Corrective Action Plans

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Finding 2022-005 -Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: We take this matter seriously and are committed to addressing and rectifying the identified issues. 1. Imme...
Finding 2022-005 -Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: We take this matter seriously and are committed to addressing and rectifying the identified issues. 1. Immediate Corrections: We have initiated immediate corrective actions to rectify the inaccuracies and deficiencies found in the waitlist. Our team is working diligently to update and maintain an accurate waitlist to ensure transparency and fairness in our processes. 2. Training and Awareness: Recognizing the importance of proper waitlist management, we are implementing additional training for relevant staff members involved in the waitlist maintenance process. This training will emphasize the importance of accuracy, timely updates, and compliance with organizational policies. 3. Enhanced Monitoring and Oversight: We are strengthening our internal monitoring mechanisms to ensure ongoing compliance with waitlist maintenance protocols. This includes implementing regular audits and reviews to identify and address emerging issues promptly. 4. Communication with Stakeholders: We understand the importance of transparent communication. We will inform CMS of the corrective measures implemented through our MOR finding correction response. We are committed to continuous improvement and appreciate the opportunity to enhance our processes based on your audit findings.
Finding 2022-004 -Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: We appreciate the audit team's diligence in reviewing our financial processes and acknowledge the finding r...
Finding 2022-004 -Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: We appreciate the audit team's diligence in reviewing our financial processes and acknowledge the finding related to the untimely reserve deposit. 1. Explanation: Example: "The delay in making the reserve deposit was primarily due to management not fully understanding HUD fund authorization per the HUD Handbook 4350. 2. Corrective Actions Taken: We have taken the following corrective actions: All reserve funds have been deposited in the appropriate reserve accounts at our bank. We have implemented a revised deposit schedule that will deposit reserve funds as required after receipt of direct deposit voucher payment from CMS. 3. Preventive Measures: To prevent a recurrence of this issue, we have instituted additional preventive measures, including producing monthly financial reports showing the deposits in a bank reconciliation line of the item and on the balance sheet. 4. Commitment to Compliance: We uphold the highest financial responsibility and compliance standards. Moving forward, we will remain vigilant to ensure timely reserve deposits and will continue to prioritize adherence to all relevant regulations and internal policies.
Finding 2022-003 Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: Explanation: We acknowledge the oversight and would like to provide context to understand better the circums...
Finding 2022-003 Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: Explanation: We acknowledge the oversight and would like to provide context to understand better the circumstances that led to the delay. We had internal challenges when our previous management company departed, leaving us with incomplete files and late recertifications or recertifications that never started, making it next to impossible to catch up promptly. Next, staff staffing issues contributed to the delays because staff members were not properly trained. Despite these challenges, we recognize the importance of adhering to HUD regulations and are committed to taking corrective measures. Corrective Actions Taken: We initiated immediate corrective actions to rectify the situation upon discovering the late recertifications. We have instituted the following measures to prevent the recurrence of late annual recertifications: 1. Created a recertification schedule and calendar with the annual recertification date, specific dates to notify residents that their annual recertification is due, and dates for submitting the information to CMS and to trac. The schedule and calendar are submitted to the executive director every two weeks to monitor progress, and a meeting is scheduled with staff every two weeks to review recertification issues. 2. We hired a consultant specializing in recertification to train the staff and work with staff daily to answer questions concerning our certification. Our recertification consultant is permanently on call to answer certification issues and continuous staff training. These measures are designed to ensure timely compliance with HUD regulations and to strengthen our internal processes.
Finding 2022-002 Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: Reviewing the audit report, we acknowledge discrepancies in our income calculation and verification processe...
Finding 2022-002 Federal Award Finding Name of Official Responsible for Corrective Action: Earl Richardson, First AME Housing Association Interim Executive Director Corrective Action Planned: Reviewing the audit report, we acknowledge discrepancies in our income calculation and verification processes. We understand the critical importance of accurate income assessments in determining HUD HAP eligibility and share your commitment to maintaining the program's integrity. To rectify the identified issues, we have initiated the following corrective actions. 1. Review and Update Procedures: We have thoroughly reviewed our existing income calculation and verification procedures. Based on this review, we are revising and updating our procedures to ensure compliance with HUD regulations and guidelines. 2. Staff Training: Recognizing the importance of well-trained staff in accurately executing income verification processes, we are implementing a comprehensive training program. This program will cover HUD guidelines, income calculation methods, and verification protocols to enhance the skills of our staff involved in the eligibility determination process. 3. Internal Audits and HUD Compliance Control: We are implementing an internal audit and compliance control program to regularly review and assess our income calculation and verification This proactive approach will help identify and address potential issues before they escalate. We have hired an outside consultant skilled in HUD compliance to review all new applications for compliance and to communicate with staff the corrections needed before tenant applications are submitted to CMS and Trac for final approval and payment. 4. Enhanced Documentation: We understand the significance of maintaining detailed and accurate documentation. Our organization is implementing measures to enhance documentation practices, ensuring that all relevant information is recorded and readily available for audit purposes. By doing this, we assure you that this will not be a repeat finding. 5. Communication and Collaboration with HUD: We are committed to maintaining open lines of communication with the HUD office. Any changes to our procedures, policies, or protocols related to income calculation and verification will be promptly communicated to the HUD office for review and feedback. We aim to ensure that our organization fully complies with HUD requirements and that we continue to provide accurate and reliable information for HAP eligibility.
Finding 501251 (2022-001)
Significant Deficiency 2022
Finding 2022 – 001: Data Collection Form Submission Condition: The FY2022 data collection form and audit package were not submitted timely. Plan: The Finance Director, along with staff, will review all Grant Agreements to determine the type of funding and evaluate the reporting requirements of all g...
Finding 2022 – 001: Data Collection Form Submission Condition: The FY2022 data collection form and audit package were not submitted timely. Plan: The Finance Director, along with staff, will review all Grant Agreements to determine the type of funding and evaluate the reporting requirements of all grants. Anticipated Date of Completion: September 30, 2024
Condition: The Institution did not submit its Single Audit report for the fiscal year ended June 30, 2022 to the Federal Audit Clearinghouse (FAC) within the required timeframe. The report was due within nine months after the end of the fiscal year, as per federal regulations. As of the report dat...
Condition: The Institution did not submit its Single Audit report for the fiscal year ended June 30, 2022 to the Federal Audit Clearinghouse (FAC) within the required timeframe. The report was due within nine months after the end of the fiscal year, as per federal regulations. As of the report date, has not been submitted. Best practices, as highlighted by the Government Finance Officers Association (GFOA) and the Council on Financial Assistance Reform (COFAR), recommend that entities establish internal processes to ensure compliance with federal reporting deadlines, such as implementing a calendar of key reporting dates and assigning specific responsibilities to team members to monitor and manage audit reporting submissions. Person responsible for Correction Action: Cristian Duarte, President & CEO Planned Corrective Action: We will submit the Single Audit report to the Federal Audit Clearinghouse (FAC) within the required timeframe. Anticipated Completion Date: On or before nine months after next fiscal year ended June 30, 2024.
Condition 2: The Authority did not submit its audited financial statements to the Federal Audit Clearinghouse and to REAC by the required due dates. Corrective Action 2: The Authority has retained an accounting firm to serve as a fee accountant. Our fee accountants will complete the unaudited Financ...
Condition 2: The Authority did not submit its audited financial statements to the Federal Audit Clearinghouse and to REAC by the required due dates. Corrective Action 2: The Authority has retained an accounting firm to serve as a fee accountant. Our fee accountants will complete the unaudited Financial Data Schedule submission and provide workpapers to the auditors to enable a timely audited submission. Completion Date: September 30, 2023
Corrective Action: Management of the Institute did not provide any planned corrective actions for this finding. Person Responsible: Management of the Institute did not identify an individual responsible for corrective action for this finding. Completion Date: Management of the Institute has not esta...
Corrective Action: Management of the Institute did not provide any planned corrective actions for this finding. Person Responsible: Management of the Institute did not identify an individual responsible for corrective action for this finding. Completion Date: Management of the Institute has not established a completion date for corrective action for this finding.
1. Management will delegate temporarily to the CFO to oversee the reporting requirements with the Federal funded projects until the Deputy Director will be filled in. 2. Management will establish internal control policies and procedures to properly and systematically administer the reporting require...
1. Management will delegate temporarily to the CFO to oversee the reporting requirements with the Federal funded projects until the Deputy Director will be filled in. 2. Management will establish internal control policies and procedures to properly and systematically administer the reporting requirements of Federal Aviation Administration.
AUDIT FINDINGS 2022-001: There were not adequate controls related to the reporting of expenditures on the schedule of expenditures of federal awards (Schedule) for the COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) program (FEMA). Specifically, review controls over ...
AUDIT FINDINGS 2022-001: There were not adequate controls related to the reporting of expenditures on the schedule of expenditures of federal awards (Schedule) for the COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) program (FEMA). Specifically, review controls over the accuracy and completeness of the Schedule were not designed to operate at an appropriate level of precision for the discretely presented component unit. As a result, $1,795,854 of FEMA expenditures was inadvertently omitted from the December 31, 2022 Schedule. Name of Contact Person: Daria Heimerman, Director of Financial Reporting, dtheimerman@evergreenhealthcare.org Corrective Action Planned: Implement a control of management review at an appropriate level of precision for the discretely presented component unit in order to ensure the accuracy and completeness of the Schedule. Anticipated Completion Date: September 2023 Statement of Concurrence or Nonconcurrence: Management concurs with audit finding 2022-001.
The Garden’s Uniform Guidance Audit for the year ended December 31, 2022 was delayed as Garden management was unare that that their federal expenditures exceeded the audit requirement threshold for the first time. Going forward, Garden management will ensure the data collection form and reporting pa...
The Garden’s Uniform Guidance Audit for the year ended December 31, 2022 was delayed as Garden management was unare that that their federal expenditures exceeded the audit requirement threshold for the first time. Going forward, Garden management will ensure the data collection form and reporting package are submitted within the earlier of 30 calendar days after receipt of the auditor’s report or nine months after the end of the audit period.
Finding 498823 (2022-004)
Significant Deficiency 2022
Finding Number: 2022-004 Finding Title: Reporting Program: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds (AL No. 21.027) Name of Contact Person Responsible for Corrective Action: David Stene, CFO Corrective Action Planned: Have the report reviewed by other county staff prior to sendin...
Finding Number: 2022-004 Finding Title: Reporting Program: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds (AL No. 21.027) Name of Contact Person Responsible for Corrective Action: David Stene, CFO Corrective Action Planned: Have the report reviewed by other county staff prior to sending in the report. Anticipated Completion Date: 12/31/2023
Contact Person Megan Rath 2022-003 Corrective Action Plan The USDA was made aware that the financial statements had errors and were unaudited at the time of the submission of the RD 442-2 and RD 442-3 for 2022. The Association’s audited financial statements are now up to date. Proper checks and ba...
Contact Person Megan Rath 2022-003 Corrective Action Plan The USDA was made aware that the financial statements had errors and were unaudited at the time of the submission of the RD 442-2 and RD 442-3 for 2022. The Association’s audited financial statements are now up to date. Proper checks and balances have been put into place to ensure ongoing complete and accurate financial data for USDA reporting. Completion Date The corrective action plan steps are planned to be sufficiently in place prior to the beginning of the 2023 USDA required reporting.
Contact Person Megan Rath 2022-002 Corrective Action Plan The Association’s audited financial statements are now up to date. Proper checks and balances have been put into place to ensure ongoing complete and accurate financial data to avoid delinquent audits and data collection forms. Completion D...
Contact Person Megan Rath 2022-002 Corrective Action Plan The Association’s audited financial statements are now up to date. Proper checks and balances have been put into place to ensure ongoing complete and accurate financial data to avoid delinquent audits and data collection forms. Completion Date The data collection form will be submitted to the Federal Audit Clearinghouse by September 30, 2024.
Full text of the Corrective Action Plan includes a chart, table or footnotes.
Full text of the Corrective Action Plan includes a chart, table or footnotes.
Finding 498223 (2022-003)
Significant Deficiency 2022
Criteria or specific requirement: 2 CFR 200.303(a) requires non federal entities receiving Federal awards to "Establish and maintain internal controls over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statut...
Criteria or specific requirement: 2 CFR 200.303(a) requires non federal entities receiving Federal awards to "Establish and maintain internal controls 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." Per the United States Department of Agriculture SF-425 FAQs, SF-425 Reports are to be submitted within 90 days of the anniversary date of the award. Condition: During testing it was noted that the financial report tested was filed after the required filing deadline. In addition, there was no evidence of review or approval over the report filing prior to submission to the granting agency. Questioned costs: None Context: A sample of 1 was made from a population of 1 financial report (entire population). The financial report did not have documentary evidence of review and approval. In addition, the report was filed after the submission deadline date. Cause: Documentary evidence of supervisor review and approval of the SF-425s is not retained. Rather, such approval is only communicated verbally. In addition, the Organization does not currently have monitoring procedures in place to ensure reports are submitted timely. Effect: Not filing reports on a timely basis can present risks, such as outdated and unreliable information or the inability to detect potential fraud or irregularities. In addition, delayed reports can impede regulatory authorities' ability to monitor compliance, detect patterns or trends, and assess risks in a timely manner. Without adequate documentary evidence around the review of financial reports, there is an increased risk of errors and fraud in the reporting process, which could result in inaccurate financial reporting and misappropriation of funds. Repeat Finding: No Recommendation: CLA recommends for the Organization to place emphasis on stronger controls around the timely filing of required reports, such as retaining a monthly checklist of required reconciliations and reports. CLA also recommends implementing a procedure that documents the supervisor's review (another individual who did not prepare the report) and approval of the Federal Financial Reports (SF-425s), whether that be via an email chain or retaining a copy that also includes the supervisor's signature on the report. Views of responsible officials: Management agrees with the finding. Action Taken in Response to Finding: In response to these findings, OSA has reviewed its formal review and approval procedures to ensure that documentation of review and approval occurs with every federal expense and invoice, and all federal reports are submitted accurately and on-time. In response to this review, OSA has implemented the following: ● Adherence to a current and accurate Financial Management Policy Manual. The manual documents OSA’s policy and procedures regarding this finding: ○ Monthly close/reconciliation reviewed by Executive Director and Board of Directors. ○ Review of federal grant requirements by OSA Leadership Team to support the finance manager, to ensure all federal financial reports are filed accurately and on time. ○ Review and approval of all allowable federal expenditures and invoices by the OSA Executive Director. ○ Archiving a digital copy of review and approvals for every invoice submitted, including review and approval for all supporting documentation including approved timesheets. Name(s) of the Contact Person Responsible for Corrective Action: Laurajean Lewis, Executive Director, at laurajean@seedalliance.org Planned Completion Date for Corrective Action Plan: 06/01/2024
Finding 498124 (2022-002)
Significant Deficiency 2022
Finding 2022-002: Significant Deficiency and Compliance with Reporting Provisions Corrective Action Plan: The City reviewed the updated guidelines for FEMA projects and worked with its auditors and Wisconsin Emergency Management to clarify the reporting requirements and timeline. When it was deter...
Finding 2022-002: Significant Deficiency and Compliance with Reporting Provisions Corrective Action Plan: The City reviewed the updated guidelines for FEMA projects and worked with its auditors and Wisconsin Emergency Management to clarify the reporting requirements and timeline. When it was determined that FEMA expenditures should be reported once the projects were obligated and costs incurred, the City proceeded to prepare and submit a 2022 single audit. Responsible Personnel: William Burns, Assistant City Administrator/ Finance Director Time Frame for Completion: September 30, 2024
1. Agency under the leadership of the CEO/CFO has invested and prioritized staff development in federal and state grant fiscal trainings, in support of timely and accurate financial statements. 2. CEO working with CFO will assure that all accounting and fiscal staff have access and support necessa...
1. Agency under the leadership of the CEO/CFO has invested and prioritized staff development in federal and state grant fiscal trainings, in support of timely and accurate financial statements. 2. CEO working with CFO will assure that all accounting and fiscal staff have access and support necessary to perform their assigned tasks and the segregation of duties. 3. CEO continues to assume full accountability to ensuring compliance with Board policy for monthly, quarterly fiscal reconciliations and reporting, supporting timely preparation of audit-ready financial statements, annual closeouts, and auditing. 4. Agency will issue RFP for independent auditor for FY 2024-2029 in September 2024, assuming that independent audotors will be engaged timely for the FY 2024 audit.
Finding 497575 (2022-002)
Material Weakness 2022
Annual Financial Reporting Under Generally Accepted Accounting Principles (GAAP) Fiscal Year: 2022 City’s Response: We concur. Views of Responsible Officials and Corrective Action: We have determined we cannot afford to hire additional staff that is required to properly prepare financial sta...
Annual Financial Reporting Under Generally Accepted Accounting Principles (GAAP) Fiscal Year: 2022 City’s Response: We concur. Views of Responsible Officials and Corrective Action: We have determined we cannot afford to hire additional staff that is required to properly prepare financial statements, disclosures, supplemental information, schedule of expenditures of federal awards and schedule of state financial assistance per generally accepted accounting principles in the United States of America. We feel that it makes more sense to work closely with our auditors to meet that criteria. Name of Responsible Person: Tracy Rau, Clerk/Treasurer Projected Implementation Date: Estimated, July 2024
Inadequate Controls Over Related Party Transactions Views of Responsible Officials and Planned Corrective Actions: Our 2021 findings were not reported until mid-year 2022. Management has included Butler CPA to help in accurately reporting and documenting internal and third-party transactions.
Inadequate Controls Over Related Party Transactions Views of Responsible Officials and Planned Corrective Actions: Our 2021 findings were not reported until mid-year 2022. Management has included Butler CPA to help in accurately reporting and documenting internal and third-party transactions.
Schedule of Expenditures of Federal Awards Views of Responsible Officials and Planned Corrective Actions: Management concurs with the recommendation. Management has hired a compliance administrator to track all grants, including federal, state and county. Management and Butler CPA firm will ensure t...
Schedule of Expenditures of Federal Awards Views of Responsible Officials and Planned Corrective Actions: Management concurs with the recommendation. Management has hired a compliance administrator to track all grants, including federal, state and county. Management and Butler CPA firm will ensure training to establish procedures and the preparation of the Schedule of Expenditures of Federal Awards.
Material Adjustments Views of Responsible Officials and Planned Corrective Actions: Management, with the inclusion of Butler CPA firm, will incorporate financial reporting internal controls to detect material adjustments, prevent materially misstated financial statements and increase the accuracy of...
Material Adjustments Views of Responsible Officials and Planned Corrective Actions: Management, with the inclusion of Butler CPA firm, will incorporate financial reporting internal controls to detect material adjustments, prevent materially misstated financial statements and increase the accuracy of the interim financial reports used by management.
Finding Number: 2022-001 Compliance Requirement: Reporting (Significant Deficiency and Instance of Non-Compliance) Program: U.S. Department of Health and Human Services, Award Listing Number 93.959 Planned Corrective Action: St. Christopher’s Inn, Inc. (the Inn) acknowledges that the 2022 Data Colle...
Finding Number: 2022-001 Compliance Requirement: Reporting (Significant Deficiency and Instance of Non-Compliance) Program: U.S. Department of Health and Human Services, Award Listing Number 93.959 Planned Corrective Action: St. Christopher’s Inn, Inc. (the Inn) acknowledges that the 2022 Data Collection Form was not filed timely. The planned correction plan is to file the 2022 data collection form upon the issuance of the Uniform Guidance financial statements and ensure that future Data Collection Forms are filed timely. Person Responsible: Kyle Lippman, Assistant Chief Financial Officer Expected Completion Date: September 2024
As part of the December 31, 2022 audit process and due to new funding received by Preventionfocus, it was discovered that management did not accurately track the expenditure of federal awards during the fiscal year. This resulted in management not being aware that it had expended federal awards of ...
As part of the December 31, 2022 audit process and due to new funding received by Preventionfocus, it was discovered that management did not accurately track the expenditure of federal awards during the fiscal year. This resulted in management not being aware that it had expended federal awards of greater than $750,000, which would require a single audit, and the Agency was unable to timely submit a Data Collection Form to the Federal Audit Clearinghouse. Recommendation: The auditors recommended that the Executive Director and Director of Administration develop policies and procedures to prepare and reconcile total federal expenditures to their general ledger annually to enable timely submission of the Data Collection Form to the Federal Audit Clearinghouse. Action Taken: Management agrees with this recommendation. The Executive Director and Director of Administration are in the process of developing policies and procedures that will help to ensure timely and accurate tracking of federal expenditures on an annual basis. Victoria Simmons, Director of Administration, will assume responsibility for implementation by September 30, 2024.
Finding 497366 (2022-003)
Significant Deficiency 2022
Corrective Action Planned: For the fiscal year ending December 31, 2022, the City did not submit an annual single audit report within nine months of year-end. Estimated project costs did not meet the single audit spend threshold for 2022. The requirements were not reassessed until the 2023 single a...
Corrective Action Planned: For the fiscal year ending December 31, 2022, the City did not submit an annual single audit report within nine months of year-end. Estimated project costs did not meet the single audit spend threshold for 2022. The requirements were not reassessed until the 2023 single audit when it was recognized that we did meet the spend threshold for the single audit in 2022. Management has better knowledge of the single audit requirements, and proper procedures should be followed in future years. Name(s) of Contact Person(s) Responsible for Corrective Action: Joy Bisco, Utility Office Manager, Lana Nelson, City Treasurer/Deputy Clerk. Anticipated Completion Date: End of 2023 fiscal year.
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