Corrective Action Plans

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Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer...
Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify eligible revenue and expenditures for each report and resubmit any report corrections timely. A process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate programs. Anticipated Completion Date: December 31, 2026
Finding 2025-001: For the year ended December 31, 2024, the Corporation did not submit the Data Collection Form to the Federal Audit Clearinghouse in the time period required by Uniform Guidance due to the nondisclosure of the 51% ownership interest in Star Apartments, LLC. The original Data Collect...
Finding 2025-001: For the year ended December 31, 2024, the Corporation did not submit the Data Collection Form to the Federal Audit Clearinghouse in the time period required by Uniform Guidance due to the nondisclosure of the 51% ownership interest in Star Apartments, LLC. The original Data Collection Form that was submitted omitted a portion of the HOME funds, the Coronavirus State and Local Fiscal Recovery Funds, and Wood Utilization Assistance as federal awards since Star Apartments, LLC was not included in the Corporation's financial statements. Comments on the Finding and Each Recommendation: The Corporation should submit the Data Collection Form to the Federal Audit Clearinghouse within the required time period. Management agrees with the finding and agrees with the auditor's recommendation. Action(s) Taken or Planned on the Finding: The Data Collection Form was submitted to the Federal Audit Clearinghouse, no further action is required.
Corrective Action Plan Section III - Federal Award Findings and Questioned Costs Finding 2025-001 Name of Contact Person: Felicia Chester, Executive Director Corrective Action: We will implement proper internal control procedures for the Public and Indian Housing program elegibility requirements. Ma...
Corrective Action Plan Section III - Federal Award Findings and Questioned Costs Finding 2025-001 Name of Contact Person: Felicia Chester, Executive Director Corrective Action: We will implement proper internal control procedures for the Public and Indian Housing program elegibility requirements. Mangement has established a checklist for applications and will establish checklists for move-ins and move-outs. Proposed Completion Date: Immediately
Management Response: The Municipality acknowledges the finding regarding the HUD REAC reporting requirements. To address this matter directly and strengthen compliance oversight, the Municipality contracted a specialized REAC consultant who has been actively assisting our team since last year. Throu...
Management Response: The Municipality acknowledges the finding regarding the HUD REAC reporting requirements. To address this matter directly and strengthen compliance oversight, the Municipality contracted a specialized REAC consultant who has been actively assisting our team since last year. Through this partnership, significant progress has been made, and municipal REAC reporting is now nearly up to date, despite unforeseen administrative delays caused by past government shutdowns and operational closures. Management remains fully dedicated to maintaining compliance with all federal housing program standards. With the specialist's ongoing technical assistance and established reporting timelines, the Municipality expects to have all outstanding REAC submissions fully updated and all future reports filed in a timely manner for calendar year 2026.
Management response: The Municipality acknowledges the finding regarding the late submission of the Single Audit reporting package to the Federal Audit Clearinghouse. This delay was the direct result of extraordinary and unforeseeable circumstances. Midway through the engagement, the lead auditor un...
Management response: The Municipality acknowledges the finding regarding the late submission of the Single Audit reporting package to the Federal Audit Clearinghouse. This delay was the direct result of extraordinary and unforeseeable circumstances. Midway through the engagement, the lead auditor unexpectedly passed away. This tragic event disrupted the audit process and necessitated the immediate termination and procurement process to engage a new independent public accounting firm to complete the Single Audit. Selecting, contracting, and onboarding the new audit firm alongside and re-evaluating financial documentation created a significant administrative and operational delay beyond the control of management. Municipal management remains fully committed to regulatory compliance and timely financial reporting. The engagement with the new audit firm is now fully operational, and the audit completion process is actively underway. Management has implemented internal monitoring controls and timeline tracking to ensure that all future Single Audit packages are completed and submitted to the Federal Audit Clearinghouse within the prescribed federal deadlines.
Recommendation: We recommend management enhance its existing year-end review procedures to ensure that costs are incurred and reported in the appropriate fiscal year and that the SEFA includes only expenditures applicable to the current reporting period.
Recommendation: We recommend management enhance its existing year-end review procedures to ensure that costs are incurred and reported in the appropriate fiscal year and that the SEFA includes only expenditures applicable to the current reporting period.
The City has reviewed the circumstances that resulted in the duplicate reimbursement and has strengthened its procedures for grant reimbursement requests involving invoices that have not completed the City's normal accounts payable posting process. Reimbursement requests shall include only expenditu...
The City has reviewed the circumstances that resulted in the duplicate reimbursement and has strengthened its procedures for grant reimbursement requests involving invoices that have not completed the City's normal accounts payable posting process. Reimbursement requests shall include only expenditures that have been paid, recorded in the City’s financial system, and posted to a closed accounting period, unless the grant agreement or grantee processing times mandates earlier submission. Invoices or other expenditures manually included in a reimbursement request prior to posting in the City's financial system will be separately identified and tracked. Prior to preparing subsequent reimbursement requests, these items will be reconciled against posted expenditures to ensure that amounts previously claimed are not included a second time. The City believes this additional reconciliation control, together with the repayment of the questioned amount, appropriately addresses the finding and reduces the risk of duplicate reimbursement requests in the future.
2025-001 – Timing of Recognition of FEMA Public Assistance Expenditures on the Schedule of Expenditures of Federal Awards Award information Cluster: Not applicable Federal Granting Agency: Department of Homeland Security Award Name: Disaster Grants – Public Assistance Award Numbers: FEMA 4420-DR-NE,...
2025-001 – Timing of Recognition of FEMA Public Assistance Expenditures on the Schedule of Expenditures of Federal Awards Award information Cluster: Not applicable Federal Granting Agency: Department of Homeland Security Award Name: Disaster Grants – Public Assistance Award Numbers: FEMA 4420-DR-NE, FEMA 4325-DR-NE, FEMA 4521-DR-NE, FEMA 4616-DR-NE, FEMA 4641-DR-NE, FEMA 4662-DR-NE Award Years: 2019-2023 Assistance Listing #: 97.036 Assistance Listing Title: Disaster Grants – Public Assistance Pass-through Entity: Nebraska Emergency Management Agency Management acknowledges that its historical process for determining the timing of FEMA Public Assistance expenditures reported on the SEFA was based on the date eligible expenditures were incurred following a federally declared disaster and did not consistently incorporate the date FEMA obligated the related federal funding. Management reached out to Nebraska Emergency Management Agency (“NEMA”) in March 18, 2026. Lynn Feeken, NPPD Controller, performed email communication with NEMA regarding the approach used for past Single audits. Specifically, management indicated that criteria used in 2023 and prior was to include eligible incurred costs upon Federal disaster declaration, assuming they would be approved by NEMA/FEMA. For calendar years 2024 and forward NPPD would consider 2 criteria: (1) FEMA approved the nonfederal entity’s (NPPD’s) project (also referred to as obligated) and (2) the nonfederal entity (NPPD) incurred the eligible expenditures. While not specifically addressing the quantitative discrepancies in the Schedule of Expenditures of Federal Awards (“SEFA”) stemming from the different approach applied, NPPD confirmed that NEMA has no issues with the revised criteria via email. Management has revised its process to determine SEFA-reportable expenditures based on both the date eligible expenditures are incurred and the date FEMA approves the related project through obligation of the federal share. Management applied this methodology in preparing the 2025 SEFA and will for future SEFAs and will maintain supporting documentation of eligible expenditures and FEMA obligations. Leadership Responsible: Laura Kapustka, Executive Vice President & Chief Financial Officer; Lynn Feeken, Controller, Chuck Keep, Asset Accounting & Miscellaneous Billing Supervisor Completion Date: 09/23/2026
2025-01: Segregation of Duties Name of contact person: Rhonda Gordon, Program Coordinator Corrective Action: Duties and functions will be reviewed to determine where segregation needs to occur. The duties will be separated as much as possible and alternative controls will be implemented to compensat...
2025-01: Segregation of Duties Name of contact person: Rhonda Gordon, Program Coordinator Corrective Action: Duties and functions will be reviewed to determine where segregation needs to occur. The duties will be separated as much as possible and alternative controls will be implemented to compensate for lack of segregation. However, the risk of not segregating certain duties is not worth the additional costs. Nonfinancial employees will be trained and provide some assistance. Proposed completion date: The Board will implement the above procedure immediately.
Name of Auditee: City of Jamestown, New York Name of Audit Firm: Drescher & Malecki, LLP Period Covered by the Audit: December 31, 2025 CAP Prepared by: Ericka Thomas, Comptroller Phone: (716) 483-7585 (B) Current Finding on the Schedule of Findings (1) Audit Finding 2025-002 (a) Comments on the Fin...
Name of Auditee: City of Jamestown, New York Name of Audit Firm: Drescher & Malecki, LLP Period Covered by the Audit: December 31, 2025 CAP Prepared by: Ericka Thomas, Comptroller Phone: (716) 483-7585 (B) Current Finding on the Schedule of Findings (1) Audit Finding 2025-002 (a) Comments on the Finding and Recommendation: The City agrees with the finding. The City also agrees with the recommendation. See below for actions taken. (b) Actions Taken: The City will update amounts and descriptions within the Department of Treasury’s reporting portal to ensure all amounts expended are properly reported. (c) Anticipated Completion Date: Management anticipates this finding will be resolved by December 31, 2026.
Finding # 2025-002 Type: Significant deficiency Type: Immaterial noncompliance over equipment and real property management Assisting Listing Number: 14.251 Federal Agency: Department of Housing and Urban Development Name of Federal Program: Economic Development Initiative Finding: During testing of ...
Finding # 2025-002 Type: Significant deficiency Type: Immaterial noncompliance over equipment and real property management Assisting Listing Number: 14.251 Federal Agency: Department of Housing and Urban Development Name of Federal Program: Economic Development Initiative Finding: During testing of property purchased with federal funds, the Organization was unable to provide a comprehensive property record demonstrating the tracking and monitoring of federally funded assets. Recommendation: Management should develop and implement formal procedures for tracking and monitoring property acquired with federal funds. Corrective Action: Management agrees with the finding and will implement a formal property management process. The Organization will establish a centralized inventory of all equipment purchased with federal funds, perform periodic physical inventories, and implement management review procedures to ensure compliance with Uniform Guidance equipment management requirements. Responsibility for maintaining the inventory and monitoring compliance will be assigned to designated personnel. Anticipated Completion Date July 2026
Finding 2025-005: SFSAC Submission Contact Person – Keith Trego, Executive Director Corrective Action Plan – This finding is noted together with the Board. The Trust agrees with the finding and recognizes the importance of timely submission of the Single Audit reporting package and Data Collection F...
Finding 2025-005: SFSAC Submission Contact Person – Keith Trego, Executive Director Corrective Action Plan – This finding is noted together with the Board. The Trust agrees with the finding and recognizes the importance of timely submission of the Single Audit reporting package and Data Collection Form to the Federal Audit Clearinghouse. To address this issue, management will establish procedures to monitor all Single Audit reporting deadlines Completion Date – The Trust will incorporate procedures into the year -end financial reporting process beginning with the current fiscal year.
Finding #2025-002 – Significant Deficiency and Other Noncompliance. Condition and context: Boys & Girls Club was unable to produce a report from its general ledger system that supported the expenditures reported in the schedule of expenditures of federal awards. Repeat of finding #2024-002. Recommen...
Finding #2025-002 – Significant Deficiency and Other Noncompliance. Condition and context: Boys & Girls Club was unable to produce a report from its general ledger system that supported the expenditures reported in the schedule of expenditures of federal awards. Repeat of finding #2024-002. Recommendation: Establish policies and procedures to record all federal expenditures in the general ledger system by class code in order to generate a report of expenditures by grant. Planned corrective action: Government funded transactions will be recorded in our general ledger in a manner which facilitates advanced reporting by federal awards. Management will further modify accounting system and review grant reports monthly to ensure transactions are properly recorded. Responsible officer: Amber Newman, CEO. Estimated completion date: October 1, 2026.
Northwest Estates 811 respectfully submits the following corrective action plan for the year ended December 31, 2025: Auditee Identification Number: 171-HD013 S3800-160: Contact Person First Name: Tom S3800-180: Contact Person Last Name: Anderson Contact Person Email Address: tanderson@uminc.com Per...
Northwest Estates 811 respectfully submits the following corrective action plan for the year ended December 31, 2025: Auditee Identification Number: 171-HD013 S3800-160: Contact Person First Name: Tom S3800-180: Contact Person Last Name: Anderson Contact Person Email Address: tanderson@uminc.com Period covered by the audit: Year ended December 31, 2025 Name of audit firm: Squires Maddux & Company, PLLC 100 2nd Avenue South, Ste 270 Edmonds, Washington 98020 The findings from the December 31, 2025 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS – FINANCIAL STATEMENTS AUDIT See Response to Finding 2025-001 under Part III Findings – Major Federal Award Program Audit. FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT (Continued) DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (Continued) S3800-011 Title and Assistance Listing Number of Federal Program: 14.181 Supportive Housing for Persons with Disabilities (Continued) S3800-030: Statement of Condition: During fiscal year 2024, the management company made a withdrawal of $12,027 to pay the annual insurance premium from the replacement reserve account without prior HUD approval. The withdrawal was not refunded to the replacement reserve account during the current year. During fiscal year 2025, the management company made an additional withdrawal totaling $7,777 to pay the insurance premium from the replacement reserve account without prior HUD approval. S3800-080: Auditor’s Recommendation: Management should ensure that all staff are aware of the HUD requirements regarding withdrawals from the replacement reserve account and establish the necessary procedures to ensure all withdrawals are approved prior to payment. S3800-090: Corrective Actions Taken or to be Taken: Management agrees with the finding and the auditor’s recommendation, and will take the necessary steps to mitigate further non-compliance. Management will seek approval from HUD for these withdrawals and any future withdrawals from the replacement reserve account. _____________________________ ______________________ Tom Anderson, President Date
Noncompliance with Period of Performance (Public Housing Capital Fund ALN # 14.872) The Authority’s staff will attend trainings to ensure that the Authority is in compliance with all CFP reporting requirements. Date of completion: Ongoing
Noncompliance with Period of Performance (Public Housing Capital Fund ALN # 14.872) The Authority’s staff will attend trainings to ensure that the Authority is in compliance with all CFP reporting requirements. Date of completion: Ongoing
Athens Land Trust has implemented an updated grant reporting and reimbursement process to ensure required expenditure reports and supporting documentation are complete and submitted within established deadlines. The Finance Director and Housing Director coordinate the tracking of expenditures and co...
Athens Land Trust has implemented an updated grant reporting and reimbursement process to ensure required expenditure reports and supporting documentation are complete and submitted within established deadlines. The Finance Director and Housing Director coordinate the tracking of expenditures and collection of supporting documentation, with the Development Coordinator assisting with reimbursement tracking and drawdown documentation. Multiple staff members are also being cross-trained on reporting procedures to ensure continuity and reduce reliance on any single employee. Grant reporting and reimbursement status is periodically reviewed during biweekly directors’ meetings, providing additional oversight by the Executive Director and helping prevent recurrence of late filings.
Finding Subject: 2025-003 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov View of Responsib...
Finding Subject: 2025-003 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov View of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: As explained and demonstrated by the County Administrator to the SBOA at the time of the audit, the online reporting system for the U.S. Treasury quarterly reports had malfunctioned. When the County Administrator attempted to enter the correct amounts, the report would be rejected. The only way to get the quarterly reports to be accepted was by adjusting the numbers, resulting in the issues pointed out by the SBOA. As the SBOA is aware, the reports were on a time-sensitive deadline and had to be submitted. The County will follow up with the U.S. Treasury in the event of future problems with the online reporting system. The County Administrator did follow up with the U.S. Treasury in 2025. No response was given. In 2026, the U.S. Treasury provided a webinar stating that if the municipality could not close out or lock awards due to unbalanced figures, then the municipality should leave the project “unlocked.” There was no guidance on reopening previous quarterly reports to correct any mistakes. Therefore, the County Administrator could not correct previous reports. Anticipated Completion Date: September 30, 2026.
Late Submission of Reporting Package and Data Collection Form Corrective Action Plan: Management has established procedures to improve the timeliness of the annual audit and related Federal Audit Clearinghouse submission. The Federal Audit Clearinghouse reporting deadline has been added to the Organ...
Late Submission of Reporting Package and Data Collection Form Corrective Action Plan: Management has established procedures to improve the timeliness of the annual audit and related Federal Audit Clearinghouse submission. The Federal Audit Clearinghouse reporting deadline has been added to the Organization’s annual compliance calendar, and responsibility for monitoring the deadline has been assigned to the Executive Director. Management will actively monitor the progress of the annual audit, timely provide requested information to the auditors, and communicate with the auditors regarding outstanding items that could delay completion of the audit. The Board will provide oversight of the process. These procedures are intended to facilitate completion of the audit and submission of the reporting package and Data Collection Form within the timeframe required by Uniform Guidance. Responsible Party: Executive Director, Board of Directors (oversight) Planned Completion Date: Procedures implemented; corrective action remains ongoing through timely completion and submission of the 2025 audit reporting package and Data Collection Form.
We will complete the first-tier subaward reporting through SAM.gov as soon as possible. Additionally, we will review our processes and procedures for identifying all applicable reporting requirements for the YMCA’s federal awards.
We will complete the first-tier subaward reporting through SAM.gov as soon as possible. Additionally, we will review our processes and procedures for identifying all applicable reporting requirements for the YMCA’s federal awards.
Management acknowledges that the current process did not result in a documented review for the performance report selected for testing. To strengthen internal controls and ensure compliance with SAFER program requirements, the Village will implement a procedure requiring all grant‑related reports to...
Management acknowledges that the current process did not result in a documented review for the performance report selected for testing. To strengthen internal controls and ensure compliance with SAFER program requirements, the Village will implement a procedure requiring all grant‑related reports to undergo a documented review by someone other than the preparer prior to submission. This review will be recorded outside of FEMAGo and incorporated into our grant management workflow for future reporting periods.
The Corporation is increasing its efforts to ensure that its policies and procedures are in place to ensure timely submission of reports. Completion Date: Estimated September 2026 Contact Person: Rajuan Sherman Chief Financial Officer 2731 M.L. King, Jr. Blvd Tuscaloosa, AL 35403 (205) 614-6070 rshe...
The Corporation is increasing its efforts to ensure that its policies and procedures are in place to ensure timely submission of reports. Completion Date: Estimated September 2026 Contact Person: Rajuan Sherman Chief Financial Officer 2731 M.L. King, Jr. Blvd Tuscaloosa, AL 35403 (205) 614-6070 rsherman@whatleyhealth.org
Finding #2025-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: Hawley-Winton Apartments agrees with the ...
Finding #2025-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: Hawley-Winton Apartments agrees with the auditor’s recommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact John Lutz, Vice President of Financial Strategy, at (315) 424-1821.
The Organization has put in place procedures for ensuring the annual reporting to the Federal Audit Clearinghouse is done in a timely manner.
The Organization has put in place procedures for ensuring the annual reporting to the Federal Audit Clearinghouse is done in a timely manner.
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Going f...
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Going forward, the City will ensure that reports are prepared, reviewed and approved by someone other than the preparer and submitted in a timely manner.
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Central...
Management concurs with recommendation. Staffing issues contributed to this condition. Management has developed more breadth of staff to prepare and review reports. This includes the program manager of Lead Safe Roanoke, the Housing Programs and Policy Officer and the Project Grants Manager. Centralization of financial management tasks within the Housing office is also planned. Going forward, the City will ensure that reports are prepared, reviewed and submitted in a timely manner.
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