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Corrective Action Plans

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State of Nebraska
NE
Subrecipient Monitoring Reporting
Program: AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP) ? Reporting Corrective Action Plan: The Agency will develop a process with the Nebraska Department of Environment and Energy to communicate with LIHEAP Staff when they have awarded LIHEAP funds to subrecipients. The process will includ...
Program: AL 93.568 ? Low-Income Home Energy Assistance (LIHEAP) ? Reporting Corrective Action Plan: The Agency will develop a process with the Nebraska Department of Environment and Energy to communicate with LIHEAP Staff when they have awarded LIHEAP funds to subrecipients. The process will include the requirement for LIHEAP Staff to provide the FFATA information to the staff that are responsible for FFATA reporting, so it is submitted timely. In addition, the Agency will revise the logic in the LIHEAP Federal Fiscal Year Report to ensure the data for the Household Report is accurate. Contact: Rebecca Kempkes / Matt Thomsen Anticipated Completion Date: 10/01/2023
View Audit 55212
State of Nebraska
NE
Reporting Internal Control / Segregation of Duties Matching / Level of Effort / Earmarking
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the ...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Management Response: The Agency agrees. Corrective Action Plan: Corrections to the ACF 199/209 reports remain pending. The TANF program will request N-FOCUS to make it a priority project so errors do not occur in the future. Contact: Will Varicak Anticipated Completion Date: 12/31/2023
View Audit 55212
Finding 59809 (2022-028)
Material Weakness 2022
State of Nebraska
NE
Subrecipient Monitoring Reporting
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Corrective Action Plan: The Agency will develop a process to ensure that ACF204 reporting is submitted timely to ACF and in the OLDC portal. In addition, the Agency will develop a process to identify hybrid contracts ...
Program: AL 93.558 ? Temporary Assistance for Needy Families (TANF) ? Reporting Corrective Action Plan: The Agency will develop a process to ensure that ACF204 reporting is submitted timely to ACF and in the OLDC portal. In addition, the Agency will develop a process to identify hybrid contracts to ensure FFATA reporting. Contact: Rebecca Kempkes / Snita Soni Anticipated Completion Date: 10/30/2023
View Audit 55212
Finding 59804 (2022-026)
Significant Deficiency 2022
State of Nebraska
NE
Questioned Costs Matching / Level of Effort / Earmarking Allowable Costs / Cost Principles
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
Program: AL 93.069 ? Public Health Emergency Preparedness ?Matching and Reporting Corrective Action Plan: N/A Contact: Lisa Osborne / Ryan Daly Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Finding 59793 (2022-004)
Significant Deficiency 2022
Prince George's County, MD
MD
Matching / Level of Effort / Earmarking Special Tests & Provisions Reporting § 200.303
Finding Number: 2022-004 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Special Tests and Provisions ? Wage Rate Requirements Type of Finding: Significant Deficiency in Internal Control Over Compliance, Other Matters Condition: Prince George?s County (County) did not ens...
Finding Number: 2022-004 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Special Tests and Provisions ? Wage Rate Requirements Type of Finding: Significant Deficiency in Internal Control Over Compliance, Other Matters Condition: Prince George?s County (County) did not ensure a construction project complied with wage rate requirements. Cause: The County?s policies and procedures were not sufficient to ensure that all contracts complied with wage rate requirements. Internal controls did not prevent or detect the error. Resolution: DHCD established Policies and Procedures governing all entitlement programs, including the Community Development Block Grant Program. All projects subject to the Davis Bacon Wage Rate requirement must have a preconstruction conference where wage rates and submission of certified payrolls are discussed. They must also submit certified payroll before a reimbursement is processed. This particular subrecipient became unresponsive and extensive technical assistance was provided for over a year. Responsible Party: Aspasia Xypolia, Director, DHCD Anticipated corrective action plan completion date: The Department will continue to follow the established procedures going forward to ensure that all projects subject to the Davis Bacon Wage Rate requirement will be reviewed and approved for compliance prior to the approval of reimbursement. For the one project out of compliance, extensive technical assistance was provided for over a year. A letter (attached) was sent to the subrecipient outlining the technical assistance and documentation needed. The Department is in the process of recovering the funds previously awarded to this subrecipient. Any questions concerning the findings or corrective action plan can be directed to Aspasia Xypolia, Director, DHCD at (301) 883-5501.
View Audit 56502
Finding 59792 (2022-003)
Material Weakness 2022
Prince George's County, MD
MD
HUD Housing Programs Material Weakness Reporting § 200.303
Finding Number: 2022-003 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Performance Reporting Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not submit a report of ...
Finding Number: 2022-003 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Performance Reporting Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not submit a report of Section 3 activities for a specific project to IDIS as required. Cause: The County?s policies and procedures were not sufficient to ensure that Section 3 reports were completed and submitted to IDIS as required by program regulations. Internal controls did not prevent or detect the error. Resolution: DHCD established Policies and Procedures governing all entitlement programs, including the Community Development Block Grant Program. All projects subject to Section 3 must have a preconstruction conference where Section 3 is discussed, among other required regulations. They must also submit Section 3 documentation before the project is closed- out and reimbursement is processed. Responsible Party: Aspasia Xypolia, Director, DHCD Anticipated corrective action plan completion date: The Department will continue to follow the established procedures going forward to ensure that all projects subject to the Section 3 requirement will be reviewed and approved for compliance prior to the approval of close-out and reimbursement. The department does have the Section 3 report for all project including this specific project, however it was not processed through the Integrated Disbursement and Information System (IDIS), which was effective July 2021. This particular report (attached) will be submitted through the FHEO Section 3 Performance Evaluation and Registry System (SPEARS). Any questions concerning the findings or corrective action plan can be directed to Aspasia Xypolia, Director, DHCD at (301) 883-5501.
View Audit 56502
Finding 59791 (2022-002)
Material Weakness 2022
Prince George's County, MD
MD
Subrecipient Monitoring Material Weakness Reporting § 200.303
Finding Number: 2022-002 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Federal Funding Accountability and Transparency Act (FFATA) Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s Count...
Finding Number: 2022-002 Program: 14.218 ? Community Development Block Grant Compliance Requirement: Reporting ? Federal Funding Accountability and Transparency Act (FFATA) Type of Finding: Material Weakness in Internal Control Over Compliance, Material Noncompliance Condition: Prince George?s County (County) did not report required subaward information to FSRS for first-tier subawards of $30,000 or more. Cause: The County?s policies and procedures were not sufficient to ensure that required subaward information was reported to FSRS. Internal controls did not prevent or detect the errors. Resolution: DHCD established Policies and Procedures governing all entitlement programs, including the Community Development Block Grant Program. DHCD will provide the Office of Management of Budget (OMB) with all subawards of $30,000 or more monthly to upload into the FSRS system. Responsible Party: Aspasia Xypolia, Director, DHCD Anticipated corrective action plan completion date: The Department will coordinate with OMB to upload the required data of the sub awardees receiving $30,000 or more in entitlement funds. DHCD has the necessary sub-awardee data for current and prior years to begin updating the required data. Any questions concerning the findings or corrective action plan can be directed to Aspasia Xypolia, Director, DHCD at 301-883- 6511.
View Audit 56502
Finding 59787 (2022-002)
Material Weakness 2022
City of Michigan City
IN
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Material Weakness § 200.303
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to en...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Yvonne Hoffmaster Contact Phone Number: 219 873-1404 Ext. 2004 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: To bring the City into compliance with effective internal controls to ensure requirements related to the grant agreement and the reporting compliance requirements are satisfied, the City Controller will prepare the project and expenditure reports and the Assistant Controller, or the 2nd Assistant Controller will review the project and expenditure reports before they are submitted. Anticipated Completion Date: The process will begin with the reports due April 30, 2023.
View Audit 56494
Finding 59778 (2022-001)
Significant Deficiency 2022
Whitehall Public Schools
MT
Equipment & Real Property Management Procurement, Suspension & Debarment Reporting
All expenditures that meet the district's capitalization policy will be recorded in the appropriate code and object according to the Montana School Accounting Manual. Expenditures that do not meet the capitalization policy will not be recorded as capital outlay. Fixed asset purchases that are purc...
All expenditures that meet the district's capitalization policy will be recorded in the appropriate code and object according to the Montana School Accounting Manual. Expenditures that do not meet the capitalization policy will not be recorded as capital outlay. Fixed asset purchases that are purchased with grants will be recorded, inventoried and monitored per grant requirements.
View Audit 55782
Finding 59763 (2022-004)
Significant Deficiency 2022
Laurel-Concord-Coleridge School Dist 54
NE
Subrecipient Monitoring Reporting Internal Control / Segregation of Duties
Finding: 2022-004 Name of Contact Person: Jeremy Christiansen, Superintendent Corrective Action: The District relies on the auditor to propose adjustments necessary to prepare the schedule of expenditures of federal awards including the related note disclosures. The District reviews the schedul...
Finding: 2022-004 Name of Contact Person: Jeremy Christiansen, Superintendent Corrective Action: The District relies on the auditor to propose adjustments necessary to prepare the schedule of expenditures of federal awards including the related note disclosures. The District reviews the schedule of expenditures of federal awards and approves all adjustments. Proposed Completion Date: Immediately
View Audit 50449
Finding 59761 (2022-002)
Significant Deficiency 2022
Nba/gpva Accessible Housing II Inc.
MO
Questioned Costs Reporting
Finding #2022-002 Comments on the Finding and Each Recommendation: Statement of condition 2022-002: The Corporation did not make the required monthly deposits into a separate reserve for replacements account. The reserve for replacements fund is underfunded by $598 as of June 30, 2022. Recommendatio...
Finding #2022-002 Comments on the Finding and Each Recommendation: Statement of condition 2022-002: The Corporation did not make the required monthly deposits into a separate reserve for replacements account. The reserve for replacements fund is underfunded by $598 as of June 30, 2022. Recommendation: Management should deposit $598 into the reserve for replacement. Action(s) taken or planned on the finding: Management agrees with the finding and auditor's recommendation. On August 19, 2022, management transferred $598 to the reserve for replacements fund.
View Audit 49840 Questioned Costs: $1
Finding 59731 (2022-004)
Material Weakness 2022
Newell School District
SD
Reporting Internal Control / Segregation of Duties
Responsible Individuals: Jaquelin Birner, Business Manager Corrective Action Plan: The District agrees with the above finding and will make the audit adjustments per the auditor?s recommendations. Anticipated Completion Date: February 2023.
Responsible Individuals: Jaquelin Birner, Business Manager Corrective Action Plan: The District agrees with the above finding and will make the audit adjustments per the auditor?s recommendations. Anticipated Completion Date: February 2023.
View Audit 55135
Finding 59730 (2022-003)
Material Weakness 2022
Newell School District
SD
Reporting
Responsible Individuals: Jaquelin Birner, Business Manager Corrective Action Plan: The District agrees with the above finding, and the District has accepted the risk associated with the auditor?s preparing of the financial statements, it will be repeated in 2023. It is more cost effective for the ...
Responsible Individuals: Jaquelin Birner, Business Manager Corrective Action Plan: The District agrees with the above finding, and the District has accepted the risk associated with the auditor?s preparing of the financial statements, it will be repeated in 2023. It is more cost effective for the District to hire Ketel Thorstenson, LLP, a public accounting firm, to prepare the full disclosure financial statements as a part of the annual audit process. The District has designated a member of management to review the draft financial statements and accompanying notes to the financial statements. Anticipated Completion Date: Ongoing
View Audit 55135
Finding 59726 (2022-002)
Material Weakness 2022
Black Hills Works, Inc.
SD
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Reporting
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has implemented practices for timely account reconciliations and oversight review of those reconciliations. Appropriate adjustments will be made during the fiscal year and the year-en...
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has implemented practices for timely account reconciliations and oversight review of those reconciliations. Appropriate adjustments will be made during the fiscal year and the year-end close by the Organization. Anticipated Completion Date: Current fiscal year 2022, as CFO was hired in October 2021.
View Audit 55122
Finding 59725 (2022-001)
Material Weakness 2022
Black Hills Works, Inc.
SD
Reporting Internal Control / Segregation of Duties
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has accepted the risk associated with requesting the auditors to prepare the financial statements and SEFA and continues to plan for the auditors to prepare the reports. Anticipated C...
Responsible Individuals: Mary R. Duncan, CPA, CGMA, Chief Financial Officer Corrective Action Plan: The Organization has accepted the risk associated with requesting the auditors to prepare the financial statements and SEFA and continues to plan for the auditors to prepare the reports. Anticipated Completion Date: Current fiscal year 2022, as CFO was hired in October 2021.
View Audit 55122
Finding 59717 (2022-002)
Significant Deficiency 2022
Gwynedd Mercy University
PA
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
Finding 2022-02 ? Enrollment Reporting Recommendation: The University should revise its procedures to ensure accurate enrollment information is sent to the NSLDS within the required timeframe for all students and that notifications between departments are communicated timely. Action Taken: As of the...
Finding 2022-02 ? Enrollment Reporting Recommendation: The University should revise its procedures to ensure accurate enrollment information is sent to the NSLDS within the required timeframe for all students and that notifications between departments are communicated timely. Action Taken: As of the date that this student withdrew, the Registrar's office was working with the Information Technology (IT) department to implement a process of receiving automatic email notifications when a student has been determined as withdrawn in the student management system (Colleague). At the beginning of calendar year 2022, these notifications were implemented and are now sent to the Registrar?s Office, Student Billing Office, Residence Life Office, and the Financial Aid Office, notifying them when a student is withdrawn from all of their courses. These notifications will now help mitigate the risk of untimely reporting. Additionally, the University has created a weekly report that is pulled by the Registrar?s Office to find students who are active but not enrolled or listed as on Leave Of Absence (LOA) but are not enrolled in a future class. Responsible Individual for Corrective Action: Registrar ? Joanna Raudenbush Anticipated Completion Date: June 30, 2022
View Audit 50213
Finding 59716 (2022-001)
Significant Deficiency 2022
Gwynedd Mercy University
PA
Student Financial Aid Subrecipient Monitoring Eligibility
Finding 2022-001: Gramm-Leach Bliley Act (GLBA) Recommendation: The University should perform and document an annual risk assessment to determine the University's specific risks relevant to protecting consumer nonpublic personal information. At a minimum, the University should have at least one risk...
Finding 2022-001: Gramm-Leach Bliley Act (GLBA) Recommendation: The University should perform and document an annual risk assessment to determine the University's specific risks relevant to protecting consumer nonpublic personal information. At a minimum, the University should have at least one risk statement aligned or referenced to each of the three required areas noted in the GLBA law at 16 CFR 314.4 (b). Finally, the University should identify and document at least one safeguard (i.e., control) for each of the risks identified and document in the risk assessment. Each control should be aligned or referenced to the risk(s) to which the safeguard applies. Action Taken: The University has taken the following steps to address the risks identified during the audit: 1. Employee Training and Management a. The University deployed the Knowbe4 Security Awareness Program to all full time staff. The program provides training for managing user data and email messages. To date the University has distributed two campaigns to combat email phishing attempts. 2. Information systems, including network and software design, as well as information processing, storage, transmission and disposal a. The University has formulated a digital transformation strategy to reduce on premises systems and applications. All the critical business systems are hosted at a colocation or are SaaS solutions. b. The University performs backups of all on premises systems using technology that creates immutable storage. c. The University leverages the cybersecurity experience of resellers and manufacturers to ensure all core network technology is installed and configured to minimize any attack surface. 3. Detecting, preventing, and responding to attacks, intrusions, or other systems failures and document safeguards for identified risks as required by the Gramm-Leach Bliley Act (GLBA). a. The University has deployed a redundant pair of Fortinet Advanced Firewalls to monitor and block traffic with suspicious payloads. b. The University has updated to the latest version of Microsoft Advanced Threat Defender to serve as optimal end point protection for managing email traffic. c. The University contracted with the Cybersecurity and Infrastructure Security Agency (CISA) to perform vulnerability scans and penetration testing. The IT department evaluates the weekly reports and remediates highlighted deficiencies. d. The University has removed all admin rights from school managed computers, eliminating the ability to install local software. e. The University has deployed an updated VPN client to all school managed computers providing a secure tunnel for access network services. f. The University manages web browsers of all school managed computers. The University will take the results of the security assessment that was completed and draft the GLBA policy in conformity with the DOE requirements by June 2023. Responsible Individual for Corrective Action: Chief Information Officer ? Gregg Chottiner Anticipated Completion Date: June 30, 2023
View Audit 50213
Dauphin County Voa Living Center, INC (creekside Village)
VA
Cash Management HUD Housing Programs Reporting
Finding Reference Number: 2022-002 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The residual receipts account deficiency will funded in the amount of $18,738 and $1,515. Management...
Finding Reference Number: 2022-002 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The residual receipts account deficiency will funded in the amount of $18,738 and $1,515. Management will ensure that the residual receipts account is properly funded in the future. Completion Date: August 25, 2022
View Audit 49371
Dauphin County Voa Living Center, INC (creekside Village)
VA
HUD Housing Programs Cash Management Reporting
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 25, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 25, 2022
View Audit 49371
Finding 59702 (2022-001)
Material Weakness 2022
Summitstone Health Partners
CO
Questioned Costs Allowable Costs / Cost Principles Eligibility
The following action items are currently being put into place by the People, Culture & Learning Department: -Reviewing and updating policies, procedures, and language in the Employee Handbook that meets the requirements of the Colorado Healthy Families Workplace Act -Communicate and train supervisor...
The following action items are currently being put into place by the People, Culture & Learning Department: -Reviewing and updating policies, procedures, and language in the Employee Handbook that meets the requirements of the Colorado Healthy Families Workplace Act -Communicate and train supervisors and managers on the updated policies, procedures, and language including the requirement for supervisors to be aware of the employee?s use of the specific leave codes and ensuring the leave code is being used appropriately before approving timecards -Implementing a new HRIS/Payroll system that will require justification/documentation from the employee for specific paid leave codes such as use of Extended Leave Bank or COVID. CLIENT RESPONSIBLE PARTY: Jaime Engle, Director of Total Rewards and HR Operations COMPLETION DATE: August 1, 2023 with implementation of ADP payroll system
View Audit 55410 Questioned Costs: $1
Racine Kenosha Community Action Agency, Inc.
WI
Subrecipient Monitoring Reporting
Finding: Reports of commodity activity were submitted to the pass-through entity that were not consistent with the underlying commodities records of RKCAA. Corrective Response: RKCAA management agrees with the finding. RKCAA is updating and revising policies and procedures, including additional sup...
Finding: Reports of commodity activity were submitted to the pass-through entity that were not consistent with the underlying commodities records of RKCAA. Corrective Response: RKCAA management agrees with the finding. RKCAA is updating and revising policies and procedures, including additional supervision, training and reconciliations to better track and report the commodities activity to the pass-through entity. This process is expected to be completed by June 30, 2023. 06/30/2023 CFO Laura Brown 262-637-8377 ext 104
View Audit 55408
Finding 59689 (2022-001)
Significant Deficiency 2022
The University of Vermont Health Network INC
VT
Reporting § 200.303
2022-001 ? Significant deficiency in documentation supporting Provider Relief Fund expenditures Cluster: Not applicable Federal Granting Agency: Health Resources and Services Administration (HRSA) Assistance Listing #: 93.498 Assistance Listing Title: COVID-19 Provider Relief Fund and American Resc...
2022-001 ? Significant deficiency in documentation supporting Provider Relief Fund expenditures Cluster: Not applicable Federal Granting Agency: Health Resources and Services Administration (HRSA) Assistance Listing #: 93.498 Assistance Listing Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: 1/1/20 - 6/30/22 Pass-through entity: Not applicable Management has reassessed its internal controls over the review and approval of allowable expenditures under this program. HRSA reporting periods 4 and 5 are supported by lost revenues and will not include any expenditures. Management has updated its documentation for this program and is in the process of updating other documentation related to period 4 and 5 for the FY23 audit. Leadership Responsible: Steve Warren, Network Grants Management Manager; Melissa Laurie, Network VP/Corporate Controller Anticipated Completion Date: 9/30/2023
View Audit 55778
Finding 59688 (2022-002)
Material Weakness 2022
The University of Vermont Health Network INC
VT
Reporting § 200.303
2022-002 ? Material weakness over amounts reported on the Schedule of Expenditures of Federal Awards (SEFA) Cluster: Not applicable Federal Granting Agency: Health Resources and Services Administration (HRSA) Award Year: 10/1/21 ? 9/30/22 Assistance Listing #: 93.461 Assistance Listing Title: HRSA ...
2022-002 ? Material weakness over amounts reported on the Schedule of Expenditures of Federal Awards (SEFA) Cluster: Not applicable Federal Granting Agency: Health Resources and Services Administration (HRSA) Award Year: 10/1/21 ? 9/30/22 Assistance Listing #: 93.461 Assistance Listing Title: HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund Pass-through entity: Not applicable Management notes that this program is complete, and expenditures will not be incurred or present on the Schedule of Expenditures of Federal Awards (SEFA) in future years. Management is working toward a centralized process for grant tracking. Blackbaud?s Financial Edge NXT software was implemented at UVM Medical Center, CVMC, PMC, and AHMC in 2021, ECH in 2022 and is scheduled to complete for CVPH on October 1, 2023. The system still needs to be implemented at HHH with a goal date of sometime in FY24. The system has the capability to track all grant related expenses and income by organization but currently only being used for grant tracking at UVMMC. This change in process is in its later stages. The intent of this work is to ensure that all grants are tracked centrally, with consistent oversight and monitoring. This will allow for centralized compilation of the SEFA for the Uniform Guidance audit. Currently the process is disparate across several entities with not a single point of contact. Management has added an additional FTE within the Network Grants Management Finance team beginning at the end of July 2023 to engage in this work to centralize grant tracking, which will continue to enhance our controls to ensure completeness and accuracy of the consolidated Network SEFA. Leadership Responsible: Steve Warren, Network Grants Management Manager; Melissa Laurie, Network VP/Corporate Controller Anticipated Completion Date: 12/31/2023
View Audit 55778
Finding 59687 (2022-001)
Significant Deficiency 2022
Bancroft
NJ
Reporting Internal Control / Segregation of Duties
Finding 2021-001 Reporting ? Internal Control Finding ? Significant Deficiency in Internal Control 93.498 Provider Relief Fund (PRF) Condition and Effect: Bancroft incorrectly reported lost revenues in the Health Resources and Services Administration (?HRSA?) portal Period 3 submission for quarters ...
Finding 2021-001 Reporting ? Internal Control Finding ? Significant Deficiency in Internal Control 93.498 Provider Relief Fund (PRF) Condition and Effect: Bancroft incorrectly reported lost revenues in the Health Resources and Services Administration (?HRSA?) portal Period 3 submission for quarters in which there was no lost revenues. There were no questioned costs identified as result of this error. View of Responsible Officials and Planned Corrective Action: Management reported lost revenue in the HRSA portal for quarters in which such reporting was not required; however, the attachment submitted with the HRSA input was correct. Management will check for updates to guidance and make necessary changes as appropriate. Name of Contract Person: Jennifer Cripps Chief Financial Officer Bancroft (856) 348-1196 Jennifer.Cripps@Bancroft.org Completion Date: December 1, 2022
View Audit 55306
Finding 59685 (2022-002)
Material Weakness 2022
Mesa County, Colorado
CO
Subrecipient Monitoring Eligibility Material Weakness
Finding: 2022-002 ? Material Weakness, Internal Control Over Compliance, Eligibility and Special Tests ? ALN 93.778 Medicaid Cluster Personnel Responsible for Corrective Action: Pam Noonan, Mesa County Finance Director Anticipated Completion Date: 09/29/2023 Cause: Internal controls over the el...
Finding: 2022-002 ? Material Weakness, Internal Control Over Compliance, Eligibility and Special Tests ? ALN 93.778 Medicaid Cluster Personnel Responsible for Corrective Action: Pam Noonan, Mesa County Finance Director Anticipated Completion Date: 09/29/2023 Cause: Internal controls over the eligibility determinations are the responsibility of management. Mesa County did not follow its formal process in place for reviews of eligibility determinations. View of Responsible Officials and Planned Corrective Action: Mesa County agrees with the finding and has put together a corrective action plan for the finding. Corrective Action Plan: Mesa County was aware that they were not meeting their internal or Health Care Policy and Financing (HCPF) and Colorado Department of Human Services (CDHS) review requirements for 2022. Mesa County created a new quality control case reviews policy and procedure effective June 2023. The new policy included internal, HCPF and CDHS review requirement for all programs. In addition, MCDHS quality assurance team will be providing oversight using a tool they create to ensure review requirements are being met for each program.
View Audit 55777
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