Corrective Action Plans

Finding 497311 (2023-003)

Significant Deficiency 2023

Henry County

IN

Allowable Costs / Cost Principles Reporting Significant Deficiency § 200.303

FINDING 2023-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County submitted one Project and Expenditure report during the audit period. The Chief Deputy County Auditor was responsible for preparing and submitting the Project and...

FINDING 2023-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County submitted one Project and Expenditure report during the audit period. The Chief Deputy County Auditor was responsible for preparing and submitting the Project and Expenditure report and the County Auditor reviewed and approved the report prior to submission; however, there was no documentation that suggested that this review process was in place that could be provided. Contact Person Responsible for Corrective Action: Debra Walker Contact Phone Number and Email Address: 765-529-2800 dwalker@henrycounty.in.gov Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: The County Auditor and Deputy Auditor will review the Project and Expenditure report together and sign the printed out copy of the report. Anticipated Completion Date: Immediately.

View Audit 319963

Finding 497309 (2023-003)

Significant Deficiency 2023

Leominster Housing Authority

MA

HUD Housing Programs Eligibility Significant Deficiency

3. 2023-003; Eligibility for Individuals – The PHA will provide ongoing training to housing choice voucher staff to instill compliance in the policy and procedures for Occupancy requirements. The PHA housing choice voucher staff has attended a HOTMA implementation training, as well as an EIV trainin...

3. 2023-003; Eligibility for Individuals – The PHA will provide ongoing training to housing choice voucher staff to instill compliance in the policy and procedures for Occupancy requirements. The PHA housing choice voucher staff has attended a HOTMA implementation training, as well as an EIV training from recognized housing compliance organizations. The PHA staff will continue to supplement eligibility requirements education from recognized institutions as well as the HUD Exchange site. The PHA housing choice voucher staff will be implementing a checklist for certifications to ensure program compliance. The PHA is committed to the success of the Section 8 HCV Program and will continue to monitor and improve as we transition a new Director of Leased Housing. We are in constant contact with our HUD representatives who continue to provide great support. Planned Implementation Date: Effective Immediately Corrective Action Responsible - Team Effort: Benjamin Gold, Executive Director (978)537-5300 Adam Gautie, Assistant Executive Director Lila Fernandez, Director of Leased Housing Sue Bonney, Director of Finance

View Audit 319962

Finding 497308 (2023-002)

Significant Deficiency 2023

Leominster Housing Authority

MA

Questioned Costs HUD Housing Programs Significant Deficiency

2023-002; HQS Enforcement – The PHA experienced external environmental and internal factors that posed a challenging year during fiscal year 2023. Leominster declared State of Emergency and the Housing Choice Voucher program office was out of service for the month of September and some of October. ...

2023-002; HQS Enforcement – The PHA experienced external environmental and internal factors that posed a challenging year during fiscal year 2023. Leominster declared State of Emergency and the Housing Choice Voucher program office was out of service for the month of September and some of October. During this period the vendor that was contracted to conduct HQS inspections notified the PHA that they could no longer fulfil their contracted duties. Several requests for proposals were proposed however the PHA received no response. In March 2024 a new Vendor was procured to conduct HQS inspections. The PHA has begun process to train and certify a PHA staff member to perform Quality Control Inspections. The PHA is in the process of submitting additional request for proposals to contract an additional HQS inspection vendor to ensure all HQS inspections will be conducted in a timely manner as well as quality control inspections, and reinspection’s for HQS failed units. The PHA will be implementing policies and procedures to ensure units are reinspected in a timely manner and abated as applicable.

View Audit 319962 Questioned Costs: $1

Finding 497307 (2023-001)

Significant Deficiency 2023

Leominster Housing Authority

MA

HUD Housing Programs Reporting Significant Deficiency

1. 2023-001; Reporting – The PHA has implemented procedure and policy to ensure sampling size, required review process and documentation is in compliance and accessible to all staff for reference and guidance to 24 CFR 985; SEMAP. In addition, the PHA continues to participate in the HUD Exchange SE...

1. 2023-001; Reporting – The PHA has implemented procedure and policy to ensure sampling size, required review process and documentation is in compliance and accessible to all staff for reference and guidance to 24 CFR 985; SEMAP. In addition, the PHA continues to participate in the HUD Exchange SEMAP training modules as well as other pertinent information as applicable to 24 CFR 985. The PHA is also seeking additional training and credentialing from recognized organizations such as Nan McKay.

View Audit 319962

Finding 497303 (2023-001)

Significant Deficiency 2023

Georgetown Housing Authority

SC

Eligibility HUD Housing Programs Reporting

GHA Georgetown Housing Authority Correctie Action Plan for the year ended December 31, 2023 Section II - Financial Statement Findings None Reported Section III - Federal Award Findings and Questioned Costs Finding 2023-001 Name of contact person: Alissa Collington Executie Director Corrective A...

GHA Georgetown Housing Authority Correctie Action Plan for the year ended December 31, 2023 Section II - Financial Statement Findings None Reported Section III - Federal Award Findings and Questioned Costs Finding 2023-001 Name of contact person: Alissa Collington Executie Director Corrective Action: We will iplement proper internal control procedures for the Public and Indian Housing Program eligiblity requirements. Proposed Completion Date: Immediately.

View Audit 319952

Finding 497298 (2023-001)

Significant Deficiency 2023

Webster Housing Authority

MA

HUD Housing Programs Special Tests & Provisions Significant Deficiency

023-001 – Special Tests And Provisions: General Depository Agreements Significant Deficiency/Noncompliance Auditee’s Response and Planned Corrective Action The corrective plan is to have this completed and signed by all required parties. Planned Implementation Date of Corrective Action: Immediate...

023-001 – Special Tests And Provisions: General Depository Agreements Significant Deficiency/Noncompliance Auditee’s Response and Planned Corrective Action The corrective plan is to have this completed and signed by all required parties. Planned Implementation Date of Corrective Action: Immediately Person Responsible for Corrective Action: Maria A. Medeiros, Executive Director

View Audit 319939

Finding 497281 (2023-001)

Significant Deficiency 2023

City of West Allis

WI

HUD Housing Programs Eligibility Significant Deficiency

U.S. Department of Housing and Urban Development 2023-001 Eligibility - Housing Choice Voucher Program – Assistance Listing No. 14.871 Recommendation: The City should review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with Ente...

U.S. Department of Housing and Urban Development 2023-001 Eligibility - Housing Choice Voucher Program – Assistance Listing No. 14.871 Recommendation: The City should review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with Enterprise income Verification (EIV) eligibility requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: PHA staff understand that income verification is essential to ensuring that only eligible participants are provided housing assistance benefits. In late 2023 they implemented a new file review procedure where the Community Development Senior Planner reviews all files processed by operational housing staff as a matter of quality control. In addition, the protocol for PHA quality control includes following the Section Eight Management Assessment Program (SEMAP) indicator iv. Accurate verification of family income by ensuring EIV Reports validate family income 120 days of submission of a new admission or reexamination and maintain copies of the report in the tenant file resolving any discrepancies of the family within 60 days of the EIV Report. The one instance of non-compliance found during the 2023 audit occurred prior to the implementation of this new procedure so staff believe that appropriate steps have been taken to address this concern. Name(s) of the contact person(s) responsible for corrective action: Steve Schaer Planned completion date for corrective action plan: The City believes the necessary corrective actions have been taken as of August 2024.

View Audit 319901

Finding 497276 (2023-001)

Significant Deficiency 2023

Somersworth Housing Authority

NH

HUD Housing Programs Reporting Significant Deficiency

Somersworth Housing Authority will implement the following procedures to properly document the universe and sample selected for indicator 1-Selection from the Waiting List, Indicator 2 - Reasonableness Rent, and Indicator 3 - Determination of adjusted income : (kindly refer to uploaded copy of fina...

Somersworth Housing Authority will implement the following procedures to properly document the universe and sample selected for indicator 1-Selection from the Waiting List, Indicator 2 - Reasonableness Rent, and Indicator 3 - Determination of adjusted income : (kindly refer to uploaded copy of financial statements)

View Audit 319896

Finding 497262 (2023-001)

Material Weakness 2023

M.g.h. Family Health Center Dba Muskegon Family Care

MI

Special Tests & Provisions Subrecipient Monitoring Significant Deficiency

Recommendation – Auditors recommend additional training for staff on sliding fee policies and procedures and management to monitor and verify that processes are being performed as prescribed. Action Taken – We concur with the audit finding. While the Center has a policy that meets the compliance re...

Recommendation – Auditors recommend additional training for staff on sliding fee policies and procedures and management to monitor and verify that processes are being performed as prescribed. Action Taken – We concur with the audit finding. While the Center has a policy that meets the compliance requirements, management is responsible for the implementation and monitoring of those processes and procedures. Additional staff training on slide fee discounts is in place and monthly review and testing of compliance with Center sliding fee discount policy is ongoing.

View Audit 319863

Finding 497246 (2023-007)

Significant Deficiency 2023

County of Kern

CA

Allowable Costs / Cost Principles Period of Performance Significant Deficiency § 200.303

Block Grants for Prevention and Treatment of Substance Abuse - Assistance Listing No. 93.959 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expe...

Block Grants for Prevention and Treatment of Substance Abuse - Assistance Listing No. 93.959 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures were received). Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Training on accrual basis of accounting is presented during year-end training. The Department will participate in trainings offered by the County regarding the accrual basis of accounting for expenditures and will ensure accruals are properly captured within the proper period. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 20

View Audit 319826

Finding 497243 (2023-006)

Significant Deficiency 2023

County of Kern

CA

Allowable Costs / Cost Principles Period of Performance Significant Deficiency § 200.303

Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures we...

Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County conduct training with its various departments to instruct them on how to compile expenditures based on the accrual basis of accounting (when the benefits from the expenditures were received). Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Training on accrual basis of accounting is presented during year-end training. As accruals are only recorded in the Financial Management System (FMS) on an annual basis department will have to manually accrue expenditures when charging other departments for costs incurred. The Aging and Adult Services Department will participate in trainings offered by the County regarding the accrual basis of accounting for expenditures and will ensure sure accruals are properly captured in the proper period when charging costs to BHRS. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 2024

View Audit 319826

Finding 497240 (2023-005)

Significant Deficiency 2023

County of Kern

CA

Questioned Costs Allowable Costs / Cost Principles Significant Deficiency § 200.303

COVID-19 Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County review its process over the allocation of payroll expenditures, based on time worked, to determine what adjustments to its system need to be made. Explanation of disagre...

COVID-19 Block Grants for Community Mental Health Services - Assistance Listing No. 93.958 Recommendation: We recommend the County review its process over the allocation of payroll expenditures, based on time worked, to determine what adjustments to its system need to be made. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Aging and Adult Services Department will assess the payroll allocation process, and necessary adjustments will be made. Names of the contact persons responsible for corrective action: Aimee Espinoza, Auditor- Controller and Tarrah Shockley, Division Chief. Planned completion date for corrective action plan: June 30, 2024

View Audit 319826 Questioned Costs: $1

Finding 497202 (2023-003)

Significant Deficiency 2023

City of Henning

MN

Reporting Significant Deficiency

Management’s Response and Actions Planned: The City’s management is aware of this significant deficiency. Management reviews and approves the draft annual audited financial statements and distributes them to the users. For entities of this size, it generally is not practical to obtain the internal e...

Management’s Response and Actions Planned: The City’s management is aware of this significant deficiency. Management reviews and approves the draft annual audited financial statements and distributes them to the users. For entities of this size, it generally is not practical to obtain the internal expertise needed to handle all aspects of the external financial reporting. Management recognizes this and feels it is effectively handling its reporting responsibilities with the procedures described above.

View Audit 319792

Finding 497026 (2023-002)

Significant Deficiency 2023

Henry J. Austin Health Center, Inc.

PA

Questioned Costs Allowable Costs / Cost Principles Cash Management § 200.302

The finding arose due to conditions created as a result of turnover experienced by the Center within the finance department, expense reimbursement requests were inadvertently completed incorrectly using incorrect allocation percentages and information. Additional preventative internal control proced...

The finding arose due to conditions created as a result of turnover experienced by the Center within the finance department, expense reimbursement requests were inadvertently completed incorrectly using incorrect allocation percentages and information. Additional preventative internal control procedures will be implemented, including an additional level of review of the reimbursement request prior to submission.

View Audit 319762 Questioned Costs: $1

Finding 496966 (2023-005)

Significant Deficiency 2023

Territory of American Samoa

AS

Internal Control / Segregation of Duties Procurement, Suspension & Debarment Allowable Costs / Cost Principles

Federal Agency Review *Significant Deficiency in Internal Controls over Compliance; Noncompliance Federal Program - CFDA 10.555 – National School Lunch Program ASDOE School Lunch Program (SLP) continues to work with the representative who oversees civil rights for the USDA Western region. SLP co...

Federal Agency Review *Significant Deficiency in Internal Controls over Compliance; Noncompliance Federal Program - CFDA 10.555 – National School Lunch Program ASDOE School Lunch Program (SLP) continues to work with the representative who oversees civil rights for the USDA Western region. SLP continues to have training to correct the issues in their USDA FNS report. POC  SLP Assistant Director Christina Fualaau

View Audit 319698

Finding 496965 (2023-004)

Significant Deficiency 2023

Territory of American Samoa

AS

Special Tests & Provisions Subrecipient Monitoring Significant Deficiency

Special Tests and Provisions * Significant Deficiencies in Internal Controls over Compliance; Non-Compliance Federal Program - CFDA 20.205 - Highway Planning & Construction The Department of Public Works (DPW) awaits approval of its Implementation and Stewardship agreement from Federal Highway. ...

Special Tests and Provisions * Significant Deficiencies in Internal Controls over Compliance; Non-Compliance Federal Program - CFDA 20.205 - Highway Planning & Construction The Department of Public Works (DPW) awaits approval of its Implementation and Stewardship agreement from Federal Highway. The finding will remain open until the agreement is approved. POC  DPW Deputy Director Laupule Tilei  Civil Engineer Uaealesi Doris Faumuina-Sipelii

View Audit 319698

Finding 496937 (2023-002)

Significant Deficiency 2023

Plymouth Housing Authority

NC

Eligibility HUD Housing Programs Reporting

Section III - Federal Award Findings and Questioned Costs Finding 2023-002 Name of Contact Person: Anette Ange Executive Director Corrective Action: Management will review the recertification process and plan to monitor recertifications. Proposed Compeltion Date: Immediately.

View Audit 319683

Finding 496936 (2023-004)

Significant Deficiency 2023

Iowa Valley Resource Conservation & Development

IA

Reporting Significant Deficiency Internal Control / Segregation of Duties

View of Responsible Officials and Planned Corrective Actions: We will begin providing written documentation of authorizations and reviews as outlined in the Accounting Policies and Procedures Manual.

View Audit 319681

Finding 496865 (2023-001)

Significant Deficiency 2023

Self Initiated Living Options, Inc.

NY

Reporting Significant Deficiency Internal Control / Segregation of Duties

SILO will make sure the financial statement and Uniform Guidance audits are started earlier to ensure enough time to file timely in the future.

View Audit 319609

Finding 496850 (2023-004)

Significant Deficiency 2023

The Food Trust

PA

Allowable Costs / Cost Principles Procurement, Suspension & Debarment Significant Deficiency

There was a lack of documentation for the purchase of program supplies in the amount of $200 charged to federal programs. Recommendation: We recommend The Food Trust review its processes to ensure that all supporting documentation is maintained for federal purchases. Explanation of disagreement w...

There was a lack of documentation for the purchase of program supplies in the amount of $200 charged to federal programs. Recommendation: We recommend The Food Trust review its processes to ensure that all supporting documentation is maintained for federal purchases. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will complete a review of its documentation by December 2024. Name(s) of the contact person(s) responsible for corrective action: Regine Metellus, Vice President of Finance Planned completion date for corrective action plan: The planned corrective action will be completed by December 31, 2024. If the oversight agency has questions regarding this plan, please call Regine Metellus, Vice President of Finance at 215-575-0444 ext. 163.

View Audit 319570

Finding 496842 (2023-002)

Significant Deficiency 2023

The Food Trust

PA

Allowable Costs / Cost Principles Reporting Significant Deficiency

The organization does not have adequate controls designed to ensure personnel costs are documented with time and effort certifications. Recommendation: We recommend The Food Trust establish and implement controls that require employees to document their time and effort spent on various activities....

The organization does not have adequate controls designed to ensure personnel costs are documented with time and effort certifications. Recommendation: We recommend The Food Trust establish and implement controls that require employees to document their time and effort spent on various activities. Time and effort certifications should be regularly reviewed and approved by appropriate personnel to ensure accuracy and completeness of personnel cost documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will implement processes and tools to ensure that all employee time and effort charged to federal grants is appropriately documented. Name(s) of the contact person(s) responsible for corrective action: Regine Metellus, Vice President of Finance Planned completion date for corrective action plan: The planned corrective action will be completed by October 2024.

View Audit 319570

Finding 496822 (2023-002)

Significant Deficiency 2023

Rare and Affliliates

VA

Reporting Significant Deficiency

Name of Responsible Official: Niels Crone, Chief Operating Officer Anticipated Completion Date: September 30, 2024 Views of responsible officials and planned corrective actions: Management have implemented procedures to collect data internally in a timely manner so that the timing of audit and aud...

Name of Responsible Official: Niels Crone, Chief Operating Officer Anticipated Completion Date: September 30, 2024 Views of responsible officials and planned corrective actions: Management have implemented procedures to collect data internally in a timely manner so that the timing of audit and audit will not be delayed and so that the required data collection form can be submitted within 9 months of year‐end.

View Audit 319557

Finding 496821 (2023-003)

Significant Deficiency 2023

Mark Twain Association for Mental Health Inc.

MO

Subrecipient Monitoring Reporting Significant Deficiency

September 9, 2024 Re: MTBH 2023 Single Audit To Whom it May Concern: In response to our recent MTBH 2023 Single Audit findings related to reimbursement request "KV-4", MTBH will implement a review process for future grant reimbursement requests, effective immediately. I, Jenny Haught, will complete ...

September 9, 2024 Re: MTBH 2023 Single Audit To Whom it May Concern: In response to our recent MTBH 2023 Single Audit findings related to reimbursement request "KV-4", MTBH will implement a review process for future grant reimbursement requests, effective immediately. I, Jenny Haught, will complete and send the reimbursement requests to Michael Cantrell, President and CEO for review. Upon his review and approval, I will send the reimbursement requests to the appropriate person per the grant agreement for official reimbursement. In response to our recent MTBH 2023 Single Audit findings related to quarterly progress reports, MTBH will implement a review process for future grant reporting, adhering to the grant agreement, effective immediately. Sincerely, Jenny Haught, Vice President of Finance

View Audit 319554

Finding 496749 (2023-002)

Significant Deficiency 2023

Stark County Housing Authority

ND

HUD Housing Programs Significant Deficiency

Contact Person Derek Johnson, Managing Agent Corrective Action Plan The Authority’s management recognizes the deficiency and will corroborate with its financial institution to remediate the finding. Planned Completion Date for CAP Immediately.

View Audit 319513

Finding 496688 (2023-002)

Significant Deficiency 2023

Kewaunee County, Wisconsin

WI

Procurement, Suspension & Debarment Allowable Costs / Cost Principles Cash Management

Action Planned/taken in response to the finding: Kewaunee County agrees with the finding. An assessment of all grants, requirements, and related policy and procedures is in progress and will continue to: • Evaluate existing policy and procedures for needed revisions • Document revisions to policy an...

Action Planned/taken in response to the finding: Kewaunee County agrees with the finding. An assessment of all grants, requirements, and related policy and procedures is in progress and will continue to: • Evaluate existing policy and procedures for needed revisions • Document revisions to policy and procedures as necessary • Communicate any new policies to employees responsible for awards • Identify awards covered by the Uniform Guidance • Set and document a schedule for periodic review and revision Policy and procedures, as well as related documentation, are being revised as necessary to ensure compliance with the Uniform Guidance. Progress continues into 2024. The Finance Director will continue to coordinate and provide assistance and guidance to departments receiving grants subject to the Uniform Guidance. Names(s) of the contact person(s) responsible for corrective action: Paul Kunesh Planned completion date for corrective action: December 31, 2024

View Audit 319501

Corrective Action Plans

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