Corrective Action Plans

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2024-006 Preparation of the Schedule of Expenditures of Federal Awards (SEFA) Condition Found During the audit we noted that there were material errors on the SEFA related to the expenditure of certain federal programs. It was also noted that the SEFA was not completed by the District in a timely ma...
2024-006 Preparation of the Schedule of Expenditures of Federal Awards (SEFA) Condition Found During the audit we noted that there were material errors on the SEFA related to the expenditure of certain federal programs. It was also noted that the SEFA was not completed by the District in a timely manner. Corrective Action Plan Management agrees with the current year’s findings and will assure that there are no errors in the compliance filings. The compliance finds will be calendared and reported in a timely manner. Responsible Person for Corrective Action Plan A compliance calendar is needed by the District to ensure that all scheduled filings are completed on a timely basis. Compliance Reporting will be tracked by Kristina Gamez and David Burkitt will approve the filing expenditure. Implementation Date of Corrective Action Plan Implementation of the Compliance Reporting calendar will be effective September 2026.
Management agrees with the finding and is in the process of revising internal controls to address SEFA preparation
Management agrees with the finding and is in the process of revising internal controls to address SEFA preparation
Name of auditee: Family Planning of South Central New York, Inc. TIN: 16-1005972 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: January 1, 2024 - December 31, 2024 CAP prepared by: Thomas Artale Thomas.Artale@FSPCNY.org Finding 2024-001 Corrective Action Plan The Organization ac...
Name of auditee: Family Planning of South Central New York, Inc. TIN: 16-1005972 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: January 1, 2024 - December 31, 2024 CAP prepared by: Thomas Artale Thomas.Artale@FSPCNY.org Finding 2024-001 Corrective Action Plan The Organization acknowledges and is aware of this finding. Management will confirm their subrecipient status with all funding sources.
The current Board of County Commissioners acknowledges the finding. The Board will continue strengthening grant administration procedures and compliance monitoring related to federal programs. Additional review procedures Will be utilized to ensure federal expenditures and reporting requirements are...
The current Board of County Commissioners acknowledges the finding. The Board will continue strengthening grant administration procedures and compliance monitoring related to federal programs. Additional review procedures Will be utilized to ensure federal expenditures and reporting requirements are adequately documented and reviewed.
D. Corrective Action Plans Finding Reference: 2024-001 Views of Responsible Officials and Planned Corrective Actions The organization agrees with this finding. The organization experienced turnover in its finance department in the third quarter of the 2024 fiscal year. The turnover in fiscal staff m...
D. Corrective Action Plans Finding Reference: 2024-001 Views of Responsible Officials and Planned Corrective Actions The organization agrees with this finding. The organization experienced turnover in its finance department in the third quarter of the 2024 fiscal year. The turnover in fiscal staff made it challenging to close out the 2024 fiscal year from a financial standpoint. As a corrective measure, the agency hired a new accounting firm at the end of the 4th quarter of the 2024 fiscal year. The new accounting firm was able to reconcile all bank statements for the 2024 fiscal year, fully automate the organization’s accounting system and create reliable financial statements and reports. The organization’s leadership in conjunction with the new accounting firm also instituted a process for reconciling income and expenses on a monthly basis and reviewing all financial data on a quarterly basis including the preparation and review of the organization’s profit and loss statements and balance sheets. Name of the contact person responsible for corrective action: Travis Hardmon, President, (202) 462- 3636 Corrective action completed as of: October 31, 2025. Auditor’s Note: The stated completion date for the corrective action plan is based on the Agency's representation. The implementation of these corrective actions has not been audited by the auditors and will be subject to review during the next audit period.
Finding 2024-003 Reporting Head Start Cluster AL# 93.600 The Organization should implement procedures to ensure all filed reports are reconciled to the Organization’s general ledger. Responsible Official: Macey Brinich Anticipated Resolution Date: Immediately
Finding 2024-003 Reporting Head Start Cluster AL# 93.600 The Organization should implement procedures to ensure all filed reports are reconciled to the Organization’s general ledger. Responsible Official: Macey Brinich Anticipated Resolution Date: Immediately
SECTION 5 - CORRECTIVE ACTION PLAN Finding 2024 - 001: Grant Administration Condition: During our current year-end audit procedures, we noted that the County did not have adequate centralized procedures to track, monitor, and aggregate grant activity across grant departments to ensure compliance wit...
SECTION 5 - CORRECTIVE ACTION PLAN Finding 2024 - 001: Grant Administration Condition: During our current year-end audit procedures, we noted that the County did not have adequate centralized procedures to track, monitor, and aggregate grant activity across grant departments to ensure compliance with grant requirements and to identify when the Single Audit threshold was met. Plan: The County will designate a central function, such as the Treasurer's Office, to maintain a comprehensive list of all grants awards received by County Departments. Departments will be required to notify the central function upon application for and receipt of grant funding and to provide periodic expenditure and compliance information. Standardized procedures will be implemented to monitor grant activity, track cumulative federal expenditures, and assess Single Audit applicability. Anticipated Date of Completion: Fiscal Year 2025 Name of Contact Person: Tad A. Mayhall, County Board Chairman Management Response: The county is working on establishing policies in response to the findings in the FY23 and FY24 audits. As a part of the corrective action plan for tracking grant revenues and expenses, we have been working in committee and with guidance from the incoming treasurer to establish the county treasures office as the central point of contact for all grant recording, to include application, receipt, and expense tracking for all grants in Shelby County.
Finding: 2024-005 - Inadequate Controls Over Federal Grant Reporting and Record Retention Finding Type: Material weakness in internal control over compliance. Repeat Finding: Yes; prior-year finding 2023-004. Federal Award: ALN 21.027 — Coronavirus State and Local Fiscal Recovery Funds (SLFRF). Audi...
Finding: 2024-005 - Inadequate Controls Over Federal Grant Reporting and Record Retention Finding Type: Material weakness in internal control over compliance. Repeat Finding: Yes; prior-year finding 2023-004. Federal Award: ALN 21.027 — Coronavirus State and Local Fiscal Recovery Funds (SLFRF). Auditor Description of Condition and Effect: During the audit, we noted that the Organization had not established and implemented sufficient controls over the preparation, review, submission, and retention of required federal grant reports. Specifically, the Organization could not provide sufficient documentation demonstrating that: • Financial and programmatic information in required reports was reconciled to the underlying accounting and project records; • All applicable reporting elements, including capital expenditures and contractor or subaward information, were evaluated for completeness; • Reports were reviewed and approved by appropriate personnel before certification and submission; • Reports were submitted by the applicable deadlines and evidence of submission was retained; and • Corrections or resubmissions were appropriately documented and supported. The absence of appropriately designed and implemented controls creates a reasonable possibility that materially inaccurate, incomplete, or untimely reports could be submitted, or that material noncompliance with federal reporting and record-retention requirements could occur and not be prevented, or detected and corrected, on a timely basis. Insufficient records may also prevent the Organization from substantiating reported information or demonstrating compliance during an audit, monitoring review, or other oversight. Auditor Recommendation: Management should adopt written federal grant reporting procedures and implement a standardized process for preparing, reconciling, reviewing, approving, submitting, and retaining required reports. The process should address all applicable financial and programmatic reporting elements, including capital expenditures and contractor or subaward information, and should require retention of the reports, submission confirmations, supporting records, and documentation of any corrections or resubmissions for the period required by the award. Management Response and Corrective Action Planned: The Organization agrees with the finding. Management will adopt written federal grant reporting and record-retention procedures, maintain a reporting calendar, and assign responsibility for preparation and review. Reported financial and programmatic information will be reconciled to the underlying accounting and project records, and a standardized checklist will be used to evaluate all applicable reporting elements. Management will document review and approval, retain evidence of timely submission, and maintain the reports, supporting records, and documentation of corrections or resubmissions in a centralized grant file for the retention period required by the award.
Finding: 2024-003 - Late Completion of the Single Audit and Submission of the Reporting Package and Data Collection Form Finding Type: Noncompliance. Repeat Finding: Yes; prior-year finding 2023-002. Auditor Description of Condition and Effect: The Organization’s Single Audit for the six-month perio...
Finding: 2024-003 - Late Completion of the Single Audit and Submission of the Reporting Package and Data Collection Form Finding Type: Noncompliance. Repeat Finding: Yes; prior-year finding 2023-002. Auditor Description of Condition and Effect: The Organization’s Single Audit for the six-month period ended June 30, 2024, was not completed by the March 31, 2025 deadline. The audit was completed on May 12, 2025, 42 days late; consequently, the reporting package and data collection form were not submitted to the Federal Audit Clearinghouse within the timeframe required by 2 CFR § 200.512(a)(1). The delay resulted from the fiscal year-end change and the absence of a sufficiently detailed transition, closing, reconciliation, and audit-readiness plan. Auditor Recommendation: Management should establish and monitor a formal year-end closing and audit-readiness plan that assigns responsible individuals and interim completion dates for account reconciliations, financial reporting schedules, federal award information, and other audit support. Progress should be monitored, delays addressed promptly, and significant matters communicated to those charged with governance and the auditors sufficiently in advance of the Federal Audit Clearinghouse filing deadline. Management Response and Corrective Action Planned: Management concurs with the finding and recommendation. Now that June 30 is the Organization’s recurring fiscal year-end, management will implement a formal annual closing, audit-readiness, and Federal Audit Clearinghouse submission process as follows: • Maintain a written calendar beginning before fiscal year-end that identifies each close, financial-reporting, Schedule of Expenditures of Federal Awards, audit-support, governance, and Federal Audit Clearinghouse task; the assigned preparer and reviewer; and interim and final due dates. • Complete and independently review account reconciliations, year-end entries, grant schedules, and other requested audit support according to the calendar, with unresolved items tracked in a centralized open-items log. • Meet with the external auditors before year-end to establish the audit timeline and requested-information deadlines, and update the plan promptly when significant transactions, staffing changes, or other risks to timely completion arise. • Monitor progress at least biweekly after year-end. Missed interim dates and unresolved matters that could affect the filing deadline will be escalated to senior management and those charged with governance, together with a recovery plan. • Assign a senior-level management representative to review and certify the data collection form, authorize submission of the reporting package, and verify and retain evidence of Federal Audit Clearinghouse acceptance by the earlier of 30 calendar days after receipt of the auditor’s reports or nine months after the end of the audit period, as required by 2 CFR § 200.512(a)(1). Management will retain documentation supporting implementation and will periodically evaluate whether the corrective action is operating as designed.
Finding 2024-008 – Late Single Audit Filing Submission Contact Person: Gary Kloosterman, Village Manager Planned Corrective Action: The Village will implement a compliance calendar and internal procedures to monitor audit timelines, ensure timely year-end close, and support future on-time Single Aud...
Finding 2024-008 – Late Single Audit Filing Submission Contact Person: Gary Kloosterman, Village Manager Planned Corrective Action: The Village will implement a compliance calendar and internal procedures to monitor audit timelines, ensure timely year-end close, and support future on-time Single Audit filing. Anticipated Completion Date: March 31, 2026
Finding 2024-004 – Material Misstatement of the SEFA Contact Person: Gary Kloosterman, Village Manager Planned Corrective Action: The Village will enhance its grant tracking processes and assign responsibility for SEFA preparation and reconciliation to a designated staff member prior to audit submis...
Finding 2024-004 – Material Misstatement of the SEFA Contact Person: Gary Kloosterman, Village Manager Planned Corrective Action: The Village will enhance its grant tracking processes and assign responsibility for SEFA preparation and reconciliation to a designated staff member prior to audit submission. Anticipated Completion Date: March 31, 2026
The District Office will work directly with the Federal Programs Coordinator to ensure more timely submissions of Reconciliation of Cash on Hand Quarterly Reports and Final Expenditure Reports are prepared accurately and submitted timely in accordance with grant requirements. The Business Manager wi...
The District Office will work directly with the Federal Programs Coordinator to ensure more timely submissions of Reconciliation of Cash on Hand Quarterly Reports and Final Expenditure Reports are prepared accurately and submitted timely in accordance with grant requirements. The Business Manager will do this by creating reminders on the Business Manager’s calendar that include due dates each quarter and reminding the Federal Programs Coordinator when their respective reports are due. The District will implement and form a review and monitoring process and provide any necessary training to staff responsible for grant reporting to ensure ongoing compliance.
Finding 2024‐001 ‐ Reporting Management response. Management acknowledges the importance of completing the Single Audit reporting package and Data Collection Form within the applicable filing period. The Foundation is committed to a documented, monitored process that supports timely completion and s...
Finding 2024‐001 ‐ Reporting Management response. Management acknowledges the importance of completing the Single Audit reporting package and Data Collection Form within the applicable filing period. The Foundation is committed to a documented, monitored process that supports timely completion and submission. The draft finding identifies no questioned costs. Corrective action already implemented / being implemented. The Foundation is implementing the audit and corrective‐action procedures established in the Foundation Financial & Procurement Manual. These procedures include: Maintaining an annual compliance calendar with the audit engagement, document‐request, report‐completion, Data Collection Form, and Federal Audit Clearinghouse deadlines. Assigning responsibility for monitoring milestones and escalating approaching or missed deadlines to the appropriate management and governance officials. Retaining the final audit package, CAP, Data Collection Form, Federal Audit Clearinghouse submission confirmation, and related correspondence in the audit file. Reviewing the status of the audit and any corrective actions through the Foundation's established oversight process.
2024-002 Federal Clearinghouse Late Filing Name of Contact Person: Beth Chumley, CEO Corrective Action: The Organization will complete the audit process within the time period allowed and submit the audit to the clearinghouse in that time frame. Proposed Completion Date: December 31, 2026
2024-002 Federal Clearinghouse Late Filing Name of Contact Person: Beth Chumley, CEO Corrective Action: The Organization will complete the audit process within the time period allowed and submit the audit to the clearinghouse in that time frame. Proposed Completion Date: December 31, 2026
AIRS management will work with ADES to gain access to the ARRPODS data. AIRS will also begin to keep records outside of ADES systems.
AIRS management will work with ADES to gain access to the ARRPODS data. AIRS will also begin to keep records outside of ADES systems.
AIRS will ensure completion, in an efficient and timely manner, of the submission of the audit within the required 9 months after fiscal year end as required by the Uniform Guidance, and will work with the audit firm to develop a schedule to ensure that future audits and single audits are completed ...
AIRS will ensure completion, in an efficient and timely manner, of the submission of the audit within the required 9 months after fiscal year end as required by the Uniform Guidance, and will work with the audit firm to develop a schedule to ensure that future audits and single audits are completed timely, and that the data collection reporting package is submitted to the Federal Audit Clearinghouse by the due date for the year ended September 30, 2025, and future years.
The Project will implement a process to ensure the timely filing of all required USDA-RD forms and other filings.
The Project will implement a process to ensure the timely filing of all required USDA-RD forms and other filings.
The Board and Management will endeavor to make regular reserve deposits in accordance with the budget. Efforts to improve cashflow will be supported by rental rate increases as allowed by USDA, mitigating the effects of inflation where possible and continuing stringent cost control measures in all f...
The Board and Management will endeavor to make regular reserve deposits in accordance with the budget. Efforts to improve cashflow will be supported by rental rate increases as allowed by USDA, mitigating the effects of inflation where possible and continuing stringent cost control measures in all facets of operations.
The Board does meet as required, is readily available for consultation and guidance whenever such matters arise and is active in its oversight of the Project.
The Board does meet as required, is readily available for consultation and guidance whenever such matters arise and is active in its oversight of the Project.
Our prior accounting firm no longer practices in the USDA audit space necessitating our transition to a new CPA firm. We have been working closely with the board and our new firm to do our best to ensure that all required future filings are made in a timely manner.
Our prior accounting firm no longer practices in the USDA audit space necessitating our transition to a new CPA firm. We have been working closely with the board and our new firm to do our best to ensure that all required future filings are made in a timely manner.
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account ...
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
As previously stated, NCAAA has hired another Finance Director coupled with a Consultant an expert in the Accounting system being utilized to ensure full use. In addition, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are prop...
As previously stated, NCAAA has hired another Finance Director coupled with a Consultant an expert in the Accounting system being utilized to ensure full use. In addition, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account ...
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
Create audit submission checklist and procedure to ensure timely submission. This will be completed.
Create audit submission checklist and procedure to ensure timely submission. This will be completed.
Finding 1239064 (2024-004)
Material Weakness 2024
Upmc
PA
Federal Agency: U.S. Department of Health and Human Services Assistance Listing No.: 93.918, Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease (Ryan White, Part C) Condition: For the period under audit, UPMC did not retain sufficient evidence to support the design ...
Federal Agency: U.S. Department of Health and Human Services Assistance Listing No.: 93.918, Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease (Ryan White, Part C) Condition: For the period under audit, UPMC did not retain sufficient evidence to support the design and operation of internal controls over the applicable compliance requirements, including allowability; cash management; matching, level of effort and earmarking, program income, and reporting. Corrective action plan: UPMC has remediated this deficiency. Effective January 1, 2025, management revised the internal control policies and procedures for Ryan White, Part C to appropriately maintain evidence of controls performed. Completion: May 2025
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