Corrective Action Plans

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Special Tests ? Top of the Waiting List - Housing Voucher Cluster ? Assistance Listing No. 14.871 Recommendation: We recommend that the Authority reviews their standard procedures to ensure requests for informal reviews are granted and notified to the applicant within 30 days of the receipt of the r...
Special Tests ? Top of the Waiting List - Housing Voucher Cluster ? Assistance Listing No. 14.871 Recommendation: We recommend that the Authority reviews their standard procedures to ensure requests for informal reviews are granted and notified to the applicant within 30 days of the receipt of the request. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Housing Authority has hired a dedicated Hearing Officer so that hearings and reviews are held in a timely manner. Name(s) of the contact person(s) responsible for corrective action: Janie Anderson, VP Housing Voucher Cluster Planned completion date for corrective action plan: September 30, 2023
2022-002, 2021-001 Special Tests ? HQS Enforcement - Housing Voucher Cluster ? Assistance Listing No. 14.871 Recommendation: We recommend that management review their controls for conducting follow up inspections on initially failed home inspections and ensure compliance standards are met. Explanati...
2022-002, 2021-001 Special Tests ? HQS Enforcement - Housing Voucher Cluster ? Assistance Listing No. 14.871 Recommendation: We recommend that management review their controls for conducting follow up inspections on initially failed home inspections and ensure compliance standards are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Reviewed policies and procedures with Director of HQS Compliance and inspections staff to ensure compliance. Name(s) of the contact person(s) responsible for corrective action: Janie Anderson, VP Housing Voucher Cluster Planned completion date for corrective action plan: September 30, 2023
View Audit 22393 Questioned Costs: $1
Finding Number 2022-003 (Material Weakness - ASSISTANCE LISTING #93.623) Department of Health and Human Services ACTF-Albany County Family and Youth Services Bureau Grant number 90CY7287-02-00 Grant period 9/30/2021 through 9/29/2022 Condition: The Institute allocated greater payroll costs for pro...
Finding Number 2022-003 (Material Weakness - ASSISTANCE LISTING #93.623) Department of Health and Human Services ACTF-Albany County Family and Youth Services Bureau Grant number 90CY7287-02-00 Grant period 9/30/2021 through 9/29/2022 Condition: The Institute allocated greater payroll costs for program personnel than had been specified in the funding agreement. Criteria: Allocated costs should not be greater than allowed under the funding agreement. Cause: Due to turnover and other priorities, the allocation of payroll costs was not properly monitored. Effect: The Institute was not in compliance with the allocation limits required within this program. Context: A haphazardly selected sample of 25 program payroll selections totaling $15,292 was selected for audit from a population totaling $151,786 of program payroll-related costs. The test found 11 selections were not in compliance with payroll costs allocated to an extent greater than allowed in the funding agreement. The known questioned costs related to this issue totaled approximately $3,700. Recommendation: Management should implement a system and internal control process to ensure proper allocation of program costs. Management?s Response: Policies and procedures have been established to properly meet the recommendation.
View Audit 18380 Questioned Costs: $1
Finding 2022-006 Condition For one student out of seven tested, a student was awarded two direct plus loans which caused the student?s financial assistance received to be greater than the student?s cost of attendance. Corrective Action Plan Corrective Action Planned: We agree with this findi...
Finding 2022-006 Condition For one student out of seven tested, a student was awarded two direct plus loans which caused the student?s financial assistance received to be greater than the student?s cost of attendance. Corrective Action Plan Corrective Action Planned: We agree with this finding and are rectifying the issue. United Lutheran Seminary has retained a new Financial Aid Specialist who possesses the required knowledge and suitable skills for the position. Name(s) of Contact Person(s) Responsible for Corrective Action: Susie Kowalski, Director of Financial Aid. Anticipated Completion Date: Ms. Kowalski started with United Lutheran Seminary July 1, 2022.
View Audit 18555 Questioned Costs: $1
Finding 2022-005 Condition Federal Aid refunds were not calculated correctly for one student out of three tested and resulted in the Organization not refunding the correct amounts. This was not a statistically valid sample. Corrective Action Plan Corrective Action Planned: We agree with this...
Finding 2022-005 Condition Federal Aid refunds were not calculated correctly for one student out of three tested and resulted in the Organization not refunding the correct amounts. This was not a statistically valid sample. Corrective Action Plan Corrective Action Planned: We agree with this finding and are rectifying the issue. United Lutheran Seminary has retained a new Financial Aid Specialist who possesses the required knowledge and suitable skills for the position. Name(s) of Contact Person(s) Responsible for Corrective Action: Susie Kowalski, Director of Financial Aid. Anticipated Completion Date: Ms. Kowalski started with United Lutheran Seminary July 1, 2022.
View Audit 18555 Questioned Costs: $1
Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Program Name/Assistance Listing Title: Child Nutrition Cluster Assistance Listing Numbers: 10.559 Contact Person: Venessa Beecroft, Business Manager Anticipated Completion Date: June 30, 2023 Planned Corrective Action: ...
Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Program Name/Assistance Listing Title: Child Nutrition Cluster Assistance Listing Numbers: 10.559 Contact Person: Venessa Beecroft, Business Manager Anticipated Completion Date: June 30, 2023 Planned Corrective Action: The District will implement a tracking tool to ensure that all new hires return their work agreements as they are hired on throughout the year.
View Audit 22800 Questioned Costs: $1
CHRISTUS Health Corrective Action Plan Year Ended June 30, 2022 Finding 2022-001 Federal Program Information Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498 COVID-19 Provider Relief Fund and American R...
CHRISTUS Health Corrective Action Plan Year Ended June 30, 2022 Finding 2022-001 Federal Program Information Federal Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Period of Performance: July 1, 2020 to June 30, 2022 Corrective Action Planned: Management agrees that certain expenses to the COVID department were not reviewed and approved at the order entry level in specific cases. Although evidence of review was not retained for every charge to the COVID department, we believe the appropriateness of the charge was reasonable. Additionally, based on monthly review of departmental expenses and full-time equivalent (FTE) analysis at the facility level, we believe that these expenditures are subject to the appropriate level of review to identify unexpected variances. We plan to review our processes related to the retention of expense documentation to improve audit evidence. Responsible party: Lee Sonne, Vice President of Finance and Controller Implementation Date: September 2023 with the filing of the 5th portal filing.
Reporting Finding: We noted that seven out of twelve monthly reports for the year ended June 30, 2022 were not submitted on time. Monthly reports ending 08/31/2021, 11/30/2021, 12/31/2021, 01/31/2022, 02/28/2022, 03/31/2022 and 06/30/2022 which are due on the 20th day of the following month were sub...
Reporting Finding: We noted that seven out of twelve monthly reports for the year ended June 30, 2022 were not submitted on time. Monthly reports ending 08/31/2021, 11/30/2021, 12/31/2021, 01/31/2022, 02/28/2022, 03/31/2022 and 06/30/2022 which are due on the 20th day of the following month were submitted on 09/22/2021, 12/21/2021, 01/21/2022, 02/22/2022, 03/22/2022, 04/21/2022 and 11/03/2022 respectively. Contact Person: Thelma Arceo ? WAP Director Corrective Actions Taken or Planned: With WAP work schedules back to normal and the field work also operating more normally the program has been able to move back to normal reporting processing. Anticipated completion date: Start of program year 2023.
Condition: During testing of CFDA 93.461 HRSA COVID-19 Uninsured Program the auditor identified one eligibility finding related to a patient selected for testing who was uninsured at the time of service, but the patient subsequently applied for and received coverage under Medicaid with a retroactive...
Condition: During testing of CFDA 93.461 HRSA COVID-19 Uninsured Program the auditor identified one eligibility finding related to a patient selected for testing who was uninsured at the time of service, but the patient subsequently applied for and received coverage under Medicaid with a retroactive coverage effective date prior to the date of service. UCHealth should have controls and processes in place to identify retroactive insurance coverage for patients treated under the program to ensure HRSA reimbursement is not received for patients with insurance coverage. Planned Corrective Action: This account was reviewed. Emergency Medicaid was found and attached to the account and a full refund to HRSA COVID-19 was processed on 2/1/2023 in the amount of $50,808.16 on check #431627. Review of the account demonstrated that system actions identified the correct Medicaid coverage and flagged for manual review. User error was made on consecutive days where Medicaid was not properly added to the account. Financial Counseling and Business Services leadership have reinforced coverage attachment protocols with staff 2/24/2023. Contact person responsible for corrective action: Michael Bishop Anticipated Completion Date: 2/1/2023
View Audit 19423 Questioned Costs: $1
Department of Housing and Urban Development: HUD project FHA #074-23009 Village Cooperative of Cedar Rapids Federal ID# 45-3763469 The FASS system generated the following findings from its review of the August 31, 2022 financial statements. The results of the assessment are summarized below. The ...
Department of Housing and Urban Development: HUD project FHA #074-23009 Village Cooperative of Cedar Rapids Federal ID# 45-3763469 The FASS system generated the following findings from its review of the August 31, 2022 financial statements. The results of the assessment are summarized below. The project owner should provide their assigned HUD Project Manager a written response addressing each of the findings, and appropriate documentation (e.g. copies of cancelled checks, bank statements, etc.) to prove the finding has been resolved. Project Auditor Findings: The auditor reported the following findings: Compliance Oriented Findings. The Schedule of Findings and Questioned Costs by the auditor contained findings related to the following Auditor Indicator Codes: Finding Reference No. / Code - Finding Condition 2022-001 / S - Internal Control Deficiencies Corrective Action(s). For all audit findings that were unresolved as of the date of the audit report, the owner must provide their HUD Project Manager a written response and supporting documentation indicating the finding has been resolved. Corrective Action Plan: The Board of Directors is and will remain involved in the financial affairs of the Cooperative.
Name of Auditee: Rochester Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: September 30, 2022 CAP Prepared by: Shawn Burr, Executive Director Phone: (585) 697-6184 (A) Current Findings on the Schedule of Findings and Questioned Costs (2) Finding 2022-002 (a)...
Name of Auditee: Rochester Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: September 30, 2022 CAP Prepared by: Shawn Burr, Executive Director Phone: (585) 697-6184 (A) Current Findings on the Schedule of Findings and Questioned Costs (2) Finding 2022-002 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendation, please see below for action taken. (b) Action taken - HQS inspections of Shelter Plus Care properties will be performed on an annual basis. (c) Planned implementation date of corrective action - Completed by September 30, 2023.
Views of Responsible Officials and Planned Corrective Actions: The District will implement a new process for calculating and accumulating total meal counts using Excel. The new meal count process will include the Cafeteria Lead and Business Manager doing comparison checks to ensure monthly totals ar...
Views of Responsible Officials and Planned Corrective Actions: The District will implement a new process for calculating and accumulating total meal counts using Excel. The new meal count process will include the Cafeteria Lead and Business Manager doing comparison checks to ensure monthly totals are accurately reported.
View Audit 18362 Questioned Costs: $1
Finding 22725 (2022-002)
Significant Deficiency 2022
Views of responsible officials and planned corrective actions: The College has taken steps to charge the cost to the appropriate grant award number. The College will ensure that future costs are properly charged to the correct grant award number and that costs are within the appropriate period of pe...
Views of responsible officials and planned corrective actions: The College has taken steps to charge the cost to the appropriate grant award number. The College will ensure that future costs are properly charged to the correct grant award number and that costs are within the appropriate period of performance. In addition, finance and program staff will be trained on period of performance requirements, as well as other aspects of grant management. Contact Person: Rodalyn Gerardo, Vice President for Finance & Administration Expected Completion Date: September 30, 2023
Views of responsible officials and planned corrective actions: The College will ensure that new program courses and other areas not addressed in the state plan are reviewed and approved by the grantor to verify compliance with grant requirements. In addition, finance and program staff will be traine...
Views of responsible officials and planned corrective actions: The College will ensure that new program courses and other areas not addressed in the state plan are reviewed and approved by the grantor to verify compliance with grant requirements. In addition, finance and program staff will be trained on allowable costs and activities, as well as other aspects of grant management. Contact Person: Rodalyn Gerardo, Vice President for Finance & Administration Expected Completion Date: September 30, 2023
Findings 2022-004 and 2021-001 Direct Loan Reconciliations Condition: For the fiscal year ending May 31, 2022, monthly Direct Loan Reconciliations were not performed for the months of June 2021 through September 2021. Views of Responsible Officials: The Academy does not disagree with this audit fi...
Findings 2022-004 and 2021-001 Direct Loan Reconciliations Condition: For the fiscal year ending May 31, 2022, monthly Direct Loan Reconciliations were not performed for the months of June 2021 through September 2021. Views of Responsible Officials: The Academy does not disagree with this audit finding. Corrective Action Plan: Direct Loan reconciliations a performed on a monthly basis by the Director of Financial Aid and a report is provided to the VP of Administration of Finance showing the tie out between G5 and COD. Responsible Party: Frances Hutchinson, Director of Financial Aid Anticipated Completion Date: This process was implemented in October 2021.
COLEGIO LA MILAGROSA, INC. (A nonprofit organization) CORRECTIVE ACTION PLAN JUNE 30, 2022 FINDING NO. CORRECTIVE ACTION COMPLETION DATE CONTACT PERSON 2022-001: FINANCIAL STATEMENTS ? The Organization, Colegio La Milagrosa, hired a new employee. This employee is being trained to comply with the ...
COLEGIO LA MILAGROSA, INC. (A nonprofit organization) CORRECTIVE ACTION PLAN JUNE 30, 2022 FINDING NO. CORRECTIVE ACTION COMPLETION DATE CONTACT PERSON 2022-001: FINANCIAL STATEMENTS ? The Organization, Colegio La Milagrosa, hired a new employee. This employee is being trained to comply with the recommendations and apply them to the school year of 2021-2022. ? The Food Service area hired a new accounting company, LRR Services as of July 1, 2018 and implemented the recommendation provided by the company RRC CPA Group, PSC, and to comply with the financial processes required in the 2 CRF 200. ? Also, subsequent to June 30, 2022, an internal accountant was hired, who among other responsibilities, is coordinating and supervising the record keeping and compilation of interim and year end closing and reporting process. ? As part of our internal controls, the Food Service area has created an implemented an internal guide with procedures related for accounting processes (attached in this report). June 30th 2022 Liz M. Santiago/ Odette Y. Pacheco Torres / Lizzette Ruiz / Hector Rodriguez
25-May-23 Zenk and Associates P.C. 2404 East U.S. Highway 223 Adrian, MI 49221 Re: Independent Audit FYE September 30, 2022?Management Response Dear Mr. Zenk: This letter serves as the Muskegon Housing Commission?s follow-up and completed response to the one (1) finding reported in the Indepe...
25-May-23 Zenk and Associates P.C. 2404 East U.S. Highway 223 Adrian, MI 49221 Re: Independent Audit FYE September 30, 2022?Management Response Dear Mr. Zenk: This letter serves as the Muskegon Housing Commission?s follow-up and completed response to the one (1) finding reported in the Independent Audit FYE September 30, 2022. Finding 2021-1 Section 8 Housing Choice Voucher Program Tenant Files were missing supporting documents and not timely recertified. Corrective Action: Muskegon Housing Commission will be correcting these deficiencies in a few different ways. First, there will be a personnel change and a different employee will be doing the HCV work. This employee will be sent to training for certification in all processes. Management will also take a random sample of recertification's each month to perform a quality check. Any deficiencies found will need to be corrected with 30 days of the review. Please do not hesitate to contact me at 231-722-2647 during normal business hours of Monday through Friday 8:30 a.m. - 5:00 p.m. with any questions. Respectfully submitted, Angela Mayeaux Angela Mayeaux Executive Director
11-070-3020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 003_ Condition: Purchased services and supplies and materials reported on the June 30, 2022 ESSER II grant expenditure report did not reconcile to support...
11-070-3020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 003_ Condition: Purchased services and supplies and materials reported on the June 30, 2022 ESSER II grant expenditure report did not reconcile to supporting records. Plan: The District will assign personnel independent of the grant expenditure report preparer to review the grant expenditure reports for proper coding of grant expenditures prior to submission of the grant expenditure reports. Anticipated Date of Completion: 06/30/2023 Name of Contact Person: Kent Stauder Management Response: Management will implement the auditor's recommendation in the year ended June 30, 2023.
11-070-3020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 002_ Condition: Expenditure functions used to record grant expenditures in the general ledger are not consistent with the expenditure functions used for g...
11-070-3020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 002_ Condition: Expenditure functions used to record grant expenditures in the general ledger are not consistent with the expenditure functions used for grant reporting and the general ledger account number did not identify which federal funds were being utilized. Numerous expenditures were coded to the grant general ledger accounts via journal entry reclassification. Plan: The District will record grant expenditures in the same general ledger expenditure functions as are used for grant reporting and will identify the federal funds being utilized. Anticipated Date of Completion: 06/30/2023 Name of Contact Person: Kent Stauder Management Response: Management will implement the auditor's recommendation in the year ended June 30, 2023.
Finding 22680 (2022-005)
Significant Deficiency 2022
2022-005 Education Stabilization Fund - Higher Education Emergency Relief Fund - Institutional Portion ...
2022-005 Education Stabilization Fund - Higher Education Emergency Relief Fund - Institutional Portion Recommendation: We recommend the University ensure a process is put in place to maintain appropriate supporting documentation as evidence that the University's suspension and debarment policies were followed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The University will improve its emergency procurement policy and re-educate the University community of the Suspension and Debarment policy as a whole. Name(s) of the contact person(s) responsible for corrective action: Ashton Vogelsang, Associate Vice President for Finance and Administration Planned completion date for corrective action plan: June 2023
Finding 22679 (2022-004)
Significant Deficiency 2022
Student Financial Assistance Cluster ? Assistance Listing Number 84.268 Recommendation: We recommend the University review its policies and procedures around exit counseling to ensure students are receiving proper counseling and documentation is maintained of this process in the University?s student...
Student Financial Assistance Cluster ? Assistance Listing Number 84.268 Recommendation: We recommend the University review its policies and procedures around exit counseling to ensure students are receiving proper counseling and documentation is maintained of this process in the University?s student files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This error also occurred during the transition period of the previous Financial Aid Director and winter graduates were forgotten to be notified. The Financial Aid Office has updated its procedures and have been in discussions with the IT Department to automate the process. Name(s) of the contact person(s) responsible for corrective action: Hannah Brown, Director of Financial Aid Planned completion date for corrective action plan: Complete.
Finding 22678 (2022-003)
Significant Deficiency 2022
2022-003 Student Financial Assistance Cluster ? Assistance Listing Number 84.268 Recommendation: The University should ensure all necessary employees receive proper training, support, and time to follow the University's policies and federal requirements related to monthly reconciliations. Explanatio...
2022-003 Student Financial Assistance Cluster ? Assistance Listing Number 84.268 Recommendation: The University should ensure all necessary employees receive proper training, support, and time to follow the University's policies and federal requirements related to monthly reconciliations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Monthly reconciliations have occurred in the Financial aid office, however, the sample selection occurred during the month when a transition in director occurred. The reconciliation was completed a month late. Reconciliations have now been improved by including other offices in the process and have been placed on a regular schedule. Name(s) of the contact person(s) responsible for corrective action: Hannah Brown, Director of Financial Aid Planned completion date for corrective action plan: Complete
Finding 22672 (2022-002)
Significant Deficiency 2022
2022-002 Student Financial Assistance Cluster ? Assistance Listing Numbers 84.007, 84.033, 84.063, 84.268 Recommendation: We recommend the University review the R2T4 requirements and implement procedures to ensure scheduled breaks are properly factored into calculations. Part of this process should...
2022-002 Student Financial Assistance Cluster ? Assistance Listing Numbers 84.007, 84.033, 84.063, 84.268 Recommendation: We recommend the University review the R2T4 requirements and implement procedures to ensure scheduled breaks are properly factored into calculations. Part of this process should include review of calculations by another member of the Financial Aid office. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This was corrected once identified in the FY21 single audit, however, due to timing of that audit, it was a repeat finding for 2022. Name(s) of the contact person(s) responsible for corrective action: Hannah Brown, Director of Financial Aid Planned completion date for corrective action plan: Completed May 2022
View Audit 22529 Questioned Costs: $1
Procurement and Suspension and Debarment - Public and Indian Housing ? Assistance Listing No. 14.850 Recommendation: We recommend that the Authority reviews it?s procurement policy and active contracts and future contracts to ensure that all policies and procedures regarding procurement of contracts...
Procurement and Suspension and Debarment - Public and Indian Housing ? Assistance Listing No. 14.850 Recommendation: We recommend that the Authority reviews it?s procurement policy and active contracts and future contracts to ensure that all policies and procedures regarding procurement of contracts are properly followed and documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Name(s) of the contact person(s) responsible for corrective action: Ivra Amacker, VP Affordable Housing Planned completion date for corrective action plan: September 30, 2023
View Audit 22393 Questioned Costs: $1
Allowable Activities and Costs - Public and Indian Housing ? Assistance Listing Number 14.850 Recommendation: We recommend the Authority reviews the established internal control procedures over charging expenses to programs and ensure the policies are followed for all expenses charged to the program...
Allowable Activities and Costs - Public and Indian Housing ? Assistance Listing Number 14.850 Recommendation: We recommend the Authority reviews the established internal control procedures over charging expenses to programs and ensure the policies are followed for all expenses charged to the program. Additionally, we recommend that the Authority reviews the payroll procedures to ensure all timesheets are approved prior to payment. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Finance Dept lost 3 key positions. New CFO in place now for two weeks and will implement allocation for all expenses and procedure to oversee that all transactions are recorded properly and have sufficient backup. Will work with HR and Payroll Staff Accountant to implement required authorization before processing. Name(s) of the contact person(s) responsible for corrective action: Shannon Sterling, CFO Planned completion date for corrective action plan: September 30, 2023
View Audit 22393 Questioned Costs: $1
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