Corrective Action Plans

Finding 27972 (2022-006)

Significant Deficiency 2022

SD

Internal Control / Segregation of Duties Reporting Significant Deficiency

Legal Services Corporation CFDA #09-742018 Legal Services Corporation - Basic Field - General CFDA #09-742018 Legal Services Corporation - Basic Field - Native American Reporting Significant Deficiency in Internal Control over Compliance 2022-006 Condition: DPLS entered into a lease of personal pr...

Legal Services Corporation CFDA #09-742018 Legal Services Corporation - Basic Field - General CFDA #09-742018 Legal Services Corporation - Basic Field - Native American Reporting Significant Deficiency in Internal Control over Compliance 2022-006 Condition: DPLS entered into a lease of personal property exceeding $25,000 requiring the completion of an application of approval, however, this was not completed. Additionally, DPLS entered a lease to relocate office space for an existing branch office requiring an update to DPLS' Grantee Profile on GrantEase within 15 calendar days, however, this was not completed. Auditor's Recommendation: We recommend DPLS review LSC reporting requirements with applicable employees. Management's Response: The Executive Director of the program will usually be making the decisions with regards to transactions that will fall under this finding. The ED and any other applicable staff will work to ensure that the proper procedures are followed with regards to these types of transactions. Responsible Individuals: Michelle Lovejoy, Program Administrator, Tom Mortland, Executive Director, Annemarie Michaels, Deputy Director. Anticipated Completion Date: December 31, 2023.

View Audit 23914

Finding 27966 (2022-001)

Significant Deficiency 2022

Gordon-Conwell Theological Seminary

MA

Student Financial Aid Reporting Matching / Level of Effort / Earmarking

Finding 2022-001 Condition Found During our audit, we noted an instance where 2 dual degree graduated students were inappropriately reported as withdrawn. Upon further review by the Seminary staff, an additional 6 students were identified with the same issue. Corrective Action Plan The Degree Ver...

Finding 2022-001 Condition Found During our audit, we noted an instance where 2 dual degree graduated students were inappropriately reported as withdrawn. Upon further review by the Seminary staff, an additional 6 students were identified with the same issue. Corrective Action Plan The Degree Verify report that is generated by our Student Information System (CAMS) and submitted to the National Student Loan Clearinghouse (Clearinghouse) would produce a separate line item for each degree when a dual degree student would graduate with both degrees in the same semester. This would not be accepted by the Clearinghouse and neither degree would be updated. When the student was reported as not enrolled in subsequent semesters, the Clearinghouse would update the student?s degree status to withdrawn. We have since converted to a new Student Information System (SONIS) and we have also updated the instructions concerning the Degree Verify report. We will now identify each dual degree student and submit only one degree through the report submitted to the Clearinghouse. For each second degree for a student, we will manually update the record within the Clearinghouse. Responsible Party: Gregg Hansen, Chief Financial Officer, 978.646.4016 Anticipated Completion Date: November 18, 2022

View Audit 17839

Finding 27306 (2022-007)

Significant Deficiency 2022

University of Arkansas for Medical Sciences

AR

Reporting

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

View Audit 18650

Finding 26372 (2022-003)

Significant Deficiency 2022

The Volusia/flagler County Coalition for the Homeless, Inc.

FL

Allowable Costs / Cost Principles Cash Management Reporting

Beginning immediately, the executive staff to include the Executive Director, HR/ Finance Coordinator and Grant and Compliance Coordinator for VFCCH, will review significant transactions monthly to ensure completeness and accuracy, including following up on outstanding grant receivables . The execut...

Beginning immediately, the executive staff to include the Executive Director, HR/ Finance Coordinator and Grant and Compliance Coordinator for VFCCH, will review significant transactions monthly to ensure completeness and accuracy, including following up on outstanding grant receivables . The executive staff will also review all account balances at year-end to ensure proper cutoff and accrual-based reconciliations agree to the general ledger. The VFCCH Board Treasurer will review accounts receivables on a monthly basis and account balances at year end to ensure proper cutoff and that accrual-based reconciliations agree to the general ledger. VFCCH will engage an outside Non-Profit Management Consultant to review and prepare journal entries, reconcile all grant expenditures and complete the audit schedule as well as grant listings for the year.

View Audit 18271

Finding 26362 (2022-002)

Significant Deficiency 2022

Barr-Reeve Community Schools, Inc.

IN

Subrecipient Monitoring Reporting Significant Deficiency § 200.302 § 200.328

CORRECTIVE ACTION PLAN FINDING 2022-002 Contact Person Responsible for Corrective Action: Tamara Swartzentruber, Treasurer Contact Phone Number: 812-486-3220 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: The Treasurer has worked with manageme...

CORRECTIVE ACTION PLAN FINDING 2022-002 Contact Person Responsible for Corrective Action: Tamara Swartzentruber, Treasurer Contact Phone Number: 812-486-3220 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: The Treasurer has worked with management and will implement better controls when preparing the Annual Data Report on the COVID-19 Education Stabilization Fund. We will work to get the report reviewed and submitted on the correct due date. Anticipated Completion Date: April 2023

View Audit 27982

Finding 26357 (2022-004)

Significant Deficiency 2022

Community Action Association of Pennsylvania

PA

Questioned Costs Allowable Costs / Cost Principles Reporting § 200.430

CORRECTIVE ACTION PLAN February 16, 2023 Community Action Association of Pennsylvania respectfully submits the following corrective action plan for the year ended June 30, 2022. Cognizant or Oversight Agency for Audit: Community Service Block Grant Program Name and address of independent publi...

CORRECTIVE ACTION PLAN February 16, 2023 Community Action Association of Pennsylvania respectfully submits the following corrective action plan for the year ended June 30, 2022. Cognizant or Oversight Agency for Audit: Community Service Block Grant Program Name and address of independent public accounting firm: Hamilton & Musser, PC 176 Cumberland Parkway Mechanicsburg, PA 17055 Audit Period: July 1, 2021 ? June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Findings ? Financial Statement Audit Significant Deficiencies #2022-001 ? Significant Deficiency ? Segregation of Duties Recommendation We recommend someone other than the Finance Director, preferably the CEO or another office staff, open the mail and record/scan the checks received into a check log. View of responsible officials and planned corrective action The Executive Administrative Assistant is now tasked with and responsible for opening the mail and recording the checks into a check log. The Executive Administrative Assistant will forward checks to the financial services team for additional action steps. #2022-002 ? Significant Deficiency ? Authorization and Approval Recommendation We recommend that all credit card charges are matched to a receipt and reviewed and approved by both the Board President and Board Treasurer, as is the policy with other payables/disbursements. This eliminates the risk associated with having the CEO issue approval over his own credit card charges. View of responsible officials and planned corrective action All credit card receipts will be submitted by the CEO or appropriate staff member to the financial services team. Credit card reconciliation documentation and appropriate receipts will be provided to the Board Treasurer for regular review. -28- Findings ? Financial Statement Audit (Continued) #2022-003 ? Significant Deficiency ? Authorization and Approval Recommendation Non-cash journal entries make it easy for organizations to overstate their revenue or understate their expenses with unsubstantiated accruals/deferrals. We recommend that all journal entries be authorized and approved by the CEO prior to entry. View of responsible officials and planned corrective action As noted, this is no longer an issue with internal controls having been corrected as of December 31, 2021. All non-recurring journal entries will be approved by the CEO. Findings ? Federal Award Programs Audit Community Service Block Grant, CFDA #93.569 #2022-004 ? Significant Deficiency ? Allowable Costs Recommendation We recommend maintaining weekly timesheets with CEO approval, itemized by time allocated per grant. The financial statement records should be supported by direct time allocated to the grant as indicated on the approved timesheets. View of responsible officials and planned corrective action CAAP will do its due diligence in appropriately allocating costs should similar costs be incurred. If the Community Service Block Grant Program has questions regarding this plan, please call Community Action Association of Pennsylvania Chief Executive Officer Beck Moore at 717-233-1075 extension 12.

View Audit 27273 Questioned Costs: $1

Finding 26352 (2022-004)

None 2022

Community Food Bank of Eastern Oklahoma, INC

OK

Subrecipient Monitoring Cash Management Reporting

Item 2022-004 -Delinquent Claim Filings. Recommendation: Filing claims report should be incorporated as part of the month-end close process. Action Planned: CFO will create Month end close schedule, ensuring claim filings are prepared monthly, as applicable. Anticipated Completion Date: June 30, ...

Item 2022-004 -Delinquent Claim Filings. Recommendation: Filing claims report should be incorporated as part of the month-end close process. Action Planned: CFO will create Month end close schedule, ensuring claim filings are prepared monthly, as applicable. Anticipated Completion Date: June 30, 2023 Responsible Party: Ann Nelson, Chief Financial Officer

View Audit 26275

Finding 26349 (2022-008)

Significant Deficiency 2022

Richmond County

NC

Eligibility Reporting

Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on November 3, 2022. Policy MA-1000 and MA-1100 was discussed with all Adult Medicaid Workers. Jo...

Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on November 3, 2022. Policy MA-1000 and MA-1100 was discussed with all Adult Medicaid Workers. Job aids and powerpoint from The Learning Gateway were reviewed and distributed to all Adult Medicaid workers. Proposed Completion Date: November 3, 2022 and ongoing

View Audit 25920

Finding 26333 (2022-001)

None 2022

The Georgia Chapter of the American Academy of Pediatrics, Inc.

GA

Subrecipient Monitoring Cash Management Reporting

Corrective Plan Management should ensure CFDA numbers are included on all grants and file the report with the Federal Audit Clearinghouse in a timely manner.

View Audit 23736

Finding 26317 (2022-006)

Material Weakness 2022

Detroit Health Care for the Homeless Dba Advantage Health Centers

MI

Reporting

Advantage will adhere to written grant procedures to ensure adherence to applicable compliance requirements.

View Audit 19491

Finding 26315 (2022-004)

Significant Deficiency 2022

Detroit Health Care for the Homeless Dba Advantage Health Centers

MI

Reporting

Due to administrative issues, the Organization was unable to submit the reports in a timely manner. We will ensure that all the reports are timely submitted as per the grant requirements.

View Audit 19491

Finding 26300 (2022-002)

Significant Deficiency 2022

Annex Teen Clinic, Inc.

MN

Reporting Significant Deficiency Internal Control / Segregation of Duties

Finding 2022-002: Significant Deficiency - Separation of Duties Condition The origination and completion of single transactions should not be under the control of the same individual. Each transaction should pass through two or more individuals with the result that the work of one is under the rev...

Finding 2022-002: Significant Deficiency - Separation of Duties Condition The origination and completion of single transactions should not be under the control of the same individual. Each transaction should pass through two or more individuals with the result that the work of one is under the review of another. Corrective Action Plan Journal Entry transactions will be done by either Staff Account or GL Accountant at MACC and reviewed by Controller, all adjustments must be reviewed and approved by the controller. If ATC management request any adjustment controller must receive email with Brian Russ cc?d for approval. Names of Contact Persons Responsible for Corrective Action: Victoria Robinson, Brian Russ Anticipated Completion Date: October, 2023

View Audit 20929

Finding 26299 (2022-001)

Material Weakness 2022

Annex Teen Clinic, Inc.

MN

Material Weakness Reporting Internal Control / Segregation of Duties

Finding 2022-001: Material Weakness - Financial Reporting Condition There is a lack of controls over the year-end financial reporting process. During the course of the audit, material adjustments were made to the year-end financial statements and disclosures to ensure they met GAAP reporting requi...

Finding 2022-001: Material Weakness - Financial Reporting Condition There is a lack of controls over the year-end financial reporting process. During the course of the audit, material adjustments were made to the year-end financial statements and disclosures to ensure they met GAAP reporting requirements. It is important that management and the outsourced accounting team understand transactions recorded in the general ledger, timely reconciliation of accounts, review journal entries to ensure there is proper documentation to support the transaction and ensure that transactions are recorded in the correct year. Corrective Action Plan General Ledger Accountant will start reconciling account monthly to stay on track and follow up with discrepancies as timely as possible. ATC Management will review financials monthly and make sure expenses and revenue are on track for their programs and follow up with controller if any discrepancies are found so there are no big adjustments at yearend. Names of Contact Persons Responsible for Corrective Action: Victoria Robinson, Brian Russ Anticipated Completion Date: October, 2023

View Audit 20929

Finding 26291 (2022-001)

Significant Deficiency 2022

Housing Authority of the City of Muncie

IN

HUD Housing Programs Reporting Significant Deficiency

Finding 2022-001 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly...

Finding 2022-001 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly) to ensure that staff members are following established procedures. Name of Responsible Person: Shannel Lampkins, HCV Manager Projected Completion Date: March 31, 2023

View Audit 23243

Finding 26285 (2022-008)

Material Weakness 2022

City of Jacksonville

FL

Allowable Costs / Cost Principles Cash Management Matching / Level of Effort / Earmarking § 200.306 § 200.330

Action Plan: We will work with our departments to ensure that controls for grants are documented with written procedures. These procedures will include the title of the positions responsible for each control (preparation, review, reconciliation, etc.) and will require that the performance of the co...

Action Plan: We will work with our departments to ensure that controls for grants are documented with written procedures. These procedures will include the title of the positions responsible for each control (preparation, review, reconciliation, etc.) and will require that the performance of the controls be documented in a clear, re-performable manner with the name of the responsible individuals, the specific control(s) they performed over compliance for the grant, and the date(s) the controls were performed. Contact Names Responsible for the plan - Marcia Saulo Anticipated completion date of the plan - September 20, 2024

View Audit 17864

Finding 26281 (2022-007)

Material Weakness 2022

City of Jacksonville

FL

Allowable Costs / Cost Principles Special Tests & Provisions Period of Performance § 200.306 § 200.330

Action Plan: We will work with our departments to ensure that controls for grants are documented with written procedures. These procedures will include the title of the positions responsible for each control (preparation, review, reconciliation, etc.) and will require that the performance of the co...

Action Plan: We will work with our departments to ensure that controls for grants are documented with written procedures. These procedures will include the title of the positions responsible for each control (preparation, review, reconciliation, etc.) and will require that the performance of the controls be documented in a clear, re-performable manner with the name of the responsible individuals, the specific control(s) they performed over compliance for the grant, and the date(s) the controls were performed. Contact Names Responsible for the plan - Marcia Saulo Anticipated completion date of the plan - September 20, 2024

View Audit 17864

Finding 26261 (2022-004)

None 2022

City of Cortland

NY

Reporting

Corrective Action Plan: Expenses to date were reconciled in late July 2023. In addition, Common Council adopted an allocation plan for remaining funds in August 2023 to help direct and track remaining projects utilizing American Rescue Plan Act funds. Common Council will receive updated reporting ...

Corrective Action Plan: Expenses to date were reconciled in late July 2023. In addition, Common Council adopted an allocation plan for remaining funds in August 2023 to help direct and track remaining projects utilizing American Rescue Plan Act funds. Common Council will receive updated reporting on American Rescue Plan Act funds at a minimum of twice per year. Anticipated Completed Date: April 15, 2024. Responsible Contact Person: Lisa Henty, Director of Administration & Finance City of Cortland, 25 Court Street, Cortland, NY 13045 (607) 758-8373

View Audit 23007

Finding 26253 (2022-003)

Significant Deficiency 2022

Pardeeville Area School District

WI

Reporting Internal Control / Segregation of Duties

Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned - Management and the Board will continue to designate competent staff to oversee and review the financial reports and approve them before issuance. However, it is not feasible or cost effective t...

Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned - Management and the Board will continue to designate competent staff to oversee and review the financial reports and approve them before issuance. However, it is not feasible or cost effective to add staff with the competence to prepare these reports. Anticipated Completion Date ? This action will be ongoing.

View Audit 23165

Finding 26250 (2022-003)

Material Weakness 2022

City of Montgomery, Alabama

AL

Subrecipient Monitoring Reporting § 200.303

Management concurs. The City will ensure responsible personnel has a clear understanding of the reporting guidance including what constitutes a subrecipient. The City will implement policies and procedures to monitor and review all reports prepared and submitted by the Grants Department.

View Audit 22891

Finding 26248 (2022-003)

Significant Deficiency 2022

Alton Community Unit School District #11

IL

Reporting

Condition: During testing of the Education Stabilization Fund grant, it was noted that the District did not submit timely expenditure reports. The Illinois State Board of Education requires that expenditure reports be submitted on a quarterly basis 20 days after the quarter ends. Recommendation: ...

Condition: During testing of the Education Stabilization Fund grant, it was noted that the District did not submit timely expenditure reports. The Illinois State Board of Education requires that expenditure reports be submitted on a quarterly basis 20 days after the quarter ends. Recommendation: The District must submit timely quarterly expenditure reports to the Illinois State Board of Education. Management Response: The District will submit timely periodic expenditure reports. Anticipated Date of Completion: June 30, 2023

View Audit 18067

Finding 26245 (2022-002)

Material Weakness 2022

Sumner County Kansas

KS

Procurement, Suspension & Debarment Allowable Costs / Cost Principles Reporting

Person responsible for corrective action: County Attorney and Sheriff Corrective action planned: County Attorney and Sheriff is going to be responsible for determining allowable costs, in compliance with the specific compliance guidelines for this program. The $14,179.04 of non-allowable costs w...

Person responsible for corrective action: County Attorney and Sheriff Corrective action planned: County Attorney and Sheriff is going to be responsible for determining allowable costs, in compliance with the specific compliance guidelines for this program. The $14,179.04 of non-allowable costs will be repaid to the program. Anticipated completion date: County Attorney will pay back by year-end 2023. Immediately, the County Attorney and Sheriff will review the compliance guidelines for the program.

View Audit 17812

Finding 26235 (2022-001)

Significant Deficiency 2022

Wagner College

NY

Student Financial Aid Reporting Significant Deficiency

Finding 2022-001 ? Special Tests and Provisions ? Enrollment Reporting Name of contact person responsible for corrective action: John Carrescia jcarresc@wagner.edu 718-420-4264 Corrective action: The College has been working diligently across multiple departments to make these historical correcti...

Finding 2022-001 ? Special Tests and Provisions ? Enrollment Reporting Name of contact person responsible for corrective action: John Carrescia jcarresc@wagner.edu 718-420-4264 Corrective action: The College has been working diligently across multiple departments to make these historical corrections. We have identified the various groupings of students that require correction, and have worked through our historical data to update the program begin date (campus level data) to be the first day of the earliest semester for which each student began attending their respective program. We have submitted the listings to the National Student Clearinghouse for revision. We currently have a process in place and are working collaboratively with our information technology system analysts to implement controls to ensure the correct program begin date is used for all future students entering the College. We are now in the process of reviewing and updating our program level enrollment data.

View Audit 23421

Finding 26203 (2022-001)

Significant Deficiency 2022

Community Youth Advance

MD

Reporting

The prior auditor informed the organization (CYA) in November 2022 that they were not able to conduct the Single audit although CYA closed their FY 21-22 books timely (before November 2022). Therefore, CYA had to commence a search for another audit firm in November 2022. CYA was able to find and eng...

The prior auditor informed the organization (CYA) in November 2022 that they were not able to conduct the Single audit although CYA closed their FY 21-22 books timely (before November 2022). Therefore, CYA had to commence a search for another audit firm in November 2022. CYA was able to find and engage a new audit firm 3 months later. This caused a delay in starting the audit process for FY 21-22. We guarantee that in future years, the year-end closing will continue to be completed timely. Now that CYA has a new audit firm, capable of conducting Single Audits, we will ensure the audit process starts with sufficient lead time to ensure that the Single Audit process is completed timely. We have allocated the Human Resources needed to manage the increased workload and reporting requirements pertaining to CFR 200 Audit Requirements. Additional Human Resources will ensure a quicker year-end closing process and complete preparation for the year-end Single Audit process to be completed in a timely manner. In addition, moving forward we will confirm the audit engagement with the audit firm earlier to begin the audit process earlier in the subsequent year and plan sufficient time to provide the information needed to complete the financial audit and the Single Audit in a timely manner. Name of the contact persons responsible for corrective action: Jhae Thompson, Executive Director, and Goldin Group CPAs. Planned completion date for corrective action plan: The FY2023 books are expected to be closed by the end of October 2023. The FY2023 audit is expected to start in November 2023 and be completed by the end of March 2024.

View Audit 27883

Finding 26186 (2022-003)

Significant Deficiency 2022

Dayspring Health, Inc.

TN

Reporting

Management agrees with the recommendation.

View Audit 23763

Finding 26181 (2022-002)

None 2022

Dayspring Health, Inc.

TN

Reporting

Management agrees with the recommendation.

View Audit 23763

Corrective Action Plans

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