Corrective Action Plans

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We recommend that management review all expenditures for federal awards for accuracy under the criteria provided by the U.S. Department of Health and Human Services to ensure all supporting documentation is properly maintained and all errors are identified and corrected timely. The Organization co...
We recommend that management review all expenditures for federal awards for accuracy under the criteria provided by the U.S. Department of Health and Human Services to ensure all supporting documentation is properly maintained and all errors are identified and corrected timely. The Organization concurs with this recommendation. Management will review calculations and supporting documentation for all expenditures for federal awards to ensure accuracy in future reporting.
We recommend the Organization put processes in place to ensure accurate portal reporting under the grant. We also recommend monitoring future reporting within the portal to ensure the allocation of expenses attributable to coronavirus and lost revenues are accurately updated. The Organization con...
We recommend the Organization put processes in place to ensure accurate portal reporting under the grant. We also recommend monitoring future reporting within the portal to ensure the allocation of expenses attributable to coronavirus and lost revenues are accurately updated. The Organization concurs with this recommendation. Management will implement a control over the preparation and review over the completion and submission of the special reports to the government website. The submission will be prepared and documented and will be reviewed by another experienced individual. Any comments will be documented and followed up by staff documenting and evidencing the review.
We recommend the Organization put processes in place over reporting to ensure timely submission of the audit report. The Organization concurs with this recommendation. Management will put processes into place to ensure timely submission of the audit report prior to the reporting deadline.
We recommend the Organization put processes in place over reporting to ensure timely submission of the audit report. The Organization concurs with this recommendation. Management will put processes into place to ensure timely submission of the audit report prior to the reporting deadline.
WINNEBAGO HOUSING AND DEVELOPMENT COMMISSION 100 South Elm Circle, P.O. Box 671 Winnebago, NE 68071 402-878-2241 CORRECTIVE ACTION PLAN September 15, 2023 U.S. Department of Treasury Winnebago Housing and Development Commission respectfully submits the following corrective action plan for the year ...
WINNEBAGO HOUSING AND DEVELOPMENT COMMISSION 100 South Elm Circle, P.O. Box 671 Winnebago, NE 68071 402-878-2241 CORRECTIVE ACTION PLAN September 15, 2023 U.S. Department of Treasury Winnebago Housing and Development Commission respectfully submits the following corrective action plan for the year ended December 31, 2021. Name and address of independent public accounting firm: Midwest Professionals, PLLC 215 South Court Avenue Gaylord, MI 49735 Audit period: January 1, 2021 – December 31, 2021 The findings from the 2021 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Major Federal Program Audit 2021-001 Late Single Audit Submission Condition: The Development Commission’s audit was not completed and the data collection form and reporting package were not submitted within nine months after the end of the audit period. Recommendation: Obtain the services of a new Finance Manager who will coordinate the close out of the year end financials with the fee accountant so the books are closed prior to the start of the FY2023 audit. Action Taken: The Commission has sought to employ additional personnel in the finance department to assume the past finance manager’s responsibilities. The Commission is hopeful that the additional personnel is able to provide the fee accountant sufficient information to allow for timely financials to be produced and thus facilitate the submission of a timely audit reports in the future. If you should have any questions regarding the plan, please call Dana Zagurski at (402) 878- 2241. Sincerely, Dana Zagurski, Executive Director 100 S. Elm Circle Winnebago, NE 68071 Tel. (775) 964-6020
Recommendation: We recommend the Authority implements controls to ensure that recertifications are uploaded to PIC in accordance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken/planned in response to finding: ...
Recommendation: We recommend the Authority implements controls to ensure that recertifications are uploaded to PIC in accordance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken/planned in response to finding: HCVP continues to transmit all 50058 transactions to PIC on a weekly basis and review PIC error reports for corrections needed. Any identified errors are assigned to specific staff for correction within 5 business days. The PIC coordinator will confirm corrections are submitted and accepted in PIC. A monthly report will be provided to the Senior VP summarizing the number of transmissions, errors, and status of corrections. Name of the contact person responsible for corrective action: Khaliah Payne Planned completion date for corrective action plan: Ongoing until all PIC errors are addressed/resolved as needed.
Recommendation: We recommend the Authority implements controls to ensure that recertifications are uploaded to PIC in accordance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken/planned in response to finding: ...
Recommendation: We recommend the Authority implements controls to ensure that recertifications are uploaded to PIC in accordance with reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken/planned in response to finding: HCVP continues to transmit all 50058 transactions to PIC on a weekly basis and review PIC error reports for corrections needed. Any identified errors are assigned to specific staff for correction within 5 business days. The PIC coordinator will confirm corrections are submitted and accepted in PIC. A monthly report will be provided to the Senior VP summarizing the number of transmissions, errors, and status of corrections. Name of the contact person responsible for corrective action: Khaliah Payne Planned completion date for corrective action plan: Ongoing until all PIC errors are addressed/resolved as needed.
Current Year Audit Findings Corrective Action Plan For the Year Ended June 30, 2021 Finding 2021-003 Internal control deficiency over review of report submission Information on the federal program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Ad...
Current Year Audit Findings Corrective Action Plan For the Year Ended June 30, 2021 Finding 2021-003 Internal control deficiency over review of report submission Information on the federal program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498 COVID-19 - HRSA COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions Award Period of Performance: January 1, 2020 – June 30, 2021 Planned corrective action: Management will analyze the amounts submitted in the reports and compare to the applicable terms and conditions of this grant. As part of this review, management will assess whether any internal control gaps exist and will also confirm the completeness and accuracy of the data being submitted. Projected completion date: 02/29/2024
Current Year Audit Findings Corrective Action Plan For the Year Ended June 30, 2021 Finding 2021-002 Timely Preparation of Schedule of Expenditures of Federal Awards Information on the federal program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Service...
Current Year Audit Findings Corrective Action Plan For the Year Ended June 30, 2021 Finding 2021-002 Timely Preparation of Schedule of Expenditures of Federal Awards Information on the federal program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461 COVID-19 - HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund Award Period of Performance: February 4, 2020 – April 5, 2022 Planned corrective action: Management analyzed the amounts submitted for reimbursement and compared to the applicable terms and conditions of this grant. As part of this review, management assessed whether any internal control gaps existed and confirmed the completeness and accuracy of reimbursement claims that were flagged within its patient accounting system. Refunds were issued in the amount of $212,481.35 for accounts that were identified to have insurance as the result of this review. Projected completion date: This review was completed on 3/23/23.
Management Response to Audit Comment # 2021-004 INTERNAL CONTROLS OVER FINANCIAL STATEMENT PERPARATION, PROPER APPROVAL OF DISBURSEMENTS, GRANT CLOSE-OUT PROCEDURES AND REQUIRED REGULATORY REPORTING. POLICIES AND PROCEDURES SHOULD BE IMPROVED LOW INCOME HOME ENERGY ASSISTANCE PROGRAM HEAD START AND ...
Management Response to Audit Comment # 2021-004 INTERNAL CONTROLS OVER FINANCIAL STATEMENT PERPARATION, PROPER APPROVAL OF DISBURSEMENTS, GRANT CLOSE-OUT PROCEDURES AND REQUIRED REGULATORY REPORTING. POLICIES AND PROCEDURES SHOULD BE IMPROVED LOW INCOME HOME ENERGY ASSISTANCE PROGRAM HEAD START AND EARLY HEAD START PROGRAMS Federal Assistance Listing: 93.568 and 93.600 Responsible Person: G. Keith Williams Anticipated Completion Date: December 31, 2023 / On-Going Corrective Action: The management of Clayton County Community Services Authority, Inc. has reviewed the above referenced finding and fully agrees with the need for improved internal controls over financial statement preparation. Management believes that the proper approval of disbursements was adhered to during the reporting period with minimal deviation and continues to ensure proper policies are followed. Federal reports (SF425’s, LIHEAP) were filed during this period and may not have been properly reviewed during the course of this audit. For example, the LIHEAP reports were reconciled with the assistance of the State Program Specialist to ensure proper return of funds as requested by the funding agency. Management reserves the right to discuss this further as needed for the purpose of this finding. Adequate fiscal personnel staff has continued to be a challenge for the agency as management has done an exhaustive search for additional fiscal personnel and made job offers to qualified individuals only to have them decline the offer at the last moment. We have just offered the position of General Ledger Accountant to an individual and they are expected to start in two weeks. This will assist the CFO in the area of financial controls and reporting. It should also be noted that all bank reconciliations are current and being completed in a timely manner as dictated by our policies and procedures. Management continues to ensure all federal, state, and local and local regulatory reports and completed and submitted in a timely manner. As stated previously, the CFO worked directly with the State LIHEAP Program Staff to ensure proper reporting and reconciliation before returning unused funds.
Finding 2021-001 Significant Deficiency in Internal Control over Compliance, Noncompliance-Reporting Type of Finding: Significant Deficiency/Noncompliance Name of Contact: George Flynn Corrective Action Plan: Stebbins Community Association will strive to ensure that the future audits will be com...
Finding 2021-001 Significant Deficiency in Internal Control over Compliance, Noncompliance-Reporting Type of Finding: Significant Deficiency/Noncompliance Name of Contact: George Flynn Corrective Action Plan: Stebbins Community Association will strive to ensure that the future audits will be completed in time to file the form SD-SCA within the required nine months. We will schedule future audits to work with an accounting firm to occur within 100 days after fiscal year. Proposed Completion Date: December 4, 2023.
The Hospital claimed and reported COVID-19-related supply expenses within the HHS Provider Relief Fund portal that were eligible to be reimbursed via other sources due to not reducing the amount of COVID-19 supply related expenses by the internally calculated Medicare reimbursement rate. Corrective...
The Hospital claimed and reported COVID-19-related supply expenses within the HHS Provider Relief Fund portal that were eligible to be reimbursed via other sources due to not reducing the amount of COVID-19 supply related expenses by the internally calculated Medicare reimbursement rate. Corrective Action Plan: While errors were identified within the COVID-19 expenses reported by the Organization, calendar year 2020 lost revenues, calculated using a budget approved prior to March 27, 2020, result in total lost revenues of $5,115,335. 2020 lost revenues alone more than substantiate the $4,503,732 of Provider Relief Funds recognized by the Hospital, regardless of any errors identified in COVID-19 expenses. Going forward, the Hospital will work to improve controls surrounding the tracking of COVID-19 related expenses and will ensure an individual, independent from the tracking of COVID-19 expenses, is reviewing reported expenses for accuracy and reasonableness. Personnel Responsible for Corrective Action: Kathleen Bunting, Chief Executive Officer; kjbrnmsn@hotmail.com; 618-842-2611. Anticipated Completion Date: Change is in process and full adoption is anticipated at time of next portal submission, if any.
View Audit 7666 Questioned Costs: $1
The Hospital elected to use lost revenues calculation Option II, Budget to Actual. Option II requires that an approved budget prior to March 27, 2020, which covers the entire period of availability, be utilized to calculate lost revenues. While the budget period relating to calendar year 2020 was ...
The Hospital elected to use lost revenues calculation Option II, Budget to Actual. Option II requires that an approved budget prior to March 27, 2020, which covers the entire period of availability, be utilized to calculate lost revenues. While the budget period relating to calendar year 2020 was approved prior to March 27, 2020, the budget period relating to calendar year 2021 was approved subsequent to March 27, 2020. Thus, the budget approved prior to March 27, 2020 did not cover the entire period of availability and the budget relating to calendar year 2021 was not approved within required time parameters. Additionally, there were certain errors discovered within the calculation due to the inclusion of nonpatient revenues and the exclusion of bad debts. Corrective Action Plan: The finding identified is a result of confusion over information required to be input into the portal. It was the Hospital’s intention to rely entirely upon those lost revenues related to calendar year 2020. Calendar year 2020 lost revenues calculated using a budget approved prior to March 27, 2020, result in total lost revenues of $5,115,335. Lost revenues alone more than substantiate the $4,503,732 of Provider Relief Funds recognized by the Hospital. Going forward, the Hospital will continue to improve its understanding of the guidance related to lost revenue reporting and work with their external advisors to ensure future portal submissions, if any, are compliant with said guidance. While the Hospital will ensure compliance with submission requirement in any future required submissions, if any, the Hospital considers the lost revenues and COVID-19 related expenses incurred by the Hospital sufficient in substantiating those Provider Relief Funds received and reported on within the period in question. Personnel Responsible for Corrective Action: Kathleen Bunting, Chief Executive Officer; kjbrnmsn@hotmail.com; 618-842-2611. Anticipated Completion Date: Change is in process and full adoption is anticipated at time of next portal submission, if any.
View Audit 7666 Questioned Costs: $1
Association will work with Auditors to ensure timely preparation of the SEFA.
Association will work with Auditors to ensure timely preparation of the SEFA.
This is a timing difference. Able-Disabled Advocacy will under-bill a future request in order to make whole the funding Agency and bill the proper amount in aggregate under the contract.
This is a timing difference. Able-Disabled Advocacy will under-bill a future request in order to make whole the funding Agency and bill the proper amount in aggregate under the contract.
View Audit 7289 Questioned Costs: $1
Finding # 2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Response: Policy 04.03.05 was created in response to this finding to formalize the procedure for BOD oversight and assignment to management in order to meet Health Cent...
Finding # 2021-003 – Misapplication of the Sliding Fee Scale CFDA Number: 93.224 and 93.527 Health Centers Cluster (Repeat Finding) Response: Policy 04.03.05 was created in response to this finding to formalize the procedure for BOD oversight and assignment to management in order to meet Health Center Program reporting requirements, including an annual Uniform Data System (UDS) report, an annual Federal Financial Report (FFR), and quarterly FFRs. HRSA’s Electronic Handbook is to be used to track the assignment and deadlines of these report submissions as they become available in HRSA’s Electronic Handbook (EHB), and present the report submissions tracking tool to the Board of Directors monthly through the Board’s Finance Committee. Responsible Party(s) Elizabeth Petrini, Controller Breanda Reis, Associate Vice President of Finance Estimated Completion Date 11/1/23
Finding 4499 (2021-002)
Significant Deficiency 2021
Hips
DC
HIPS hired additional finance staff, including staff with experience in federal grantmaking, and reorganized the team member responsibilities to ensure all past due filings were completed by February 28, 2022.
HIPS hired additional finance staff, including staff with experience in federal grantmaking, and reorganized the team member responsibilities to ensure all past due filings were completed by February 28, 2022.
Finding 4498 (2021-001)
Significant Deficiency 2021
Hips
DC
HIPS hired additional finance staff, including staff with experience in federal grantmaking, and reorganized the team member responsibilities to ensure all past due filings were completed by February 28, 2022.
HIPS hired additional finance staff, including staff with experience in federal grantmaking, and reorganized the team member responsibilities to ensure all past due filings were completed by February 28, 2022.
Finding 2021-01 - Related to the Financial Statements Reported in accordance with Government Auditing Standards and Related to Federal Awards Statement of Condition: The required annual audits of the financial statements for the years ended June 30,2021 and 2022 were not completed and submitted to t...
Finding 2021-01 - Related to the Financial Statements Reported in accordance with Government Auditing Standards and Related to Federal Awards Statement of Condition: The required annual audits of the financial statements for the years ended June 30,2021 and 2022 were not completed and submitted to the federal and state governments within the time frames required by Federal Regulations and the State of Georgia. Criteria: Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance) require that grant recipients that expend $750,000 or more in federal awards in a fiscal year must have a single audit conducted in accordance with 45 CFR Part 75, Subpart F and submit the related audit reports electronically to the Federal Audit Clearinghouse within the specified time frame. The Official Code of Georgia, Annotated (O.C.G.A) §36-81-7 requires an annual audit of the financial affairs, transactions of all funds and activities of the local government for each fiscal year of the local government. The audit report must contain financial statements prepared in conformity with generally accepted governmental accounting principles. The annual audit report of the local government shall be completed, and a copy forwarded to the state auditor within 189 days after the close of the local government's fiscal year end. Recommendation: We recommend that all financial reporting and submission requirements and deadlines required by federal and state regulation be adhered to for future periods. Management's Response: The City engaged a public accounting firm to audit the financial statements for fiscal years ended June 30,2021 and 2022. The audit of the financial statements for the fiscal year ended June 30,2021 has been completed and will be submitted, as required, within the next 30 days. The audit of the financial statements of the fiscal year ended June 30,2022 is in process.
Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Ms. Angela Childers, Chief Executive Officer Projected Completion Date: March 31, 2024
Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Ms. Angela Childers, Chief Executive Officer Projected Completion Date: March 31, 2024
Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Ms. Angela Childers, Chief Executive Officer Projected Completion Date: March 31, 2024
Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Ms. Angela Childers, Chief Executive Officer Projected Completion Date: March 31, 2024
Condition: According to the Code of Federal Regulations, non-federal entities that expend more than $750,000 or more during the non-federal entity's fiscal year in federal awards must have a single or program-specific audit conducted for that year in accordance with Part 200 Subpart F. The Chamber d...
Condition: According to the Code of Federal Regulations, non-federal entities that expend more than $750,000 or more during the non-federal entity's fiscal year in federal awards must have a single or program-specific audit conducted for that year in accordance with Part 200 Subpart F. The Chamber did not have a single or program-specific audit performed for the year ended December 31, 2021. Planned Corrective Action: Like many organizations who partnered with government entities for the first time during COVID, the Chamber had not previously received or expended more than $750,000 in federal awards in any given year and, therefore, did not recognize the need for a Single Audit. However, in January 2023, the Chamber's new controller identified the necessity of a Single Audit and promptly contacted the funder, the City of CIncinnati, to request a program -specific audit in lieu of a Single Audit. To ensure the appropriateness of this request, the City of Cincinnati communicated with the US Treasury via email, their sole available form of contact. Though there has been consistent follow-up by the Chamber with the City on a monthly bais, no response has been received from the US Treasury to date. Given the prolonged period between the initial discovery and the request to the US Treasury, the Chamber had a Single Audit performed. We are committed to addressing this issue promptly and in full compliance with all necessary regulations.
CRDF Global will take the following actions to address this finding: • Update CRDF’s timekeeping policy to specifically address direct vs. indirect activities. • Train leadership and all staff in timekeeping compliance with a special emphasis on 2 CFR 200.460, Proposal Costs. • Coach all employees o...
CRDF Global will take the following actions to address this finding: • Update CRDF’s timekeeping policy to specifically address direct vs. indirect activities. • Train leadership and all staff in timekeeping compliance with a special emphasis on 2 CFR 200.460, Proposal Costs. • Coach all employees on CRDF Global’s issue escalation opportunities. • Determine impacts in all applicable time periods. • Implement correction(s) and communicate with impacted stakeholders.
The closure of the 2021 accounting year, and consequently, the submission of the audit package and Contractor Data Form, was impacted not only by the post-pandemic turnover of accounting staff affecting period-end account reconciliations but revisiting of 2020 and prior year accounting activities as...
The closure of the 2021 accounting year, and consequently, the submission of the audit package and Contractor Data Form, was impacted not only by the post-pandemic turnover of accounting staff affecting period-end account reconciliations but revisiting of 2020 and prior year accounting activities as outlined in other findings in this section; detailed and methodical analyses of existing account balances; and a significant increase in contemporary transactional accounting activity due to marked year-over-year enterprise growth coupled with the reopening of the world. The new team has worked diligently to re-baseline all accounting-related activities including closing rhythms, account reconciliations and analyses and all transactional processes in the areas of accounts payable, payroll, revenue recognition, general ledger accounting, and financial reporting. The closure of the 2021 accounting year along with the aforementioned changes and improvements will enable the organization to build on this progress in the pursuit of timely, accurate and complete financial reporting and audit support.
Completing the 2021 audit on a timely basis was compromised by the Covid pandemic and its effect on staffing. With the 2021 audit being so late, this will also impact the timeliness of the 2022 audit. It will not be completed in time to upload the SFSAC by the 9/30/23 deadline. Responsible party is...
Completing the 2021 audit on a timely basis was compromised by the Covid pandemic and its effect on staffing. With the 2021 audit being so late, this will also impact the timeliness of the 2022 audit. It will not be completed in time to upload the SFSAC by the 9/30/23 deadline. Responsible party is Curt Engels, Finance Director and estimated completion is ongoing.
Recommendation: We recommend that the Agency provide additional training to program managers regarding the documentation of program compliance requirements and the development of internal controls to ensure that all compliance requirements are met. Explanation of disagreement with audit finding: The...
Recommendation: We recommend that the Agency provide additional training to program managers regarding the documentation of program compliance requirements and the development of internal controls to ensure that all compliance requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: We will ensure the federal program managers review the requirements of the Federal Funding Accountability and Transparency Act Requirements, and take the webinars and training through HUD, U.S Department of Education, and/or NCDA. In addition, Federal Programs Desk Guides and subrecipient agreements will be updated to include language regarding requirements of the Federal Funding Accountability and Transparency Act. Name(s) of the contact person(s) responsible for corrective action: Stephanie Green Planned completion date for corrective action plan: Please note that our expected completion date is December 31, 2023
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