Corrective Action Plans

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Subject: Hennepin County’s 2023 Corrective Action Plan Finding# 2023-004 Significant Deficiency in Internal Control—Schedule of Expenditures of Federal Awards (SEFA) Program(s): National Bioterrorism Hospital Preparedness Program (ALN 93.889); Immunization Cooperative Agreements (ALN 93. 268); COV...
Subject: Hennepin County’s 2023 Corrective Action Plan Finding# 2023-004 Significant Deficiency in Internal Control—Schedule of Expenditures of Federal Awards (SEFA) Program(s): National Bioterrorism Hospital Preparedness Program (ALN 93.889); Immunization Cooperative Agreements (ALN 93. 268); COVID-19 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)(ALN 93. 323); Child Support Services (ALN 93. 563); State Administrative Matching Grants for the Supplemental Nutrition Assistance Program (ALN 10.561) Type of Finding: Significant Deficiency in Internal Control over Compliance; Other Matter Compliance Finding Condition: While testing the SEFA, we noted that internal controls were not operating effectively over the preparation of the SEFA. In addition, we noted the following errors in the original SEFA we received for the audit: • $1,284,631 of expenditures were improperly included in ALN 93.889 when the amount should have been included in ALN 93.268. • $30,394 of expenditures was improperly included in ALN 93.889 when the amount should have been included in ALN 93.323. • $626,894 of expenditures related to ALN 93.563 was missing from the schedule. • $61,290 of expenditures related to ALN 10.561 was missing from the schedule. Hennepin County’s Corrective Action Planned in Response to Finding: The County will continue to strengthen controls over the preparation of the SEFA. Hennepin County Employee Responsible for the CAP: Elena Doran Planned Completion Date for CAP: September 30, 2024
Subject: Hennepin County’s 2023 Corrective Action Plan Finding# 2023-010 Reporting Program: Congressional Directives (ALN 93.493) Type of Finding: Significant Deficiency in Internal Control over Compliance Condition: The county hospital could not provide documentation that review and approval...
Subject: Hennepin County’s 2023 Corrective Action Plan Finding# 2023-010 Reporting Program: Congressional Directives (ALN 93.493) Type of Finding: Significant Deficiency in Internal Control over Compliance Condition: The county hospital could not provide documentation that review and approval of the semi-annual progress report was conducted prior to the report being submitted. Hennepin County’s Corrective Action Planned in Response to Finding: The semi-annual report information was provided by both program staff and the Grants Accounting Department and submitted by the Grants Director. However, there was no documentation kept of a review. Management has implemented a process to document the review and approval prior to the semi-annual report being submitted. Hennepin County Employee Responsible for the CAP: Mark Willmert Planned Completion Date for CAP: December 31, 2024
Finding 499523 (2023-001)
Significant Deficiency 2023
1. Explanation of Disagreements with Audit Finding: There is no disagreement with the audit finding. 2. Actions Planned in Response to Finding: The finance department will establish policies and procedures to ensure reports are reviewed appropriately. 3. Official Responsible for Ensuring CAP: Debra ...
1. Explanation of Disagreements with Audit Finding: There is no disagreement with the audit finding. 2. Actions Planned in Response to Finding: The finance department will establish policies and procedures to ensure reports are reviewed appropriately. 3. Official Responsible for Ensuring CAP: Debra Olsen, Finance Director, is the official responsible for ensuring corrective action of the deficiency. 4. Planned Completion Date for CAP: December 31, 2024. 5. Plan to Monitor Completion of CAP: The Council will be monitoring this corrective action plan. Sincerely, Debra Olsen Finance Director
FINDING 2023-002 Subject: Coronavirus State and Local Fiscal Recovery Funds - Reporting Federal Agency: U.S. Department of Treasury Assistance Listing Number: 21.027 Federal Award Number: FY 2022 Pass-Through Entity: N/A Compliance Requirements: Reporting Audit Findings: Material Weakness, Modifie...
FINDING 2023-002 Subject: Coronavirus State and Local Fiscal Recovery Funds - Reporting Federal Agency: U.S. Department of Treasury Assistance Listing Number: 21.027 Federal Award Number: FY 2022 Pass-Through Entity: N/A Compliance Requirements: Reporting Audit Findings: Material Weakness, Modified Opinion Condition: The City had not properly designed or implemented a system of internal controls, which would include appropriate segregation of duties that would likely be effective in preventing, or detecting and correcting, noncompliance. Recipients are required to submit quarterly or annually Project and Expenditure (P&E) reports to the Department of Treasury (Treasury). The reporting periods, as well as the respective due dates, are based upon type of recipient and its population, as well as the recipient's allocation amount. Information to be reported includes projects funded, expenditures, and contracts for the appropriate reporting period. The City was classified as a metropolitan city with a population below 250,000 residents that received an allocation of less than $10 million in Coronavirus State and Local Fiscal Recovery Funds (CSLFRF). As, annual reports are to cover one calendar year and must be submitted to the Treasury by April 30 each year. Context: The City submitted one P&E report during the audit period; however, a single employee prepared and submitted the P&E report without a review or oversight process in place to prevent, or detect and correct errors. In addition, the P&E report was not properly supported by the City’s records. All but $100,000 of the expenditures were reported under the Eligible Use Category of “Administrative Expenses.” However, the City’s expenditures during the audit period consisted of assistance to business and households, sewer infrastructure, and tourism support, none of which qualified as Administrative Expenses. Furthermore, the City reported that it was electing to take the Revenue Loss Standard Allowance, but the amount reported as Revenue Loss was $0. Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: The City of Crawfordsville management will follow the following process. 1. Before processing request from designated organizations the Clerk Treasurer and Mayor or a designated person, will review documentation and approve for payment/claim processing. 2. After approval a claim will be submitted to the Clerk Treasurer office for payment. 3. Clerk Treasurer will prepare and submit monthly expenditure report to the Mayor or designated person. 4. Annually before the Clerk Treasurer, reports to the U.S. Treasury expenditures the Clerk Treasurer and Mayor, or designated person, will review and confirm expenditures. 5. Clerk Treasurer will submit report to U.S. Treasury following prompts. 6. Clerk Treasurer will notify Mayor of the annual report submission. Responsible Party and Timeline for Completion: Clerk Treasurer and the submission that takes place in 2024 (2023 report).
Views of Responsible Officials: We agree with the recommendations and acknowledge the importance of timely and accurate reporting and agreement. We have reviewed and enhanced our internal processes to ensure timely submission of all future reports. We are now fully staffed and have committed to main...
Views of Responsible Officials: We agree with the recommendations and acknowledge the importance of timely and accurate reporting and agreement. We have reviewed and enhanced our internal processes to ensure timely submission of all future reports. We are now fully staffed and have committed to maintain compliance with all the reporting requirements. Anticipated Completion Date: December 31, 2024 Responsible Party: Kathy Redhorse, CFO
Contact Person responsible for corrective action: Kevin Couey The corrective action planned: To use a SEFA template and separate electronic document repository related to all federal funds. The anticipated completion date (or starting date if ongoing): We immediately put new processes into action ef...
Contact Person responsible for corrective action: Kevin Couey The corrective action planned: To use a SEFA template and separate electronic document repository related to all federal funds. The anticipated completion date (or starting date if ongoing): We immediately put new processes into action effective Sept 15th, 2024 and will be validated at next audit in May 2025
Finding No. 2023-002: Audit and SEFA Adjustments Responsible Officials: Angela Wilkerson, Mayor Corrective Action Plan: The City will make every effort to make accurate accounting adjustments throughout the year. When recording a journal entry that is unfamiliar, the Finance Officer will inquire on ...
Finding No. 2023-002: Audit and SEFA Adjustments Responsible Officials: Angela Wilkerson, Mayor Corrective Action Plan: The City will make every effort to make accurate accounting adjustments throughout the year. When recording a journal entry that is unfamiliar, the Finance Officer will inquire on how to make the correct entry. The Finance Officer will make every effort to make sure the accounting adjustments are made correctly. Capital assets will be reviewed monthly by the Finance Officer and capitalized in a timely manner. Some of the ambulance receivables will be analyzed and adjusted by Accounting Clerk on a monthly basis. Anticipated Completion Date: Ongoing
Finding No. 2023-001: Financial Statement and SEFA Preparation Responsible Officials: Angela Wilkerson, Mayor Corrective Action Plan: The City has accepted the risk associated with Finding #2023-001 regarding the preparation of the financial statements and SEFA and will continue to have the independ...
Finding No. 2023-001: Financial Statement and SEFA Preparation Responsible Officials: Angela Wilkerson, Mayor Corrective Action Plan: The City has accepted the risk associated with Finding #2023-001 regarding the preparation of the financial statements and SEFA and will continue to have the independent auditor prepare the annual financial statements and SEFA. For future audits, the City has began the process of locating a replacement finance officer who will continue to monitor the financial statement preparation and determine if any modification is necessary. Anticipated Completion Date: Ongoing
Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria. Explanat...
Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: In order to remedy and mitigate audit findings that have been building over the past several years, PHA has moved to a task-based model, and have begun using production trackers for transparency. After a program management staffing change in March 2024, PHA is now pulling SEMAP reports monthly and conducting internal file audits to monitor program compliance. Name(s) of the contact person(s) responsible for corrective action: Deborah Madsen, Executive Director Planned completion date for corrective action plan: 12/31/2024
Finding 499470 (2023-002)
Significant Deficiency 2023
In 2024, the Corporation implemented a process to obtain single audit affirmation letters annually from subrecipients, if applicable, and confirm as per current understanding and discussions with subreceipients during due diligence process that their funding from US federal government sources during...
In 2024, the Corporation implemented a process to obtain single audit affirmation letters annually from subrecipients, if applicable, and confirm as per current understanding and discussions with subreceipients during due diligence process that their funding from US federal government sources during the agreement period will not exceed $750,000 annually. These steps will ensure proper subrecipient monitoring in alignment with federal regulations.
FINDING 2023-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: Material Weakness, Modified Opinion Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.thome...
FINDING 2023-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: Material Weakness, Modified Opinion Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.thome@terrehaute.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: We have utilized an outside consulting service to assist in the reconciliation of expenditures. Quarterly P&E Reports will be completed by the Controller and reviewed and approved by the Mayor. Anticipated Completion Date: Qtr3 P&E report required by end of Oct 2024
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED SEPTEMBER 30, 2023 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the audi...
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED SEPTEMBER 30, 2023 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee to prepare a corrective action plan to address each audit finding included in the current year auditor’s reports. The Corrective Action Plan for Current Year Findings present our corrective action plan for the Financial Statement and/or Federal Award Findings described in the accompanying Schedule of Findings and Questioned Costs for the period ended September 30, 2023. Finding 2023-001 Responsible Party Name: Peggy Scott Position: Manager Telephone Number: (660) 339-7235 Federal Agency U.S. Department of Housing and Urban Development Federal Program Supportive Housing for Persons with Disabilities – Section 811 Compliance Requirements N- Special Tests and Provisions Findings Type Financial Statement and Federal Awards Auditee’s Comment on Finding We agree with the auditors’ finding. Corrective Action We will follows our policies and procedures to ensure that accounting records are kept accurate and complete, and a responsible official will review and sign off on the monthly financial statements. Anticipated Completion Date July 31, 2024
Condition: The School improperly omitted expenditures relating to federal awards in the prior year Schedule of Expenditures of Federal Awards. Corrective Action Taken or Planned: Management is reviewing the current process and is making improvements to ensure all federal awards are completely and...
Condition: The School improperly omitted expenditures relating to federal awards in the prior year Schedule of Expenditures of Federal Awards. Corrective Action Taken or Planned: Management is reviewing the current process and is making improvements to ensure all federal awards are completely and accurately reflected on the Schedule of Expenditures of Federal Awards, which includes ensuring the Schedule of Expenditures of Federal Awards reconciles to the general ledger.
Effective Jan 2024 ACHD too corrective action for lack of time sheets on federal grants to ensure that all time is officially being tracked by a time sheet instead of a percentage-based mechanism Additionally, while ACHD indicates that expenses were reported accurately and timely to the funder, we w...
Effective Jan 2024 ACHD too corrective action for lack of time sheets on federal grants to ensure that all time is officially being tracked by a time sheet instead of a percentage-based mechanism Additionally, while ACHD indicates that expenses were reported accurately and timely to the funder, we will ensure that all costs are recorded in the appropriate job numbers for the respective periods in a timely manner.
Before we can enter into any agreement, Program and Fiscal will thoroughly review all grant agreements and develop a check list based on the grant requirements. • Both Fiscal and Program read through the grant agreement thoroughly to come up with a plan for all information required to obtain from Su...
Before we can enter into any agreement, Program and Fiscal will thoroughly review all grant agreements and develop a check list based on the grant requirements. • Both Fiscal and Program read through the grant agreement thoroughly to come up with a plan for all information required to obtain from Sub-recipients getting more than 30k o As of right now those are  FFATA  Single Audit Evaluation  Any Additional Subrecipient issues • When program is developing a scope with the organization we would send them a check list mutually agreed upon based on the fiscal and program review of requirements the subrecipient must adhere to along with any required forms o Collect FFATA  Program Uploads and tracks o Collect Single Audit if eligible  Fiscal reviews and brings attention to any subrecipient issues with program o Additional items for review as it pertains to sub recipient will be assigned as they arise
While ACHD reported the expense in the correct time frame on the Federal Financial Report under obligated funds, the invoice was not received from the organization in a timely manner to initiate payment expeditiously. Financial analysts and program staff repeatedly requested invoices from the organi...
While ACHD reported the expense in the correct time frame on the Federal Financial Report under obligated funds, the invoice was not received from the organization in a timely manner to initiate payment expeditiously. Financial analysts and program staff repeatedly requested invoices from the organization throughout the grant period with not luck. The ACHD has ceased to include entity in future grant funded operations due to issues as it relates to timely completion of deliverables and invoicing difficulties.
View Audit 322276 Questioned Costs: $1
Before we can enter into any agreement, Program and Fiscal will thoroughly review all grant agreements and develop a check list based on the grant requirements. • Both Fiscal and Program read through the grant agreement thoroughly to come up with a plan for all information required to obtain from Su...
Before we can enter into any agreement, Program and Fiscal will thoroughly review all grant agreements and develop a check list based on the grant requirements. • Both Fiscal and Program read through the grant agreement thoroughly to come up with a plan for all information required to obtain from Sub-recipients getting more than 30k o As of right now those are  FFATA  Single Audit Evaluation  Any Additional Subrecipient issues • When program is developing a scope with the organization we would send them a check list mutually agreed upon based on the fiscal and program review of requirements the subrecipient must adhere to along with any required forms o Collect FFATA  Program Uploads and tracks o Collect Single Audit if eligible  Fiscal reviews and brings attention to any subrecipient issues with program o Additional items for review as it pertains to sub recipient will be assigned as they arise
The staff assigned to submit the data to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) resigned and it was not reassigned. The FSRS report has been assigned to Operations staff who will enter the award and all subawards once we have the gra...
The staff assigned to submit the data to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) resigned and it was not reassigned. The FSRS report has been assigned to Operations staff who will enter the award and all subawards once we have the grant agreement from HUD.
In 2023 there was a change in management within ACED’s financial staff. The current supervisor was unaware that there was program income that had not been recorded. ACED has contracted with an outside auditing firm. All accounts are being reviewed and reconciled and program incom...
In 2023 there was a change in management within ACED’s financial staff. The current supervisor was unaware that there was program income that had not been recorded. ACED has contracted with an outside auditing firm. All accounts are being reviewed and reconciled and program income is being receipted. ACED will receipt all program income as it comes in and it will be immediately allocated to eligible projects.
DHS will follow the Federal Funding Accountability and Transparency Act requirements and will report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). DHS will identify all first-tier direct recipients who meet the elig...
DHS will follow the Federal Funding Accountability and Transparency Act requirements and will report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). DHS will identify all first-tier direct recipients who meet the eligibility criteria and the required data elements will be entered into F SRS.
We review each invoice monthly as they are submitted. Most of the review is insuring the items being invoiced are eligible under HUD and making sure the amounts are added correctly. We will review more closely the match submitted. Match for HUD is now reported based on the entire funding and not by ...
We review each invoice monthly as they are submitted. Most of the review is insuring the items being invoiced are eligible under HUD and making sure the amounts are added correctly. We will review more closely the match submitted. Match for HUD is now reported based on the entire funding and not by individual grants. All match from all HUD programs is added together and submitted on one final report at the end of each funding year. The requirement is 25% on all budget lines except for Leasing. However, if one program’s match is short of the 25% requirement, the overall CoC is responsible for the full match so additional DHS admin costs are used to represent the additional match needed. For our FY22-23 annual report to HUD, we submitted 30.47% in match for the overall funding. This amount did not include any additional HMIS (data system) costs, Allegheny Link (our coordinated entry system) costs or additional DHS admin costs. With these additional eligible activities, our matching amount could have been over 50%. Therefore, even if some identified items were considered ineligible our match would not be in jeopardy since we have a lot of eligible costs that DHS covers that would be considered match.
View Audit 322276 Questioned Costs: $1
Finding 499407 (2023-001)
Significant Deficiency 2023
County will develop processes to ensure that all federal funds have been identified. Management team will perform secondary reviews when the SEFA has been completed.
County will develop processes to ensure that all federal funds have been identified. Management team will perform secondary reviews when the SEFA has been completed.
Action Taken: Range Mental Health Center, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ens...
Action Taken: Range Mental Health Center, Inc. and Subsidiaries is in the process of developing internal controls to ensure timely and appropriate actions are made to ensure timely and accurate reporting as it relates to grant requirements. We are currently performing a review of all grants to ensure reporting requirements are met.
Action Taken: During 2023, Range Mental Health Center, Inc. and Subsidiaries had experienced turnover in key financial functions. In addition, we were notified that current independent audit firm would no longer be performing the 2023 financial and single audits. In response to this we have outso...
Action Taken: During 2023, Range Mental Health Center, Inc. and Subsidiaries had experienced turnover in key financial functions. In addition, we were notified that current independent audit firm would no longer be performing the 2023 financial and single audits. In response to this we have outsourced its CFO function. We have also engaged a new independent audit firm, as this was a first-year audit there was an acclimation period delaying many processes. As a result, we anticipate an improvement in timeliness our of our financial records.
Medical Assistance Program – Assistance Listing No. 93.778 Wisconsin Medicaid Cost Reporting (WIMCR) – State ID N/A Recommendation: CLA recommends the County develop and implement a process to require formal review and approval of the WIMCR reports prior to the submission of the report to the stat...
Medical Assistance Program – Assistance Listing No. 93.778 Wisconsin Medicaid Cost Reporting (WIMCR) – State ID N/A Recommendation: CLA recommends the County develop and implement a process to require formal review and approval of the WIMCR reports prior to the submission of the report to the state to help ensure that the data reported are accurate and complete. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Upon the prior year finding 2022-001, staff implemented the County’s existing review and approval process for grants administration for WIMCR program reporting effective September 27, 2023. However, the WIMCR report reviewed was submitted on August 5, 2023, prior to the corrective action. Name(s) of the contact person(s) responsible for corrective action: Jennifer Jossie Planned completion date for corrective action plan: September 27, 2023
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