Corrective Action Plans

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Steilacoom Historical School District No. 1 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requireme...
Steilacoom Historical School District No. 1 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with federal wage rate requirements. Name, address, and telephone of District contact person: Shawn Lewis, Assistant Superintendent 511 Chambers Street Steilacoom, WA 98388 253-983-2233 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for non-concurrence). The district concurs that it lacked appropriate internal controls to ensure compliance with the federal wage rate requirements. It is highly unusual for a school district to receive federal funds for construction activities and the required contract provisions are not included in the district?s standard contracting templates. The State Auditor's Office reported that the former CFO indicated that she and staff were unaware of federal wage rate requirements. The district agrees that the former CFO should have been aware of these requirements and was responsible to ensure compliance with the requirements. Page 61 Office of the Washington State Auditor sao.wa.gov The district does not expect to receive any federal funds to support construction activities in the near future and therefore finds it highly unlikely that this condition will be repeated. However, the district will take the following steps as corrective action: 1. Update formal procedures to specifically require staff to consider Davis Bacon and other federal requirements when public works are funded with federal funds. 2. Ensure current staff responsible for public works project compliance understand the federal requirements when federal funds are used for such projects. The district believes that these corrective action steps in addition to a change in personnel responsible for overall federal compliance will provide reasonable assurance of future compliance. Anticipated date to complete the corrective action: 9/01/2023
Finding 23178 (2022-005)
Significant Deficiency 2022
2022-005 Reporting Federal Agency: U.S. Department of the Treasury Federal Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Assistance Listing Number: 21.027 Federal Award Identification Number and Year: SLFRP2301, 2022 Compliance Requirement Affected: Reporting Award...
2022-005 Reporting Federal Agency: U.S. Department of the Treasury Federal Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Assistance Listing Number: 21.027 Federal Award Identification Number and Year: SLFRP2301, 2022 Compliance Requirement Affected: Reporting Award Period: Year Ended December 31, 2022 Recommendation: We recommend that the County ensures each report is properly reviewed against the reporting guidance and that a reminder is set for timely submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Internal control policies and procedures over reporting of federal expenditures will be reviewed. Name of the contact person responsible for corrective action: Amy Dykstra, Finance Director
Finding: 2022-005 Name of Contact Person: Daniel Weddle, 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 e...
Finding: 2022-005 Name of Contact Person: Daniel Weddle, 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
Finding #2022-001 Comments on the Finding and Each Recommendation: Statement of condition #2022-001: The Corporation did not submit annual audited financial statements by the date required by 2 CFR 200, Subpart F. Recommendation: Management should submit the annual audit report as required by 2...
Finding #2022-001 Comments on the Finding and Each Recommendation: Statement of condition #2022-001: The Corporation did not submit annual audited financial statements by the date required by 2 CFR 200, Subpart F. Recommendation: Management should submit the annual audit report as required by 2 CFR 200, Subpart F. Action(s) taken or planned on the finding: Agree. Management submitted the annual audit at the earliest date feasible.
UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Lincoln School Senior Apartments respectfully submits the following corrective action plan for the year ended March 31, 2022. Name and Address of Independent Public Accounting Firm: Squires Maddux & Company, PLLC 100 Second Avenue Sou...
UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Lincoln School Senior Apartments respectfully submits the following corrective action plan for the year ended March 31, 2022. Name and Address of Independent Public Accounting Firm: Squires Maddux & Company, PLLC 100 Second Avenue South, Ste 270 Edmonds, Washington 98020 Audit Period: March 31, 2022 Prepared by: Name: Steve Armatage Position: Controller Telephone Number: (206) 441-8866 Extension 105 Email Address: sarmatage@panpacificproperties.com The findings from the March 31, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS ? FINANCIAL STATEMENTS AUDIT NONE. FINDINGS ? FEDERAL AWARDS PROGRAMS AUDITS DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: Section 202, CFDA 14-157 Supportive Housing for the Elderly S3800-030 Statement of Condition ? All of the deposits were made at year end, but due to availability of funds, three of the twelve deposits were made late. FINDINGS ? FEDERAL AWARDS PROGRAMS AUDITS (Continued) DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: Section 202, CFDA 14-157 Supportive Housing for the Elderly (Continued) S3800-045 Reporting Views of Responsible Officials - Management applied for and received a significant rent increase from HUD that should help improve liquidity so that sufficient funds are available to make the required reserve deposit when due. Property(s) and associated questioned costs this finding applies to: S3800-037 FHA/Contract Number - 127EE034 S3800-038 Questioned Costs - $0 S3800-080 Recommendation - Management has taken steps to improve liquidity so that sufficient funds should be available for monthly deposits. Management should ensure those deposits are made monthly. S3800-140 Completion Date ? June 20, 2022 S3800-150 Response - Management has taken corrective action and concurs with the auditor?s recommendation. If the Department of Housing and Urban Development has questions regarding this plan, please call Steve Armatage at (206) 441-8866 Extension 105. Sincerely yours, ______________________________________________ Steve Armatage, Pan Pacific Properties Inc. Controller
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 security deposit deficiency will be funded in the amount of $563. Management will ensure that ...
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 security deposit deficiency will be funded in the amount of $563. Management will ensure that the security deposits are properly funded in the future. Completion Date: August 22, 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 replacement reserve deficiency will be funded in the amount of $7,302. Management will ensure ...
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 replacement reserve deficiency will be funded in the amount of $7,302. Management will ensure that the replacement reserve deposits are made on a timely basis in the future. Completion Date: August 22, 2022
Finding No. 2022-001 Material Weakness Personnel Responsible For Corrective Action: Jacob Flowers, Senior Accountant Anticipated Completion Date: August 2023 Corrective Action Plan: The Boone County Auditor?s office will create a report containing all the amounts that were previously submitted to US...
Finding No. 2022-001 Material Weakness Personnel Responsible For Corrective Action: Jacob Flowers, Senior Accountant Anticipated Completion Date: August 2023 Corrective Action Plan: The Boone County Auditor?s office will create a report containing all the amounts that were previously submitted to US Treasury portal. This report will show when the new projects were added and the amounts that were allotted to each project. The report will also show how much was paid to each project every quarter and the remaining balances for each project at the end of every quarterly submission. The bottom of the report will show the current quarterly submission which will contain all the new projects added, all the expenditures made, and the remaining balances for each project. The report will also show the remaining balance for ARPA funding that has not been assigned to a project. The report will have a signature line for the accountant who prepared this report and who will be responsible for submitting these amounts to the portal. A second signature line will be for the accountant who will review these amounts and approve it for submission. Once it has been approved for submission, this document will be saved for historical review.
2022 ? 002 Emergency Rental Assistance ? Assistance Listing No. 21.023 Condition: The County was not able to provide supporting documentation for their reported amounts. The County failed to retain data records for the point in time that was used to report each submission. As a result, reported key ...
2022 ? 002 Emergency Rental Assistance ? Assistance Listing No. 21.023 Condition: The County was not able to provide supporting documentation for their reported amounts. The County failed to retain data records for the point in time that was used to report each submission. As a result, reported key line items could not be supported. Recommendation: We recommend that policies and procedures be implemented to ensure that all financial and special reports are filed timely and accurately and that reports are reviewed and approved by an authorized State official prior to submission to ensure accurate support for the reported amounts. Views of responsible officials and planned corrective actions: The county agrees with the finding will improve the process for reporting under the Emergency Rental Assistance program and retain documentation that supports the information reported. ERAP program management will provide supporting documentation for their reported amounts to the Federal Treasury moving forward. We have implemented corrective action in May 2023 for preparation and submission of the ERA2 2023 Q1 Treasury report. Responsible Official: Ramona Farineau, Chief Financial Officer Planned completion date for corrective action plan: May 31, 2023
Finding 2022-001 ? Activities Allowed or Unallowed, Eligibility, and Special Tests and Provisions Information on the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461, COVID-19 T...
Finding 2022-001 ? Activities Allowed or Unallowed, Eligibility, and Special Tests and Provisions Information on the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461, COVID-19 Testing for the Uninsured Pass-Through Award Numbers: Not applicable Pass-Through Award Period of Performance: 01/01/2022?3/31/2022 Views of responsible officials and planned corrective actions: Management agrees with the finding. Our standard procedure is to verify insurance coverage for all patients. We believe in instances where documentation was not maintained to evidence that additional insurance verification procedures were performed in addition to the standard patient inquiry, such instances were a documentation error and not a process issue. Since the federal program has ended, no further action will be taken. Management has noted that in certain instances, patients identify themselves as uninsured but following their date of service, AdventHealth identified that the patient either had insurance coverage or was eligible for Medicaid. AdventHealth was not aware that the patient had insurance coverage and requested reimbursement from HRSA, prior to AdventHealth identifying insurance coverage. AdventHealth has processed a refund to HRSA, in instances where reimbursement was received from another payer or another payer was available to provide reimbursement. Documentation was established effective September 30, 2022, to evidence the operating effectiveness of internal controls in place over balance billing. Responsible official: Stacey Wilson, Director Grants Management
Finding 2022-002 Federal Agency Name: United States Department of Health and Human Services Health Resources & Services Administration Program Name: Medicaid Administrative Claiming (MAC) CFDA # 93.778 Finding Summary: We noted that the Center filed the quarterly reports as required; however, upon...
Finding 2022-002 Federal Agency Name: United States Department of Health and Human Services Health Resources & Services Administration Program Name: Medicaid Administrative Claiming (MAC) CFDA # 93.778 Finding Summary: We noted that the Center filed the quarterly reports as required; however, upon reviewing the support for the expenditures for the second quarter, it was noted that reported numbers were inaccurate which resulted in incorrect reporting and the receipt of unearned grant funds. Responsible Individuals: Chief Financial Officer Corrective Action Plan: With specific regard to Medicaid Administrative Claiming (MAC) reporting? The Center will review and evaluate staff duties to provide proper segregation of duties. This will ensure that errors or irregularities are prevented or detected on a timely basis in the normal course of business and promptly corrected. The Center will review and evaluate staff training to ensure MAC reporting is performed in accordance with policies and procedures. The Center will review and evaluate MAC reporting review and approval processes to identify and correct errors prior to submitting the MAC reports. Anticipated Completion Date: August 31, 2023
View Audit 22913 Questioned Costs: $1
Finding 23154 (2022-009)
Significant Deficiency 2022
2022-009 ? Inaccurate Higher Education Emergency Relief Funds Reporting Auditor Description of Condition and Effect. Management did not accurately track expenditures or maintain detailed enough records which caused inaccurate student and institutional amounts being repor...
2022-009 ? Inaccurate Higher Education Emergency Relief Funds Reporting Auditor Description of Condition and Effect. Management did not accurately track expenditures or maintain detailed enough records which caused inaccurate student and institutional amounts being reported on the University's website. In July 2021, a lump sum amount was recorded to the books and records for an amount equal to the University's HEERF III institutional grant award ($584,212), and actual amounts expended were not monitored. As a result of this condition, the University did not fully comply with the requirements of the HEERF grants. Auditor Recommendation. We recommend that management review the compliance requirements of each grant when received to ensure compliance with such requirements. Corrective Action: The University understands that the HEERF funds should have been recorded as revenue and expense items even if all the funds were being given directly to students. This procedure has been documented in our Standard Operating Procedures and the error will not occur again. Responsible Person. Alan Drimmer Anticipated Completion Date: 10/31/2022
Finding 23138 (2022-005)
Significant Deficiency 2022
2022-005 ? Timeliness of Student Status Changes Auditor Description of Condition and Effect. We noted that four students out of a testing population of 17 were not reported timely to NSLDS. As a result of this condition, the University reported four students whose status...
2022-005 ? Timeliness of Student Status Changes Auditor Description of Condition and Effect. We noted that four students out of a testing population of 17 were not reported timely to NSLDS. As a result of this condition, the University reported four students whose status was reduced from full-time to three-quarter time to the NSLDS after the 60 day deadline. Auditor Recommendation. We recommend that the College implement procedures to report status changes for all students on a timely basis and to maintain documented procedures for enrollment reporting to prevent untimely reporting in the future. Corrective Action: The University acknowledges the error. There is now a monthly procedure in place to report student status changes to the NSLDS documented in Standard Operating Procedures. Responsible Person. Alan Drimmer Anticipated Completion Date: 1/15/2023
Finding 23136 (2022-003)
Significant Deficiency 2022
2022-003 ? Subsidized Loans Awarded to Student without Financial Need Auditor Description of Condition and Effect. The University provided a direct subsidized loan to a student without financial need. As a result of this condition, the University did not fully comply wit...
2022-003 ? Subsidized Loans Awarded to Student without Financial Need Auditor Description of Condition and Effect. The University provided a direct subsidized loan to a student without financial need. As a result of this condition, the University did not fully comply with student financial aid eligibility requirements. Auditor Recommendation. We recommend that management review their current practices and policies for reviewing student information to provide the correct type of financial aid to students. Corrective Action. The one instance noted in this finding for $1,361 was discovered in 2022-23 and the only one of its kind that Management is aware of. Once the University became aware of it, the student was notified, and the correction was made in Common Origination and Disbursement in the 2021-22 fiscal year. New qualified staff has been added to the Business Office and new student accounts software was implemented in Spring of 2022 that reviews need and grade level and awards loans properly. Responsible Person. Alan Drimmer Anticipated Completion Date: 11/16/2022
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 replacement reserve deficiency will be funded in the amount of $5,846. Management will ensure t...
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 replacement reserve deficiency will be funded in the amount of $5,846. Management will ensure that the replacement reserve deposits are made on a timely basis in the future. Completion Date: August 22, 2022
Management gave instructions to the Finance Department staff to submit, in a timely manner, all the required financial information, to our external consultants and to our external auditors, in order to comply with the datelines for the submission of the Single Audit Report.
Management gave instructions to the Finance Department staff to submit, in a timely manner, all the required financial information, to our external consultants and to our external auditors, in order to comply with the datelines for the submission of the Single Audit Report.
Corrective Action Plan: The College has implemented a report that will show differences in the date Direct Student Loan funds are disbursed in Powerfaids versus the date the funds are disbursed in COD. All differences will be investigated and rectified on a monthly basis. The College implemented thi...
Corrective Action Plan: The College has implemented a report that will show differences in the date Direct Student Loan funds are disbursed in Powerfaids versus the date the funds are disbursed in COD. All differences will be investigated and rectified on a monthly basis. The College implemented this reporting function in January of 2023. Timeline for Implementation of Corrective Action Plan: Implemented in January 2023 Contact Person Richard O?Connor Director of Financial Aid
Corrective Action Plan: The College has implemented a report that will show differences in the date Pell funds are disbursed in Powerfaids versus the date the funds are disbursed in COD. All differences will be investigated and rectified on a monthly basis. The College implemented this reporting fun...
Corrective Action Plan: The College has implemented a report that will show differences in the date Pell funds are disbursed in Powerfaids versus the date the funds are disbursed in COD. All differences will be investigated and rectified on a monthly basis. The College implemented this reporting function in January of 2023. Timeline for Implementation of Corrective Action Plan: Implemented in January 2023 Contact Person Richard O?Connor Director of Financial Aid
2022-004 Compliance Requirements: Reporting Finding: Material Weakness in Internal Control Over Compliance Effective January 2023, business office personnel responsible for grant accounting will meet with grant managers to discuss grant activity and obtain approval for reimbursements. The assistant ...
2022-004 Compliance Requirements: Reporting Finding: Material Weakness in Internal Control Over Compliance Effective January 2023, business office personnel responsible for grant accounting will meet with grant managers to discuss grant activity and obtain approval for reimbursements. The assistant superintendent of business and operations, Margaret Lee, will be responsible for scheduling the monthly meetings between business office staff and grant managers. Margaret Lee will establish a master calendar of grant reporting deadlines that will be reviewed at each monthly meeting between business office staff and grant managers. As a part of the monthly balance sheet reconciliation and review, accounting staff will review grant reimbursement requests from the prior month and ensure that funds were received and recorded to the appropriate account. Evidence of communications with the granting agency will be required to document any revenues that were not received and/or recorded. If communications from the granting agency are not provided, the assistant superintendent for business and operations will be responsible for contacting the granting agency directly to follow up on the reporting requirements and reimbursement status. Estimated Completion Date: August 2023 Management Contact: Margaret Lee
FINDING 2022-002 Contact Person Responsible for Corrective Action: Dawn Mason and Dana Hedges Contact Phone Number: 260-868-2125 Views of Responsible Official. We agree with the finding. Description of Corrective Action Plan: The Food Service Director with prepare the monthly sponsor claims for reim...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Dawn Mason and Dana Hedges Contact Phone Number: 260-868-2125 Views of Responsible Official. We agree with the finding. Description of Corrective Action Plan: The Food Service Director with prepare the monthly sponsor claims for reimbursement. The Eastside Manager will review and sign off on the claims. The Food Service Director will submit the claims to the Indiana Department of Education after review by the Eastside Manager. Anticipated Completion Date: Ongoing - The Food Service Director and Eastside Manager will review and initial the monthly sponsor claims for reimbursement starting with the most recent month that requires submission.
Finding 22994 (2022-005)
Significant Deficiency 2022
Corrective Action Plan Finding No.: 2022-_ 005__ Condition: The District's expenditure reports were not reviewed by someone independent of the preparer and the District's June 30, 2022 expenditure reports included expenditures paid subsequent to June 30, 2022. ...
Corrective Action Plan Finding No.: 2022-_ 005__ Condition: The District's expenditure reports were not reviewed by someone independent of the preparer and the District's June 30, 2022 expenditure reports included expenditures paid subsequent to June 30, 2022. Plan: The District should assign an employee independent of the preparer to review the District's expenditure reports prior to submission to ensure that expenditures are only claimed for reimbursement subsequent to their payment. Anticipated Date of Completion: 06/30/2023 Name of Contact Person: Kevin Haarman Management Response: Management will implement the auditor's recommendation for the year ended June 30, 2023.
View Audit 22831 Questioned Costs: $1
Child Nutrition Cluster Reporting Recommendation: We recommend that the District review its internal controls and designate an individual other than the preparer to review and approve any grant claims. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. A...
Child Nutrition Cluster Reporting Recommendation: We recommend that the District review its internal controls and designate an individual other than the preparer to review and approve any grant claims. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: The business manager will sign off on claim submissions to very accuracy for monthly claims so there are two sets of eyes on the claims to maintain accuracy. Name(s) of the contact person(s) responsible for corrective action: Edward Then, Business Manager Planned completion date for corrective action plan: 6/30/2023
Due to personnel changes, we do not access to the requested report. The finance team searched all files in their shared drive, and in any personal computer files to no avail. Moving forward, digital copies of reports will be kept in a shared drive accessible by multiple staff in the finance depart...
Due to personnel changes, we do not access to the requested report. The finance team searched all files in their shared drive, and in any personal computer files to no avail. Moving forward, digital copies of reports will be kept in a shared drive accessible by multiple staff in the finance department.
2022-001 Audit Adjustments Recommendation: We recommend the board and management work with their bookkeeping company to develop a process to review and identify such items in a timely manner. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action take...
2022-001 Audit Adjustments Recommendation: We recommend the board and management work with their bookkeeping company to develop a process to review and identify such items in a timely manner. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Business Office will establish a month end close checklist to ensure transactions are identified and properly recorded in the general ledger in a timely manner and conduct monthly financial statement reviews to ensure financial statements are complete and accurate. Name of the contact person responsible for corrective action: Carlo Hershberger, Director of Finance and Accounting Planned completion date for corrective action plan: September 30, 2023
Finding 22980 (2022-001)
Significant Deficiency 2022
CP-1011 CORRECTIVE ACTION PLAN Project Legal Name: Winter Grove, Inc. HUD Project No.: 017-EE118 Audit Firm: Cohn Reznick Period covered by the audit: 12/31/2022 Corrective Action Plan prepared by: Name: Arlene Lawrence Position: Chief Financial Officer Telephone Number: 203-562-4514 Signature:_____...
CP-1011 CORRECTIVE ACTION PLAN Project Legal Name: Winter Grove, Inc. HUD Project No.: 017-EE118 Audit Firm: Cohn Reznick Period covered by the audit: 12/31/2022 Corrective Action Plan prepared by: Name: Arlene Lawrence Position: Chief Financial Officer Telephone Number: 203-562-4514 Signature:___________________________________ The following is a recommended format to be followed by the auditee for preparing a corrective action plan: A. Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Each Recommendation The bank erroneously refunded dormant account balances Winter Grove was holding as security deposits for tenants. This resulted in the security deposit account to be underfunded as of December 31, 2022. b. Action(s) Taken or Planned on the Finding We are working with the bank and are in the process of closing out all individual sub-accounts to hold all the funds under Winter Grove?s name. We have identified the tenants that received refunds and are working with them to replenish those funds. The account will be funded appropriately in 2023.
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