Corrective Action Plans

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Finding 478705 (2023-001)
Significant Deficiency 2023
The management of NEK Broadband acknowledges the finding of a significant deficiency in internal controls noted by our auditors. We have implemented a new control to present all general journal entries as part of the monthly financial statement package to be reviewed by the finance and audit committ...
The management of NEK Broadband acknowledges the finding of a significant deficiency in internal controls noted by our auditors. We have implemented a new control to present all general journal entries as part of the monthly financial statement package to be reviewed by the finance and audit committee. Documentation of that review will be included in the monthly meeting minutes of the finance and audit committee. Further, we plan to implement a new accounting system with workflow controls, approval requirements and an integrated inventory system within the next year.
Summary: During the fiscal year ended December 31, 2023, subgrants over $30,000 subject to Federal Funding Accountability and Transparency Act (FFATA) reporting were not submitted to the FFATA Subaward Reporting System (FSRS) website. Corrective Action Planned: We have implemented the following cont...
Summary: During the fiscal year ended December 31, 2023, subgrants over $30,000 subject to Federal Funding Accountability and Transparency Act (FFATA) reporting were not submitted to the FFATA Subaward Reporting System (FSRS) website. Corrective Action Planned: We have implemented the following controls in 2024 to address the deficiency: On a monthly basis, the Director, Development Operations and Grantmaking will prepare a report listing all subgrants awarded from the prior month. This report will include modifications to subgrants from earlier fiscal periods. The Senior Director, Federal Funding or the Vice President, Emerging Opportunities will review the report for accuracy and completeness. The Senior Manager, Accounting will then submit any subgrants over the $30,000 threshold to the FSRS website the month following the award or modification. The Senior Director, Revenue & Budget will review submitted FSRS submissions on a monthly basis. Anticipated Completion Date: Completed April 30, 2024 Name of Contact Person Responsible for the Plan: Jeff Johnson
Finding 478686 (2023-001)
Significant Deficiency 2023
Lack of segregation of duties Recommendation - The City's council members need to be cogniant of the issue and provide appropriate oversight. Such oversight could include review of all federal activity and posting of receipts and disbursements. In addition, any proprosed adjusting journal entir...
Lack of segregation of duties Recommendation - The City's council members need to be cogniant of the issue and provide appropriate oversight. Such oversight could include review of all federal activity and posting of receipts and disbursements. In addition, any proprosed adjusting journal entires should have additional oversight duties performed and documented. Action taken - the city is cognizant of the issue and continues to monitor the situation.
For any construction or building improvements requiring the use of contractors in the future, management will discuss adherence to the Davis Bacon Act regarding prevailing wages with the contractors and obtain documentation from the contractors demonstrating compliance with the Act.
For any construction or building improvements requiring the use of contractors in the future, management will discuss adherence to the Davis Bacon Act regarding prevailing wages with the contractors and obtain documentation from the contractors demonstrating compliance with the Act.
Finding #2023-003 – Significant Deficiency. U. S. Department of the Treasury, Passed through Texas Department of Housing and Community Affairs, Emergency Rental Assistance Program, Assistance Listing #: 21.023, Contract #: 20220000030, Contract period: 03/01/22 – 07/31/25. Condition and context: ...
Finding #2023-003 – Significant Deficiency. U. S. Department of the Treasury, Passed through Texas Department of Housing and Community Affairs, Emergency Rental Assistance Program, Assistance Listing #: 21.023, Contract #: 20220000030, Contract period: 03/01/22 – 07/31/25. Condition and context: HAWC’s policies and procedures for verifying the completeness of eligibility documentation includes the completion of a client file review with an internal reviewer’s signature evidencing their review. In our testing of a sample of 40 clients, we noted one client file for services provided that did not have the signature of an internal reviewer. We noted that the eligibility files did not include the required documentation. Recommendation: Provide additional staff training to ensure that HAWC’s internal control procedures that require review of client files are followed. Planned corrective action: Management will conduct additional refresher training for staff. An updated policy was put in place in March 2024 during the Apricot Database Migration. The implementation of Apricot has resolved this issue. Responsible officer: Nike Blue, Chief Quality Officer. Estimated completion date: August 30, 2024
Finding #2023-002 – Significant Deficiency and Other Noncompliance. U. S. Department of Housing and Urban Development, Passed through City of Houston, HOME Investment Partnerships Program, Assistance Listing #: 14.239, Contract period: 02/17/23 – 02/16/40. Condition and context: During our testin...
Finding #2023-002 – Significant Deficiency and Other Noncompliance. U. S. Department of Housing and Urban Development, Passed through City of Houston, HOME Investment Partnerships Program, Assistance Listing #: 14.239, Contract period: 02/17/23 – 02/16/40. Condition and context: During our testing of 6 subcontractors out of 55 for proper inclusion in the Section 3 Utilization Plan and the MWSBE Utilization Plan, we identified one subcontractor was not included on the reports in a timely manner. Recommendation: Provide additional independent reviews of the Section 3 Utilization Plan and MWSBE Utilization Plan reports. Planned corrective action: HAWC has a Service Agreement with New Hope Housing to provide support with compliance requirements, for the expansion construction project, as required by the COH and to provide independent compliance oversight of the construction company filings. The reports have been re-issued with inclusion of the omitted subcontractor reports in accordance with the Utilization Plan and the MWSBE Utilization Plan. Responsible officer: Neeta Potnis, Chief Financial Officer. Estimated completion date: December 31, 2024
FEDERAL AWARD PROGRAMS AUDITS 2023-003 Temporary Assistance for Needy Families Program (TANF) (Assistance Listing #93.558) Award #2301MNTANF, Passed through Minnesota Department of Human Services: Grant Period Year Ended December, 31, 2023; Eligibility Requirement Recommendation: It is recommended...
FEDERAL AWARD PROGRAMS AUDITS 2023-003 Temporary Assistance for Needy Families Program (TANF) (Assistance Listing #93.558) Award #2301MNTANF, Passed through Minnesota Department of Human Services: Grant Period Year Ended December, 31, 2023; Eligibility Requirement Recommendation: It is recommended the County implement procedures to ensure all required documentation is maintained in the file and that there are procedures in place to review files for errors and omissions in eligibility documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will review their process for data input and recording and remind staff to verify all eligibility requirements are documented for verbal interviews. Name of contact person responsible for corrective action plan: Rick Gieseke, Deputy Administrator Community Services Planned completion date for corrective action plan: December 31, 2024
Management will work with the Government Affairs’ department to ensure that the food program and any other program invoices are being put into Sage Intacct on a timely manner so that the invoices are paid within 30 days. Responsible Person for Corrective Action: Marta Kwiatkowski, Vice President of...
Management will work with the Government Affairs’ department to ensure that the food program and any other program invoices are being put into Sage Intacct on a timely manner so that the invoices are paid within 30 days. Responsible Person for Corrective Action: Marta Kwiatkowski, Vice President of Administration & Chief Financial Officer Implementation Date for Corrective Action: December 31, 2024
Management has revised its policies and procedures where all invoices, no matter what the amount is, to be entered into Sage Intacct as a purchase requisition. This has provided an audit trail showing invoices are being approved to be paid. Responsible Person for Corrective Action: Marta Kwiatkows...
Management has revised its policies and procedures where all invoices, no matter what the amount is, to be entered into Sage Intacct as a purchase requisition. This has provided an audit trail showing invoices are being approved to be paid. Responsible Person for Corrective Action: Marta Kwiatkowski, Vice President of Administration & Chief Financial Officer Implementation Date for Corrective Action: December 31, 2024
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
Finding 2023-003 – Significant Deficiency over Internal Controls Related to Cash Management Compliance - Human Genome Research - Enzyme Synthesis of RNA – 93.172 Recommendation: The Foundation should strengthen its controls related to the cash draw processes to ensure that grant funding only be subm...
Finding 2023-003 – Significant Deficiency over Internal Controls Related to Cash Management Compliance - Human Genome Research - Enzyme Synthesis of RNA – 93.172 Recommendation: The Foundation should strengthen its controls related to the cash draw processes to ensure that grant funding only be submitted for reimbursement and cash draws once an expenditure has been made, regardless of anticipated expenditures. Corrective Action: In addition to the grants manager, another member of management will review the grant funding request prior to submission to ensure that it is appropriately supported with evidence of allocable and allowable costs incurred. Person Responsible for Corrective Action: Jackie McCarter, Grants Administrator, and another member of management Anticipated Completion Date for Corrective Action: The Corrective Action will be immediately implemented in response to the auditor’s recommendation.
Capital Fund Program – CFDA 14.872 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to wage rate requirements. Action Taken: New Management has taken over as of March 2023 and will review and implement stronger policies...
Capital Fund Program – CFDA 14.872 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to wage rate requirements. Action Taken: New Management has taken over as of March 2023 and will review and implement stronger policies and procedures pertaining to wage rate requirements. Anticipated Completion Date of Action: December 31, 2024
1. Correcting Plan CHEDA staff are aware of Voucher for Payment of Annual Contributions and Operating Statement report monthly to HUD via the Voucher Management System (VMS) requirements and will implement appropriate review of statements prior to submission. 2. Explanation of Disagreement with the ...
1. Correcting Plan CHEDA staff are aware of Voucher for Payment of Annual Contributions and Operating Statement report monthly to HUD via the Voucher Management System (VMS) requirements and will implement appropriate review of statements prior to submission. 2. Explanation of Disagreement with the Audit Finding There is essentially no disagreement with the finding. 3. Official Responsible for Ensuring CAP Karie Kirschbaum – Executive Director 4. Planned Completion Date for CAP Immediately. 5. Plan to Monitor Completion of CAP The Executive Director will monitor completion of the CAP.
1. Correcting Plan CHEDA staff are aware of income eligibility documentation and will implement an internal control process. 2. Explanation of Disagreement with the Audit Finding There is essentially no disagreement with the finding. 3. Official Responsible for Ensuring CAP Karie Kirschbaum – Execut...
1. Correcting Plan CHEDA staff are aware of income eligibility documentation and will implement an internal control process. 2. Explanation of Disagreement with the Audit Finding There is essentially no disagreement with the finding. 3. Official Responsible for Ensuring CAP Karie Kirschbaum – Executive Director 4. Planned Completion Date for CAP Immediately. 5. Plan to Monitor Completion of CAP The Executive Director will monitor completion of the CAP.
Finding 478256 (2023-002)
Significant Deficiency 2023
Finding: 2023-002 Significant Deficiency in Internal Control over Compliance U.S. Department of Commerce Economic Assistance Adjustment 11.307 Economic Development Cluster Reporting Finding Summary: During the year ending June 30, 2023, the City submitted their quarterly Project Progress Reports mor...
Finding: 2023-002 Significant Deficiency in Internal Control over Compliance U.S. Department of Commerce Economic Assistance Adjustment 11.307 Economic Development Cluster Reporting Finding Summary: During the year ending June 30, 2023, the City submitted their quarterly Project Progress Reports more than 15 days after the end of the quarterly periods. Responsible Individual: Diana Steiner, Finance Director Corrective Action Plan: The City will more closely monitor the third party that is administering the grant. Anticipated Completion Date: By the completion of the ACFR for the fiscal year ending June 30, 2024.
Annual Title X training will be provided to staff Title X centers in early July 2024. The training will include expanded direction and provide clarity for the staff regarding the expectations around eligibility forms. This includes the need for eligibility forms for supply-only encounters. The Sr. ...
Annual Title X training will be provided to staff Title X centers in early July 2024. The training will include expanded direction and provide clarity for the staff regarding the expectations around eligibility forms. This includes the need for eligibility forms for supply-only encounters. The Sr. Grants Project Manager, Metzli Gonzales, performs bi-annual chart audits across all Title X sites to assess compliance with the Title X program. The audits review ten charts from each Title X center, chosen at random. The criteria include looking for evidence demonstrating compliance with the requirement that an eligibility Form is completed with income information and signed by the patient.
Management has implemented a quarterly inspection schedule of all units with documentation centrally located for visibility.
Management has implemented a quarterly inspection schedule of all units with documentation centrally located for visibility.
In the past, the Housing Authority has completed Rent Reasonableness forms for every new and existing tenant by referring to a rent comparison log that is periodically updated and l<ept in the office. Every tenant has the form in their files and the FMR guidelines were always adhered to assure that ...
In the past, the Housing Authority has completed Rent Reasonableness forms for every new and existing tenant by referring to a rent comparison log that is periodically updated and l<ept in the office. Every tenant has the form in their files and the FMR guidelines were always adhered to assure that the rents proposed by Landlords were reasonable. The Plainfield Housing Authority has now contracted with RentWatch as of January 4, 2024, which allows the Housing Authority to see comparable rents and automatically produces Rent Reasonable reports to print and put in tenant files.
When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all...
When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all tenant files.
Condition - Of the 40 students selected for enrollment reporting testing, 1 student did not have their status change updated appropriately. Planned Corrective Action: Management is developing a process between the Registrar's Office and the Office of Financial Aid to determine the proper reporting ...
Condition - Of the 40 students selected for enrollment reporting testing, 1 student did not have their status change updated appropriately. Planned Corrective Action: Management is developing a process between the Registrar's Office and the Office of Financial Aid to determine the proper reporting procedure for changes to enrollment status that fall between reporting windows to ensure timely and accurate reporting to the NSLDS. Contact person responsible for corrective action: Christopher Cox, Registrar Anticipated Completion Date: June 30, 2024
The Board of Directors will designate an individual to document financial statement preparation processes which ensure timely submission of the Single Audit Reporting Package.
The Board of Directors will designate an individual to document financial statement preparation processes which ensure timely submission of the Single Audit Reporting Package.
Finding 478149 (2023-001)
Significant Deficiency 2023
AUDIT FINDINGS 10 SECTION II- FINANCIAL STATEMENT FINDINGS None. SECTION III - FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2023-001 Improve Controls over Disbursements Federal Agency: U.S. Department of Education Cluster/Program: Education Stabilization Fund Award Name: COVID-19 – Elementary and Se...
AUDIT FINDINGS 10 SECTION II- FINANCIAL STATEMENT FINDINGS None. SECTION III - FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2023-001 Improve Controls over Disbursements Federal Agency: U.S. Department of Education Cluster/Program: Education Stabilization Fund Award Name: COVID-19 – Elementary and Secondary School Emergency Relief (ESSER III) Fund and COVID-19 – American Rescue Plan Elementary and Secondary School Emergency Relief (ARP ESSER) AL Number(s): 84.425D/84.425U Award Year: 2023 Compliance Requirement: Allowable Costs/Cost Principles Type of Finding: Compliance and Internal Control over Compliance - Significant Deficiency Criteria or Specific Requirement Grantees must provide reasonable assurance that federal awards are expended only for allowable activities and that the costs of goods and services charged to federal awards are allowable and in accordance with the applicable cost principles. Management is also responsible for establishing and maintaining effective internal control over compliance with federal requirements that have a direct and material effect on a federal program. A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. 2 41 Cochituate Road ∙ P.O. Box 408 ∙ Wayland, Massachusetts 01778-0408 Condition and Context Supervisory approval was not obtained for 16 of 23 payroll transactions tested. Further, there was no documented evidence that multiple individuals were involved in 13 out of 16 vendor expenditures charged to the grant and one journal entry charging expenditures to the grant. Cause Weaknesses in the design and operation of controls. Corrective Action The organization has identified the need for and implemented fiscal controls for personnel (payroll) expenditures which include, but are not limited to, proper authorization by the Director of Special Education and/or Assistant Superintendent for each Federal grant disbursement in the form of signature for approval of payment kept on file in the dated bi-weekly payroll folder. Secondly, the Director of Finance reviews, approves, and authorizes all bi-weekly payrolls electronically in two ways: through electronic signature in Munis and through email to the payroll clerk, kept on file in the dated bi-weekly warrant folder (hard copy). Lastly, the School Committee votes and approves all bi-weekly payrolls at their regularly held public sessions, which are captured in meeting minutes and as a hard copy kept on file in the Payroll office. The organization has identified the need for and implemented fiscal controls for non-personnel expenditures which include, but are not limited to, proper authorization by school principals, directors of curriculum and instruction, directors of grants and special education/student services, and/or Assistant Superintendent for each Federal grant disbursement in the form of signature on the invoice indicating “ok to pay” or through authorization via email and kept on file in the appropriate grant folder and electronic Accounts Payable weekly warrant. Secondly, the Director of Finance reviews, approves, and authorizes all requisitions before they are converted to purchase orders through electronic signature in Munis, and approves all Accounts Payable weekly warrants. Lastly, the School Committee votes and approves all Accounts Payable warrants at their regularly held public sessions, which are captured in meeting minutes and as a hard copy kept on file in the Accounts Payable office. Name of Contact Person: Susan Bottan, Director of Finance and Operations, susan_bottan@waylandps.org, 508-358-3750 Projected Completion Date Fiscal controls have been established and are being followed, as of July 10, 2023 since the Director of Finance and Operations began employment at Wayland Public Schools.
View Audit 314827 Questioned Costs: $1
Finding 478117 (2023-001)
Significant Deficiency 2023
U4i
CA
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Man...
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Managing Director. The Managing Director is the agreed-upon point of contact with the federal agency to determine if the proposed new hire needs to be vetted based on the criteria set by the federal agency. If the Managing Director deems necessary that the hire needs to be vetted, a vetting task and confirmation of receipt are sent by the system to the Operations Associate. The Operations Associate oversees maintaining the RAM system and submitting new vetting requests. Once the vetting has been approved or declined, the Operations Associate enters the information into U4I’s relational database, and only at this point can the hiring process move forward, provided RAM approves the vetting. The new system has automated alarm notifications and emails monthly reports based on the “date of last vetting,” calculating the “date of new vetting” automatically for a list of over 85 employees and contractors. Remedy - We have introduced a backup Vetting POC in our vetting process moving forward to prevent this type of occurrence during transitions. If the Managing Director is unavailable, and a confirmation of the vetting task is not received, the Co-Director acting as interim Vetting POC will be asked to assume the role and evaluate the hires and vetting. The FIN/OPS team overseeing the new vetting procedure and added control steps, will make sure that all vendors, contractors and employees, without exclusions and regardless of any subjective levels of mutual trust and regardless the length of existing relationships, are run through the Job Proposal and Vetting Procedure and that the contractual process will be stopped unless there is a RAM record to consider the hire.
Finding 478066 (2023-001)
Significant Deficiency 2023
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to...
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have communicated the policies and procedures regarding recordkeeping and documentation to support the verification process for suspension and debarment on all City contracts and purchase orders to all appropriate staff. Management will monitor the issue regularly during the year to ensure compliance. Name(s) of the contact person(s) responsible for corrective action: Christina Holmes, Director of Finance Planned completion date for corrective action plan: June 2024
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit fi...
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have updated written procedures and notified appropriate staff to ensure reporting requirements are performed and supporting documentation is maintained to confirm compliance with those requirements. Name(s) of the contact person(s) responsible for corrective action: Danielle Lopez, Housing and Neighborhood Services Manager Planned completion date for corrective action plan: June 2024
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