Corrective Action Plans

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Career Development System will implement a process to track the submission time of the data collection form and audit package.
Career Development System will implement a process to track the submission time of the data collection form and audit package.
Summary: During the fiscal year ended December 31, 2023, subgrants over $30,000 subject to Federal Funding Accountability and Transparency Act (FFATA) reporting were not submitted to the FFATA Subaward Reporting System (FSRS) website. Corrective Action Planned: We have implemented the following cont...
Summary: During the fiscal year ended December 31, 2023, subgrants over $30,000 subject to Federal Funding Accountability and Transparency Act (FFATA) reporting were not submitted to the FFATA Subaward Reporting System (FSRS) website. Corrective Action Planned: We have implemented the following controls in 2024 to address the deficiency: On a monthly basis, the Director, Development Operations and Grantmaking will prepare a report listing all subgrants awarded from the prior month. This report will include modifications to subgrants from earlier fiscal periods. The Senior Director, Federal Funding or the Vice President, Emerging Opportunities will review the report for accuracy and completeness. The Senior Manager, Accounting will then submit any subgrants over the $30,000 threshold to the FSRS website the month following the award or modification. The Senior Director, Revenue & Budget will review submitted FSRS submissions on a monthly basis. Anticipated Completion Date: Completed April 30, 2024 Name of Contact Person Responsible for the Plan: Jeff Johnson
Finding 478687 (2023-001)
Significant Deficiency 2023
The responsible officials will address the matter as part of their corrective action plan.
The responsible officials will address the matter as part of their corrective action plan.
Finding 478686 (2023-001)
Significant Deficiency 2023
Lack of segregation of duties Recommendation - The City's council members need to be cogniant of the issue and provide appropriate oversight. Such oversight could include review of all federal activity and posting of receipts and disbursements. In addition, any proprosed adjusting journal entir...
Lack of segregation of duties Recommendation - The City's council members need to be cogniant of the issue and provide appropriate oversight. Such oversight could include review of all federal activity and posting of receipts and disbursements. In addition, any proprosed adjusting journal entires should have additional oversight duties performed and documented. Action taken - the city is cognizant of the issue and continues to monitor the situation.
Finding 478681 (2023-002)
Significant Deficiency 2023
Planned Corrective Action: We will correct our reporting issues with the next required report. Anticipated Completion Date: July 31, 2024. Responsible Contact Person: County Administrator - 740-474-6093
Planned Corrective Action: We will correct our reporting issues with the next required report. Anticipated Completion Date: July 31, 2024. Responsible Contact Person: County Administrator - 740-474-6093
CORRECTIVE ACTION PLAN Summary Schedule of Current Year Audit Findings In accordance with Title 2 CFR 200 Uniform Administrative Requirements, Cost Principles and Audit Requirements under Section 200.511, Audit Findings follow-up, the following detail the summary of current year audit findings (and ...
CORRECTIVE ACTION PLAN Summary Schedule of Current Year Audit Findings In accordance with Title 2 CFR 200 Uniform Administrative Requirements, Cost Principles and Audit Requirements under Section 200.511, Audit Findings follow-up, the following detail the summary of current year audit findings (and the related corrective action plan) is presented below: Finding 2023-001: Inadequate Financial Reporting Condition: The tracking of eligible (billable) costs within the accounting system was inadequate and required a significant amount of work to generate reconciliations of billable costs to contract billings. In additional certain grants were inconsistently reflected as restricted or conditional compared to similar grants. As part of the process to review year end, management identified errors which required adjustments, the most common of which was adjusting revenue between restricted and conditional revenue. Criteria: CFR 200.303, Internal Controls, states that the non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Additionally, management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. Cause: The Organization did not have in place a formal, clear system which reconciled the billings to the funders and related eligible costs or releases related to certain restricted grants. Effect: Significant adjustments were proposed by management during the audit, principally between conditional and restricted revenue. Recommendation: We strongly recommend that all costs are coded directly to a contract within the accounting system and on a monthly or quarterly (at a minimum) basis there is a reconciliation of the billings between the funders and the revenue/costs related to the contracts to assure that all costs have been capture for billings and releases from restrictions. We also recommend detailed reviews/approvals of such reconciliations be performed. Questioned Costs: None identified. Context: While performing initial audit procedures, we requested management to perform a reconciliation of billings and related costs and review its recording of restricted and conditional grants. During management review, errors were identified by management and requested to be corrected. The condition noted is deemed to be systemic in nature. We did not identify any misstatements during our audit once the review was completed by management. Identification as a Repeat Finding: This is not a repeat finding. Management Views and Corrective Action Plan: Management agrees with the finding and recommendation. The Organization implemented a new accounting system effective July 1, 2023, in which substantially all costs are now coded to respective contracts which will provide much easily generatable support for billings. Management is working with the accounting team to implement a new process as part of the monthly closing procedures in which for cost reimbursement contacts there will be a review of revenue compared to costs to ascertain that the billing is accurate and complete. Name and Title of Responsible Official: Eos de Feminis, Interim CFO Planned Completion Date: Completed
Views of Responsible Officials and Planned Corrective Actions – Upon discovery of certain expenses that are no longer allowed for the CCBHC grant, Lifeline communicated the issue to SAMHSA. Lifeline immediately and proactively repaid to SAMHSA the full amount received for unallowable expenses, on Oc...
Views of Responsible Officials and Planned Corrective Actions – Upon discovery of certain expenses that are no longer allowed for the CCBHC grant, Lifeline communicated the issue to SAMHSA. Lifeline immediately and proactively repaid to SAMHSA the full amount received for unallowable expenses, on October 17, 2023.
Finding #2023-002 – Significant Deficiency and Other Noncompliance. U. S. Department of Housing and Urban Development, Passed through City of Houston, HOME Investment Partnerships Program, Assistance Listing #: 14.239, Contract period: 02/17/23 – 02/16/40. Condition and context: During our testin...
Finding #2023-002 – Significant Deficiency and Other Noncompliance. U. S. Department of Housing and Urban Development, Passed through City of Houston, HOME Investment Partnerships Program, Assistance Listing #: 14.239, Contract period: 02/17/23 – 02/16/40. Condition and context: During our testing of 6 subcontractors out of 55 for proper inclusion in the Section 3 Utilization Plan and the MWSBE Utilization Plan, we identified one subcontractor was not included on the reports in a timely manner. Recommendation: Provide additional independent reviews of the Section 3 Utilization Plan and MWSBE Utilization Plan reports. Planned corrective action: HAWC has a Service Agreement with New Hope Housing to provide support with compliance requirements, for the expansion construction project, as required by the COH and to provide independent compliance oversight of the construction company filings. The reports have been re-issued with inclusion of the omitted subcontractor reports in accordance with the Utilization Plan and the MWSBE Utilization Plan. Responsible officer: Neeta Potnis, Chief Financial Officer. Estimated completion date: December 31, 2024
Finding 478666 (2023-002)
Significant Deficiency 2023
The City concurs with the observation and will implement procedures in 2024 as recommended. The Mayor, Tim Baudier, is responsible for the corrective action plan and the anticipated completion date is December 31, 2024.
The City concurs with the observation and will implement procedures in 2024 as recommended. The Mayor, Tim Baudier, is responsible for the corrective action plan and the anticipated completion date is December 31, 2024.
Corrective Action Plan: Review and approval of invoices, meal count sheets, and reimbursement requests will be more closely monitored, and leadership will continue to engage and teach agency staff to follow existing policies to assure compliance. No further policy revisions are necessary. Staff trai...
Corrective Action Plan: Review and approval of invoices, meal count sheets, and reimbursement requests will be more closely monitored, and leadership will continue to engage and teach agency staff to follow existing policies to assure compliance. No further policy revisions are necessary. Staff training will be strengthened. Responsible Individuals: Dr. Kenneth D. Varble – Vice President of Accounting Anticipated Completion Date: December 2024
Corrective Action Plan: Material adjustments were related to funds that were not clearly identified as Federal Funds that came to use from State agencies. States have a responsibility to indicate when they are providing pass-thru funding from federal sources. No further action deemed appropriate by ...
Corrective Action Plan: Material adjustments were related to funds that were not clearly identified as Federal Funds that came to use from State agencies. States have a responsibility to indicate when they are providing pass-thru funding from federal sources. No further action deemed appropriate by Nexus leadership. Responsible Individuals: Dr. Kenneth D. Varble – Vice President of Accounting Anticipated Completion Date: December 2024
The District has implemented additional controls such as mandatory vacations for accounting staff and the engagement of an independent accounting professional who performs unannounced reviews of the current activities and processes cited above, as well as reviewing the workflow and work area, includ...
The District has implemented additional controls such as mandatory vacations for accounting staff and the engagement of an independent accounting professional who performs unannounced reviews of the current activities and processes cited above, as well as reviewing the workflow and work area, including electronic and paper files and correspondence of each employee while on their mandatory vacation. Written reports are provided to the Superintendent after each review visit and added to the employee’s personnel file. The District will continue to review internal controls and explore alternatives to improve segregation of duties.
Finding 478599 (2023-007)
Significant Deficiency 2023
Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact per...
Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact person: Corrective Action: Immediately Leslie Edwards, Finance Director The Finance Office is currently fully staffed, the Finance Director and the County Manager will work together to ensure proper policies are completed and up to date for federal awards. The fiance director will ensure that policies needed for federal grant awards are in place. The policies were adopted in FY2023 and the finding should be eliminated in FY24. Section III - Federal Award Findings and Question Costs (continued) Regular review intervals will be established to ensure that these critical tasks are being addressed promptly and efficiently, minimizing the risk of delays in case processing. Prioritizing tasks according to urgency and compliance requirements. Focusing on terminated cases to prevent any potential service disruption to clients. Regular reminders will be issued to staff to review and work on their tasks according to the established guidelines. Management monitor daily to track progress of this issue and modify the controls as needed. All staff must use the provided checklists to review their work prior to submission or finalization. Staff are required to review the determination history to verify accuracy in household composition and income details. After completing a manual budget, workers must compare their results with the NCFAST-generated budget to confirm accuracy in budgeting and program eligibility. Training sessions include knowledge checks to validate understanding and retention of correct income entry methods. Engaging in peer reviews where feasible to promote a culture of accuracy and mutual accountability. Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor
Finding 478598 (2023-006)
Significant Deficiency 2023
Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact per...
Finding 2023-006 Untimely Adoption of Policy Name of contact person: Corrective Action: Proposed completion date: Finding 2023-007 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Finding 2023-008 Inaccurate Information Entry Name of contact person: Corrective Action: Immediately Leslie Edwards, Finance Director The Finance Office is currently fully staffed, the Finance Director and the County Manager will work together to ensure proper policies are completed and up to date for federal awards. The fiance director will ensure that policies needed for federal grant awards are in place. The policies were adopted in FY2023 and the finding should be eliminated in FY24. Section III - Federal Award Findings and Question Costs (continued) Regular review intervals will be established to ensure that these critical tasks are being addressed promptly and efficiently, minimizing the risk of delays in case processing. Prioritizing tasks according to urgency and compliance requirements. Focusing on terminated cases to prevent any potential service disruption to clients. Regular reminders will be issued to staff to review and work on their tasks according to the established guidelines. Management monitor daily to track progress of this issue and modify the controls as needed. All staff must use the provided checklists to review their work prior to submission or finalization. Staff are required to review the determination history to verify accuracy in household composition and income details. After completing a manual budget, workers must compare their results with the NCFAST-generated budget to confirm accuracy in budgeting and program eligibility. Training sessions include knowledge checks to validate understanding and retention of correct income entry methods. Engaging in peer reviews where feasible to promote a culture of accuracy and mutual accountability. Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor Brenda Brown, Director; Melissa Castelow, Medicaid Supervisor; Satonya Gonzales, Medicaid Supervisor
We increased our accounting capacity in late August 2023, and that staff member is now trained up. We have also contract with an outside consultant to see if we can streamline some of our processes and to see if we need additional capacity or a reallocation of tasks within the finance team. This inc...
We increased our accounting capacity in late August 2023, and that staff member is now trained up. We have also contract with an outside consultant to see if we can streamline some of our processes and to see if we need additional capacity or a reallocation of tasks within the finance team. This increased capacity will give us the ability to better prepare and respond to auditor questions in a timelier fashion. We hope to complete our FYE June 2024 audit by November 30, 2024. Anticipated Completion Date: June 30, 2024 Responsible Contact Person: David Maloney, Shelter House Controller
Condition - The School District incorrectly reported expenditures on its reimbursement requests and final expenditures reports to the State. This resulted in the School District not providing accurate information to the State that is used to determine if grant money was expended in accordance with t...
Condition - The School District incorrectly reported expenditures on its reimbursement requests and final expenditures reports to the State. This resulted in the School District not providing accurate information to the State that is used to determine if grant money was expended in accordance with the original or amended grant application. Recommendation - That the School District should review their internal controls and establish procedures to ensure that reports comply with 2 CFR section 200.328 and ensure proper reporting by ESSER Subgrant fund, expenditure category, and object code. Method of Implementation - Accounts Payable will review all purchase orders (P.O.s) on a monthly basis for accuracy, using a checklist provided by the Business Administrator. Person Responsible for Implementation - AP Specialist / ABA / SBA Implementation Date - April 1, 2024
Contact Person Rhonda Zastoupil, Business Manager Planned Corrective Action The Business Manager will review the monthly reimbursement reports and supporting data prepared by Business Office staff for accuracy and sign off on the reimbursement request prior to submittal to the Department of Public I...
Contact Person Rhonda Zastoupil, Business Manager Planned Corrective Action The Business Manager will review the monthly reimbursement reports and supporting data prepared by Business Office staff for accuracy and sign off on the reimbursement request prior to submittal to the Department of Public Instruction. Planned Completion Date Immediately
Contact Person Rhonda Zastoupil, Business Manager Planned Corrective Action The District will implement the auditor’s recommendation. Planned Completion Date March 31, 2025
Contact Person Rhonda Zastoupil, Business Manager Planned Corrective Action The District will implement the auditor’s recommendation. Planned Completion Date March 31, 2025
Block Grants for Prevention and Treatment of Substance Abuse AL No. 93.959 Forensic Services and Competency Restoration Training CSFA #60.114 Other matter required to be reported in accordance with Uniform Guidance Condition: CoC did not submit audited financial data in an accurate and timely manner...
Block Grants for Prevention and Treatment of Substance Abuse AL No. 93.959 Forensic Services and Competency Restoration Training CSFA #60.114 Other matter required to be reported in accordance with Uniform Guidance Condition: CoC did not submit audited financial data in an accurate and timely manner to oversight organizations. The audited financial data was submitted to the U.S. Department of Health and Human Services and the State Department of Children and Families 12 months after the CoC's fiscal year end. Auditor's Recommendations: CoC should continue to develop and implement internal controls over both internal and external reporting, and the year-end close process to ensure reporting remains accurate and timely, with any unexpected financial data being investigated and corrected before it is reported. CoC should consider additional staff training on various reporting requirements. Action Taken: Circles of Care continues to engage in additional technical assistance by consulting with other Florida non-profit community behavioral health hospitals regarding development and completion of the 1037 form. Although additional staff resources were allocated this past year, it is apparent that more resources will be required for the timely submission of the year-end reporting and submission. CoC w ill swiftly develop a transition plan to move responsibilities relating to 1037 form and all other required schedules to the current VP of Business and Finance, Henry Lin, and CoC will prioritize staff resources necessary to complete the reporting requirements in an accurate and timely manner going forward.
Finding 478543 (2023-001)
Material Weakness 2023
Arcare
AR
June 24, 2024 Re: Finding No 2023-001 Responsible Party: Talmage J. Whitehead, PresidenUCFO (870) 347-3313, Talmage. Whitehead@arcare.net Expected Completion date: September 2024 Finding No. 2023-001 states: Criteria: Under the requirements of the Federal Funding Accountability and Transparency Act ...
June 24, 2024 Re: Finding No 2023-001 Responsible Party: Talmage J. Whitehead, PresidenUCFO (870) 347-3313, Talmage. Whitehead@arcare.net Expected Completion date: September 2024 Finding No. 2023-001 states: Criteria: Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred to as the "Transparency Act" that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) Condition: The Organization failed to file FFATA reporting submissions for the fiscal year ended December 31, 2023. Management agrees with the finding. We have conducted the following steps to come into compliance with the Transparency Act: • Wording has been added to Program Monitoring and Data Reporting Systems Policy: ► Grant Program and Financial Management must compile and report data and other information as required by HRSA relating to Subrecipients (FFATA). ► Director of Grant Management will perform the following standard operating procedure for each grant to inform and prevent loss of knowledge for current and future staff members: ► Review and obtain understanding of all guidance and NOA grant terms; ► Relay this information to all grant program and finance staff; ► Assign duties and reporting to appropriate staff; ► Maintain a tracking sheet for grant reporting requirements; ► Confirm all reporting is completed accurately and timely; ► A FFATA data information form will be attached to Subrecipient agreements annually to assist in the reporting requirement; ► Copies of the submissions are maintained in the Department's file to ensure proper compliance documentation is kept. • All grant awards containing subrecipients have been reviewed and data gathered in order to report in the FSRS for 2023. Staff has prepared and filed the late reports for ARcare fiscal year 2023 with exception of one which we are waiting on for more information. We expect to report on this one by September 2024. Those filed were reviewed by Finance. • No awards have been given yet in 2024 so the FSRS reports for 2024 are not due. Awards projected to be given are in September and October 2024 and we intend to be in compliance by reporting deadlines.
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
Management’s Response: Management will implement procedures to ensure that timely and accurate financial information is prepared in accordance with generally accepted accounting principles.
Management’s Response: Management will implement procedures to ensure that timely and accurate financial information is prepared in accordance with generally accepted accounting principles.
Management’s Response: Management has revised MNM’s segregation of duties and compensating controls surrounding financial reporting and has implemented the appropriate safeguards to ensure they are adhered to. MNM has developed written procedures and incorporated the following controls surrounding...
Management’s Response: Management has revised MNM’s segregation of duties and compensating controls surrounding financial reporting and has implemented the appropriate safeguards to ensure they are adhered to. MNM has developed written procedures and incorporated the following controls surrounding cash receipts and disbursements. • Maintenance of a daily log of cash receipts and disbursements • Restrict access to cash and checks to authorized individuals • Maintain adequate supporting documentation for all cash receipts and disbursements • Recount of daily cash receipts by more than one individual for accuracy • Make deposits and post to accounts receivable on a regular basis at a minimum weekly • Safeguard cash and checks for deposits in a secure location (i.e. safe or lockbox) • Cash receipts are verified to daily log and supporting documentation as part of bank reconciliation process • Cash receipt and disbursement detail to be reviewed by Executive Director
The Township will establish controls to determine federal revenues and if an audit under the Uniform Guidance is required. The anticipated completion date is June 30, 2024.
The Township will establish controls to determine federal revenues and if an audit under the Uniform Guidance is required. The anticipated completion date is June 30, 2024.
Finding: 2023-001 Finding Description: The City did not report the subaward information for the fiscal year ended September 30, 2023. In addition, the City had errors on the annual CDBG Financial Summary Report (PR26) and one PR29 –CDBG Cash on Hand Quarterly Report. Auditee Response: The City of Me...
Finding: 2023-001 Finding Description: The City did not report the subaward information for the fiscal year ended September 30, 2023. In addition, the City had errors on the annual CDBG Financial Summary Report (PR26) and one PR29 –CDBG Cash on Hand Quarterly Report. Auditee Response: The City of Mesquite agrees with the finding. Corrective Action: The City of Mesquite will implement a reporting checklist for federal subrecipients to ensure the City’s required reporting is completed and fully compliant. Furthermore, the City will implement additional internal controls to ensure proper reconciliation of expenditures to each federal draw of funds. This will assist in reducing/eliminating reporting errors. Projected Completion Date: The corrective action will be immediately implemented and completed by September 30, 2024. Responsible Party: Manager of Accounting Services
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