Corrective Action Plans

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Section III - Federal Awards Findings and Questioned Costs Finding #2022-002 Material Weakness - Late Submission of Federal Single Audit Report Recommendation: Management should make the proper changes to its finance functions to ensure it has sufficient staffing resources to keep its accounting rec...
Section III - Federal Awards Findings and Questioned Costs Finding #2022-002 Material Weakness - Late Submission of Federal Single Audit Report Recommendation: Management should make the proper changes to its finance functions to ensure it has sufficient staffing resources to keep its accounting records up to date for its federal programs. Corrective Action: The Theatre has experienced difficulty hiring a qualified Accounting Manager due to the current tight labor market and limitations on ability to provide market-level compensation. At its meeting on Monday, April 17, 2023, the Internal Committee of the Board of Directors of the Theatre approved Management entering into an agreement for services with Your Part-Time Controller, a firm that specializes in providing outsourced accounting services to non-profit entities. The firm is expected to begin working with Management within 30 days to assess the current accounting system, develop and then implement a plan for strengthening the entire accounting and financial reporting framework. In addition, the Board has added two Directors with extensive financial backgrounds who will be working closely with Management to support this project and ensure that timely and accurate financial reporting is available to both the Board and the constituents of the Theatre going forward. Person Responsible for Corrective Action: Rufus de Rham, Executive Director Anticipate Completion Date for Corrective Action Plan: The Plan will be implemented immediately to ensure timely audit completion for the period ending June 30, 2023.
Financial Statement Finding: 2022-001 ? Significant Deficiency in Application of Organization's Sliding Fee Discounts Policy - Name and Contact Person: Gina McCullough, Chief Financial Officer, 907-733-2273, gmccullough@sunshineclinic.org - Corrective Action: The Organization has taken steps to ens...
Financial Statement Finding: 2022-001 ? Significant Deficiency in Application of Organization's Sliding Fee Discounts Policy - Name and Contact Person: Gina McCullough, Chief Financial Officer, 907-733-2273, gmccullough@sunshineclinic.org - Corrective Action: The Organization has taken steps to ensure that staff are proficient in the completion of the application of the slide adjustments within the EHR system and are working to prove the review process of those adjustments applied to ensure compliance.- Proposed Completion Date: April 30, 2023
Finding 22440 (2022-003)
Material Weakness 2022
AABR will be re-evaluating its policy and procedures to ensure that all documents and approvals are within agency guidelines within the invoice processing procedures. AABR will also ensure that all set invoice documents are properly filed creating an efficient turn around for accurate reporting. Re...
AABR will be re-evaluating its policy and procedures to ensure that all documents and approvals are within agency guidelines within the invoice processing procedures. AABR will also ensure that all set invoice documents are properly filed creating an efficient turn around for accurate reporting. Responsible person: Richard Flores (CFO)/ Angela McKenzie ( Dir of Finance) Anticipated completion date: December/2023
View Audit 21811 Questioned Costs: $1
Finding 22439 (2022-002)
Significant Deficiency 2022
Corrective Action Plan Yeshiva of Phoenix This corrective action plan is in response to the audit conducted by Price Kong. There were some items that were requested for the audit that we did not have receipts or backup. From now on: - We will not issue any reimbursement without a receipt to match...
Corrective Action Plan Yeshiva of Phoenix This corrective action plan is in response to the audit conducted by Price Kong. There were some items that were requested for the audit that we did not have receipts or backup. From now on: - We will not issue any reimbursement without a receipt to match. - We will require receipts for all purchases made with school funds. If we do not get receive a receipt we will send text messages and phone the purchaser/merchant until we do. If we still do not receive a receipt we will bill the purchaser for the item. - All receipts will be scanned and then matched to the purchase when we do the monthly reconciliation. - Any payroll change will be documented in writing, preferably signed by both parties. Alternatively, an email will be sent to both parties documenting the change. The email will be filed and stored. - Any new employee will receive a contract or an email confirming their salary. - In addition to storing our bank statements, we will also keep a digital record of any checks that we receive, and we will match these checks to our accounts. - We will keep formal minutes of all board meetings. These minutes will be distributed to all board members and stored. - We will request an updated depreciation schedule from our accountant every year. - We will meet with an accountant from Price Kong who will help us establish a formal accounting manual so that we will have set standards for all bookkeeping. Thank you for conducting the audit for us. Gaby Friedman, Vice President On behalf of Yeshiva of Phoenix.
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The replacement reserve deficiency was funded on July 1, 2022 in the amount of $560. Management will...
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The replacement reserve deficiency was funded on July 1, 2022 in the amount of $560. Management will ensure that the replacement reserve deposits are made on a timely basis in the future. Completion Date: July 1, 2022
Finding 22431 (2022-001)
Significant Deficiency 2022
Corrective Action Plan 2 CFR Sec 200.511(c) May 31, 2022. Finding Number: 2022-001. Planned Corrective Action: In September 2022, Teche identified this as an area of concern and has implemented additional controls designed to ensure that the proper sliding fee discount categories are applied by the ...
Corrective Action Plan 2 CFR Sec 200.511(c) May 31, 2022. Finding Number: 2022-001. Planned Corrective Action: In September 2022, Teche identified this as an area of concern and has implemented additional controls designed to ensure that the proper sliding fee discount categories are applied by the Patient Service Representatives and that the correct sliding fee discount is applied by the Billing Department. Anticipated Completion Date: January 31, 2023. Responsible Contact Person: Nikina Vilcan, CFO.
Enrollment Reporting to National Student Loan Data System (NSLDS) Explanation: It was found that some students enrollment data were being reported incorrectly. It is not known if the error is coming from PowerCampus or NCS as majority of student records are correctly submitted. Planned Corrective ...
Enrollment Reporting to National Student Loan Data System (NSLDS) Explanation: It was found that some students enrollment data were being reported incorrectly. It is not known if the error is coming from PowerCampus or NCS as majority of student records are correctly submitted. Planned Corrective Action: The Office of Financial Aid will be working more closely with Registrar?s Office on the enrollment reporting submitted to the National Student Clearinghouse (NCS) each reporting cycle. Errors will be reviewed to determine why the error happened and how to correct the issue to prevent future errors. Comparisons will be done between our report and NSC and then with NSLDS. Person Responsible for Corrective Action Plan: Karen LaQuey and Dr. Wendy McNeeley Anticipated Date of Completion: Ongoing. Will do review for success December 2022 and then again in May 2023
Incorrect Modular Return of Title IV Funding Explanation: Students that were enrolled in summer modules and required a Return to Title IV (R2T4) calculation were being processed under the standard summer session calculation and not under modules. If a student was enrolled in more than one module,...
Incorrect Modular Return of Title IV Funding Explanation: Students that were enrolled in summer modules and required a Return to Title IV (R2T4) calculation were being processed under the standard summer session calculation and not under modules. If a student was enrolled in more than one module, we did not review the enrollment between the two modules to determine percentage of attendance and if R2T4 was required. Planned Corrective Action: Additional review steps are in place to review summer module enrollment and percentages. The Return to Title IV calendar will be set up differently inside Common Origination and Disbursement (COD) to allow for the module funding calculations. Person Responsible for Corrective Action Plan: Karen LaQuey Anticipated Date of Completion: September 30, 2022
Finding 2022-002 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution CFDA #93.498 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal cont...
Finding 2022-002 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution CFDA #93.498 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the Organization is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Organization did not have proper review procedures in place to determine employees? qualifications for individual incentive pay that was allocated to the program. Responsible Individuals: Donna Cordova, CFO Corrective Action Plan: The CFO will review supporting documentation to provide a secondary review and approval of the summarized final expenditures listing used to claim allowable costs under federal programs. Anticipated Completion Date: This process will go into effect immediately.
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution CFDA #93.498 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal cont...
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution CFDA #93.498 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the Organization is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Organization did have two individuals involved in the reporting process, but did not have documented controls over the preparation and corresponding review of the required reporting during the period. Responsible Individuals: Donna Cordova, CFO and Cletus Thiebeau CEO Corrective Action Plan: VALLEYLIFE will add documentation in its Accounting & Finance Policies and Procedures that Federal Grant reporting will be reviewed, prior to submission to the federal granting agency, by the Supervisor of the individual preparing the reports. Anticipated Completion Date: This process will go into effect immediately and will be presented to the Finance Committee of the Board of Directors for approval at its March 2023 meeting as the VALLEYLIFE bylaws require.
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure the utility allowance schedule is updated yearly. Action Taken: New management has taken over the Commission subsequent to the period under audit and will implement stronger int...
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure the utility allowance schedule is updated yearly. Action Taken: New management has taken over the Commission subsequent to the period under audit and will implement stronger internal controls over the utility allowance schedule. Anticipated Completion Date of Action: June 15, 2023
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to housing quality inspections and HQS enforcement. Action Taken: New management has taken over the Commission subsequent to the ...
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to housing quality inspections and HQS enforcement. Action Taken: New management has taken over the Commission subsequent to the period under audit and will implement stronger internal controls over housing quality inspections. Anticipated Completion Date of Action: June 15, 2023
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to selection from the waiting list. Action Taken: New management has taken over the Commission subsequent to the period under aud...
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to selection from the waiting list. Action Taken: New management has taken over the Commission subsequent to the period under audit and will implement stronger internal controls over ensuring support of selection from the waiting list is maintained in the tenant files. Anticipated Completion Date of Action: June 15, 2023
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to eligibility. Action Taken: New management has taken over the Commission subsequent to the period under audit and will ensure ...
Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to eligibility. Action Taken: New management has taken over the Commission subsequent to the period under audit and will ensure all staff members involved in the annual recertification and interim examinations are properly trained with respect to the rules and regulations pertaining to this process. Management will also implement stronger internal controls and policies regarding rent certifications. Anticipated Completion Date of Action: June 15, 2023
Recommendation: The Commission should consider reviewing its current policy regarding rent certifications. The Commission should ensure all persons involved in the certification process are properly trained and understand regulations in order to accurately identify errors. The Commission should ad...
Recommendation: The Commission should consider reviewing its current policy regarding rent certifications. The Commission should ensure all persons involved in the certification process are properly trained and understand regulations in order to accurately identify errors. The Commission should adopt policies and procedures that would require a second person to be involved in the certification process to ensure the accountability of tenant files. The reviewer should sign and date the verification form, evidencing the control is being performed.Action Taken: New management has taken over the Commission subsequent to the period under audit and will ensure all staff members involved in the annual recertification and interim examinations are properly trained with respect to the rules and regulations pertaining to this process. Management will also implement stronger internal controls and policies regarding rent certifications. Anticipated Completion Date of Action: June 15, 2023.
View Audit 20168 Questioned Costs: $1
Inaccurate Return of Title IV Funds (R2T4) Planned Corrective Action: A master schedule has been created that includes the starting date, ending date, and break dates for each term. The break dates provided and used previously were not accurate and the master schedule provides the document all depar...
Inaccurate Return of Title IV Funds (R2T4) Planned Corrective Action: A master schedule has been created that includes the starting date, ending date, and break dates for each term. The break dates provided and used previously were not accurate and the master schedule provides the document all departments will use going forward. This will fix the issue involving the incorrect number of days used in the R2T4 calculations. Per the auditor?s recommendations, the institution has hired an experienced professional with over fifteen years of experience in Title IV processing to complete the R2T4 calculations. Person Responsible for Corrective Action Plan: Wes Brothers, Financial Aid Director Anticipated Date of Completion: Completed 3/9/2023
View Audit 21183 Questioned Costs: $1
Gardenside Terrace, Inc. respectfully submits the following Corrective Action Plan for the year ended October 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 200 Indianapo...
Gardenside Terrace, Inc. respectfully submits the following Corrective Action Plan for the year ended October 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 200 Indianapolis, Indiana 46256 Finding 2022-001 Corrective Action Planned ? No action needed. Management deposited $3,288 into the replacement reserve on December 9, 2022. Contact Person(s) Responsible ? Joe Holland, Director of Accounting, Kirkpatrick Management Anticipated Completion Date ? December 9, 2022 Auditee Disagreements ? N/A This corrective action plan was prepared by Kirkpatrick Management, the management company, on behalf of Gardenside Terrace, Inc. _______________________________ Joe Holland, Director of Accounting Kirkpatrick Management 5702 Kirkpatrick Way Indianapolis, Indiana 46220 317-570-4358
View Audit 20911 Questioned Costs: $1
Magnolia Manor has taken steps to assure that the Replacement Reserve account will not be underfunded again by making the transfer an automatic transfer from the Operating account to the Replacement Reserve account. The amount that the account was underfunded was deposited on September 15, 2022.
Magnolia Manor has taken steps to assure that the Replacement Reserve account will not be underfunded again by making the transfer an automatic transfer from the Operating account to the Replacement Reserve account. The amount that the account was underfunded was deposited on September 15, 2022.
Finding 2022-002 Internal Control Over Activities Allowed or Unallowable (ALN# 59.008 COVID-19 Disaster Assistance Loans) Type of Finding: Material Weakness in Internal Control Over Compliance Condition and Context: During the year ended December 31, 2022, the Executive Director was paid a one-tim...
Finding 2022-002 Internal Control Over Activities Allowed or Unallowable (ALN# 59.008 COVID-19 Disaster Assistance Loans) Type of Finding: Material Weakness in Internal Control Over Compliance Condition and Context: During the year ended December 31, 2022, the Executive Director was paid a one-time payment in the amount of $60,000 and another $50,000 was paid to an LLC that is owned by the Executive Director?s daughter. There were no services provided to support these payments. Action(s) taken or planned on the finding: Little Buns, Inc. will provide oversight with a paid position of a CPA controller to oversee the fundraising efforts for compliance with all non-profit regulations. In order to fully engage with non-profit regulation, Little Buns, Inc. will create transparency of all non-profit accounts, including fundraising, investment and grant streams. All funds deemed inappropriate will be paid back by the Executive Director. If there are any questions regarding this plan, please call the undersigned at 317-663-8276. Sincerely, Maxine Jeglum, Director
View Audit 20797 Questioned Costs: $1
The district will implement procedures to ensure that personnel paid from federal funding complete single funding certifications and/ or time and effort logs.
The district will implement procedures to ensure that personnel paid from federal funding complete single funding certifications and/ or time and effort logs.
View Audit 20899 Questioned Costs: $1
FINDING 2022-003 Contact Person Responsible for Corrective Action: Sharon Fowler Contact Phone Number: (765) 358-4006 Views of Responsible Official: The Superintendent and Corporation Treasurer felt that expenses of $15,787.31 were justifiable due to the lack of fund raiser dollars for prom because ...
FINDING 2022-003 Contact Person Responsible for Corrective Action: Sharon Fowler Contact Phone Number: (765) 358-4006 Views of Responsible Official: The Superintendent and Corporation Treasurer felt that expenses of $15,787.31 were justifiable due to the lack of fund raiser dollars for prom because of COVID. Part of that expense amount was for Esports Club chairs. These chairs are used for Esports only after school, and used during the day in regular classrooms. As for the Freshman Class Sponsor, Assistant Wrestling Coach, and Elementary Talen Show Sponsor, these contracts were paid from ESSER. The ECA positions were inadvertently added to teachers? contracts, as usual, and not taken out of the Education Fund. Description of Corrective Action Plan: Beginning with the 2022-23 fiscal year, we will be more careful with what we spend from ESSER Funds. Anticipated Completion Date: July 2023
View Audit 21466 Questioned Costs: $1
November 11, 2022 Fr: Linda Maxon Re: Single Audit Finding: CliftonLarsonAllen LLP Audit Finding #2022-001, for Coast Community Health Centers fiscal year audit period ending 1/31/2022 With respect to the audit finding, Coast Community Health Center will address the following: ? Review and further d...
November 11, 2022 Fr: Linda Maxon Re: Single Audit Finding: CliftonLarsonAllen LLP Audit Finding #2022-001, for Coast Community Health Centers fiscal year audit period ending 1/31/2022 With respect to the audit finding, Coast Community Health Center will address the following: ? Review and further develop trainings for front-desk staff on the appropriate procedures to assist in preparation and required completion of the sliding fee applications and proof of income forms. ? Review and further develop trainings for staff on appropriate evaluation of the forms and determining the appropriate category on which to place patients regarding the sliding fee program ? Review and further develop trainings for staff on monitoring the periodic update of the patients sliding fee application and related information ? Review and further develop trainings for staff on coordinating initial placement and subsequent updates with billing so the billing system is consistent with the supporting information for the sliding fee program ? Review document retention procedures regarding the sliding fee program to ensure each patient participating in the program has documentation supporting their classification within the billing system ? Finance staff will, at minimum quarterly, review and audit a sample of sliding fee patients to ensure that discounts are being applied appropriately and that documentation of eligibility is being collected This should address the deficiencies noted in correct placement of patients on the sliding fee scale and the issue of missing supporting documentation. Respectfully Submitted, Linda S. Maxon Chief Executive Officer
The project has been reimbursed $51 for the expenditure paid for another property. We have re-trained the staff on the proper protocol and review procedures for the payment of expenditures for each of the properties we manage.
The project has been reimbursed $51 for the expenditure paid for another property. We have re-trained the staff on the proper protocol and review procedures for the payment of expenditures for each of the properties we manage.
View Audit 26339 Questioned Costs: $1
Corrective Action: We will work with the District staff to plan and obtain purchase orders before receiving items and / or placing orders. Due Date of Completion: June 30, 2023 Responsible Party(ies): Business Manager
Corrective Action: We will work with the District staff to plan and obtain purchase orders before receiving items and / or placing orders. Due Date of Completion: June 30, 2023 Responsible Party(ies): Business Manager
2022-004: Time Sheets Time sheets are detailed out by program but not by grant thus it is not straightforward to ensure that the amounts charged to the grant were allowable. We recommend that time sheets support the time allocated to the grant and that a second review be performed and documented fo...
2022-004: Time Sheets Time sheets are detailed out by program but not by grant thus it is not straightforward to ensure that the amounts charged to the grant were allowable. We recommend that time sheets support the time allocated to the grant and that a second review be performed and documented for allowable charges to the grants. Action Taken: The time sheets are created based on the uniqueness of each employee salary funding. The time sheets are created to only be funded from the approved grant budgets as submitted to the grantors. If funding changes and the change should affect the payroll, all time sheets associated with the change will be modified by the Office Manager to match the change. The time sheets currently are reviewed by employees? direct supervisors for their signature, then reviewed and reconciled by the Office Manager (HR) within the payroll process. Once the payroll is entered it is then reviewed again by the Executive Director and in her absence the Finance Director for final processing.
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