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Corrective Action Plans

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Finding 42751 (2022-001)
Significant Deficiency 2022
Whitfield Place Inc.
GA
Questioned Costs Allowable Costs / Cost Principles HUD Housing Programs
SIGNIFICANT DEFICIENCY Finding 2022-001 ? Section 202 Supportive Housing for the Elderly, CFDA 14.157 Name of contact person: Tyler Kendall, Vice President of Post-Acute Care Services Corrective Action: A new HUD lease will be prepared, presented and signed at the time of the annual recertific...
SIGNIFICANT DEFICIENCY Finding 2022-001 ? Section 202 Supportive Housing for the Elderly, CFDA 14.157 Name of contact person: Tyler Kendall, Vice President of Post-Acute Care Services Corrective Action: A new HUD lease will be prepared, presented and signed at the time of the annual recertification for every tenant. Date of Corrective Action: The Organization implemented these procedures in February 2023.
View Audit 49355
Finding 42749 (2022-001)
Significant Deficiency 2022
Greater Lawrence Community Action Council, Inc.
MA
Questioned Costs Eligibility Internal Control / Segregation of Duties
Significant Deficiency 2022-001 Condition: Benefits paid to or on behalf of the individuals were not calculated using the correct annualized income. Three of the 60 client files tested had income improperly calculated, two of which resulted in incorrect benefit payment amounts. Recommendation: Grea...
Significant Deficiency 2022-001 Condition: Benefits paid to or on behalf of the individuals were not calculated using the correct annualized income. Three of the 60 client files tested had income improperly calculated, two of which resulted in incorrect benefit payment amounts. Recommendation: Greater Lawrence Community Action Council, Inc. provides additional staff training and implements additional internal control procedures to ensure that benefit payments made on behalf of the clients participating in the program are made in accordance with program regulations. Corrective Action: Greater Lawrence Community Action Council, Inc. agrees with the finding. To tighten the quality control process, the LIHEAP program continues to offer on-going training to all staffs on the application review and approval process. Additionally, two staff members have been assigned quality control duties and are tasked with performing detailed reviews of all client applications, and paying close attention to income verification documentation.
View Audit 50172 Questioned Costs: $1
California Tribal T.a.n.f. Partnership
CA
Questioned Costs Subrecipient Monitoring Reporting
Finding 2022-001 ? Reporting (Significant Deficiency) Management?s Response: The California Tribal TANF Partnership currently has policies in place to ensure that any and all reports are submitted completely and accurately in a timely manner on or before the required submission date and that acces...
Finding 2022-001 ? Reporting (Significant Deficiency) Management?s Response: The California Tribal TANF Partnership currently has policies in place to ensure that any and all reports are submitted completely and accurately in a timely manner on or before the required submission date and that access to completed reports be granted to more than one authorized personnel. The late submission of these 2 reports was due to an unusual situation where the main person responsible, CFO Diana Kosar, became suddenly ill and passed before a determination regarding the timely submission of reports could be established. Policies have been updated and safeguards put in place to address similar situations in the future. Anticipated Completion Date: Already implemented Responsible Party: Robinson Rancheria Citizens Business Council Gordon Bauer, Finance Director California Tribal TANF Partnership
View Audit 49281
Pasco County Housing Authority
FL
Questioned Costs Allowable Costs / Cost Principles Cash Management § 200.305
Finding 2022-001 ? Non-compliance with Cash Management Requirements of the Capital Fund Program Corrective Action The Authority will expend the unexpended Capital Fund Program grant proceeds held, prior to drawing down additional funding from Capital Fund Program grant allocations which are budget...
Finding 2022-001 ? Non-compliance with Cash Management Requirements of the Capital Fund Program Corrective Action The Authority will expend the unexpended Capital Fund Program grant proceeds held, prior to drawing down additional funding from Capital Fund Program grant allocations which are budgeted for capital improvements. The Authority?s Executive Director, Jeff Sklet has assumed the responsibility of executing this corrective action as of March 31, 2024.
View Audit 49277
Finding 42730 (2022-001)
Material Weakness 2022
St. Vincent Charity Medical Center and Subsidiaries
OH
Questioned Costs Subrecipient Monitoring Material Weakness § 200.303
Finding Number: 2022-001 Condition: In order to comply with program rules, nonfederal entities must establish and maintain effective internal controls over the federal award, as prescribed by 2 CFR 200.303(a). For Provider Relief Funds, the terms and conditions of the grant, according to U.S. Depar...
Finding Number: 2022-001 Condition: In order to comply with program rules, nonfederal entities must establish and maintain effective internal controls over the federal award, as prescribed by 2 CFR 200.303(a). For Provider Relief Funds, the terms and conditions of the grant, according to U.S. Department of Health and Human Services (HHS), require that the System report certain information accurately into the HHS PRF Reporting Portal in order to attest to the utilization of the funding received. Specifically, the HHS June 11, 2021, post-payment reporting notice provides specific guidance on the calculation of lost revenue and amounts to be reported in the portal. Planned Corrective Action: Chief Financial Officer will insure that all guidance available for PRF reporting (FAQ's etc.) is reviewed prior to making any further submissions to the portal and that the Chief Financial Officer will review the filings with the preparer prior to submissions. Contact person responsible for corrective action: Chief Financial Officer Anticipated Completion Date: August 1, 2023
View Audit 46954
Finding 42701 (2022-004)
Significant Deficiency 2022
City of Thibodaux, Louisiana
LA
Questioned Costs Internal Control / Segregation of Duties
The City of Thibodaux Finance Director, Jessica Hebert, and the Assistant Finance Director, Joycelyn Gros, will work on reconciliation and review processes for the annual coronavirus funding reporting process by coming up with a procedure to document the reconciliation of the report to the general l...
The City of Thibodaux Finance Director, Jessica Hebert, and the Assistant Finance Director, Joycelyn Gros, will work on reconciliation and review processes for the annual coronavirus funding reporting process by coming up with a procedure to document the reconciliation of the report to the general ledger and to document the review of the reconciliation as well as review of the report before submission. The Finance Director, Jessica Hebert, will print the report before submission so that the Assistant Finance Director, Joycelyn Gros, can review and mark on the grant reimbursement review form. This process will become effective with the next submission that is due April 30, 2024.
View Audit 43947
Finding 42700 (2022-003)
Material Weakness 2022
City of Thibodaux, Louisiana
LA
Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles § 200.319
The City of Thibodaux was unaware of the federal mandate for procuring engineering services. One project was a supplement to a project that had a portion left off of the initial project. Since the City of Thibodaux already had an engineer in place, a contract amendment with the engineer was executed...
The City of Thibodaux was unaware of the federal mandate for procuring engineering services. One project was a supplement to a project that had a portion left off of the initial project. Since the City of Thibodaux already had an engineer in place, a contract amendment with the engineer was executed. However, this construction project totals over $1.1 million without engineering services; therefore, the City feel it can still substantiate the costs with the use of Coronavirus funding. The City had already decided and executed a contract with a local engineer for the second project before deciding to use Coronavirus funding for the project. However, this construction project totals over $3.7 million without engineering services; therefore, the City feels it can still substantiate the cost with the use of Coronavirus funding. The Finance Director, Jessica Hebert, will work on updating the policy by December 31, 2023.
View Audit 43947 Questioned Costs: $1
Finding 42699 (2022-002)
Material Weakness 2022
City of Thibodaux, Louisiana
LA
Questioned Costs Cash Management Reporting
The City of Thibodaux Finance Director, Jessica Hebert, and/or the Assistant Finance Director, Joycelyn Gros, will work with the Emergency Preparedness Director, Jacques Thibodeaux, on e-mail communications for reminders as well as to show documentation that the reports are filed timely. After the E...
The City of Thibodaux Finance Director, Jessica Hebert, and/or the Assistant Finance Director, Joycelyn Gros, will work with the Emergency Preparedness Director, Jacques Thibodeaux, on e-mail communications for reminders as well as to show documentation that the reports are filed timely. After the Emergency Preparedness Director, Jacques Thibodeaux, has documents ready to submit, the Finance Director, Jessica Hebert, and/or Assistant Finance Director, Joycelyn Gros, will review to make sure it matches General Ledger and will show documentation of review by using the grant reconciliation review form. This will be implemented immediately.
View Audit 43947
Finding 42690 (2022-001)
Significant Deficiency 2022
St Patrick Manor INC
OH
Internal Control / Segregation of Duties Questioned Costs Reporting
CORRECTIVE ACTION PLAN September 29, 2022 U.S. Department of Housing and Urban Development St. Patrick Manor, Inc. respectively submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: HW&Co. 23240 Chagrin Blvd, Suite ...
CORRECTIVE ACTION PLAN September 29, 2022 U.S. Department of Housing and Urban Development St. Patrick Manor, Inc. respectively submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: HW&Co. 23240 Chagrin Blvd, Suite 700 Cleveland, OH 44122-5450 Audit period: July 1, 2021 through June 30, 2022 The finding from the June 30, 2022 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS?FINANCIAL STATEMENT AUDIT AND FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 2022-001 Supportive Housing for the Elderly ? CFDA #14.157 Recommendation: St. Patrick Manor, Inc. should deposit underfunded amount into the replacement reserve account. Action Taken: St. Patrick Manor, Inc. agrees with the recommendation. Management has corrected all items and completed the deposit into the replacement reserve account on September 29, 2022. If the U.S. Department of Housing and Urban Development has questions regarding this plan, please call Fred Berry at 330-384-1555
View Audit 39298 Questioned Costs: $1
Finding 42689 (2022-001)
Significant Deficiency 2022
Rock Falls Elementary School District No. 13
IL
Questioned Costs
See Corrective Action Plan
See Corrective Action Plan
View Audit 39971
Finding 42678 (2022-001)
Significant Deficiency 2022
Florida Living Options, INC
IL
Questioned Costs Reporting Internal Control / Segregation of Duties § 200.303
Identifying Number: 2022-001 Corrective Action Taken or Planned: Ron Wilson is responsible to ensure corrective actions are taken. Management reviews the reported grant expenditures. Management believes this review process to be adequate.
Identifying Number: 2022-001 Corrective Action Taken or Planned: Ron Wilson is responsible to ensure corrective actions are taken. Management reviews the reported grant expenditures. Management believes this review process to be adequate.
View Audit 54111
University of Dubuque
IA
Questioned Costs Student Financial Aid Matching / Level of Effort / Earmarking
Finding: The University incorrectly calculated Federal Direct Subsidized Loan funds for one student resulting in an under award. Corrective Actions Taken or Planned: The Associate Director of Student Financial Aid reviews each student?s need-based aid to correctly calculate the amount of Direct Sub...
Finding: The University incorrectly calculated Federal Direct Subsidized Loan funds for one student resulting in an under award. Corrective Actions Taken or Planned: The Associate Director of Student Financial Aid reviews each student?s need-based aid to correctly calculate the amount of Direct Subsidized Loan each student should receive, with the TEACH Grant being treated as non-need-based aid. In addition, the Associate Director of Student Financial Aid will reassess a student?s calculation when summer term is awarded. The internal policies and procedures have been updated to ensure the need-based calculations are properly performed and reviewed. Person Responsible: Sara Sroka (ssroka@dbq.edu) Anticipated completion date: 10/19/2022
View Audit 53483 Questioned Costs: $1
Finding 42664 (2022-001)
Significant Deficiency 2022
Dighton-Rehoboth Regional School District
MA
Subrecipient Monitoring Allowable Costs / Cost Principles Questioned Costs
June 12, 2023 CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Elementary and Secondary Education The Dighton-Rehoboth Regional School District respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public ...
June 12, 2023 CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Elementary and Secondary Education The Dighton-Rehoboth Regional School District respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Powers & Sullivan, LLC 100 Quannapowitt Parkway, Suite 101 Wakefield, MA 01880 Audit period: July 1, 2021 through June 30, 2022 The following findings from the June 30, 2022, schedule of findings and question costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. 2022-001: Document Policies and Procedures Over Federal Awards (Significant Deficiency) Criteria or Specific Requirement - OMB?s Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards established significant new requirements related to Federal awards. The new requirements stipulate that federal award recipients must document their policies and procedures over certain aspects of financial and program management. Specifically, written policies are required for the following: Cash management Determination of allowable costs Employee travel Procurement Subrecipient monitoring and management Condition and Context ? The District has not formalized written policies and procedures related to Federal awards as required under Uniform Guidance. Effect - The District is not in compliance with grant requirements. Cause - Weaknesses in the formal documentation of internal controls. Questioned Costs - N/A Recommendation - We recommend the District ensure that written policies and procedures are compiled and adopted. Views of Responsible Official and Planned Corrective Action Management agrees with this finding and is actively in the process of resolving this issue. This issue will be resolved by the end of FY23. The District has been working with Clifton Larson Allen LLP to draft policies and procedures for the District. If the Oversight Agency has questions regarding this plan, please call Robert Baxter at 508-252-5000. Sincerely yours, Robert Baxter District Business Manager
View Audit 54033
Finding 42662 (2022-001)
Significant Deficiency 2022
Hias & Council Migration Service of Philadelphia
PA
Questioned Costs Reporting Significant Deficiency
U.S. Department of State U.S. Refugee Admissions Program ? ALN 19.510 Audit Finding: 2022-001 ...
U.S. Department of State U.S. Refugee Admissions Program ? ALN 19.510 Audit Finding: 2022-001 Planned Corrective Action: Management agrees with the finding and has taken corrective action by purchasing and implementing software which will track the employee?s actual time spent.
View Audit 53266
Finding 42660 (2022-007)
Material Weakness 2022
Virginia Union University
VA
Questioned Costs
See corrective action plan for chart/table.
See corrective action plan for chart/table.
View Audit 53516 Questioned Costs: $1
Finding 42659 (2022-006)
Material Weakness 2022
Virginia Union University
VA
Questioned Costs Reporting
See corrective action plan for chart/table.
See corrective action plan for chart/table.
View Audit 53516
Finding 42658 (2022-005)
Material Weakness 2022
Virginia Union University
VA
Questioned Costs Student Financial Aid
See corrective action plan for chart/table.
See corrective action plan for chart/table.
View Audit 53516
Finding 42657 (2022-007)
Material Weakness 2022
Columbia Gorge Community College
OR
Cash Management Questioned Costs Material Weakness
Finding 2022-007 Federal Agency Name: Department of Education Program Name: Education Stabilization Fund ALN 84.425 Finding Summary: During our testing of cash management, we noted instances where the Student Aid Portion was not disbursed within 15 calendar days of the drawdown and instances where t...
Finding 2022-007 Federal Agency Name: Department of Education Program Name: Education Stabilization Fund ALN 84.425 Finding Summary: During our testing of cash management, we noted instances where the Student Aid Portion was not disbursed within 15 calendar days of the drawdown and instances where the Institutional Portion was not disbursed within 3 calendar days of the drawdown. Responsible Individuals: Lorelle Davies, Chief Financial Office Corrective Action Plan: As the deadline neared for the end of the award period, The College initially drew the funds with a plan to make an expedited disbursement of the funds. Other Oregon Community Colleges shared with the College success in receiving extensions for the grants. The HEERF team then determined it would be more impactful to our community if we altered course and requested an extension to implement a more strategic plan. Upon the guidance of the Department of Education Grant Administrator, we promptly returned the funds to G5. Columbia Gorge Community College experience turnover in a large number of key positions and was not aware of the 15-day requirement. The grant agreement was on record, but was missing the terms of the withdrawal document. The Chief Financial Officer contacted the Department of Education by email to acknowledge error and provided an action plan with confirmation that funds were returned. We reviewed and assured that no interest was earned on the funds. Updated our G5 award to remove the previous CFO and reissue all grant terms. The grant team reviewed and assured that no interest was earned on the funds and continued compliance going forward. Since the return of the funds we have continued to communicate, implement, and rectify any and all grant issues. We will continue to seek out grant administrator guidance to prevent these issues in the future. Confirmation of account flag removed and resolution received March 28, 2022 Anticipated Completion Date: March 28, 2022
View Audit 52798
Finding 42653 (2022-001)
Significant Deficiency 2022
Beloit Assisted Living, Inc. Hud #075-Ee099-Wah
WI
Questioned Costs HUD Housing Programs
Beloit Assisted Living, Inc. will review their policies and procedures surrounding required replacement for reserve deposits when the requirement is adjusted by HUD.
Beloit Assisted Living, Inc. will review their policies and procedures surrounding required replacement for reserve deposits when the requirement is adjusted by HUD.
View Audit 52524
Finding 42652 (2022-001)
Significant Deficiency 2022
Halls Ferry Manor, INC
MO
Internal Control / Segregation of Duties Questioned Costs Allowable Costs / Cost Principles
Recommendation: We recommend the Project review controls to include timely review of year-end financials and surplus cash calculation so surplus cash is deposited timely.
Recommendation: We recommend the Project review controls to include timely review of year-end financials and surplus cash calculation so surplus cash is deposited timely.
View Audit 51388
Finding 42639 (2022-004)
Significant Deficiency 2022
New Mexico Early Childhood Education and Care Department
NM
Allowable Costs / Cost Principles Questioned Costs § 200.403 § 200.405
Significant Deficiency in Internal Control over Compliance and Other Matters 2022-004 Unallowable Costs U.S. Department of Health and Human Services Child Care and Development Fund Block Grant (CCDF) ? CRSSA (Coronavirus Response and Relieve Supplemental Act) Assistance Listing Numbers: 93.575 R...
Significant Deficiency in Internal Control over Compliance and Other Matters 2022-004 Unallowable Costs U.S. Department of Health and Human Services Child Care and Development Fund Block Grant (CCDF) ? CRSSA (Coronavirus Response and Relieve Supplemental Act) Assistance Listing Numbers: 93.575 Recommendation: We recommend the program work closely with ASD to ensure expenditures are tracked and mapped to the appropriate federal award. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The ECECD ASD Director, CFO and Grants Manager will work with the Federal Program Team to develop formal policies and procedures for grant management to ensure compliance with programmatic grant requirements and track expenditures to ensure costs charged to grants are allowable, necessary, and reasonable. Name(s) of the contact person(s) responsible for corrective action: Ron Lucero, ASD Director; Carmel Pacheco-Aragon, Chief Financial Officer; Grants Manager (TBA); ECECD Program Managers. Planned completion date for corrective action plan: June 30, 2023
View Audit 49019 Questioned Costs: $1
Finding 42620 (2022-005)
Significant Deficiency 2022
Municipality of Toa Alta
PR
Questioned Costs Subrecipient Monitoring Reporting
MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-005: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS RELIEF FUND (ALN 21.019) PASS-THROUGH P.R. DEPARTMENT OF TREASURY REPORTING - SPECIAL REPORTING...
MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-005: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS RELIEF FUND (ALN 21.019) PASS-THROUGH P.R. DEPARTMENT OF TREASURY REPORTING - SPECIAL REPORTING (L) SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: The Finance Director is aware of the compliance requirement. We gave instructions to the accounting staff to maintain a dateline control sheet to ascertain that required reports for all grants were submitted within the due date. Statement of Concurrence and Responsible Persons: We concur with the auditors' finding. Kristian Rivera Santiago, Finance Director Implementation Date: April 30, 2023. See Corrective Action Plan for chart/table
View Audit 48461
Finding 42617 (2022-001)
Significant Deficiency 2022
Rosamond Hills, Inc.
CA
Questioned Costs Reporting Internal Control / Segregation of Duties
Name of Auditee: Rosamond Hills, Inc RD Case No. 04-015-647929361 Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Gretchen Winfrey Position: Treasurer Email: winfrey3314@yahoo.com Finding 2022-001 Commen...
Name of Auditee: Rosamond Hills, Inc RD Case No. 04-015-647929361 Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Gretchen Winfrey Position: Treasurer Email: winfrey3314@yahoo.com Finding 2022-001 Comments: Management agrees with the finding. Actions: Management will implement internal controls and monitor the reserve for replacement account to ensure the reserve for replacement is funded each year in accordance with USDA-RD regulations.
View Audit 46004
Finding 42616 (2022-002)
Material Weakness 2022
Unlv Medicine
NV
Reporting Questioned Costs
Finding Item 2022-002 ? Duplication of Expenditures in Provider Relief Fund Reporting Portal (COVID) UNLV Health agrees with this finding. UNLV Health will work with HRSA to remediate the portal reporting error. Although the report previously filed reflected duplicated expenses as noted in the fi...
Finding Item 2022-002 ? Duplication of Expenditures in Provider Relief Fund Reporting Portal (COVID) UNLV Health agrees with this finding. UNLV Health will work with HRSA to remediate the portal reporting error. Although the report previously filed reflected duplicated expenses as noted in the finding, UNLV Health incurred additional eligible expenses during the allowable time period. By April 30, UNLV Health?s assistant controller will contact HRSA to determine the appropriate method for providing a corrected report reflecting the additional allowable expenses for the reporting period or otherwise follow direction from HRSA to resolve the reporting error.
View Audit 45720 Questioned Costs: $1
Finding 42615 (2022-001)
Significant Deficiency 2022
Elizabeth James Senior Housing
WA
HUD Housing Programs Questioned Costs Special Tests & Provisions
Contact Person(s): Hilary Prinz, Accounting Manager, 206-687-4080 Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): Due to turnover of staff the residual receipt payment in the amount of $83,818 for 2021 audit was not ...
Contact Person(s): Hilary Prinz, Accounting Manager, 206-687-4080 Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): Due to turnover of staff the residual receipt payment in the amount of $83,818 for 2021 audit was not made in 2022. Corrective action planned: The entire finance team has been familiarized with Elizabeth James residual receipt requirement. If there is staff turnover in the future everyone on the team is aware of the requirement. A repeating event reminder has been entered into the property accountant?s calendar, the property asset manager?s calendar, and the finance calendar causing multiple alerts to multiple people within the organization going forward. Anticipated completion date: The 2021 residual receipt deposit requirement in the amount of $83,818.00 was paid via check on March 20, 2023. Repeating calendar events have been completed as of March 29, 2023.
View Audit 44080
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