documentation. The Center for Black Women’s Wellness has approved policies that are designed to meet the requirements of the Uniform Guidance; however, we recognize that in practice, implementation has been inconsistent. Notably, of the sixty transactions reviewed, eight were found lacking in supporting documentation. To address this issue, we have already taken corrective measures by reinforcing our procedures and ensuring that appropriate staff are aware of these requirements. In 2024, we strengthened our oversight by engaging a Contractual CFO who will be instrumental in implementing these enhanced controls. This effort is part of our ongoing commitment to ensure full compliance and transparency in our procurement processes, thereby aligning our practices more closely with our established policies. Responsible Parties: Jemea Dorsey, CEO Date Corrected: April 30, 2024
View Audit 303667 Questioned Costs: $1
U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-006 – Period of Performance – Significant Deficiency Recommendation: We recommend that internal controls be strengthened and processes implemented to ensure all...
U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-006 – Period of Performance – Significant Deficiency Recommendation: We recommend that internal controls be strengthened and processes implemented to ensure all expenses include supporting documentation/invoice indicating period of performance. Grantee Response and Corrective Action Plan 2022-006: The Center for Black Women's Wellness has proactively updated our credit card policy in 2022. The CEO reviews the credit card statement monthly for discrepancies and allowable costs. Additionally, credit card holders are responsible for reviewing their credit card statements monthly for discrepancies and allowable costs. This measure aligns with our broader fiscal management improvements, which also involve the engagement of a Contractual CFO in April 2024 to oversee and refine our financial operations. These initiatives are part of our commitment to maintaining rigorous financial integrity and ensuring that all transactions are transparent and compliant with regulatory requirements. Additionally, we have resolved past documentation issues, such as those arising from the abrupt departure of an employee, by implementing robust procedures to avoid similar incidents in the future. Responsible Parties: Jemea Dorsey, CEO Date Corrected: April 30, 2024
View Audit 303667 Questioned Costs: $1
U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-005 – Non Payroll Expenses- Material Weakness Recommendation: We recommend that internal controls be strengthened and processes implemented to ensure all expense...
U.S Department of Health and Human Services FALN: 93.926 Federal Award Identification Number: 5 H49MC00119-21-00 / 6 H49MC00119-20-01 2022-005 – Non Payroll Expenses- Material Weakness Recommendation: We recommend that internal controls be strengthened and processes implemented to ensure all expenses include supporting documentation/invoice indicating nature of expense, amount, authorization and approval for payment. Grantee Response and Corrective Action Plan 2022-005: The CEO has always reviewed the credit card statement monthly for discrepancies and allowable costs. Additionally, credit card holders are responsible for reviewing their credit card statements monthly for discrepancies and allowable costs. The Center for Black Women's Wellness has proactively updated our credit card policy in 2022, which is now signed by all employees, to reinforce the policy that receipts must be submitted to cardholder within 24 hours. This measure aligns with our broader fiscal management improvements, which also involve the engagement of a Contractual CFO in April 2024 to oversee and refine our financial operations. These initiatives are part of our commitment to maintaining rigorous financial integrity and ensuring that all transactions are transparent and compliant with regulatory requirements. Additionally, we have resolved past documentation issues, such as those arising from the abrupt departure of an employee, by implementing robust procedures to avoid similar incidents in the future. Responsible Parties: Jemea Dorsey, CEO Date Corrected: April 30, 2024
View Audit 303667 Questioned Costs: $1
Contact Person – Pattie Solberg, City Auditor; Corrective Action Plan – The City will submit the financial reporting package to the Federal Audit Clearinghouse within the earlier of 30 days of receipt of the auditor’s report or nine months after the end of the audit period. Completion Date – April 3...
Contact Person – Pattie Solberg, City Auditor; Corrective Action Plan – The City will submit the financial reporting package to the Federal Audit Clearinghouse within the earlier of 30 days of receipt of the auditor’s report or nine months after the end of the audit period. Completion Date – April 30, 2024
Finding 393399 (2022-007)
Significant Deficiency 2022
New procedures have been established to ensure the separation of duties and responsibility between the individuals who prepare grant reporting and the individuals who review the reports. Grant reports will be prepared by one individual and reviewed by supervisory-level staff personnel prior to the s...
New procedures have been established to ensure the separation of duties and responsibility between the individuals who prepare grant reporting and the individuals who review the reports. Grant reports will be prepared by one individual and reviewed by supervisory-level staff personnel prior to the submission of the report.
To help standardize the solicitation of RFP and RFQ the new Contracts and Procurement Manager has drafted revisions and improvements to strengthen current procurement policies. The Contract and Procurement Manager shall be a part of the solicitation process from development of the RFP and RFQ throug...
To help standardize the solicitation of RFP and RFQ the new Contracts and Procurement Manager has drafted revisions and improvements to strengthen current procurement policies. The Contract and Procurement Manager shall be a part of the solicitation process from development of the RFP and RFQ through the rating and selection process to provide oversight and adherence to the adopted purchasing policy. Updated policy language has been proposed that designates the Contract and Procurement Manager to control the flow of evaluation score sheets ensuring a more fair and equitable treatment of bids. As of February 2024, the updated purchasing policy is pending review by the City Attorney’s Office.
The District will review the Uniform Guidance requirements and ensure all expenditure adjustments are well supported with information to help ensure the federal monies are used on program activities as prescribed in the grant agreements.
The District will review the Uniform Guidance requirements and ensure all expenditure adjustments are well supported with information to help ensure the federal monies are used on program activities as prescribed in the grant agreements.
View Audit 303592 Questioned Costs: $1
Finding 393275 (2022-005)
Significant Deficiency 2022
Significant Deficiency in Internal Control over Compliance and Compliance Recommendation: CLA recommends that The Organization move away from using a cumulative profit and loss report and instead run monthly general ledger details by program as support for their monthly reimbursement requests. This...
Significant Deficiency in Internal Control over Compliance and Compliance Recommendation: CLA recommends that The Organization move away from using a cumulative profit and loss report and instead run monthly general ledger details by program as support for their monthly reimbursement requests. This will enhance clarity of costs attributable to each monthly period and reduces the chance that costs will be missed when requesting for reimbursement. Any reconciling transactions can be clearly tracked an Excel file of the general ledger detail by program. In addition, CLA recommends that The Organization emphasize to program management staff the importance of filing reimbursement requests each month and in a timely manner to reduce administrative and financial burden. There is no disagreement with the audit finding. Action taken in response to finding: The organization has modified our approach to making monthly reimbursement requests by including monthly general ledger details by program to ensure we have appropriate support and to increase clarity of costs attributable by month. Since fall/winter 2023, we have increased training to financial and program management staff around the importance of filing reimbursement request in a timely manner and we intend to increase the size of the financial support staff to further help minimize timely delays in reimbursement requests. Name(s) of the contact person(s) responsible for corrective action: Gary Slater Planned completion date for corrective action plan: 4/1/2024
View Audit 303558 Questioned Costs: $1
Finding 393273 (2022-003)
Significant Deficiency 2022
Significant Deficiency in Internal Control over Compliance and Compliance Recommendation: CLA recommends that additional emphasis of documentary evidence of approvals be made, and such evidence should be obtained and retained by The Organization as proof of oversight of expenditure of federal funds...
Significant Deficiency in Internal Control over Compliance and Compliance Recommendation: CLA recommends that additional emphasis of documentary evidence of approvals be made, and such evidence should be obtained and retained by The Organization as proof of oversight of expenditure of federal funds. CLA would recommend the use of an AP voucher, or similar, for each type of disbursement that leaves the Organization (check, EFT, credit card, etc.) to improve documentary evidence that costs are being reviewed and approved for appropriateness. There is no disagreement with the audit finding. Action taken in response to finding: Since Fall/Winter 2023, we have increased the emphasis and training for all staff on documenting evidence of approvals, including obtaining and retaining necessary documentation and proof of expenditure oversight for federal funds to ensure there is adequate evidence that costs are being reviewed and approved for appropriateness. Name(s) of the contact person(s) responsible for corrective action: Gary Slater Planned completion date for corrective action plan: 4/1/2024
View Audit 303558 Questioned Costs: $1
Finding 2022-003 - Noncompliance and Significant Deficiency in Internal Control over Compliance - Reporting. Criteria: The Organization is required to complete financial and other reports on specified dates according to the grant agreement with the funder. Context and Cause: The Organization experie...
Finding 2022-003 - Noncompliance and Significant Deficiency in Internal Control over Compliance - Reporting. Criteria: The Organization is required to complete financial and other reports on specified dates according to the grant agreement with the funder. Context and Cause: The Organization experienced turnover in key personnel responsible for preparing and filing federal reports. The reports were eventually filed late, but supporting documentation from the accounting system was not maintained in a fixed format in a centralized location by previous personnel, and could not be recreated after the fact. Questioned Costs: None. Action Taken: Company calendar implemented with due dates for all related federal reports. MCCC has also worked extensively with grant specialist and pertinent tech support for comprehensive completion constructions for each federal report. Views of responsible official: Management concurs with the audit findings.
2022-002 Finding - : Noncompliance and Significant Deficiency in Internal Control over Compliance - Allowable Costs. Criteria: Costs attributable to common or joint use of facilities or services by Head Start programs and other programs must be fairly allocated among the various programs that utiliz...
2022-002 Finding - : Noncompliance and Significant Deficiency in Internal Control over Compliance - Allowable Costs. Criteria: Costs attributable to common or joint use of facilities or services by Head Start programs and other programs must be fairly allocated among the various programs that utilize such services (42 USC 9839(c)). Context and Cause: Expenditures should be charged to the proper programs and allocated in accordance with the cost allocation plan. Questioned Costs: $6,357 – resulted in likely questioned costs greater than $25,000. Cause: Turnover of accounting personnel and lack of documentation and understanding of the allocation process with the Organization resulted in costs being incorrectly allocated between programs. Action Taken: Cost Allocation Plans have been thoroughly reviewed by executive director and finance director to verify and correct methodology and calculations in new approved cost allocation plan. Views of responsible official: Management concurs with the audit findings.
View Audit 303434 Questioned Costs: $1
Finding 392989 (2022-014)
Significant Deficiency 2022
Corrective Action: Employee Classification Review: - Conducts a comprehensive review of all employees claimed under the CSLFRF program. - Verify that each employee included in the program's cost claims is correctly categorized based on their role and department. - Ensure that payroll records accurat...
Corrective Action: Employee Classification Review: - Conducts a comprehensive review of all employees claimed under the CSLFRF program. - Verify that each employee included in the program's cost claims is correctly categorized based on their role and department. - Ensure that payroll records accurately reflect the departmental assignments of each employee for the relevant fiscal year. Internal Controls Enhancement: - Strengthen internal controls related to cost allocation for federally funded programs. - Implement a review process for payroll costs charged to federal programs, including periodic audits or cross‐checks against departmental records. - Establish clear guidelines and documentation requirements for including employees in federally funded programs. Training and Communication: - Train relevant personnel, including payroll staff and departmental managers, on correctly classifying and documenting costs for federally funded programs. - Ensure that all staff involved in cost allocation know the requirements and guidelines set forth by the CSLFRF program. Regular Monitoring and Reporting: - Develop a monitoring schedule to review costs claimed under the CSLFRF program regularly. - Generate reports to track payroll costs associated with the program and compare them against departmental records. - Implement a reporting mechanism to alert management of any discrepancies or inconsistencies in cost allocation. Documentation and Record‐Keeping: - Maintain thorough documentation of employee assignments, payroll records, and cost allocation for the CSLFRF program. - Establish a centralized repository for all documents related to federally funded programs for easy access during audits or reviews. Management Oversight: - Assign responsibility to a designated individual or team to oversee compliance with cost allocation requirements for the CSLFRF program. - Regularly review the corrective action plan's implementation progress and address any issues or challenges. Proposed Completion Date: 9/30/2024 Name of contact person: Robert Garcia, Grants Manager 1 Contact: Robert.garcia@pharr‐tx.gov
Finding 392988 (2022-013)
Significant Deficiency 2022
Reference Number 2022‐013 Payroll Costs (ALN 97.067 – Homeland Security Grants Program) Corrective Action: We acknowledge the errors in OT hours identified during the audit. It is noteworthy that our diligent grant management staff took immediate corrective action by rectifying the OT hours errors b...
Reference Number 2022‐013 Payroll Costs (ALN 97.067 – Homeland Security Grants Program) Corrective Action: We acknowledge the errors in OT hours identified during the audit. It is noteworthy that our diligent grant management staff took immediate corrective action by rectifying the OT hours errors before submitting reimbursement costs to the grantor and fully disclosing them to your team during the auditing testing period. Consequently, no grant funds were incurred or deemed unallowable during this period by the grantor agency. Strengthening Internal Controls: The city of Pharr recognizes the importance of robust internal controls, particularly in the tracking of OPSG overtime costs. We are committed to strengthening our internal controls to prevent future errors and enhance the accuracy of our reimbursement requests. Comprehensive Review Process: As part of the process for requesting reimbursement, we recommend implementing a comprehensive review of all supporting documentation. This includes a meticulous examination of employee timesheets, daily activity report summaries, OPSG overtime submission forms, and reimbursement request forms. Proposed Completion Date: 9/30/2024 Name of contact person: Robert Garcia, Grants Manager 1 Contact: Robert.garcia@pharr‐tx.gov
Action Taken: Range Mental Health Center, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ensur...
Action Taken: Range Mental Health Center, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ensure reporting requirements are met.
Action Taken: Range Mental Health, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ensure repor...
Action Taken: Range Mental Health, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ensure reporting requirements are met.
Department of Housing and Urban Development Monroe County Homeless Continuum of Care, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 – December 31, 2022 The findings from the schedule of findings and questioned costs...
Department of Housing and Urban Development Monroe County Homeless Continuum of Care, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 – December 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT None FINDINGS—FEDERAL AWARD PROGRAMS AUDITS State of Florida Department of Children and Families 2002-001 Emergency Solutions Grant (ESG) – Assistance Listing No. 14.231 Special Provisions – Timely Subrecipient Payment Recommendation: We recommend that Monroe County Homeless Continuum of Care, Inc. update their payment requirement in their subcontracts to match the State's requirement to pay subrecipients within 7 days of their receipt from the State, per their contract with the State of Florida. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Treasurer notified of ESG deposits, confirms checks are written to subrecipients in a timely manner. Name(s) of the contact person(s) responsible for corrective action: Mark Lenkner, Executive Director Planned completion date for corrective action plan: 4/30/2024 If the Department of Housing and Urban Development has questions regarding this plan, please email Mark Lenkner at mark.lenkner@monroehomelesscoc.org.
Finding: 2023-2 MESA's Accounting Manual has been amended to include the following language under the Division of Responsibilities: Operations Director reviews all incoming and outgoing invoices. Upon review and approval of an invoice, the Operations Director signs and dates the invoice, and prese...
Finding: 2023-2 MESA's Accounting Manual has been amended to include the following language under the Division of Responsibilities: Operations Director reviews all incoming and outgoing invoices. Upon review and approval of an invoice, the Operations Director signs and dates the invoice, and presents it to the Executive Director for review. The Executive Director reviews all invoices and signs and dates all invoices upon approval prior to payment.
DATE: March 4th, 2024 FROM: Anna Flores, Chief Financial Officer SUBJECT: Corrective Action Plan for Compliance and Control finding 2022-001 -- Refugee cash and Medical Assistance Program – Reporting Responsible Party – Anna L. Flores, Chief Financial Officer Corrective Action Plan: Implement additi...
DATE: March 4th, 2024 FROM: Anna Flores, Chief Financial Officer SUBJECT: Corrective Action Plan for Compliance and Control finding 2022-001 -- Refugee cash and Medical Assistance Program – Reporting Responsible Party – Anna L. Flores, Chief Financial Officer Corrective Action Plan: Implement additional month-end closing procedures that will facilitate the year-end closing process. The new procedures will ensure the timeliness of each month, which will in turn ensure the year-end close will be completed promptly. Regards, Anna Flores, CFO
Finding 2022-002 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting Program Research and Development Program Cluster: Renewable Energy Research and Development and Denali Commission Programs Planned Corrective Action Plan To improve the timeliness of the SF-SAC,...
Finding 2022-002 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting Program Research and Development Program Cluster: Renewable Energy Research and Development and Denali Commission Programs Planned Corrective Action Plan To improve the timeliness of the SF-SAC, the President & CEO will require the Manager of Key Accounts and Special Projects to allocate adequate resources to ensure the timely preparation and submission of audit requirements for audit purposes. The President & CEO will proactively enforce the audit schedule and require departments to complete grant requirements by their due dates. Completion Date By April 1, 2024. Bill Stamm, President & CEO bstamm@avec.org 4831 Eagle Street, Anchorage, Alaska 99503 4831
Finding 2022-001 Significant Deficiency in Internal Control over Compliance, - Cash Management Progoram Research and Development Program Cluster: Renewable Energy Research and Development Planned Corrective Action Plan To prevent and detect any potential noncompliance with cash management requ...
Finding 2022-001 Significant Deficiency in Internal Control over Compliance, - Cash Management Progoram Research and Development Program Cluster: Renewable Energy Research and Development Planned Corrective Action Plan To prevent and detect any potential noncompliance with cash management requirements, the President & CEO will review and approve grant reimbursements before uploaded to grantor on VIPERS. Completion Date Already implemented.
The Orleans Parish Sheriff's Office is delinquent in filing quarterly performance reports. The task of filing the reports fell on the Internal Auditor/FEMA Auditor. This employee retired in May 2021 and has not been replaced as of this filing. We have requested that our Attorneys who taken the lead...
The Orleans Parish Sheriff's Office is delinquent in filing quarterly performance reports. The task of filing the reports fell on the Internal Auditor/FEMA Auditor. This employee retired in May 2021 and has not been replaced as of this filing. We have requested that our Attorneys who taken the lead with communications and submissions to FEMA and GOHSEP file all the delinquent reports and continue to file them until these this critical positions are filled.
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing payroll expenditures. The organization will significantly increase the practice of capturing payroll expenses in the appropriat...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing payroll expenditures. The organization will significantly increase the practice of capturing payroll expenses in the appropriate period and within the appropriate grant period to report grant expenses for reimbursement. Completed before January 2024.
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including sufficient supporting records to report gr...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including sufficient supporting records to report grant expenses for reimbursement. Completed before January 2024.
View Audit 302849 Questioned Costs: $1
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including a subclass to track and report grant expen...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including a subclass to track and report grant expenses for reimbursement. Completed before January 2024.
View Audit 302849 Questioned Costs: $1
Response: The organization agrees with the finding. Now that the organization has filled the accounting director position the delinquent audits are being completed as efficiently as possible.
Response: The organization agrees with the finding. Now that the organization has filled the accounting director position the delinquent audits are being completed as efficiently as possible.
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