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Corrective Action Plans

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Finding 36230 (2022-001)
Significant Deficiency 2022
Maritime Academy Charter Highschool, Inc.
PA
Reporting
CORRECTIVE ACTION PLAN JUNE 30, 2022 Finding 2022-001; US Department of Education, passed through the Pennsylvania Department of Education ? COVID-19 - Elementary and Secondary School Emergency Relief Fund- Assistance Listing No. 84.425D, COVID-19 - American Rescue Plan Elementary and Secondary Sch...
CORRECTIVE ACTION PLAN JUNE 30, 2022 Finding 2022-001; US Department of Education, passed through the Pennsylvania Department of Education ? COVID-19 - Elementary and Secondary School Emergency Relief Fund- Assistance Listing No. 84.425D, COVID-19 - American Rescue Plan Elementary and Secondary School Emergency Relief Funds- Assistance Listing No. 84.425U and Title I Grants to LEAs- Assistance Listing No. 84.010; Awards No. 200-210670, 181-212558 and 013-220670, respectively; Grant period ? Year ended June 30, 2022 Name of Auditees? Contact Person Responsible for Corrective Action: Craig Butler, Director of School Business Services Eugene Mattioni, CEO Corrective Action Planned: The School?s management team will continue to work with the School?s business services provider to ensure grant expenditures are properly identified prior to the submission of the quarterly reports and maintained for reference. Additionally, the process will be added to the Accounting Manual and quarterly review meetings will be scheduled. Anticipated Completion Date: March 31, 2023 or during the next quarterly filing Concurrence/Negation of Auditee: The School concurs with the finding.
View Audit 31643
Finding 36227 (2022-006)
Material Weakness 2022
Oakland Unified School District
CA
Questioned Costs Material Weakness Reporting
Responsible Individuals: Marth Pena, Coordinator of Afterschool Programs Corrective Action Plan: OUSD has implemented a new Expanded Learning Attendance improved tracking system and provided training to service providers. This new database allows for accurate and prompt attendance taking. 1. OUS...
Responsible Individuals: Marth Pena, Coordinator of Afterschool Programs Corrective Action Plan: OUSD has implemented a new Expanded Learning Attendance improved tracking system and provided training to service providers. This new database allows for accurate and prompt attendance taking. 1. OUSD transitioned to a new attendance tracking system. Due to the multiple errors and consistent changes in attendance, OUSD began using Aeries Supplemental Attendance tracking instead of CitySpan in fall 2021. This transition has allowed the Expanded Learning Office to support struggling sites with real-time accurate attendance data. 2. On July 29, OUSD held a mandatory Aeries training for all after-school staff and reviewed all CDE (ASES, 21st CCLC, and ASSETS) attendance requirements. Over 100 after-school staff attended. 3. All Attendance documents were revised to include Aeries attendance protocols. 4. OUSD Designed dashboards with real-time student and attendance data for all after-school providers The CDE has accepted the District's CAP as of 8/29/2022, and we expect improved outcomes during the fiscal year 2023. Anticipated Completion Date: June 30, 2023
View Audit 26207
Finding 36219 (2022-001)
Material Weakness 2022
City of Meridian, Idaho
ID
Subrecipient Monitoring Material Weakness Reporting § 200.303
Finding# 2022-001 Federal Agency Name: U.S. Department of Housing & Urban Development Program Name: Community Development Black Grant/COVID-19 Community Development Block Grant ALN# 14.218 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal ...
Finding# 2022-001 Federal Agency Name: U.S. Department of Housing & Urban Development Program Name: Community Development Black Grant/COVID-19 Community Development Block Grant ALN# 14.218 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. 2 CFR Part 170 establishes requirements for recipients' reporting of information on subawards as required by the Federal Funding Accountability and Transparency Act of 2006 (FFATA). During the testing of the CDBG program, it was noted the City does not have a process in place to identify that FFATA reporting was required and did not report information on the subawards as required by FFATA. Responsible Individuals: Crystal Campbell, Community Development Program Coordinator. Corrective Action Plan: The City of Meridian has implemented the following changes to its internal control procedures to address finding # 2022-001 as listed above. Effective January 1, 2023, we have updated our Grant Management Software (Neighborly) to provide a monthly report that displays all New Subrecipient Agreements executed with a value of $30,000 that fall under the Federal Funding Accountability and Transparency Act (FFATA). This monthly report will establish an effective control over the necessary reporting of subrecipient agreements executed over the value of $30,000. The monthly Neighborly report will be reviewed and approved by the Community Development Program Coordinator along with their supervisor on a monthly basis to make the City compliant for FFATA reporting requirements. The Community Development Program Coordinator will have also added to the internal quarterly review process to discuss any FFATA items being considered and reviewed. Anticipated Completion Date: Ongoing.
View Audit 25888
Finding 36211 (2022-003)
Significant Deficiency 2022
Ainsworth Community Schools
NE
Subrecipient Monitoring Reporting Internal Control / Segregation of Duties
Name of Contact Person: Dale Hafer, Superintendent Views of Responsible Officials and Planned Corrective Actions: The District relies on the auditor to propose adjustments necessary to prepare the schedule of expenditures o...
Name of Contact Person: Dale Hafer, Superintendent Views of Responsible Officials and Planned Corrective Actions: 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 schedule of expenditures of federal awards and approves all adjustments.
View Audit 36577
Finding 36194 (2022-008)
Significant Deficiency 2022
Great Expectations Housing Corporation
CA
Questioned Costs Special Tests & Provisions Reporting
Reporting views of responsible officials and planned corrective actions Management has arranged for transfers to be done on the 25th of every month manner and has put in place controls to ensure such transfers are done every month as required.
Reporting views of responsible officials and planned corrective actions Management has arranged for transfers to be done on the 25th of every month manner and has put in place controls to ensure such transfers are done every month as required.
View Audit 34377
Finding 36193 (2022-007)
Significant Deficiency 2022
Great Expectations Housing Corporation
CA
Questioned Costs HUD Housing Programs Reporting
Reporting views of responsible officials and planned corrective actions Management put in place an electronic work order system that keeps track of the work orders for the property and has put controls in place to actively monitor the system to ensure appropriate repairs are being completed in a tim...
Reporting views of responsible officials and planned corrective actions Management put in place an electronic work order system that keeps track of the work orders for the property and has put controls in place to actively monitor the system to ensure appropriate repairs are being completed in a timely manner.
View Audit 34377
Finding 36192 (2022-006)
Significant Deficiency 2022
Great Expectations Housing Corporation
CA
HUD Housing Programs Questioned Costs Eligibility
Reporting views of responsible officials and planned corrective actions Management will put in place procedures to ensure verification of tenant assets is done during recertification.
Reporting views of responsible officials and planned corrective actions Management will put in place procedures to ensure verification of tenant assets is done during recertification.
View Audit 34377
Finding 36191 (2022-005)
Material Weakness 2022
Great Expectations Housing Corporation
CA
Questioned Costs Allowable Costs / Cost Principles HUD Housing Programs
Reporting views of responsible officials and planned corrective actions Management will ensure that moving forward there are controls in place to ensure expenses are captured in the correct fiscal period and that at year end there is a final review of the transactions to ensure that everything is no...
Reporting views of responsible officials and planned corrective actions Management will ensure that moving forward there are controls in place to ensure expenses are captured in the correct fiscal period and that at year end there is a final review of the transactions to ensure that everything is not only properly entered, but properly classified as well.
View Audit 34377
Finding 36190 (2022-004)
Material Weakness 2022
Great Expectations Housing Corporation
CA
Allowable Costs / Cost Principles Special Tests & Provisions Material Weakness
Reporting views of responsible officials and planned corrective actions Management will put in place controls and procedures to annually evaluate the percentage of time staff dedicate to the organization to determine the correct allocation for payroll.
Reporting views of responsible officials and planned corrective actions Management will put in place controls and procedures to annually evaluate the percentage of time staff dedicate to the organization to determine the correct allocation for payroll.
View Audit 34377
Finding 36189 (2022-003)
Material Weakness 2022
Great Expectations Housing Corporation
CA
Questioned Costs Allowable Costs / Cost Principles HUD Housing Programs
Reporting views of responsible officials and planned corrective actions Management has put in place controls and procedures to ensure that funds are not over-disbursed in the future. Management has returned the funds to the HUD entity.
Reporting views of responsible officials and planned corrective actions Management has put in place controls and procedures to ensure that funds are not over-disbursed in the future. Management has returned the funds to the HUD entity.
View Audit 34377
Finding 36188 (2022-002)
Material Weakness 2022
Great Expectations Housing Corporation
CA
Reporting Internal Control / Segregation of Duties Questioned Costs
Reporting views of responsible officials and planned corrective actions Management will put in place controls and procedures to ensure financial reporting is complete, accurate, and timely.
Reporting views of responsible officials and planned corrective actions Management will put in place controls and procedures to ensure financial reporting is complete, accurate, and timely.
View Audit 34377
Finding 36187 (2022-001)
Material Weakness 2022
Great Expectations Housing Corporation
CA
HUD Housing Programs Questioned Costs Special Tests & Provisions
Reporting views of responsible officials and planned corrective actions Management has opened a new residual account for this HUD entity and has put in place controls to ensure that the calculated surplus cash balance is deposited into the account, if applicable, annually.
Reporting views of responsible officials and planned corrective actions Management has opened a new residual account for this HUD entity and has put in place controls to ensure that the calculated surplus cash balance is deposited into the account, if applicable, annually.
View Audit 34377
Finding 36169 (2022-002)
Significant Deficiency 2022
Upper Columbia United Tribes
WA
Subrecipient Monitoring Questioned Costs Matching / Level of Effort / Earmarking § 200.303
The Executive Director will implement measures to ensure that reports are submitted in a timely manner.
The Executive Director will implement measures to ensure that reports are submitted in a timely manner.
View Audit 26976
Finding 36168 (2022-001)
Significant Deficiency 2022
Upper Columbia United Tribes
WA
Matching / Level of Effort / Earmarking Questioned Costs Cash Management § 200.303
The Executive Director will implement measures to ensure that the most recent ICRA is utilized on drawdown requests.
The Executive Director will implement measures to ensure that the most recent ICRA is utilized on drawdown requests.
View Audit 26976 Questioned Costs: $1
Finding 36165 (2022-002)
Significant Deficiency 2022
Choices Coordinated Care Solutions, Inc.
IN
Questioned Costs Allowable Costs / Cost Principles Reporting
2022-002 ? Significant deficiency related to Provider Relief Fund (PRF) reporting to the U.S. Department of Health and Human Services (HHS) for CFDA #93.498. Recommendation ? The auditors recommend management prepare and retain alternative support for actual direct expenditures incurred to prepare,...
2022-002 ? Significant deficiency related to Provider Relief Fund (PRF) reporting to the U.S. Department of Health and Human Services (HHS) for CFDA #93.498. Recommendation ? The auditors recommend management prepare and retain alternative support for actual direct expenditures incurred to prepare, prevent, or respond to the COVID-19 pandemic as well as lost revenues incurred based on terms established by HHS and Uniform Guidance. This alternative support may need to be provided to HHS or contracted representative if a subsequent compliance review were to be required. Planned Corrective Action ? Choices concurs with audit finding 2022-002. Choices is preparing alternative support for actual direct expenditures incurred to prepare, prevent, or respond to the COVID-19 pandemic as well as lost revenues incurred based on terms established by HHS and Uniform Guidance. From alternative support prepared, Choices believes they can support the award with lost revenues that will be reported during the period four submission.
View Audit 28336
Finding 36158 (2022-002)
Material Weakness 2022
Dekalb County Central United School District
IN
Internal Control / Segregation of Duties Subrecipient Monitoring Material Weakness § 200.303
FINDING 2022-002 Contact Person Responsible for Corrective Action: Steve Snider, CFO & Gina Buhr, Director of Business Operations Contact Phone Number: 260-920-1011 Views of Responsible Official: We adamantly disagree with the finding. The ?annual? reports in question were nothing more than a mid-po...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Steve Snider, CFO & Gina Buhr, Director of Business Operations Contact Phone Number: 260-920-1011 Views of Responsible Official: We adamantly disagree with the finding. The ?annual? reports in question were nothing more than a mid-point check on spending with the federal relief grants in the form of a jotform, which in and of itself, does not provide any good way to have an additional sign off. We already had controls in place for all of the spending occurring within these grants, so the proper controls were in place upstream from the jotform. Description of Corrective Action Plan: Jotform requests from the state are now entered with the data, printed out prior to submission, reviewed by a second party (if the CFO completes, the Director of Business Operations reviews and vice versa), then once the review is complete, the data is reentered and submitted. Anticipated Completion Date: We are starting this process in February with the Teacher Benefit jotform.
View Audit 25696
Finding 36140 (2022-009)
Material Weakness 2022
County of Los Angeles
CA
Subrecipient Monitoring Internal Control / Segregation of Duties Questioned Costs § 200.303
DPH agrees with the finding and recommendation. DPH will continue monitoring subawards upon execution and monthly to identify when a subrecipient surpasses the threshold triggering FFATA reporting. DPH will also retain screenshots or printouts when submitting FFATA reports to document the submissio...
DPH agrees with the finding and recommendation. DPH will continue monitoring subawards upon execution and monthly to identify when a subrecipient surpasses the threshold triggering FFATA reporting. DPH will also retain screenshots or printouts when submitting FFATA reports to document the submission date.
View Audit 35126
Finding 36139 (2022-003)
Material Weakness 2022
County of Los Angeles
CA
Subrecipient Monitoring Internal Control / Segregation of Duties Reporting § 200.303
DPH agrees with the finding and recommendation. DPH will continue to monitor subawards upon execution and monthly to identify when a subrecipient surpasses the threshold triggering FFATA reporting. DPH will also retain screenshots or printouts when submitting FFATA reports to document the submissi...
DPH agrees with the finding and recommendation. DPH will continue to monitor subawards upon execution and monthly to identify when a subrecipient surpasses the threshold triggering FFATA reporting. DPH will also retain screenshots or printouts when submitting FFATA reports to document the submission date.
View Audit 35126
Waubonsee Community College District 516
IL
Reporting Internal Control / Segregation of Duties
2022-002 HEERF Reporting - Higher Education Relief Funds Assistance Listing Number 84.425E, 84.425F, 84.425C, Grant Period - Year Ended June 30, 2022 Condition Found The College fa...
2022-002 HEERF Reporting - Higher Education Relief Funds Assistance Listing Number 84.425E, 84.425F, 84.425C, Grant Period - Year Ended June 30, 2022 Condition Found The College failed to post public records for the March 31, 2022 student quarterly reporting period in a timely manner. We consider this to be an instance of non-compliance relating to the Reporting Compliance Requirement. Corrective Action Plan As of June 16, 2022, student grant disclosure for the March 31 quarterly reporting period for the second allocation of HEERF student grants has been posted as public records on www.waubonsee.edu website. Responsible Person for Corrective Action Plan Dr. Stacey Randall, Executive Dean for Institutional Effectiveness and Title V Project Director, is the person responsible for this Corrective Action Plan. Implementation Date of Corrective Action Plan As of June 16, 2022, all phases of the Corrective Action Plan were implemented.
View Audit 31075
Finding 36100 (2022-003)
Significant Deficiency 2022
Oak Park Elementary School District 97
IL
School Nutrition Programs Internal Control / Segregation of Duties Questioned Costs
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 003 Condition: The Food Service Coordinator, prepares and submits monthly reimbursement claims to ISBE and these su...
Oak Park Elementary School District 97 06-016-0970-02 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022 - 003 Condition: The Food Service Coordinator, prepares and submits monthly reimbursement claims to ISBE and these submissions are not reviewed or approved by anyone else. Plan: The Senior Director of Finance will review monthly reimbursement claims that are prepared by the Food Service Coordinator to ensure that amounts agree to supporting documentation prior to submission. Anticipated Date of Completion: 6/30/2023 Name of Contact Person: Patrick King, Senior Director of Finance
View Audit 30957
Finding 36075 (2022-006)
Material Weakness 2022
Central Noble Community School Corporation
IN
School Nutrition Programs Subrecipient Monitoring Cash Management § 200.302 § 200.303 § 200.327 § 200.328 § 200.329
FINDING 2022-006 Contact Person Responsible for Corrective Action: Tyler C. Osenbaugh Contact Phone Number: 260-336-0217 Views of Responsible Official: Agree with the finding Description of Corrective Action Plan: Meal counts differed from the Meal Magic generated Z report and the Chartwells Profit ...
FINDING 2022-006 Contact Person Responsible for Corrective Action: Tyler C. Osenbaugh Contact Phone Number: 260-336-0217 Views of Responsible Official: Agree with the finding Description of Corrective Action Plan: Meal counts differed from the Meal Magic generated Z report and the Chartwells Profit and Loss statement. These meal counts are reconciled by dividing the a la carte purchases by $2.70 to equate to a meal served. Future Z reports will have the a la carte meal equivalents indicated. These figures will be reviewed and validated during the monthly meeting between School Food Authority and Food Service Director (Chartwells? Director of Dining Services). Anticipated Completion Date: April 2023
View Audit 32815
Finding 36064 (2022-002)
Material Weakness 2022
Hawaii Pacific University
HI
Questioned Costs Student Financial Aid Reporting § 200.328 § 200.329
Views of Responsible Officials and Planned Corrective Action The HPU Office of Sponsored Projects (OSP) and Office of Financial Aid work to follow all federal reporting regulations and guidance mandated for the Federal grant & contract programs. For future programs, the Institutional Research, th...
Views of Responsible Officials and Planned Corrective Action The HPU Office of Sponsored Projects (OSP) and Office of Financial Aid work to follow all federal reporting regulations and guidance mandated for the Federal grant & contract programs. For future programs, the Institutional Research, the Office of Sponsored Projects and the Financial Aid Office will generate the reports and will implement layers of review procedure to ensure that the reports are accurate, complete, submitted timely, and if needed, posted in HPU website. For the Institution portion, the Manager for Grants and Contracts will prepare the grant report and this report will be reviewed by the Assistant VP for OSP. For the student portion the periodic reports will be prepared by the staff of the Office of Financial Aid and will be reviewed by the Director of the Financial Aid office. The Business Office will perform a high-level independent review for completeness and accuracy. Finally, moving forward, all the files and documents that support the grant report will be retained. Person Responsible: Manager, for Office of Sponsored Projects & Assistant VP for Office of Sponsored Projects, Director of Financial Aid Targeted Correction Date: June 30, 2023.
View Audit 34010
Finding 36034 (2022-004)
Material Weakness 2022
Illinois Alliance of Boys & Girls Clubs, Inc.
IL
Questioned Costs Cash Management Internal Control / Segregation of Duties
FINDING 2022-004 Name of Responsible Individual For Finding(s): Bryan Soady, Former Alliance Executive Director Name of Responsible Individual For Correction(s): Awisi Bustos, Current Alliance Executive Director Corrective Action: The Alliance will enhance its procedures and internal controls over r...
FINDING 2022-004 Name of Responsible Individual For Finding(s): Bryan Soady, Former Alliance Executive Director Name of Responsible Individual For Correction(s): Awisi Bustos, Current Alliance Executive Director Corrective Action: The Alliance will enhance its procedures and internal controls over record retention to ensure complete and accurate financial reporting. Anticipated Completion Date: September 30, 2023
View Audit 37905 Questioned Costs: $1
Henry Ford Health System
MI
Questioned Costs Cash Management Reporting
Finding 2022-001 Federal Award Name ? COVID-19 Provider Relief Fund and ARP Rural Distribution (ALN 93.498) Condition ? Recent agency oversight directed by HRSA revealed a finding related to the method used to calculate lost revenues. The report indicated that the relevant reporting entities receiv...
Finding 2022-001 Federal Award Name ? COVID-19 Provider Relief Fund and ARP Rural Distribution (ALN 93.498) Condition ? Recent agency oversight directed by HRSA revealed a finding related to the method used to calculate lost revenues. The report indicated that the relevant reporting entities receiving these funds need to recalculate their lost revenues on a quarterly basis, ensuring they net all months in the quarter, including those months that did not have lost revenue. Corrective Action Plan ? Henry Ford Health agrees with this finding. Henry Ford Health maintains a centralized lost revenues schedule for all TINs within Henry Ford Health. Changes to address the finding have already been made and communicated to the audit team. As a result of this methodology change, no repayment of any funds was necessary. Initial calculation of lost revenues on a monthly basis, rather than quarterly, was made prior to clarification in the HRSA FAQ. Henry Ford Health has amended the procedures of tracking lost revenues to a quarterly basis. This corrective action plan is complete. Contact Person ? Paul Kolpasky, VP and Corporate Controller
View Audit 36424
Finding 36025 (2022-003)
Significant Deficiency 2022
Craven County
NC
Questioned Costs Eligibility Reporting
Finding 2022-003 Name of contact person: April Rollins, Income Maintenance Administrator II Corrective Action: Refresher training will be held for Medicaid staff on the topic of timely reacting to notifications and obtaining verifications, reading verifications,...
Finding 2022-003 Name of contact person: April Rollins, Income Maintenance Administrator II Corrective Action: Refresher training will be held for Medicaid staff on the topic of timely reacting to notifications and obtaining verifications, reading verifications, and entering complete and accurate documentation when determining and redetermining eligibility and entering said information verifications accurately in NC Fast. Second party reviews in excess of the state's mandated 98 will be conducted quarterly. Proposed completion date: 11/30/2022
View Audit 35472
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