Corrective Action Plans

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Compliance: Finding: 2022-005 Condition: During the course of the audit, it was noted that the District charged an expense that was incurred after fiscal year end on the cumulative expenditure report through June 30, 2022. Therefore, the reimbursement basis method was not followed and an expense pai...
Compliance: Finding: 2022-005 Condition: During the course of the audit, it was noted that the District charged an expense that was incurred after fiscal year end on the cumulative expenditure report through June 30, 2022. Therefore, the reimbursement basis method was not followed and an expense paid in August 2022 was claimed in June 2022 before actually being paid. Plan: The District will first spend the money to claim it for reimbursement. Anticipated Date of Completion: 6/30/2023 Name of Contact Person: Kristina Gardner, Superintendent Management's Response: The District will be sure to spend the money before claiming the expense for reimbursement.
View Audit 41458 Questioned Costs: $1
2022-002 Name of Contact Person: John Barfield Corrective Action: The County will implement a proc...
2022-002 Name of Contact Person: John Barfield Corrective Action: The County will implement a process to track and meet required reporting deadlines going forward. Proposed Completion Date: This will be completed by March 31, 2023.
2022-001 Name of Contact Person: Sharon Barlow Corrective Action: Training and monitoring will place an increased emphasis on documentation. Proposed Completion Date: Training and monitoring are ongoing.
2022-001 Name of Contact Person: Sharon Barlow Corrective Action: Training and monitoring will place an increased emphasis on documentation. Proposed Completion Date: Training and monitoring are ongoing.
Views of Responsible Officials, Corrective Action Plans, and Contact Information 1) Accounting Controls team will continue to coordinate with Central Office/program coordinators to: a) communicate the impact of questioned cost resulting from current year?s audit findings b) follow through on the s...
Views of Responsible Officials, Corrective Action Plans, and Contact Information 1) Accounting Controls team will continue to coordinate with Central Office/program coordinators to: a) communicate the impact of questioned cost resulting from current year?s audit findings b) follow through on the sample testing performed on payroll documentations as a secondary control twice a year; and c) provide feedback and training to the schools based on the result of sample testing 2) Accounting Controls team will coordinate with the MyPLN team regarding the implementation of the annual Mandatory Time & Effort Training. This is a required 30-minute training of administrators, timekeepers, and supervisors with review questions at the end of the course, and requires a 100% correct answers before a certificate of completion will be issued. Name: Timothy Rosnick Title: Deputy Controller Telephone: (213) 241 -7989
View Audit 45922 Questioned Costs: $1
Views of Responsible Officials, Corrective Action Plans, and Contact Information Pupil Services and Attendance will continue to provide policy guidance: 1. Provide ongoing reminders every other month through the Schoology communication platform regarding accurate enrollment, withdrawal codes and t...
Views of Responsible Officials, Corrective Action Plans, and Contact Information Pupil Services and Attendance will continue to provide policy guidance: 1. Provide ongoing reminders every other month through the Schoology communication platform regarding accurate enrollment, withdrawal codes and the MYPLN Essential Tips training to support with the withdrawal process, codes, and documentation. 2. Pupil Services and Attendance will continue to post resource tools such as the Certify Rules (this automated data validation tool allows users to efficiently identify data errors or omissions to improve the quality of student data in MiSiS) to support accurate enrollment and withdrawal procedures. 3. Pupil Services and Attendance will communicate with Local District Administration on disseminating information to school-site designees with audit findings to participate in the MYPLN training on accurate enrollment and withdrawal codes during school year 2023-24. 4. Pupil Services and Attendance will communicate with Office of Organizational Excellence to support in messaging the availability of the MYPLN training to support with the withdrawal process, codes, and documentation. 5. Will obtain written acknowledgement for completion of the MYPLN Essential Tips training to support with the withdrawal process, codes, and documentation from the schools identified with audit findings. Name: Elsy Rosado Title: Director, Pupil Services and Attendance Telephone: (213) 241-3844
Views of Responsible Officials, Planned Corrective Actions, and Contact Information Division of Adult and Career Education (DACE) will review the current process and implement the following: 1. Directive will be provided to DACE principals to stop enrolling 16?17-year-old students. 2. Instructions...
Views of Responsible Officials, Planned Corrective Actions, and Contact Information Division of Adult and Career Education (DACE) will review the current process and implement the following: 1. Directive will be provided to DACE principals to stop enrolling 16?17-year-old students. 2. Instructions will be given to DACE Accelerated College and Career Transitions (ACCT) Advisors not to enroll students between ages 16-17 moving forward. 3. The District will utilize unrestricted funds for students under the age of 18 that are enrolled in the Workforce Innovation and Opportunity Act (WIOA) program. 4. DACE will continue to serve the existing 16?17-year-old ACCT student population through the end of the school year 2022-23 and use unrestricted funding sources other than WIOA. 5. During school year 2022-23 and henceforth, DACE will not report or claim any student outcomes other than those earned by students who are of 18 years of age and older. 6. DACE will amend the ACCT intake and enrollment policies and procedures in the DACE Counseling Handbook. Name: Megan Carroll Title: Program and Policy Development Coordinator Contact Information: mmc78271@lausd.net or (213) 241-3781 Name: Alejandra Salcedo Title: Federal Grants Specialist Contact Information: axs60041@lausd.net or (213) 241-3812
View Audit 45922 Questioned Costs: $1
Views of Responsible Officials, Corrective Action Plans, and Contact Information For the 2021-22 school year, the Food Services Division used federal waivers to support students and families by providing meals under multiple programs. Starting August 2021, COVID concerns resulted in the district di...
Views of Responsible Officials, Corrective Action Plans, and Contact Information For the 2021-22 school year, the Food Services Division used federal waivers to support students and families by providing meals under multiple programs. Starting August 2021, COVID concerns resulted in the district discontinuing breakfast in the classroom. USDA waivers permitted the distribution of breakfast and supper meals to students as they left campus for consumption at home. As the school year progressed, the after-school supper program was reinstated for a small group of students at some schools, and this group of students was given a breakfast to take home. Additionally, we distributed weekend meals comprising of supper and snacks. Lastly, the district requested Food Services to serve a morning snack (at the District?s expense) for hungry students. The snacks were tracked manually for reimbursement from ESSER funds by the district. Each meal service required a different form to count meals and multiple sheets for the same meal period depending on how the meal bags were distributed (exit gate vs. classroom). The managers had many forms that had to be put together and summed up to come up with the reimbursable counts. Manually compiling and uploading the information is the reason for the variances. Each time there was a change in the operation, the Food Service team had to create a new training module for the change in operation, which created additional forms leading to the errors seen in the audit review. We want to state respectfully that our error rate for meal counts was 0.4% which, given the multiple food distribution channels to support students, is understandable. To address the audit findings, Food Services will review and modify our procedures and be stringent in monitoring our existing systems and procedures: 1. Food Services Division will add steps to our current meal claiming procedures to ensure accuracy of claims. a. Food Service Manager will utilize the Meal Count Consolidation Form for meal periods that have more than one meal count sheet. b. Food Service Manager will input meal counts into CMS based on information from the Consolidation Form. c. Food Service Manager will run a weekly Meal Counts Report generated from CMS. d. Food Service Manager will compare daily meal count documents to the five-day Meal Count Report for accuracy. e. Area Food Services Supervisors (AFSS) will randomly check meal counts entered in CMS and compare them with the numbers entered in daily meal count sheets. Each school will have a random review every 2-3 months, and where errors are found there will be additional follow up. 2. Food Services will follow the review steps as indicated in Corrective Action Response #1 and confirm the claim for accuracy prior to submission to CNIPS. a. Food Services Central Office Staff will provide a daily meal count report to all Supervisors for review to identify any inputting errors. b. Food Service Managers will review and adjust meal counts prior to the CNIPS claim submission, based on AFSS feedback. The target date for the implementation of the above corrective action plan is by the end of February 2023. Name: Manish Singh Title: Director, Food Services Division Telephone: (213) 241-2993
View Audit 45922 Questioned Costs: $1
Views of Responsible Officials and Planned Corrective Action Corrected. As the HRSA program stopped receiving claims as of March 22, 2022 due to lack of sufficient funds, QHS will evaluate lab requisitions submitted by the urgent care subsidiary to determine total amount of claims to be remitted b...
Views of Responsible Officials and Planned Corrective Action Corrected. As the HRSA program stopped receiving claims as of March 22, 2022 due to lack of sufficient funds, QHS will evaluate lab requisitions submitted by the urgent care subsidiary to determine total amount of claims to be remitted back to HRSA as a result of error when filing the claim. Urgent care personnel have also been retrained on the lab requisition process and additional monitoring controls are being considered to assist in detecting errors made during this process.
View Audit 44705 Questioned Costs: $1
Education Stabilization Fund (HEERF)Student Aid Portion Corrective Action Plan Individuals responsible for corrective action: Rosanne Mastrangelo- rosanne.mastrangelo@wne.edu Noel Skerry- noel.skerrv@wne.edu Corrective action planned: The University will correct the following quarterly reports: S...
Education Stabilization Fund (HEERF)Student Aid Portion Corrective Action Plan Individuals responsible for corrective action: Rosanne Mastrangelo- rosanne.mastrangelo@wne.edu Noel Skerry- noel.skerrv@wne.edu Corrective action planned: The University will correct the following quarterly reports: September 2021, December 2021, and March 2022 to reflect the number of students receiving HEERF student aid. Anticipated completion date: The change to the quarters mentioned above will be made by December 31, 2022. The reference number the auditor assigned to the audit findings in the schedule of findings and questioned costs is 2022-001.
The District will review each cell entry before submission of expenditure reports. The District's total expenditures exceeded the ESSER II allotment to cover the error on the cell entry. See the full Corrective Action Plan included with the reporting package.
The District will review each cell entry before submission of expenditure reports. The District's total expenditures exceeded the ESSER II allotment to cover the error on the cell entry. See the full Corrective Action Plan included with the reporting package.
View Audit 54251 Questioned Costs: $1
Criteria: The federal drawdowns should be documented with support for the calculation of the amount and with indication of a review by a second individual to ensure the propriety of the amount. Condition/Cause: The District?s process for requesting funds did not have evidence of a review by a second...
Criteria: The federal drawdowns should be documented with support for the calculation of the amount and with indication of a review by a second individual to ensure the propriety of the amount. Condition/Cause: The District?s process for requesting funds did not have evidence of a review by a second individual prior to drawing the funds down from the grantor. Effect: The District did not have a strong control environment to ensure federal drawdowns were properly supported and calculated for the amounts requested. Recommendation: We recommend the District implement processes to have a second person review and approve the support and the drawdown amount from federal grants prior to requesting those funds from the grantor. Response from Responsible Officials and Corrective Actions: Action: Written procedures will be developed to address the protocols of records retention and management.
View Audit 54122 Questioned Costs: $1
To: RHR Smith From: Casco Bay Islands Transit District Subj: Corrective Action Plan Date: June 1, 2023 We are aware of the Condition identified in Section Ill - Federal Awards, Other Matters regarding 2 CFR Section 200.318 through 200.327. During your audit procedures it was identified that the ...
To: RHR Smith From: Casco Bay Islands Transit District Subj: Corrective Action Plan Date: June 1, 2023 We are aware of the Condition identified in Section Ill - Federal Awards, Other Matters regarding 2 CFR Section 200.318 through 200.327. During your audit procedures it was identified that the District's procurement policy did not include some of the elements required by the above federal regulations. In further conversations with you, as our independent auditors, it was also discussed that based upon procurement items sampled, no non-compliance matters were noted. We have amended our CBITD Procurement Policy as of June 1, 2023 to specifically include additional required elements.
Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Program Name/Assistance Listing Title: MBDA Business Center Assistance Listing Number: 11.805 Contact Person: Carlos Valdivia, VP of Administration and Finance Anticipated Completion Date: October 31, 2022 Planned Corre...
Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Program Name/Assistance Listing Title: MBDA Business Center Assistance Listing Number: 11.805 Contact Person: Carlos Valdivia, VP of Administration and Finance Anticipated Completion Date: October 31, 2022 Planned Corrective Action: The 2 CFR Part 200, Appendix XI ?Compliance Supplement? released in July 2021, did not provide guidance on which of the twelve compliances apply to the grant in question. Therefore, the AZHCC Foundation did not have the proper procurement procedures in place during the calendar year ended December 31, 2021. AZHCC received the 2021 final single audit report, which included the noncompliance with the ?Procurement and Suspension and Debarment? finding, on August 9, 2022. AZHCC implemented and put into action the proper policies on October 1, 2022. It is the AZHCC Foundation?s policy that minority and women owned businesses whose expertise match the needs of the contract get preference over other contractors. While we have worked with our vendors for many years, by virtue of the government grant source, we are constantly vetting minority business enterprises for new and diverse contractors. The following was implemented on October 1, 2022: ? The AZHCC Foundation developed policies and procedures for: o purchases that exceed the micro-purchase threshold of $10,000 but are less than the simplified acquisition threshold of $250,000. o Verification that selected vendors are not suspended or debarred. ? The AZHCC Foundation distributed policies and procedures to staff. ? The AZHCC Foundation trained staff on the new policies and procedures. It is the AZHCC position that the correction action was implemented within a timely manner, within 60 days, from the day of receiving the 2021 final audit report. None of the transactions in question for the 2022 audit finding took place after the correction action was applied.
View Audit 53330 Questioned Costs: $1
Comments on the finding and each recommendation: The Corporation's required deposit into the residual receipts account per the June 30, 2021 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited within 90 days of the fiscal year end. Management should make all required r...
Comments on the finding and each recommendation: The Corporation's required deposit into the residual receipts account per the June 30, 2021 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited within 90 days of the fiscal year end. Management should make all required residual receipts deposits per the annual Computation of Surplus Cash, Distributions and Residual Receipts within 90 days after the fiscal year end. Action(s) taken or planned on the finding: Agree. Management deposited $233 into the residual receipts fund on June 30, 2022.
View Audit 53845 Questioned Costs: $1
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, and restricted purpose requirements. Name, address, and telephone of District contact person: Joe Vetter, 2320 Borst Avenue Centr...
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, and restricted purpose requirements. Name, address, and telephone of District contact person: Joe Vetter, 2320 Borst Avenue Centralia Washington 98531 ? (360)-330-7600 Corrective action the auditee plans to take in response to the finding: Response to the Finding The District does not concur with the audit finding or the questioned costs. When the District applied for the ECF funding in 2020, we were in compliance with the requirements that were set forth by the FCC. It is only when the requirements were altered in 2021 and written in a more unclear manner that the District potentially did not comply with FCC guidelines. The District does agree that there is always room for improvement with internal controls and processes, however this was during the pandemic and we believe the appropriate level of reporting would be a management letter because all costs were allowable and devices were only provided to those with unmet need. The audit?s condition states that our internal controls were ineffective for ensuring we requested reimbursement only for students and staff with a documented unmet need and that some inventory elements for 10% of the equipment purchased with ECF funds were missing. Based on the guidance below, we have spent all funds for allowable costs, that those costs were reasonable and necessary and for students with unmet needs. Districts were able to determine whether students had unmet needs, and for our district this meant addressing instances where students may share a home device with others, the device was too old or slow to function properly, student owned devices did not have the appropriate security in place to protect students during remote learning, and operationally the district could not access personally owned devices to provide the thousands of Prioritizing Students ? Upholding High Expectations ? Championing Hope ? Cultivating Collaboration technical, problem solve technical questions, keep students safe and issues students faced during remote learning. Based on these experiences, unmet need was defined broadly, but within allowed parameters and inventory records were kept. Devices for remote learning could also be used at school. During the pandemic in Washington State we experienced times when classrooms, schools and or districts were closed by health department and state regulations because of outbreaks. Districts had to be prepared to support remote learning each day with constantly changing guidance on who was allowed to be in person. The following guidance from the Federal Communications Commission, titled ?Emergency Connectivity Fund Common Misconceptions?, ?Misconception #2: If schools have returned to inclass instruction for the upcoming school year, they are not eligible to participate. Answer: This is false. Equipment and services provided to students or school staff who would otherwise lack sufficient access to connected devices, and/or broadband internet access connection while off campus are eligible for Emergency Connectivity Fund Support.? From the Federal Communications Commission Order FCC-CIRC21-93-043021, question 77: ?We think schools are in the best position to determine whether their students and staff have devices and broadband services sufficient to meet their remote learning needs, and we recognize that they are making such decisions in the midst of a pandemic. We, therefore, will not impose any specific metrics or process requirements on those determinations.? And from question 53: ??we are sensitive to the need to provide some flexibility during this uncertain time. If those connected devices were purchased for the purpose of providing students?with devices for off-campus use consistent with the rules we adopt today, we will not prohibit such on-campus use.? SAO did not apply any reasonable measure to reduce questioned costs but did state they know some of the costs are reasonable, while still choosing to question all costs. A unmet needs survey was shown to the auditor?s, originally applied to reduce questioned cost, and then it was considered unsatisfactory. Receiving a 100% response rate for any survey to reduce questioned costs is not reasonable to expect in any setting, let alone among a student population of 3,200 students during a pandemic. That is clearly out of alignment with the FCC guidance. Corrective action the auditee plans to take in response to the findings: The District does not concur with the finding or questioned costs. SAO reviewed various types of documentation and chose not to accept any documentation presented by the District to even consider reducing questioned costs. The standard of documentation required by SAO to satisfy ?unmet? need in would have been hard to meet even if the District hadn?t been in the midst of a pandemic. The District has internal controls over asset inventory and software that was provided to the auditors to see the current inventory and the District only provided equipment only to students and staff with unmet needs, and all costs were allowable, reasonable and necessary. We look forward to working with the FCC to resolve this finding and we appreciate the guidance that was provided by the FCC, as noted below. Guidance from the FCC Devices for remote learning could also be used at school. During the pandemic in Washington State we experienced times when classrooms, schools and or districts were closed by health department and state regulations because of outbreaks. Districts had to be prepared to support remote learning each day with constantly changing guidance on who was allowed to be in person. The following guidance from the Federal Communications Commission, titled ?Emergency Connectivity Fund Common Misconceptions?, ?Misconception #2: If schools have returned to inclass instruction for the upcoming school year, they are not eligible to participate. Answer: This is false. Equipment and services provided to students or school staff who would otherwise lack sufficient access to connected devices, and/or broadband internet access connection while off campus are eligible for Emergency Connectivity Fund Support.? From the Federal Communications Commission Order FCC-CIRC21-93-043021, question 77: ?We think schools are in the best position to determine whether their students and staff have devices and broadband services sufficient to meet their remote learning needs, and we recognize that they are making such decisions in the midst of a pandemic. We, therefore, will not impose any specific metrics or process requirements on those determinations.? And from question 53: ??we are sensitive to the need to provide some flexibility during this uncertain time. If those connected devices were purchased for the purpose of providing students?with devices for off-campus use consistent with the rules we adopt today, we will not prohibit such on-campus use.? Anticipated date to complete the corrective action: 5/24/2023
View Audit 53313 Questioned Costs: $1
Name of auditee: Shenandoah Haven HUD auditee identification number: 086-HD031 Name of audit firm: Johnson, Hickey, & Murchison, P.C. Period covered by the audit: Year ended June 30, 2022 Corrective Action Plan prepared by: Name: Myra Walker Position: Director of Housing Telephone 931-432...
Name of auditee: Shenandoah Haven HUD auditee identification number: 086-HD031 Name of audit firm: Johnson, Hickey, & Murchison, P.C. Period covered by the audit: Year ended June 30, 2022 Corrective Action Plan prepared by: Name: Myra Walker Position: Director of Housing Telephone 931-432-4111 Findings ? Federal Awards Program Findings Reference Number: 2022-001 Federal Agency: Department of Housing and Urban Development Federal Program: Supportive Housing for Persons with Disabilities CFDA Number: 14.181 Management?s response: Management concurs with the finding. Corrective Action Plan: Management will request a rent increase when the property is eligible and budget for monthly tax and escrow deposits to prevent future shortfalls in escrow cash. Implementation Date: Immediately.
Corrective Action Plan Finding 2022-01 Federal Agency Name: U.S. Department of Education Program Name: COVID-19 Elementary and Secondary School Emergency Relief (ESSER) Assistance Listing Number: 84.425D, 84.425U Finding Summary: The Davis-Bacon and Related Acts apply to contractor and subcontract...
Corrective Action Plan Finding 2022-01 Federal Agency Name: U.S. Department of Education Program Name: COVID-19 Elementary and Secondary School Emergency Relief (ESSER) Assistance Listing Number: 84.425D, 84.425U Finding Summary: The Davis-Bacon and Related Acts apply to contractor and subcontractors performing on federally funded or assisted contracts in excess of $2,000 for the construction, alteration, or repair (including painting and decorating) of public buildings or public works. Davis- Bacon Act and Related Act contractors and subcontractors must pay their laborers and mechanics employed under the contract no less than the locally prevailing wages and fringe benefits for the corresponding work on similar projects in the area. The District entered into an HVAC replacement project and roof repair project with federal funds, but did not monitor contractor and subcontractor payroll to ensure prevailing wage rates were paid. Responsible Individuals: Jenny Smith Corrective Action Plan: Prior to finalizing any construction, alteration, or repair projects utilizing federal funds with a planned expenditure in excess of $2,000, PISD will research the latest local wage determination rates. PISD will share these wage determination rates with the contractor/subcontractor, and will be ensured through the contract that the contractor/subcontractor will comply with the Davis-Bacon and Related Acts. PISD will notify the contractor/subcontractor of the necessity of receiving certified payrolls as needed, so that PISD may monitor requirements throughout the project. Anticipated Completion Date: December 1, 2022
Current applicable financial personnel, district staff, and school board personnel, including the school board attorney, have been apprised of the Davis-Bacon Act and its application to various projects. The requirements of the act will be addressed annually to ensure all parties (i.e. new employee...
Current applicable financial personnel, district staff, and school board personnel, including the school board attorney, have been apprised of the Davis-Bacon Act and its application to various projects. The requirements of the act will be addressed annually to ensure all parties (i.e. new employees and new board members) are aware of requirements resulting from the act. All Federally funded facility contracts will include the required prevailing wage rate language and that those wage rates paid by contractors and/or subcontractors for projects are consistent with prevailing wages established by U.S. Department of Labor.
View Audit 50734 Questioned Costs: $1
The District will develop and implement documented procedures for recording and communicating information regarding grants. Oversight and any necessary training will be made available on an as-needed basis, in an effort to eliminate audit adjustments and ensure compliance with grant requirements. In...
The District will develop and implement documented procedures for recording and communicating information regarding grants. Oversight and any necessary training will be made available on an as-needed basis, in an effort to eliminate audit adjustments and ensure compliance with grant requirements. In addition, the District will develop procedures to ensure that grant draw requests are prepared, reviewed, and submitted on a timely basis in accordance with the grant agreements.
On a monthly basis, the grant department will review the payroll register to verify the payroll is being charged correctly to the federal awards. The grant department staff will notify the Director of Grants and Federal Programs of any employees that are incorrectly charged to a grant. When an err...
On a monthly basis, the grant department will review the payroll register to verify the payroll is being charged correctly to the federal awards. The grant department staff will notify the Director of Grants and Federal Programs of any employees that are incorrectly charged to a grant. When an error is discovered, an adjusting journal entry will be prepared soon thereafter and reviewed by the Director of Grants and Federal Programs.
View Audit 47641 Questioned Costs: $1
Finding 46804 (2022-001)
Significant Deficiency 2022
Paris Junior College Corrective Action Plan Year Ended August 31, 2022 Paris Junior College respectfully submits the following corrective action plan for the year ended August 31, 2022. Name and address of independent public accounting firm: McClanahan and Holmes, LLP 1400 West Russell Bonham, TX 75...
Paris Junior College Corrective Action Plan Year Ended August 31, 2022 Paris Junior College respectfully submits the following corrective action plan for the year ended August 31, 2022. Name and address of independent public accounting firm: McClanahan and Holmes, LLP 1400 West Russell Bonham, TX 75418 Audit Period: Year ended August 31, 2022 The findings from the August 31, 2022, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in this schedule. 2022-01 Recommendations: Paris Junior College?s management should implement additional controls and procedures to ensure reports are accurate and submitted in a timely manner to ensure compliance requirements are met. Action Plan: Paris Junior College management will ensure that a comprehensive procedure is established and implemented to ensure accurate and timely reporting. Contact Person: Debra Craig, Controller Anticipated Completion Date: January 10, 2023
This letter is in reference to the City of Rochester, New Hampshire's major federal programs monitoring procedure as part of City's single audit for the year ended on June 30, 2022. Included please find the Corrective Action Plan for the finding related to Time and Effort Documentation. CORRECTIVE ...
This letter is in reference to the City of Rochester, New Hampshire's major federal programs monitoring procedure as part of City's single audit for the year ended on June 30, 2022. Included please find the Corrective Action Plan for the finding related to Time and Effort Documentation. CORRECTIVE ACTION PLAN Audit Finding Reference: 2022-001 Improve Time and Effort Documentation Federal Agency: U.S. Department of Education Program: Title I Grants to Local Educational Agencies AL Number: 84.010 Award Year: 2020, 2021, and 2022 Compliance Requirement: Allowable Costs/Costs Principles Planned Corrective Action: The Rochester School Department developed a procedure to ensure that semi-annual certifications are completed by employees funded under federal funding sources, including Title I, no later than July 30th for the period from January 1 - June 30, and no later than January 30th for the period from July 1 - December 31 annually after the finding 2021-001. This procedure is currently being implemented and has been disseminated to all grant managers and the Federal Grants Manager. The forms are already being utilized and completed by the appropriate employees. Attached please find our semi-annual certification template. This repeat finding is due to the prior year single audit report not being issued until September 2022, which is in the fiscal year 2023, so this change was not able to impact the year ending in June 2022, since that year was already over.
View Audit 40758 Questioned Costs: $1
Significant Deficiency Finding 2022-002 Eligibility U.S. Department of Health and Human Services HIV CARE Formula Grants CFDA No. 93.917 Condition During our audit, we selected a sample of 60 clients receiving assistance under the RWB program to ascertain whether those clients met the RWB progr...
Significant Deficiency Finding 2022-002 Eligibility U.S. Department of Health and Human Services HIV CARE Formula Grants CFDA No. 93.917 Condition During our audit, we selected a sample of 60 clients receiving assistance under the RWB program to ascertain whether those clients met the RWB program eligibility requirements. We noted that documentation supporting compliance with eligibility requirements for certain clients were incorrect, incomplete, or not provided. Specifically, we found that: ? For 16 of the 60 clients selected, the file contained insufficient documentation to verify that the payer of last resort requirement was met. ? For three of the 60 client files selected, the file did not have annual or semi-annual certification forms dated prior to certain dates of services, indicating that eligibility determinations were not performed prior to billing the Ryan White program. ? For one of the 60 client files selected, the file contained certification forms that were more than 6 months apart. During that gap in certifications, services for the client were billed. ? For one of the 60 clients selected, a bank statement was used for income determination. A bank statement alone does not document gross income as required to determine eligibility. Criteria Clients receiving assistance under the RWB program are subject to eligibility requirements contained in the Health Resources and Services Administration?s HIV/AIDS Bureau Policy Clarification Notice No. 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertification Requirements. To be eligible, clients must have a medical diagnosis of HIV/AIDS and be (a) a low-income individual, (b) a resident of the state, and (c) uninsured or underinsured, as defined by the state. Eligibility determination is required before participation in the RWB program during the in-take process. Re-assessments are performed at least once every 6 months thereafter. Per HHHRC?s Ryan White Eligibility Policy, these eligibility criteria are to be documented in their Annual Certification forms, and their Six-Month Semi-Annual Certification forms. HIV status must be documented by a written statement from a medical provider. Lab results may only be used on an interim basis. Residency must be documented with a State ID card or a driver?s license, lease agreement, utility bill, official government mail, bank statement, pay stub, or a verification letter from an agency providing the client with housing. Income levels must be documented with the most recent pay stubs covering 30 consecutive days, benefit statements, IRS tax transcripts, or a signed statement from the client attesting to no income or very low income. For the payer of last resort criteria, HHHRC?s policy states that they must, at a minimum, assess and re-assess the client?s eligibility for benefits such as MedQuest. In addition, HHHRC must make reasonable efforts to secure funding, besides the Ryan White program, including pursuing enrollment into health care coverage. Cause HHHRC did not adhere to established policies and procedures requiring that appropriate documentation be received and maintained to evidence compliance with eligibility requirements during the in-take and re-assessment process for the RWB program. As described in Finding 2022-001, HHHRC updated their formal policies and procedures effective April 1, 2022 to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager. Effect HHHRC did not comply with the RWB program eligibility requirements for the instances noted above. Questioned Costs No questioned or known costs were identified. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding 2021-002. Recommendation We again recommend that HHHRC adhere to established policies and procedures requiring that appropriate documentation be received and maintained to evidence compliance with eligibility requirements during the in-take and re-assessment process for the RWB program. HHHRC should also consider expanding on their policies for payer of last resort, with more specific criteria for documentation required to support compliance with this requirement. Views of Responsible Officials and Planned Corrective Action HHHRC has implemented a formal policy and review process by a manager or higher level within the organization for every certification form within 1 week of completing the form, as noted above. This policy and process also compares the certification and/or reassessment forms against the comprehensive client list so managers will review monthly and be able to identify any clients that need re-certifications in addition to new certifications. Additionally, HHHRC has added an additional policy of the HIV Director or Clinical Deputy Director will review twice annually a random selection of at least 20 certification forms to ensure there was manager review documentation and this internal control will hopefully identify any deficiencies in this practice and this will identify if the managers are missing anything in the initial review. For documentation of payor of last resort, HHHRC has implemented a more rigorous policy on documentation of utilizing Ryan While as payor of last resort and one of the main methods for ensuring compliance is a new Billing Specialist position which started last year and is reviewing all expenses associated with this program and ensuring compliance of payor of last resort as well as ensuring appropriateness of cost.
US Department of Health and Human Services HIV CARE Formula Grants Passed-through State of Hawaii Department of Health 1250 Punchbowl Street Honolulu, HI 96813 Hawaii Health & Harm Reduction Center (HHHRC) respectfully submits the following corrective action plan for the year ended June 30, 2022 f...
US Department of Health and Human Services HIV CARE Formula Grants Passed-through State of Hawaii Department of Health 1250 Punchbowl Street Honolulu, HI 96813 Hawaii Health & Harm Reduction Center (HHHRC) respectfully submits the following corrective action plan for the year ended June 30, 2022 for the finding identified in the schedule of findings and questioned costs as identified by our auditors, KKDLY LLC, who are located at Topa Financial Center, 745 Fort Street, Suite 2100, Honolulu HI 96813 FEDERAL AWARD FINDINGS AND QUESTIONED COSTS Material Weakness Finding 2022-001 Eligibility U.S. Department of Health and Human Services HIV CARE Formula Grants CFDA No. 93.917 Condition During the in-take and re-assessment process for the Ryan White HIV/AIDS Part B (RWB) program, case managers are responsible for (1) ensuring that all required forms and documents are received from clients, (2) reviewing those forms and documents for completeness and accuracy to verify that RWB program eligibility requirements are met; and (3) inputting the client?s information into e2 Hawaii, HHHRC?s system to monitor and track all RWB program clients. Effective April 1, 2022, HHHRC updated their policies and procedures, requiring a manager or knowledgeable employee other than the case manager to sign off on the certification forms to document their review of eligibility determinations for completeness and accuracy. We selected a sample of 60 clients receiving assistance under the RWB program as part of our eligibility testing. Within the 60 files, we examined 61 annual or semi-annual certification forms dated prior to April 1, 2022, and 32 annual or semi-annual certification forms dated April 1, 2022 or later. Of the 61 certification forms dated prior to April 1, 2022, we noted 59 certification forms did not contain evidence of a review performed by a manager or a knowledgeable employee other than the case manager. Of the 32 certification forms dated April 1, 2022 or later, we noted 6 certification forms were not signed off by a manager or knowledgeable employee other than the case manager. Criteria The Uniform Guidance, as prescribed in 2 CFR section 200.305, requires that non-federal entities receiving federal awards establish and maintain internal control over federal awards that provides reasonable assurance that the non-federal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Internal controls over compliance with RWB eligibility requirements should include formal policies and procedures to ensure that data used to determine eligibility are complete and accurate in compliance with RWB program requirements. Eligibility determination procedures should be performed by case managers and reviewed by a manager or knowledgeable employee. Cause HHHRC implemented a formal policy requiring a manager or knowledgeable employee other than the case manager to sign off on the annual and semi-annual certification forms for each client. This formal policy was implemented on April 1, 2022. As such, the certification forms that were prepared prior to this date were not reviewed in accordance with this policy. Effect Without appropriate internal controls, noncompliance with RWB eligibility requirements may occur. Refer to Finding 2022-002 for instances of noncompliance identified in the current year. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding 2021-001. Recommendation We again recommend that HHHRC adhere to established policies and procedures to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager for completeness and accuracy. Views of Responsible Officials and Planned Corrective Action HHHRC has implemented a formal policy and review process by a manager or higher level within the organization for every certification form within 1 week of completing the form. As noted earlier in the audit, HHHRC has made significant progress on this compliance measure with certifications dated after April 1, 2022 having significantly higher review rates (26/32 had review compared to 2/60 prior to April 1, 2022). Additionally, HHHRC has added an additional policy of the HIV Director or Clinical Deputy Director will review twice annually a random selection of at least 20 certification forms to ensure there was manager review documentation and this internal control will hopefully identify any deficiencies in this practice.
2022-002: Internal Control over Compliance and Compliance with Activities Allowed or Unallowed and Allowable Costs/Cost Principles Contact: Karina F. Alvarez Title: Senior Director of Total Rewards Anticipated Completion Date: September 2023 Corrective Action: The Center?s is committed to ensuring t...
2022-002: Internal Control over Compliance and Compliance with Activities Allowed or Unallowed and Allowable Costs/Cost Principles Contact: Karina F. Alvarez Title: Senior Director of Total Rewards Anticipated Completion Date: September 2023 Corrective Action: The Center?s is committed to ensuring the appropriate documentation is in place in order to adhere to federal regulations regarding activities allowed or unallowed and allowable costs. In response to the audit finding, the Center is taking the following corrective actions to address the audit recommendations: ? Management will review and update policies as needed to ensure employee compensation changes are documented sufficiently and verified through a quality control review; ? Implement additional functionality and security to minimize the potential for data entry error; and ? Design, develop, and implement a new Human Resource Information System (HRIS) that will provide a digital and modern platform to manage review and approval workflows surrounding compensation adjustments. Status as of February 2023: Management has informed the impacted employee and has updated their compensation documentation accordingly.
View Audit 44610 Questioned Costs: $1
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