Corrective Action Plans

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While management’s calculation of lost revenues for 2020 was determined to be accurate, as the 2019 and 2020 reported numbers in the portal submission reconciled and agreed to MEMN’s audited net revenue amounts for those periods, the calculation of lost revenues for 2021 was not accurate. The report...
While management’s calculation of lost revenues for 2020 was determined to be accurate, as the 2019 and 2020 reported numbers in the portal submission reconciled and agreed to MEMN’s audited net revenue amounts for those periods, the calculation of lost revenues for 2021 was not accurate. The reported amounts of net revenue from fiscal year 2021 and fiscal year 2022 (partially from calendar year 2021) did not reconcile or agree to the audited amounts of net patient revenue from these periods. Actions: 1. Establish Reporting Review Procedures: • Develop a formal procedure for reviewing all reports and submissions to federal agencies before submission. • Designate a responsible party within management to oversee the review process and ensure compliance with established procedures. 2. Documentation and Record-Keeping: • Implement a documentation system to track the review process for each report or submission. 3. Dual Review Requirement: • Ensure that all reports and submissions to federal agencies undergo a dual review process, when possible. • While we understand the importance of accuracy and compliance in our reporting processes, instituting a dual review requirement may not be feasible for MEMN given our size and resource constraints. As a small company, we operate with limited staff and resources, and imposing a dual review requirement could impose unnecessary burdens on our team members and hinder efficiency. Instead, we will explore alternative measures to ensure the accuracy of our reports and submissions. This includes implementing robust internal controls, enhancing documentation procedures, and providing guidance to staff involved in the reporting process. By strengthening our internal processes and promoting a culture of accountability and mindfulness, we can mitigate the risk of errors and discrepancies without imposing additional layers of review. Additionally, a more practical approach would be to designate a single individual within our organization to oversee the review process. This individual would be responsible for conducting a thorough review of each report or submission before it is finalized and submitted. This approach maintains accountability while avoiding the logistical challenges associated with implementing a dual review requirement. 4. Enhanced Reconciliation Procedures: • Improve reconciliation procedures between reported amounts and audited financial data. • Conduct regular reconciliations between reported net revenue figures and audited net patient revenue amounts to identify discrepancies promptly. 5. Internal Controls Enhancement: • Strengthen internal controls related to financial reporting and submissions to federal agencies. Timeline: • Establish Reporting Review Procedures and Documentation: Complete within three months, May 2024 • Review Requirement: Implement immediately, February 2024 • Enhanced Reconciliation Procedures: Begin within three months, May 2024 • Internal Controls Enhancement: Implement within four months, June 2024 Monitoring and Evaluation: • Regular progress meetings to track the implementation of corrective actions. • Monitor the effectiveness of the dual review process and reconciliation procedures through periodic assessments. • Conduct internal audits to evaluate compliance with established procedures and identify areas for improvement. Contact: • Alain Viaud, aviaud@som.umaryland.edu, 667-214-2051
Finding 2022-007 Management plans to hire an additional grants accounting staff member who will be dedicated to monitor the head start program regulations and ensure reports are completed and filed timely. Grants accounting staff will utilize checklist functionality in the new financial system that ...
Finding 2022-007 Management plans to hire an additional grants accounting staff member who will be dedicated to monitor the head start program regulations and ensure reports are completed and filed timely. Grants accounting staff will utilize checklist functionality in the new financial system that will send required task notifications prior to reporting due dates assist in meeting reporting deadlines. Responsible Official: Associate Vice Chancellor for Finance & Treasurer Implementation Date: June 30, 2023
Finding 2022-002 a. Comments on the Finding and Each Recommendation: Management agrees with both the finding and recommendations. b. Action(s) Taken or Planned on the Finding The management overseeing the process has been completely replaced to ensure a fresh perspective and unwavering dedication to...
Finding 2022-002 a. Comments on the Finding and Each Recommendation: Management agrees with both the finding and recommendations. b. Action(s) Taken or Planned on the Finding The management overseeing the process has been completely replaced to ensure a fresh perspective and unwavering dedication to implementing robust internal controls. To address the shortcomings identified in Finding 2022-002, the Authority commits to a targeted action plan aimed at ensuring timely compliance with reporting requirements. Central to our approach is the engagement of a fee accountant, recognized for expertise in HUD reporting and public housing financial management. This specialist will be tasked with overseeing and streamlining our reporting processes. By leveraging this expertise, we aim to quickly rectify past reporting lapses and ensure future submissions are timely and compliant with HUD requirements. The new fee accountant will conduct a comprehensive review of our current reporting mechanisms, identify bottlenecks, and implement best practices tailored to our operations. This decisive action, centered around the expertise of the newly appointed fee accountant, demonstrates our commitment to enhancing our financial management practices and aligning with HUD's reporting expectations. Through these measures, we anticipate not only meeting HUD's deadlines but also setting a new standard for operational excellence within our Authority.
The Organization has hired a full-time accountant to perform the day-to-day accounting functions, which had previously been outsourced. Management will review monthly reconciliations and financial statements, ensuring the information reconciles and is derived directly from the accounting system. In ...
The Organization has hired a full-time accountant to perform the day-to-day accounting functions, which had previously been outsourced. Management will review monthly reconciliations and financial statements, ensuring the information reconciles and is derived directly from the accounting system. In the short term, the Organization will also continue with the oversight of an external bookkeeping firm for the month-end close financial statements. Lastly, the deliverables of this process will be presented to the Board of Directors.
2022-004 - Year Ended December 31, 2022 Department of Health and Human Services CFDA #93.829 Section 223 Demonstration Programs to Improve Community Health Services (CCBHC) Activities Allowed or Unallowed, Allowable Costs/Cost Principles and Reporting Material Weakness in Internal Control over Compl...
2022-004 - Year Ended December 31, 2022 Department of Health and Human Services CFDA #93.829 Section 223 Demonstration Programs to Improve Community Health Services (CCBHC) Activities Allowed or Unallowed, Allowable Costs/Cost Principles and Reporting Material Weakness in Internal Control over Compliance Finding Summa,y: - Rimrock Foundation's final expenditures identified as eligible and claimed under the federal program were reviewed and approved by separate individuals outside of the preparer. However, the reports submitted for reimbursement had no evidence of review and approval by a separate individual outside of the preparer. Rimrock Foundation's statistical reports submitted under the federal program also had no evidence of review and approval by a separate individual outside of the preparer. Responsible Individuals: Jeffrey Keller, CEO and Shirley Ehlang, Lead Financial Accountant Corrective Action Plan: Rimrock will have the statistical reports prepared by the Grant Financial Specialist and reviewed by the Lead Financial Account. The payment will be requested by the Lead Financial Accountant and the CFO or CEO will review the entire packet of documentation. Completion Date: December 2022
The Minstry has procedures in place to ensure timely submissions to the Federal Audit Clearinghouse are made. The untimely submission of the data collection form in relation to fiscal year 2022 was an outlier, and solely related to the Ministry having trouble finding a timely replacement auditor. No...
The Minstry has procedures in place to ensure timely submissions to the Federal Audit Clearinghouse are made. The untimely submission of the data collection form in relation to fiscal year 2022 was an outlier, and solely related to the Ministry having trouble finding a timely replacement auditor. Now that a replacement firm has been found, management will ensure timely filing takes place moving forward. As such, the data collection form for fiscal year 2023 will be submitted by the deadline.
Management will review related policies and procedures and consider the use of an outsourced accountant to help provide expertise.
Management will review related policies and procedures and consider the use of an outsourced accountant to help provide expertise.
FA 2022-001 Improve Budgetary Controls over Expenditures Compliance Requirement: Activities Allowed/Unallowed Allowable Costs/Cost Principles Internal Control Impact: Material Weakness Compliance Impact: Material Noncompliance Federal Awarding Agency: U.S. Department of Educ...
FA 2022-001 Improve Budgetary Controls over Expenditures Compliance Requirement: Activities Allowed/Unallowed Allowable Costs/Cost Principles Internal Control Impact: Material Weakness Compliance Impact: Material Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of Education Assistance Listing Number and Title: COVID-19 – 84.425D – Elementary and Secondary School Emergency Relief Fund COVID-19 – 84.425U – American Rescue Plan Elementary and Secondary School Emergency Relief Fund COVID-19 – 84.425W – Elementary and Secondary School Emergency Relief Fund Federal Award Number: S4250200012 (Year: 2020), S4250210012 (Year 2021), S425U210012 (Year 2021), S425W210011 (Year 2021) Questioned Costs: $279,314.22 Description: The policies and procedures of the School District were insufficient to provide adequate internal controls over expenditures as it relates to the Elementary and Secondary School Emergency Relief Fund program. Corrective Action Plans: Thomasville City Schools has amended any contracts with companies that provide services to allow the District to pay ESSER retention supplements when the Thomasville City Schools employees receive them. Estimated Completion Date: August 10, 2023 Contact Person: Stella M. Smith, CPA Telephone: (229) 225-2600 Email: smiths@tcitys.org
View Audit 293514 Questioned Costs: $1
Finding Number: 2022-008 Finding Title: LCTS Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Ann Ozan – Fiscal Supervisor II. Corrective Action Planned: Document the review of the public health, corrections, and school district quarterly...
Finding Number: 2022-008 Finding Title: LCTS Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Ann Ozan – Fiscal Supervisor II. Corrective Action Planned: Document the review of the public health, corrections, and school district quarterly reports. Review is being done when the state report is prepared, but not currently documented. Anticipated Completion Date: December 31, 2023.
Finding Number: 2022-007 Finding Title: Reporting Program: 11.307 Economic Adjustment Assistance Name of Contact Person Responsible for Corrective Action: JinYeene Neumann – County Engineer and Carla McCullough – Highway Department Office Administrator. Corrective Action Planned: Review program and ...
Finding Number: 2022-007 Finding Title: Reporting Program: 11.307 Economic Adjustment Assistance Name of Contact Person Responsible for Corrective Action: JinYeene Neumann – County Engineer and Carla McCullough – Highway Department Office Administrator. Corrective Action Planned: Review program and grant requirements to meet any reporting deadlines. Subsequent required reports were submitted in a timely manner for the remainder of 2022. Anticipated Completion Date: September 30, 2022.
2022-009 Single Audit Report Submission (Noncompliance) Agency’s Response: The City is immediately working to get current with the accounting processes that would enable the timely performance of the annual financial audit. The City is in the process of hiring more finance staff to ensure accounting...
2022-009 Single Audit Report Submission (Noncompliance) Agency’s Response: The City is immediately working to get current with the accounting processes that would enable the timely performance of the annual financial audit. The City is in the process of hiring more finance staff to ensure accounting data is captured accurately and timely. The responsible party for this finding is the finance director.
2022-008 Preparation of the Schedule of Expenditures of Federal Awards (Material Weakness) Agency’s Response: The City is currently in the process of hiring additional finance staff to address the grant(s) requests for reimbursements and collecting the necessary information for the preparation of th...
2022-008 Preparation of the Schedule of Expenditures of Federal Awards (Material Weakness) Agency’s Response: The City is currently in the process of hiring additional finance staff to address the grant(s) requests for reimbursements and collecting the necessary information for the preparation of the Schedule of Expenditures of Federal Awards. The responsible party for this finding is the finance director.
Finding 372082 (2022-001)
Significant Deficiency 2022
March 29, 2023 Zack Fentross, CPA Marcum LLP 9 Executive Park Drive, Suite 100 Merrimack, NH 03054 Dear Zack, The purpose of this letter is to address planned corrective action to finding 2022-001 “Improve Controls and Documentation over Reporting” as described in the FY2022 single audit report. The...
March 29, 2023 Zack Fentross, CPA Marcum LLP 9 Executive Park Drive, Suite 100 Merrimack, NH 03054 Dear Zack, The purpose of this letter is to address planned corrective action to finding 2022-001 “Improve Controls and Documentation over Reporting” as described in the FY2022 single audit report. The City incorrectly indicated that it had not spent any SLFRF funds for the period ended March 31, 2022 when that was not the case. The City has reviewed its reporting on other grants and this oversite is an isolated event. Since discovering the error, we have taken action to correct the March 31, 2022 report by opening a case with Treasury, case #00194588. The City intends to discuss steps to correct the report with Treasury and do what is required to make the needed corrections. This appears to be an isolated, honest mistake. Given that the current reporting period for the SLFRF funds is upon us, we are confident that we will be able to correct the prior year oversight and complete the current report correctly and on time. Sincerely, Sarah Macy, CPFO Director of Finance and Administration (802) 524-1500 x 256 s.macy@stalabnsvt.com
Preparation of the Schedule of Expenditures of Federal Awards. Condition: The County did not have a complete and accurate Schedule of Expenditures of Federal Awards prepared by the commencement of the audit, in such that an incorrect Schedule of Expenditures of Federal Awards was provided and was us...
Preparation of the Schedule of Expenditures of Federal Awards. Condition: The County did not have a complete and accurate Schedule of Expenditures of Federal Awards prepared by the commencement of the audit, in such that an incorrect Schedule of Expenditures of Federal Awards was provided and was used to submit the original Single Audit. It was necessary to reissue the Single Audit and submit an updated Data Collection form to the Federal Audit Clearinghouse in 2024. Corrective Action Plan: The County concurs with the finding, and they will follow the SEFA preparation procedures at the County to ensure complete and accurate reporting of the information that is used in the preparation of the Schedule of Expenditures of Federal Awards. Position of Responsible Official: Controller/Administrator, Nathan Roskey. Anticipated Completion Date: December 2023.
The District will continue to review procedures and delegate duties in a way to have more than one individual handle an area as possible.
The District will continue to review procedures and delegate duties in a way to have more than one individual handle an area as possible.
Finding 2022-003 Activities Allowed/Unallowed Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The system of internal c...
Finding 2022-003 Activities Allowed/Unallowed Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The system of internal control in use during the year did not consistently provide supporting documentation sufficient to verify expenditures. Also, the performance of important control procedures is not documented when performed. Actions Planned in Response to the Finding: The Board of Directors will create a document retention and destruction policy and monitor the Organization’s adherence to that policy. Official Responsible for Ensuring the CAP: Chief Operating Officer Planned Completion Date for the CAP: September 30, 2024
View Audit 293225 Questioned Costs: $1
Finding 2022-002 Noncompliance - Allowable Costs/Cost Principles Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The...
Finding 2022-002 Noncompliance - Allowable Costs/Cost Principles Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The Organization’s system of time and effort reporting is not designed to meet the requirements of OMB Uniform Guidance. Actions Planned in Response to the Finding: The Chief Executive Officer and the Chief Operating Officer will review the requirements for Time and Effort Reporting within OMB Uniform Guidance. Project codes will be set up in the current payroll system, and management will train all staff on recording time when a portion or all of that time is related to federal grants. The new system will be effective no later than June 30, 2024. Official Responsible for Ensuring the CAP: Chief Operating Officer Planned Completion Date for the CAP: June 30, 2024
To: U.S. Department of Health and Human Services-Passed through Minnesota Department of Human Services RE: Single Audit Corrective Action Plan for the fiscal year ended December 31, 2022 Name and address of independent accounting firm: BWK Rogers PC 431 South Seventh Street, Suite 2424 Minneapoli...
To: U.S. Department of Health and Human Services-Passed through Minnesota Department of Human Services RE: Single Audit Corrective Action Plan for the fiscal year ended December 31, 2022 Name and address of independent accounting firm: BWK Rogers PC 431 South Seventh Street, Suite 2424 Minneapolis, MN 55415 African American Child Wellness Institute submits the following corrective action plan for the year ended December 31, 2022. Please contact Akinyele Akinsanya at 763-522-0100. Finding 2022-001 Noncompliance – Allowable Costs/Cost Principles Material Weakness ALN 93.958 Block Grants for Community Mental Health Services Pass-through Entity Identification Number GRK 213195 U. S. Department of Health and Human Services Minnesota Department of Human Services Condition: The Organization did not create and install a system of financial reporting for federal funds that would record expenses charged to each federal grant into a cost center as those expenses were incurred. Actions Planned in Response to the Finding: The chart of accounts in the accounting software will be revised to include cost centers for each federal grant. The support for each expenditure (other than payroll) will be attached to the transaction in the accounting software. Organization staff will receive additional training on OMB Uniform Guidance requirements and related aspects of federal grant management and reporting. Official Responsible for Ensuring the CAP: Chief Operating Officer Planned Completion Date for the CAP: June 30, 2024
View Audit 293225 Questioned Costs: $1
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Tukwila School District No. 406 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Re...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Tukwila School District No. 406 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District overcharged indirect costs to the Education Stabilization Fund program. Name, address, and telephone of District contact person: Veronica Birdsong 4640 S. 144th Street Tukwila, WA 98168 206-901-8010 Corrective action the auditee plans to take in response to the finding: On an annual basis make sure to review the current federal indirectrates via OPSI website within that current school year as indirect rates change from fiscal year to fiscal year and may not be reflected on grants that carryover from year to year. I did the calculations for the 2022-202 school year to account for the overage charged in indirect and made sure that amount was use for direct expenditures. This was the best option as the grant was still being expended and the correction could be made without needing to repay the indirect amount over claimed back to OSPI. Anticipated date to complete the corrective action: currently completed for the 2022-2023 school year.
View Audit 293224 Questioned Costs: $1
As stated in the condition above the reports were all filed but not in accordance with the required timeframes. Management will work to ensure that reports are filed as required by the grant even when no activity for the related period occurs.
As stated in the condition above the reports were all filed but not in accordance with the required timeframes. Management will work to ensure that reports are filed as required by the grant even when no activity for the related period occurs.
Views of management and planned corrective action: Management agrees with the recommendation. We are working on bolstering our finance team to be able to adhere to already established reconciliation process that includes all reconciliations are done in the recommended time frames after the standard ...
Views of management and planned corrective action: Management agrees with the recommendation. We are working on bolstering our finance team to be able to adhere to already established reconciliation process that includes all reconciliations are done in the recommended time frames after the standard entries are done.
District will continue to look for ways to separate duties with our limited number of office staff to ensure compliance with these controls.
District will continue to look for ways to separate duties with our limited number of office staff to ensure compliance with these controls.
Finding 371185 (2022-003)
Significant Deficiency 2022
Finding Number: 2022-003 Finding Title: Reporting Program: 10.665 Forest Service Schools and Roads Cluster, Schools and Roads – Grants to States Name of Contact Person Responsible for Corrective Action: Matthew Huddleston, County Administrator Corrective Action Planned: Report will be submitted by F...
Finding Number: 2022-003 Finding Title: Reporting Program: 10.665 Forest Service Schools and Roads Cluster, Schools and Roads – Grants to States Name of Contact Person Responsible for Corrective Action: Matthew Huddleston, County Administrator Corrective Action Planned: Report will be submitted by February 1 of each year. Anticipated Completion Date: 12-31-2023
2022-003: Completion and Submission of Annual Single Audit – Significant Deficiency/Noncompliance • Federal Program: U.S. Department of Agriculture, Assistance Listing # 10.178 – Emergency Food Assistance Program, Pass-Through Agency Grantor Number: 5-03-45-292 • U.S. Department of Housing and Urba...
2022-003: Completion and Submission of Annual Single Audit – Significant Deficiency/Noncompliance • Federal Program: U.S. Department of Agriculture, Assistance Listing # 10.178 – Emergency Food Assistance Program, Pass-Through Agency Grantor Number: 5-03-45-292 • U.S. Department of Housing and Urban Development, Assistance Listing # 14.231 – Emergency Solutions Grant, Pass-Through Agency Grantor Numbers: C000074199, C000074157,C000072755, C000075619, C000080269, C000080688 • U.S Department of Treasury, Assistance Listing # 21.023 - COVID-19 - Emergency Rental Assistance Program, Passed through the Pennsylvania Department of Human Services • U.S. Department of Treasury, Assistance Listing # 21.027 – COVID-19 – State and Local Fiscal Recovery Funds • U.S. Department of Health and Human Services, Assistance Listing # 93.563 – Child Support Enforcement, Passed through the Pennsylvania Department of Health and Human Services • U.S. Department of Health and Human Services, Assistance Listing # 93.658 – Foster Care – Title IV-E, Passed through the Pennsylvania Department of Health and Human Services • U.S. Department of Health and Human Services, Assistance Listing # 93.659 – Adoption Assistance, Passed through the Pennsylvania Department of Health and Human Services Condition/Context: The County's Single Audit and reporting package was delayed for the year ended December 31, 2021, as a result of turnover within the County, beyond the 9-month due date. Corrective Action Planned: In response to Finding 2022-003, the County is taking the following steps to ensure that these issues are rectified going forward. The issues regarding Children and Youth have been ongoing. The delay in the filing of the Single Audit was solely due to their lack of staffing and inability to complete their reconciliations and reporting timely. The Commissioners and Children & Youth Administration are well aware of the lack of staff and are working towards hiring individuals to complete the necessary tasks. The County outsourced a small portion of the work to a sub-contractor in an effort to free up time of the full-time staff to complete daily tasks. Recently, the Agency hired two (2) new individuals to the Fiscal Unit. The Commissioners and C & Y Administration will continue to monitor the timeliness of quarterly reporting
Identifying Number: 2022-003 - Late Audit Reporting Finding: Under 45 CFR Part 75.512, the Uniform Guidance requires that audits are submitted by the earlier of 30 calendar days after receipt of the auditor’s report or nine months after the end of the audit period. The Organization did not complete...
Identifying Number: 2022-003 - Late Audit Reporting Finding: Under 45 CFR Part 75.512, the Uniform Guidance requires that audits are submitted by the earlier of 30 calendar days after receipt of the auditor’s report or nine months after the end of the audit period. The Organization did not complete and submit their audit for the year ended September 30, 2022 to the federal clearinghouse until January 2024. Corrective Actions Taken or Planned: Poor accounting systems require intense manual processing and prevent timely completion of year and audit required items. Due to the timing of the engagement the 2022 audit was started late, repeated changes in information submitted and tight audit personnel availability combined to further delay the audit. Our new accounting system and the second year with our current auditor will break this cycle. Fiscal year 2023’s audit will be conducted with an audit schedule planned to include starting earlier and to include pre-year-end close audit work in future years. Responsible Official: Michael Vazquez, CFO. Actual or Anticipated Completion Date: Fiscal year 2023 audit is expected to be completed by June 30, 2024.
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