Corrective Action Plans

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Finding 8700 (2022-007)
Significant Deficiency 2022
2022-007 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES, & CHILD SUPPORT ENFORCEMENT – ACTIVITIES ALLOWED AND UNALLOWED U.S. Department of Agriculture & U.S. Department of Health and Human Services Supplemental Nutrition Assistance Program Cluster, Temp...
2022-007 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES, & CHILD SUPPORT ENFORCEMENT – ACTIVITIES ALLOWED AND UNALLOWED U.S. Department of Agriculture & U.S. Department of Health and Human Services Supplemental Nutrition Assistance Program Cluster, Temporary Assistance for Needy Families & Child Support Enforcement Assistance Listing Number: 10.561, 93.558, 93.563 Passed Through Minnesota Department of Human Services Pass Through Number: H55210010, H55214077 & H55214004 Award Period: 2022 Recommendation: We recommend that the County retain documentation of review and approval of all expenditures. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: EEA has reviewed existing policies for purchases using federal funds. If using federal funds, these policies and procedures will be followed. Name of the contact person responsible for corrective action: Daren Nyquist, Administration Manager Planned completion date for corrective action plan: December 31, 2023
Finding 8699 (2022-006)
Material Weakness 2022
2022-006 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER & TEMPORARY ASSISTANCE FOR NEEDY FAMILIES – ACTIVITIES ALLOWED AND UNALLOWED U.S. Department of Agriculture & U.S. Department of Health and Human Services Supplemental Nutrition Assistance Program Cluster & Temporary Assistance for Needy ...
2022-006 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER & TEMPORARY ASSISTANCE FOR NEEDY FAMILIES – ACTIVITIES ALLOWED AND UNALLOWED U.S. Department of Agriculture & U.S. Department of Health and Human Services Supplemental Nutrition Assistance Program Cluster & Temporary Assistance for Needy Families Assistance Listing Number: 10.561 & 93.558 Passed Through Minnesota Department of Human Services Pass Through Number: H55210010 & H55214077 Award Period: 2022 Recommendation: We recommend that the County review its procedures and control to ensure all RMS listings sent to the State properly exclude those necessary individuals no longer working in the programs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Dakota County has implemented a new ERP application. In that process, the county needed to reexamine the way in which it codes staff into units. EEA is working with the state and other county departments to ensure correct documentation is updated in the new ERP system and procedures are in place to keep them accurate. Name of the contact person responsible for corrective action: Daren Nyquist, Administration Manager Planned completion date for corrective action plan: December 31, 2023
Finding 8698 (2022-004)
Material Weakness 2022
2022-004 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER – SPECIAL PROVISIONS U.S. Department of Agriculture Supplemental Nutrition Assistance Program Cluster Assistance Listing Number: 10.561 Passed Through Minnesota Department of Human Services Pass Through Number: H55210010 Award Period: 20...
2022-004 – SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CLUSTER – SPECIAL PROVISIONS U.S. Department of Agriculture Supplemental Nutrition Assistance Program Cluster Assistance Listing Number: 10.561 Passed Through Minnesota Department of Human Services Pass Through Number: H55210010 Award Period: 2022 Recommendation: We recommend the County implement process and procedures to provide reasonable assurance that all necessary documentation to support eligibility determination exists and is properly input or updated in MAXIS and issues are followed up in a timely manner. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The County will ensure processes and procedures are in place to properly document and support eligibility determination, properly input and update MAXIS, and properly resolve issues promptly. Periodic review of case files will be included in the annual internal audit work plan. Name of the contact person responsible for corrective action: Daren Nyquist, Administration Manager Planned completion date for corrective action plan: December 31, 2023
Finding 8641 (2022-005)
Significant Deficiency 2022
2022.005 CASEFILE REVIEW Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Recommendation: It is recommended the County perform internal casefile reviews of Medical Assistance Casefiles. Action taken in response to finding: The County will continue to w...
2022.005 CASEFILE REVIEW Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Recommendation: It is recommended the County perform internal casefile reviews of Medical Assistance Casefiles. Action taken in response to finding: The County will continue to work at this area and internal controls to achieve the overall goal. Name of the contact person responsible for corrective action plan: Karen Anderson, Chief Financial Officer Planned completion date for corrective action plan: December 31, 2023
The Town will be updating the Town's procedures and policies to incorporate the requirements of Part 200 of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Responsible Individual: Patricia Chaffee, Executive Assistant. Anticipated Completion Date:...
The Town will be updating the Town's procedures and policies to incorporate the requirements of Part 200 of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Responsible Individual: Patricia Chaffee, Executive Assistant. Anticipated Completion Date: January 30, 2024.
Contact Name: Rene Ontiveros Corrective Action Planned: The County will continue to improve in providing financial statements and single audit report in a timely matter for submittal by required deadline. Anticipated Completion Date: March 31, 2024
Contact Name: Rene Ontiveros Corrective Action Planned: The County will continue to improve in providing financial statements and single audit report in a timely matter for submittal by required deadline. Anticipated Completion Date: March 31, 2024
Substance Abuse Prevention and Treatment Block Grant – Assistance Listing No. 93.959 Recommendation: We recommend the Organization implement policies and procedures to ensure the books and records are closed and audit ready in a timely manner in order to meet the six-month audit requirement. Explana...
Substance Abuse Prevention and Treatment Block Grant – Assistance Listing No. 93.959 Recommendation: We recommend the Organization implement policies and procedures to ensure the books and records are closed and audit ready in a timely manner in order to meet the six-month audit requirement. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Carlsbad Lifehouse will initiate the 2023 audit earlier in 2024. Carlsbad Lifehouse will reconsider staffing and partners engaged in finance to expedite the process. Name(s) of the contact person(s) responsible for corrective action: Philip Huston Planned completion date for corrective action plan: January 31, 2024 If the State of New Mexico Behavior Health Services Division has questions regarding this plan, please call Philip Huston at 575-725-5552 ext. 700.
CORRECTIVE ACTION PLAN Name of auditee: Town of Hamburg, New York Name of audit firm: allied CPA’s, PC Period covered by the audit: December 31, 2022 CAP prepared by Name: Patrick Shea Position: Director of Finance Telephone number: (716) 649-6111 Ext. 2385 A. Current Findings on the Sch...
CORRECTIVE ACTION PLAN Name of auditee: Town of Hamburg, New York Name of audit firm: allied CPA’s, PC Period covered by the audit: December 31, 2022 CAP prepared by Name: Patrick Shea Position: Director of Finance Telephone number: (716) 649-6111 Ext. 2385 A. Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations. 1. Finding 2022 -001 – Town Policy and Procedures Updates for Federal Funds 2. a. Comments on the Finding and Each Recommendation: The Town Acknowledges that the recently updated Procurement Policy should be further updated to include information necessary to comply with the Uniform Guidance. b. Action(s) Taken or Planned on the Finding The Town will update the 1/19/23 Procurement Policy to include the information necessary to comply with the Uniform Guidance. This update will be completed and reviewed by Patrick Shea (Director of Finance) and/or Randall Hoak (Town Supervisor). This policy will be written and approved by March 2024.
The UPR Comprehensive Cancer Center will submit the Single Audit Report FY 2022 and the data collection as soon as the auditors issued the Single Audit FY 2022. The Audited Financial Statements for the corresponding year have been issued on October 31, 2023. We establish a procedure to ensure that...
The UPR Comprehensive Cancer Center will submit the Single Audit Report FY 2022 and the data collection as soon as the auditors issued the Single Audit FY 2022. The Audited Financial Statements for the corresponding year have been issued on October 31, 2023. We establish a procedure to ensure that information required to be disclosed in the Single Audit is on time. Please find attached the procedure schedule established to ensure compliance by March 31, 2024, that include: Management closing and submission Final Trial Balance to Auditors 12/15/2023. Completion and Delivery to Auditors PBC items 1/15/2023. Distribution of Financial Statement and Single Audit Draft for review (management and Auditors) 1/15/2024. Submission Draft 2/28/2024. Final Issuance of Financial Statement, SIngle Audit, and data collection 3/31/2024.
Criteria: In accordance with 2 CFR 200.403(g), costs must be adequately documented in order to be allowable under Federal awards. Condition: The School was unable to provide documentation for three (3) out of sixty (60) non-payroll expenses. Cause: The School failed to follow its own policies for do...
Criteria: In accordance with 2 CFR 200.403(g), costs must be adequately documented in order to be allowable under Federal awards. Condition: The School was unable to provide documentation for three (3) out of sixty (60) non-payroll expenses. Cause: The School failed to follow its own policies for documentation of expenses and document retention. Effect: The costs were not allowable under the Federal award because they were not adequately documented. Questioned costs: $2,412 Context: Three (3) out of sixty (60) non-payroll expenditures tested did not have original invoice or payment support. Recommendation: We recommend the School implement a document retention system whereby invoices and payment support are retained for the appropriate time period. Action Plan: The school has maintained receipts for these non-payroll expenditures but were not found within the audit timeline. Better organization of receipts will be implemented. The School will scan receipts and electronically store documents including invoices and payments together. The School will consider multiple platforms including server or a cloud document storage platform. Receipts will be maintained and reported in the appropriate period. Persons Responsible: Yvonne Bullock, CEO/Head of School Gulen Hicks, Consultant Administrative Assistant Consultant
View Audit 11209 Questioned Costs: $1
Criteria: In accordance with CFR 200.318(i), the non-federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor se...
Criteria: In accordance with CFR 200.318(i), the non-federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. In addition, in accordance with CFR 200.318(a) the nonfederal entity must have and use documented procurement procedures consistent with federal procurement standards. Condition: Expenditures tested that met the small purchase threshold (purchases with a cost between $10,000 and $250,000) did not have documentation detailing the history of procurement. Cause: The School does not have procurement policies that follow federal guidelines, specifically 2 CFR 200.320 Methods of procurement to be followed. Effect: Property and equipment additions made using federal funds during the year did not have appropriate a support showing procurement policies were followed. Questioned costs: $83,864 Context: Two out of two purchases tested for procurement did not follow federal procurement methods. Recommendation: We recommend that the School institute procurement policies whereby acquisitions follow appropriate procurement steps as required by 2 CRF 200.350 and documentation of procurement decisions is maintained. Action Plan: The School will develop a Procurement Policy that follows the formal bid process and ensures that the school is able to acquire goods based on the most advantageous balance of price, quality, and performance. The School will maintain procurement decision records in vendor files. Person Responsible: Yvonne Bullock, CEO/Head of School Policies are approved by the Board of Directors
View Audit 11209 Questioned Costs: $1
The County will establish procedures to verify eligibility of program costs by requiring proof of eligibility be attached to grant fund expense vouchers when submitted to the auditor’s office for processing.
The County will establish procedures to verify eligibility of program costs by requiring proof of eligibility be attached to grant fund expense vouchers when submitted to the auditor’s office for processing.
View Audit 11191 Questioned Costs: $1
View of Responsible Officials and Planned Corrective Actions: We concur with this finding. We will have the appropriate supervisor review the employee timesheets for accuracy and the employee’s signature before the supervisor signs off on the timesheet and turns it in for payroll processing. The pay...
View of Responsible Officials and Planned Corrective Actions: We concur with this finding. We will have the appropriate supervisor review the employee timesheets for accuracy and the employee’s signature before the supervisor signs off on the timesheet and turns it in for payroll processing. The payroll department will also ensure the criteria is met before payroll is processed.
View Audit 11188 Questioned Costs: $1
View of Responsible Officials and Planned Corrective Actions: We concur with this finding. All Club expenses are to be paid directly by the Club under normal operating procedures. Expenses paid or incurred on behalf of the Club by an employee will require full and conclusive substantiation to be tur...
View of Responsible Officials and Planned Corrective Actions: We concur with this finding. All Club expenses are to be paid directly by the Club under normal operating procedures. Expenses paid or incurred on behalf of the Club by an employee will require full and conclusive substantiation to be turned in for review to a board member prior to a reimbursement check being processed. We will only allow authorized signers to approve and sign the checks before the checks are disbursed. An authorized signer will also review the canceled check images of the checks clearing the bank account each month to ensure no unauthorized checks are being disbursed.
View Audit 11188 Questioned Costs: $1
Finding 8353 (2022-002)
Material Weakness 2022
The Corrective action plan will be to follow the period of performance going forward in order to not have this reoccur again in the future. The County management will review all grant documents to make sure they are in Compliance with the requirements. Van Wert County adopted the Standard Allowance ...
The Corrective action plan will be to follow the period of performance going forward in order to not have this reoccur again in the future. The County management will review all grant documents to make sure they are in Compliance with the requirements. Van Wert County adopted the Standard Allowance for revenue loss up to $10 million for the ARPA funds. Lost revenue dates will be reviewed in the future to ensure supporting documents are also in Compliance with the grant requirements.
Corrective Action Plan for Finding 2022-001 We are in receipt of the finding required to be reported by Uniform Guidance, regarding other instace of noncompliance with respect to report. Management agrees with the finding. Policies and procedures over federal grant reporting will be modified to ens...
Corrective Action Plan for Finding 2022-001 We are in receipt of the finding required to be reported by Uniform Guidance, regarding other instace of noncompliance with respect to report. Management agrees with the finding. Policies and procedures over federal grant reporting will be modified to ensure rpeorts are prepared using complete and accurate information. We have increased compensating controls by introducing additional oversight and reivew for future reporting periods for the COVID-19 Provider Relief Fund reporting. Paul Gafford, CFO, will be responsible to ensure this is accomplished. The District, with the change in CFO, has already implemented new procedures and is confident that the period 4 submission was reported correctly and all future submissions will be correct. The Corrective Action Plan will be implemented by September 30, 2023.
A big part of our systems conversion was the creating of a uniform chart of accounts throughout our portfolio. This was necessary to optimize our new system, to simplify financial analysis and reporting, and to streamline account reconciliations. However, changing the organization’s chart of account...
A big part of our systems conversion was the creating of a uniform chart of accounts throughout our portfolio. This was necessary to optimize our new system, to simplify financial analysis and reporting, and to streamline account reconciliations. However, changing the organization’s chart of accounts involved the consolidating, splitting-up, adding and removing of some general ledger line items. This created a number of issues when it comes to validating the beginning balances data in Yardi with the audited ending balances in QuickBooks. Furthermore, in the first few months after the system conversion, most of the finance team staff members were getting used to a new system and a new chart of accounts. This resulted in several data entry errors and inconsistencies. As a result of these some balance sheet account balances needed adjustment. HIP Housing’s team has provided the most of the adjusting entries necessary to rectify the account balances. We have also provided our team with ample training of the new system and have implemented several process improvements to streamline data entry. We are confident that a combination of these measures we have taken have already come to fruition and future audits will have far less account balances that need adjustments. Ghion Dessie – VP of Finance
HIP Housing had a system conversion from QuickBooks to Yardi in July 2021. Our go live date was July 1, 2021 which makes fiscal year 21-22 our first year of audit in our new system for HHAV, HIP Housing, and HHDC. Due to difficulties and complications related to our conversion, mapping of conversion...
HIP Housing had a system conversion from QuickBooks to Yardi in July 2021. Our go live date was July 1, 2021 which makes fiscal year 21-22 our first year of audit in our new system for HHAV, HIP Housing, and HHDC. Due to difficulties and complications related to our conversion, mapping of conversion data, validating beginning balances, and closing out the year took us much longer that we expected. That significantly delayed our year end closing process. Such a delay is common when organizations are going through system conversions. Now that we will have audited beginning balances in Yardi, such delays should be reduced. We have already started taking measures to ensure that financials are completed and reconciled in a reasonable period for future audits. Some of these measures include monthly A/R and A/P tie outs of the A/R and A/P sub-ledgers to the general ledger and also a monthly reconciliation of intercompany reconciliations. We have also started using import files to record most of the intercompany transactions which will simplify/improve our intercompany reconciliation. Ghion Dessie – VP of Finance
Responsible Official's Response: Management will hire a qualified controller, grant accountant and senior accountant who all will have the necessary skills and knowledge to facilitate accurate and timely financial statements preparation. The Director of General Operations will also be responsible fo...
Responsible Official's Response: Management will hire a qualified controller, grant accountant and senior accountant who all will have the necessary skills and knowledge to facilitate accurate and timely financial statements preparation. The Director of General Operations will also be responsible for providing more detailed review of the accounting records on a monthly basis to evaluate the accuracy of the financial statements in with US GAAP. Planned Implementation Date of Corrective Action: June 30, 2024 Person Responsible for Corrective Action: Director of General Operations
Finding 8238 (2022-001)
Material Weakness 2022
Responsible Official's Response: Management will hire a qualified controller, grant accountant and senior accountant who all will have the necessary skills and knowledge to facilitate accurate and timely financial statements preparation. The Director of General Operations will also be responsible fo...
Responsible Official's Response: Management will hire a qualified controller, grant accountant and senior accountant who all will have the necessary skills and knowledge to facilitate accurate and timely financial statements preparation. The Director of General Operations will also be responsible for providing more detailed review of the accounting records on a monthly basis to evaluate the accuracy of the financial statements in with US GAAP. Planned Implementation Date of Corrective Action: June 30, 2024 Person Responsible for Corrective Action: Director of General Operations
Management has reviewed its internal policies and plans to re-calculate and submit all future filings with the correct third and fourth quarter 2019 revenue amounts.
Management has reviewed its internal policies and plans to re-calculate and submit all future filings with the correct third and fourth quarter 2019 revenue amounts.
Finding 8203 (2022-007)
Significant Deficiency 2022
Finding Number: 2022-007 Finding Title: Reporting – LCTS Spending Report Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Brian Ophus, Social Services Director Corrective Action Planned: LCTS recipients have been given education on the importance ...
Finding Number: 2022-007 Finding Title: Reporting – LCTS Spending Report Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Brian Ophus, Social Services Director Corrective Action Planned: LCTS recipients have been given education on the importance of timely reporting, Hubbard County has provided recipients with the proper tools and timelines in order to meet the deadlines. DHS was notified of the tardiness from recipients and issued a warning to them. Anticipated Completion Date: October 1, 2023
Finding 2022-005: Sliding Fee Condition Wipfli reviewed 40 sliding fee charges to test if the amount charged, was calculated properly based on the patients’ income level and in compliance with Outreach Community Health Center's’ sliding fee policy. Wipfli noted that 7 of the charges were not properl...
Finding 2022-005: Sliding Fee Condition Wipfli reviewed 40 sliding fee charges to test if the amount charged, was calculated properly based on the patients’ income level and in compliance with Outreach Community Health Center's’ sliding fee policy. Wipfli noted that 7 of the charges were not properly determined based on patients family size and income level, in addition Wipfli noted that 6 files did not contain approval of the sliding fee calculation. Corrective Action Plan Re-education on proper completion of FPL fields provided to entire PSR staff 8/23/2023. Implementation of automated income calculation module within OCHIN Epic added 8/2023 OCHC created and filled Patient Financial Counselor position 11/27/2023 to monitor and update incomplete Sliding Fee Applications and audit quarterly for compliance. Person(s) Responsible PSR Manager – Lisa Mullins Director Revenue Cycle – Jennifer Leino Chief Financial Officer – Julia Harris Robinson Timing for Implementation 12/1/2023
There is a myriad of activities and timing issues that can impact awards and ultimate disbursements. In some cases, the dependency status can change as FAFSA and corresponding loan forms are revised. The Financial Aid department is committed to review internal processes and system rules to ensure ...
There is a myriad of activities and timing issues that can impact awards and ultimate disbursements. In some cases, the dependency status can change as FAFSA and corresponding loan forms are revised. The Financial Aid department is committed to review internal processes and system rules to ensure that the Banner packaging process is set up to catch changes in dependency status and awards accordingly. Responsible Person: Director of Financial Aid (Mitch Dedor) Completion Date: December 2023
View Audit 10523 Questioned Costs: $1
Views of responsible officials: Curtis Pettis Completion Date: Finding Challenged The University concurs with the finding. The University will put procedures in place within the Accounts Payable department to identify invoice payments which impact expenses beyond the current Fiscal Year. The Uni...
Views of responsible officials: Curtis Pettis Completion Date: Finding Challenged The University concurs with the finding. The University will put procedures in place within the Accounts Payable department to identify invoice payments which impact expenses beyond the current Fiscal Year. The University Controller will use this information to ensure the prepaid entries are completed as part of the monthly closing process. Responsible Person: Controller (Trasenna Gray) Completion Date: January 2024
View Audit 10523 Questioned Costs: $1
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