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Corrective Action Plans

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Finding 406 (2022-003)
Material Weakness 2022
Pioneercare
MN
Reporting Questioned Costs Allowable Costs / Cost Principles § 200.303
Federal Agency Name: U.S. Department of Agriculture Department of Health and Human Services Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 COVID‐19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Financial...
Federal Agency Name: U.S. Department of Agriculture Department of Health and Human Services Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 COVID‐19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Financial Assistance Listing #93.498 Finding Summary: Eide Bailly LLP prepared our consolidated schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Responsible Individuals: Nathan Johnson, CEO Corrective Action Plan: Having auditors assist with preparing the consolidated schedule of expenditures of federal awards (Schedule) is not unusual. We will continue to be aware of the financial reporting requirements relating to PioneerCare’s consolidated schedule of expenditures of federal awards and internal control that impact financial reporting. Anticipated Completion Date: Ongoing
View Audit 857
City of Hartwell, Georgia
GA
Questioned Costs Subrecipient Monitoring Cash Management § 200.502 § 200.510
RE: Single Audit Corrective Action Plan The City of Hartwell, Georgia respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Williamson and Company, CPAs 611 N Tennessee Street ...
RE: Single Audit Corrective Action Plan The City of Hartwell, Georgia respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Williamson and Company, CPAs 611 N Tennessee Street Cartersville, GA 30120 Audit Period: Year ended December 31, 2022 The findings from the December 31, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule of findings and questioned costs. Findings – Financial Statement Audit MATERIAL WEAKNESS None Reported SIGNIFICANT DEFICIENCY None Reported Findings – Federal Award Programs Audit MATERIAL WEAKNESS None Reported SIGNIFICANT DEFICIENCY None Reported 2022-001 Clean Water State Revolving Fund – ALN: 66.458 Finding: Schedule of Expenditures of Federal Awards Preparation Recommendation: Procedures should be implemented to ensure completion of an entry to the Schedule of Federal Expenditures of Federal Awards to achieve a reliable reporting of total expenditures for an audit period. Action Taken: We acknowledge our responsibility to present the Schedule of Expenditures of Federal Awards and related notes in accordance with Uniform Guidance requirements. To ensure future implementation of this requirement, the City of Hartwell will record all expenditures on the schedule of federal expenditures going forward on for all federally funded projects. Please call or write if there are any questions/suggestions that you may have to help us further enhance the City’s operations. Sincerely, Audrey Segars Finance Director City of Hartwell, Georgia
View Audit 835
Finding 376 (2022-002)
Material Weakness 2022
Flagler County, Florida
FL
Questioned Costs Allowable Costs / Cost Principles
The Financial Services Department implemented a three‐step remedy which included working with the implementing department to insert their director as a review and approval step, improving tracking capabilities by amending internal reporting and documenting support, and changing reimbursement request...
The Financial Services Department implemented a three‐step remedy which included working with the implementing department to insert their director as a review and approval step, improving tracking capabilities by amending internal reporting and documenting support, and changing reimbursement request submittals to a monthly schedule. As stated within the “Effect Section” of the finding, these actions have already been implemented. Contact Person – E. John Brower, Financial Services Director Completion Date – Already implemented
View Audit 797 Questioned Costs: $1
Finding 366 (2022-004)
Material Weakness 2022
East Liberty Family Health Care Center INC
PA
Questioned Costs Eligibility Internal Control / Segregation of Duties
Since taking over the financial management of ELFHCC in December 2022, sliding fee schedule policy has been updated and training has been implemented and ongoing to assure accurate sliding fee discounts are appropriately distributed onto a patients account. Check lists of what is required from each ...
Since taking over the financial management of ELFHCC in December 2022, sliding fee schedule policy has been updated and training has been implemented and ongoing to assure accurate sliding fee discounts are appropriately distributed onto a patients account. Check lists of what is required from each patient applying for a sliding fee discount have been prepared and staff trained on how to enter the proof requirement into ELFHCC’s patient record.
View Audit 750
Finding 363 (2022-001)
Material Weakness 2022
East Liberty Family Health Care Center INC
PA
Questioned Costs Subrecipient Monitoring Reporting
Since taking over the financial management of ELFHCC in December 2022 we have reorganized the financial reporting process and have been able to ensure meaningful analysis on a regular basis. Policies and procedures have been created, changed, and board approved. All financial reporting is prepared, ...
Since taking over the financial management of ELFHCC in December 2022 we have reorganized the financial reporting process and have been able to ensure meaningful analysis on a regular basis. Policies and procedures have been created, changed, and board approved. All financial reporting is prepared, analyzed and presented each month without delay.
View Audit 750
Finding 334 (2022-004)
Material Weakness 2022
Economic Development Bank for Puerto Rico
PR
Questioned Costs Procurement, Suspension & Debarment
All resources that work the CDBG-DR Small Business Financing (SBF) project have been trained to perform their role according to the Program Guidelines, SOP's and regulations. The cases identified with deficiencies, as part of the Single Audit 2022 in the Intake, Underwriting and Expenditure Review &...
All resources that work the CDBG-DR Small Business Financing (SBF) project have been trained to perform their role according to the Program Guidelines, SOP's and regulations. The cases identified with deficiencies, as part of the Single Audit 2022 in the Intake, Underwriting and Expenditure Review & Closeout stages will be used as examples to prevent this situation from occurring in future cases and establish additional Team Lead quality control (QC). Additionally, recapture (repayment by the Grantee of any Grant amount received) of awarded and disbursed funds will apply when there's failure to comply with the SBF Program Guidelines.
View Audit 676 Questioned Costs: $1
Finding 322 (2022-002)
Material Weakness 2022
Lake County Crisis Center D/b/a A Safe Place
IL
Internal Control / Segregation of Duties Questioned Costs Subrecipient Monitoring
Finding 2022-002 – Reporting-Control and Compliance Finding Personnel Responsible for Corrective Action: CFO and Accounting department staff Anticipated Completion Date: September 2023 Corrective Action Plan: A Safe Place will implement internal control procedures to ensure timely submission of all ...
Finding 2022-002 – Reporting-Control and Compliance Finding Personnel Responsible for Corrective Action: CFO and Accounting department staff Anticipated Completion Date: September 2023 Corrective Action Plan: A Safe Place will implement internal control procedures to ensure timely submission of all future reports. The CFO will review financial reporting prior to submission. Update: A Safe Place developed an infrastructure and implemented internal control procedures to ensure timely submission of all future reports. The CFO will review financial reporting prior to submission
View Audit 616
Finding 321 (2022-001)
Material Weakness 2022
Lake County Crisis Center D/b/a A Safe Place
IL
Internal Control / Segregation of Duties Questioned Costs Subrecipient Monitoring
Finding 2022-001 – Reporting-Control and Compliance Finding Personnel Responsible for Corrective Action: CFO and Accounting department staff Anticipated Completion Date: September 2023 Corrective Action Plan: A Safe Place will implement internal control procedures to ensure timely submission of all ...
Finding 2022-001 – Reporting-Control and Compliance Finding Personnel Responsible for Corrective Action: CFO and Accounting department staff Anticipated Completion Date: September 2023 Corrective Action Plan: A Safe Place will implement internal control procedures to ensure timely submission of all future reports. The CFO will review financial reporting prior to submission. Update: A Safe Place developed an infrastructure and implemented internal control procedures to ensure timely submission of all future reports. The CFO will review financial reporting prior to submission.
View Audit 616
Finding 314 (2022-003)
Significant Deficiency 2022
Palmer Senior Citizens Center, Inc.
AK
Internal Control / Segregation of Duties Questioned Costs Subrecipient Monitoring
Federal Award Finding: 2022-003 Significant Deficiency in Compliance and Internal Controls over Compliance - Reporting -Monitoring of Grant Budget and Expenditures Name and Contact Person: Heather Grato, Controller Corrective Action: The Controller with the help with of a hired consultant will gener...
Federal Award Finding: 2022-003 Significant Deficiency in Compliance and Internal Controls over Compliance - Reporting -Monitoring of Grant Budget and Expenditures Name and Contact Person: Heather Grato, Controller Corrective Action: The Controller with the help with of a hired consultant will generate a new policies and procedure that will help ensure the accounting is reviewed monthly and quarterly, and any errors are corrected before submission of grant reports. Once grant activity is adequately reviewed the Controller will create budget vs. actual financial reports to present to management and program managers or the Board. The accounting staff will file quarterly grant reports and drawdown funding before the deadline after transactions are prepared and reviewed. Proposed Completion Date: 6/30/2024
View Audit 588
Finding 313 (2022-002)
Significant Deficiency 2022
Palmer Senior Citizens Center, Inc.
AK
Questioned Costs Allowable Costs / Cost Principles
Federal Award Finding: 2022-002 Significant Deficiency in Compliance and Internal Controls over Compliance - Allowable Costs/Cost Principles Name and Contact Person: Heather Grato, Controller Corrective Action: Matsu Senior Center will ensure that they implement policies and procedures to address in...
Federal Award Finding: 2022-002 Significant Deficiency in Compliance and Internal Controls over Compliance - Allowable Costs/Cost Principles Name and Contact Person: Heather Grato, Controller Corrective Action: Matsu Senior Center will ensure that they implement policies and procedures to address internal control over record retention to include move of office. The organization has also hired both a new Finance Manager and Accounting Consultant to aid in creating and implementing policies and procedures. Proposed Completion Date: 06/30/2024
View Audit 588 Questioned Costs: $1
Finding 310 (2022-012)
Significant Deficiency 2022
Hyde County
NC
Questioned Costs Eligibility Significant Deficiency
Finding: 2022-012: Inadequate Request for information Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) All cases are now being reviewed to make sure all the correct information is being requested from the client. Information that was unknown to the agency prev...
Finding: 2022-012: Inadequate Request for information Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) All cases are now being reviewed to make sure all the correct information is being requested from the client. Information that was unknown to the agency previously has been addressed by OST thru multiple training sessions. (MAGI) New supervisor will be hired & trained on what is needed to be entered into the system. New supervisor will complete 2nd party reviews & training as needed. Standard Operating Procedure put in place for both units. Proposed Completion Date: 10/31/23.
View Audit 581
Finding 309 (2022-011)
Significant Deficiency 2022
Hyde County
NC
Questioned Costs Eligibility Significant Deficiency
Finding: 2022-011: IV-D Child Support Non-Cooperation Name of Contact Person: Laurie Potter, DSS Director Corrective Action: Temporary Supervisor has been providing one-on-one support to the MAGI workers & completing 2nd party reviews on cases. A new supervisor is going to be hired who will be provi...
Finding: 2022-011: IV-D Child Support Non-Cooperation Name of Contact Person: Laurie Potter, DSS Director Corrective Action: Temporary Supervisor has been providing one-on-one support to the MAGI workers & completing 2nd party reviews on cases. A new supervisor is going to be hired who will be provided with training for themselves, will complete 2nd party reviews & training with the staff. Standard Operating Procedure put in place. Proposed Completion Date: 10/31/23.
View Audit 581
Finding 308 (2022-010)
Significant Deficiency 2022
Hyde County
NC
Questioned Costs Eligibility Significant Deficiency
Finding: 2022-010: Inaccurate Resource Calculation Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) New caseworker brought into county from another county on 11/1/2022 who had more training provided from previous county of employment. She immediately begain rev...
Finding: 2022-010: Inaccurate Resource Calculation Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) New caseworker brought into county from another county on 11/1/2022 who had more training provided from previous county of employment. She immediately begain reviewing cases & correcting as needed. In addition, all cases are now being 2nd partied to ensure nothing is being missed. Tool now used to make sure resources are not being missed during interview is the 5202D. Worker uses resources such as policy, online data to ask the proper questions to the client. (MAGI) New supervisor will be hired & trained on what is needed to be entered into the system. New supervisor will complete 2nd party reviews & training as needed. Standard Operating Procedure put in place for both units. Proposed Completion Date: 10/31/23.
View Audit 581
Finding 307 (2022-009)
Significant Deficiency 2022
Hyde County
NC
Questioned Costs Eligibility Significant Deficiency
Finding: 2022-009: Inaccurate Information Entry Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) New caseworker brought into county from another county on 11/1/2022 who had more training provided from previous county of employment. She immediately begain review...
Finding: 2022-009: Inaccurate Information Entry Name of Contact Person: Laurie Potter, DSS Director Corrective Action: (Adult Medicaid) New caseworker brought into county from another county on 11/1/2022 who had more training provided from previous county of employment. She immediately begain reviewing cases & correcting as needed. In addition, all cases are now being 2nd partied to ensure nothing is being missed. New caseworker scans in documents immediately & uploads to case once completed to avoid hardcopies being lost. (MAGI) New supervisor will be hired & trained on what is needed to be entered into the system. New supervisor will complete 2nd party reviews & training as needed. Standard Operating Procedure put in place for both units. Proposed Completion Date: 10/31/23.
View Audit 581
Finding 306 (2022-008)
Significant Deficiency 2022
Hyde County
NC
Questioned Costs Eligibility Significant Deficiency
Finding: 2022-008: SSI Terminations Name of Contact Person: Laurie Potter, DSS Director Corrective Action: Adult Medicaid IMC's now have access to the queue. In the past workers didn't have access to these queues which left them unable to react timely. In addition employees have been training on Med...
Finding: 2022-008: SSI Terminations Name of Contact Person: Laurie Potter, DSS Director Corrective Action: Adult Medicaid IMC's now have access to the queue. In the past workers didn't have access to these queues which left them unable to react timely. In addition employees have been training on Medicaid Verification Reports, explained the importance of working these reports timely, if case has a shared Income Support, the importance of sharing information across the agency & a new form put into place for reporting changes. Proposed Completion Date: Training on reports was 3/8/23 & workers are still cleaning up old reports. Expected completion date is 6/30/23.
View Audit 581
Finding 303 (2022-001)
Significant Deficiency 2022
Caminar Latino Inc.
GA
Questioned Costs Subrecipient Monitoring Reporting § 200.303
Condition We reviewed all subawards made by the grantee during the audit period and found that 4 of them, totaling $224,000, were not reported to the FSRS. Correction action The FSRS will be submitted to the FFATA website. Responsible Person The Chief of Programs and Administration will submit the F...
Condition We reviewed all subawards made by the grantee during the audit period and found that 4 of them, totaling $224,000, were not reported to the FSRS. Correction action The FSRS will be submitted to the FFATA website. Responsible Person The Chief of Programs and Administration will submit the FSRS under the supervision of the Co-CEO. Anticipated completion date Within 30 days
View Audit 574
Finding 299 (2022-002)
Significant Deficiency 2022
City of Parlier
CA
Questioned Costs Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
The city staff managing the business loan will receive training on the job duties, with oversight from the Sr. Revenue Manager. The city is monitoring each loan to ensure that we’re up-to-date with information, and remain in compliance with all necessary requirements of the loan program.
The city staff managing the business loan will receive training on the job duties, with oversight from the Sr. Revenue Manager. The city is monitoring each loan to ensure that we’re up-to-date with information, and remain in compliance with all necessary requirements of the loan program.
View Audit 552 Questioned Costs: $1
Finding 290 (2022-002)
Significant Deficiency 2022
Town of Hempstead Housing Authority
NY
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
Finding 2022-002 Project-Based Budgeting and Accounting Auditee's Response and Planned Corrective Action The Authority will implement policies and procedures to ensure that the operating budget is on the January Board Agenda going forward. The budget will be presented to the board for review an ad...
Finding 2022-002 Project-Based Budgeting and Accounting Auditee's Response and Planned Corrective Action The Authority will implement policies and procedures to ensure that the operating budget is on the January Board Agenda going forward. The budget will be presented to the board for review an adoption and documented in the minutes. Planned Implementation Date of Corrective Action: December 2023 Person Responsible for Corrective Action: Ed Cumming, Executive Director
View Audit 514
Finding 230 (2022-007)
Significant Deficiency 2022
Puerto Rico College of Physicians-Surgeons
PR
Questioned Costs Procurement, Suspension & Debarment
Hire a person with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. Also, knowledge in accounting and auditing procedures. In addition, must have experience in federal compliance and that can monitor an execute the ...
Hire a person with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. Also, knowledge in accounting and auditing procedures. In addition, must have experience in federal compliance and that can monitor an execute the college policies.
View Audit 475 Questioned Costs: $1
Finding 229 (2022-006)
Significant Deficiency 2022
Puerto Rico College of Physicians-Surgeons
PR
Questioned Costs Procurement, Suspension & Debarment Reporting
Hire a person with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. Knowledge in accounting and auditing procedures. In addition, must have experience in federal compliance that can monitor an execute the college po...
Hire a person with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. Knowledge in accounting and auditing procedures. In addition, must have experience in federal compliance that can monitor an execute the college policies.
View Audit 475 Questioned Costs: $1
Finding 227 (2022-004)
Significant Deficiency 2022
Puerto Rico College of Physicians-Surgeons
PR
Questioned Costs
The College must insist in Hiring an external person as an advisor with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College, plus must train current staff appropriately including but not limited to knowledge in grant ag...
The College must insist in Hiring an external person as an advisor with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College, plus must train current staff appropriately including but not limited to knowledge in grant agreements and Uniform Guidance compliance. Establish internal staff to be direct supervisors in the management of funds to maintain effective controls including the internal purchase process of the college.
View Audit 475 Questioned Costs: $1
Finding 226 (2022-003)
Significant Deficiency 2022
Puerto Rico College of Physicians-Surgeons
PR
Questioned Costs
First, the College must hire an external person as an advisor with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. The Governing Board of Puerto Rico College of Physicians and Surgeons will require adequately train...
First, the College must hire an external person as an advisor with legal knowledge of federal grant regulations to report any situations directly to the attention of the Governing Board of PR College. The Governing Board of Puerto Rico College of Physicians and Surgeons will require adequately trained personnel to ensure the compliance of internal controls, policies, and grant agreements.
View Audit 475 Questioned Costs: $1
Finding 223 (2022-003)
Significant Deficiency 2022
Five Towns Community Center INC
NY
Questioned Costs Allowable Costs / Cost Principles
FTCC concurs with this finding and will make every attempt to create time studies to support salary allocations in the future.
FTCC concurs with this finding and will make every attempt to create time studies to support salary allocations in the future.
View Audit 465 Questioned Costs: $1
Finding 218 (2022-001)
Material Weakness 2022
Valor Christian College
OH
Allowable Costs / Cost Principles Questioned Costs Internal Control / Segregation of Duties
Comments on Findings and Recommendations: Valor Christian College concurs with the finding and recommendations in the finding. Actions T...
Comments on Findings and Recommendations: Valor Christian College concurs with the finding and recommendations in the finding. Actions Taken or Planned: The Valor Christian College Finance Department and the Valor Christian College CFO will increase controls over the process to ensure that no recruitment advertising expenses are attributed to CARES ACT funds. The amount of orginally atrributed advertising expenses has been reallocated to allowable items/expenses.
View Audit 443
Congregation Nachlas Yisroel Inc.
NJ
Questioned Costs Matching / Level of Effort / Earmarking
Finding Reference Number: 2022-001 1. Name of the contact person responsible for corrective action Rachmiel Ungarischer, President 2. Corrective action planned Our Yeshiva has implemented procedures to review, analyze and reconcile the Yeshiva’s accounting records on a timely basis. 3. Anticipated c...
Finding Reference Number: 2022-001 1. Name of the contact person responsible for corrective action Rachmiel Ungarischer, President 2. Corrective action planned Our Yeshiva has implemented procedures to review, analyze and reconcile the Yeshiva’s accounting records on a timely basis. 3. Anticipated completion date The procedures will be implemented immediately. 4. If the client does not agree with the audit finding or believes corrective action is not required, include an explanation and specific reasons We agree with finding No. 2022-001
View Audit 400
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