Corrective Action Plans

Finding 44120 (2022-004)

Significant Deficiency 2022

CA

Reporting Significant Deficiency Matching / Level of Effort / Earmarking § 200.303

Program: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Financial Assistance Listing Number: 21.027 Federal Agency: U.S. Department of Treasury Award Year: 2021/22 Grant Number: N/A Compliance Requirement: Reporting Type of Finding: Significant Deficiency in Internal Control Cause:...

Program: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Financial Assistance Listing Number: 21.027 Federal Agency: U.S. Department of Treasury Award Year: 2021/22 Grant Number: N/A Compliance Requirement: Reporting Type of Finding: Significant Deficiency in Internal Control Cause: The City prepared the Project and Expenditure Report and submitted without retaining evidence that the report was reviewed and approved by a separate individual prior to submission. Recommendation: We recommend the City enhance internal controls to ensure supporting documentation, including evidence of review, is retained for the Project and Expenditure Report. Management Response and Corrective Action: The City's Finance Manager was responsible for submitting the Project and Expenditure Report for the COVID-19 - Coronavirus State and Local Fiscal Recovery Funds award. Prior to submission, the report underwent a comprehensive review by the Assistant City Manager/CFO, which was documented through a calendar invitation between the Finance Manager and Assistant City Manager/CFO. Furthermore, to ensure transparency and accountability, the appropriation of COVID-19 - Coronavirus State and Local Fiscal Recovery Funds was presented to the City Council, and the funding was included in the FY 2021-22 City Adopted Budget. Additionally, multiple presentations were made during City Council meetings regarding the appropriation and expenditure of these funds, which are public meetings. For future submission, management will formally document the review of the submission process with a signed memo from the Assistant City Manager/CFO and City Manager. Name of Responsible Official: Julie Nemes Director of Finance and Technology Services Implementation Date: June 2023

View Audit 44284

Finding 44105 (2022-004)

Material Weakness 2022

Tule River Indian Health Center INC

CA

Eligibility Material Weakness Significant Deficiency

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org The Clinic will review all patient files to ensure all applicable documentation is located within each file. Any applicable documentati...

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org The Clinic will review all patient files to ensure all applicable documentation is located within each file. Any applicable documentation that is missing from the file will be requested from the patient to verify continued eligibility or services will be terminated. The Clinic will also implement an approval process for new patients to ensure patient eligibility is reviewed and approved prior to providing services. The anticipated completion date is 6/30/2023.

View Audit 38903

Finding 44104 (2022-003)

Significant Deficiency 2022

Tule River Indian Health Center INC

CA

Material Weakness Significant Deficiency Internal Control / Segregation of Duties § 200.403

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org It is the standard practice for all IDC Entries to be reviewed and approved prior to posting. However, due to employee turnover the rev...

Persons responsible for corrective action plan: Resty Rios, Staff Accountant Resty.rios@crihb.org Adrianna Davisson, Grants Manager Adrianna.davisson@crihb.org It is the standard practice for all IDC Entries to be reviewed and approved prior to posting. However, due to employee turnover the review and approval process lacked sufficient documentation. The Clinic will ensure that all IDC Entries will be clearly documented with the appropriate review and approval signatures prior to posting to the financial records. The anticipated completion date is 6/30/2023.

View Audit 38903

Finding 44078 (2022-002)

Material Weakness 2022

Housing Authority of the City of Albany

GA

Questioned Costs HUD Housing Programs Material Weakness

View of Responsible Officials and Planned Corrective Action: The Authority has recognized the deficiencies in the Housing Voucher Cluster Programs and will implement internal control procedures that will ensure compliance of federal regulations. Dr. William F. Myles will be responsible to implement ...

View of Responsible Officials and Planned Corrective Action: The Authority has recognized the deficiencies in the Housing Voucher Cluster Programs and will implement internal control procedures that will ensure compliance of federal regulations. Dr. William F. Myles will be responsible to implement this corrective action by September 30, 2023.

View Audit 47688 Questioned Costs: $1

Finding 44055 (2022-002)

Significant Deficiency 2022

American Samoa Community College

AS

Student Financial Aid Special Tests & Provisions Matching / Level of Effort / Earmarking

Contact Person(s): Shanell Tilo, Financial Aid Officer Dr. Emilia Le?i, Dean of Student Services Dr. Letupu Moananu, Vice President of Academics, Community, and Student Affairs Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if appl...

Contact Person(s): Shanell Tilo, Financial Aid Officer Dr. Emilia Le?i, Dean of Student Services Dr. Letupu Moananu, Vice President of Academics, Community, and Student Affairs Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned: Official Withdrawals: Financial Aid Counselors are responsible for the Identification of Official Withdrawals through the Attendance Pattern Comparison Report (APCR), which is run every Monday (or next business day). Each Counselor (control #1) is responsible for the performance of the R2T4 form for their respective students and forward to the designated Counselor (control #2) to ensure accuracy and completion. Control #2 is responsible to manually input the calculations into Datatel and ensure adjustments, if any, are processed and returned via COD. This action is to be completed and included in the next scheduled batch closure or no later than 45 days from the date of withdrawal. Unofficial Withdrawals: After final grades have been posted at the end of each session or semester, each counselor will review their respective students through student transcript, identify those with ?zero credits earned? and determine last date of attendance. Official Withdrawal procedures will then be performed. Official / Unofficial Withdrawal: All Withdrawals must then be reported to NSLDS by the Financial Aid Coordinator (with FA Officer as alternate) within 45 days. Anticipated completion of the corrective action is expected by June 2023.

View Audit 47493

Finding 44053 (2022-004)

Significant Deficiency 2022

American Samoa Community College

AS

Special Tests & Provisions Student Financial Aid Subrecipient Monitoring

Contact Person(s): Grace Tulafono-Asi, Information Officer Sonny Leomiti, Vice President of Administration and Finance Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned:...

Contact Person(s): Grace Tulafono-Asi, Information Officer Sonny Leomiti, Vice President of Administration and Finance Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned: The College has designated the Chief Information Officer (CIO) and on the following Items were completed in September 2022: a.ASCC Data / Information Security Program b.Risk Assessment that addresses (1) Employee training and management; (2) Information systems, including network and software design, as well as information processing, storage, transmission and disposal; and (3) detecting, preventing and responding to attacks, intrusions, or other systems failures. The risk assessment identified action items to resolve findings and controls that are put in place in the meantime. Action Items and controls are reviewed and updated monthly. In November 2022, The Federal Student Aid (FSA) Cyber Compliance Team confirmed that ASCC has satisfied the minimum information security requirements under Gramm-Leach-Bliley Act (GLBA) and closed its. The next annual complete Risk Assessment will be completed in August 2023, and ASCC will continue to complete a Risk Assessment annually to stay in compliance with GLBA. Anticipated completion of the corrective action is expected by October 2023.

View Audit 47493

Finding 44052 (2022-003)

Significant Deficiency 2022

American Samoa Community College

AS

Student Financial Aid Reporting Subrecipient Monitoring

Contact Person(s): Shanell Tilo, Financial Aid Officer Dr. Emilia Le?i, Dean of Student Services Dr. Letupu Moananu, Vice President of Academics, Community, and Student Affairs Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if appl...

Contact Person(s): Shanell Tilo, Financial Aid Officer Dr. Emilia Le?i, Dean of Student Services Dr. Letupu Moananu, Vice President of Academics, Community, and Student Affairs Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned: The Financial Aid Coordinator (control #1, with FA Officer as alternate) has been assigned to transmit the bi-monthly Enrollment Report roster. The control #1 reviews the roster and performs data entry, status updates and submission by the 15th of the reporting month. On the 1st of every nonreporting month, control #1 will review and report any enrollment status changes before the 15th. Counselor III (control #2) is assigned to monitor and spot check the status updates on NSLDS after the 25th of every month to internally audit the submissions. The policy will ensure all student changes in status are identified, updated and submitted timely and accurately. ASCC FAO participates in Federal Student Aid (FSA) training and conferences regarding NSLDS updates, changes and functionality. FAO also subscribes to the Weekly Knowledge Center Updates from FSA Partner Connect. ASCC is a member of the National Association of Student Financial Aid Administrators (NASFAA). All of these resources provide access and education in the process of enrollment reporting and compliance, as well as responsibilities and consequences of inaccurate reporting. Controls (#1 and #2) shall be included accordingly in the job descriptions of the Financial Aid Coordinator and Counselor III as well as the Financial Aid Standard Operating Procedures for consistency in compliance and reporting. Graduates: Students who graduate will be updated into NSLDS within one week after graduation. Official / Unofficial Withdrawal: All Withdrawals must then be reported to NSLDS within 45 days. Anticipated completion of the corrective action is expected by June 2023.

View Audit 47493

Finding 44051 (2022-005)

Significant Deficiency 2022

American Samoa Community College

AS

Reporting Significant Deficiency

Contact Person(s): Elsie Lesa, Finance Officer Sonny Leomiti, Vice President of Administration and Finance Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned: Controls a...

Contact Person(s): Elsie Lesa, Finance Officer Sonny Leomiti, Vice President of Administration and Finance Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): No disagreement Corrective actions taken/planned: Controls are in place for the Finance Division to ensure the timely submission of required financial reports for grant programs. The Finance Division will review and strengthen its processes and controls to ensure that the reconciliations of account balances are done on a timely basis to make sure that the expenses reported in the annual reports are accurate. A timeline of required reports will be provided by the Finance Officer to the Assistant Finance Officer and Accountants to follow and ensure that reports are submitted in a timely manner. Anticipated completion of the corrective action is expected by September 2023.

View Audit 47493

Finding 44031 (2022-001)

None 2022

Flagstaff Housing Corporation - Clark Homes

AZ

Questioned Costs Internal Control / Segregation of Duties Cash Management

Flagstaff Housing Corporation ? Clark Homes CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 U.S. Department of Housing and Urban Development Flagstaff Housing Corporation - Clark Homes respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2...

Flagstaff Housing Corporation ? Clark Homes CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 U.S. Department of Housing and Urban Development Flagstaff Housing Corporation - Clark Homes respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 through June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FINANCIAL STATEMENT AUDIT SIGNIFICANT DEFICIENCY 2022-001 Residual Receipts and Surplus Cash Deposit Recommendation: Recommend that Project Management compute surplus cash on an annual basis and make full deposit within 90 days as required by regulatory agreement. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: An additional deposit will be made to the Residual Receipts account to correct the shortfall by March 1, 2023. Additional control measures have been added to ensure timely and accurate future deposits. Name(s) of the contact person(s) responsible for corrective action: Kurt Aldinger Planned completion date for corrective action plan: On going If the Department of Housing and Urban Development (HUD) has questions regarding this plan, please call Kurt Aldinger at 928-213-2736.

View Audit 38453 Questioned Costs: $1

Finding 43983 (2022-004)

Significant Deficiency 2022

Housing Authority of the City of Meriden

CT

HUD Housing Programs Reporting Significant Deficiency

Finding No. 2022-004 Authority?s Response and Corrective Action Plan The Authority is participating in a Corrective Action process with the Hartford Field Office regarding the HUD Compliance Review and resulting SEMAP Troubled Status. The Authority has engaged Imagineers, Inc. to oversee its Section...

Finding No. 2022-004 Authority?s Response and Corrective Action Plan The Authority is participating in a Corrective Action process with the Hartford Field Office regarding the HUD Compliance Review and resulting SEMAP Troubled Status. The Authority has engaged Imagineers, Inc. to oversee its Section 8 Program. Imagineers has been working diligently with the Field Office and will be responsible for the FY2023 SEMAP, its protocols and compliance. Person Responsible for Corrective Action Contact; Robert Cappelletti, Executive Director, rcappelletti@meriden-ha.com

View Audit 45052

Finding 43982 (2022-003)

Significant Deficiency 2022

Housing Authority of the City of Meriden

CT

HUD Housing Programs Significant Deficiency Special Tests & Provisions

Finding No. 2022-003 Authority?s Response and Corrective Action Plan The Authority is participating in a Corrective Action process with the Hartford Field Office regarding the HUD Compliance Review. As the Mainstream program was a recent addition to the MHA portfolio during COVID, necessary updates ...

Finding No. 2022-003 Authority?s Response and Corrective Action Plan The Authority is participating in a Corrective Action process with the Hartford Field Office regarding the HUD Compliance Review. As the Mainstream program was a recent addition to the MHA portfolio during COVID, necessary updates to the Administrative Plan did not take place. The Authority has engaged Imagineers, Inc. to oversee its Section 8 Program. Imagineers has been charged with assisting the MHA in all necessary improvements to its current Administrative Plan. Person Responsible for Corrective Action Contact; Robert Cappelletti, Executive Director, rcappelletti@meriden-ha.com

View Audit 45052

Finding 43980 (2022-001)

Significant Deficiency 2022

Housing Authority of the City of Meriden

CT

Cash Management HUD Housing Programs Matching / Level of Effort / Earmarking

Finding No. 2022-001 Authority?s Response and Corrective Action Plan The Authority had planned on receiving developer fees and predevelopment reimbursements related to the construction activities in an amount in excess of the interfund balance noted in the finding. There have been repeated delays to...

Finding No. 2022-001 Authority?s Response and Corrective Action Plan The Authority had planned on receiving developer fees and predevelopment reimbursements related to the construction activities in an amount in excess of the interfund balance noted in the finding. There have been repeated delays to several projects which have delayed the receipt of predevelopment reimbursements and fees which led to the majority of the interfund issue. The Executive Director deals are coming to fruition in Quarters 3 and 4 of FY2023. The Bristol Schools Project final construction closing is scheduled for 10/15/2023-11/1/2023 which will result in full repayment of FY2022 receivable. The MRC will also earn fees from the performing project. The MHA has issued two bonds for Redevelopment valued for $128 million that will reimburse the MHA and MRC for all outstanding receivables related to Energy Improvements, Yale Acres Community Center, 143 West Main Street and Hanover Place. The closing for these bonds is scheduled for November 16, 2023. Following this planned extinguishing of redevelopment receivables, the Executive Team is now updating the interfund policy to require the reconciliation and settling of interfund balance on a monthly basis and determining a reasonable dollar value for that policy. Person Responsible for Corrective Action Contact; Robert Cappelletti, Executive Director, rcappelletti@meriden-ha.com

View Audit 45052

Finding 43969 (2022-001)

Significant Deficiency 2022

Goodwill Industries, Inc. / Easter Seals Minnesota

MN

Allowable Costs / Cost Principles Reporting Significant Deficiency

Finding 2022-001 Federal Agency Name: United States Department of Health and Human Services Program Name: Temporary Assistance for Needy Families CFDA # - 93.558 Finding Summary: Federally funded employees had some of their pay allocated improperly, within UKG, and not in accordance with the policy ...

Finding 2022-001 Federal Agency Name: United States Department of Health and Human Services Program Name: Temporary Assistance for Needy Families CFDA # - 93.558 Finding Summary: Federally funded employees had some of their pay allocated improperly, within UKG, and not in accordance with the policy established. This was not a deficiency in time and effort reporting. Responsible Individuals: Grant Accountants ? (Wendy DeWell, Tiffany Husbands, Lori Hall), Payroll Department and HR. Corrective Action Plan: The Federal employee?s allocation issue has been identified and systems are in place to avoid this occurrence in the future. Anticipated Completion Date: This was corrected in August 2022, when system updates were put in place.

View Audit 48375

Finding 43968 (2022-001)

Significant Deficiency 2022

Lutheran Social Services of Central Ohio Lansing Housing, Inc.

OH

HUD Housing Programs Procurement, Suspension & Debarment Reporting

RE: Lutheran Social Services of Central Ohio Lansing Housing, Inc. Corrective Action Plan Fiscal Year Ended June 30, 2022 Finding Number: 2022-001 Condition: The Corporation used surplus cash calculated at June 30, 2021, to make a payment on a residual receipts note without prior approval from HUD. ...

RE: Lutheran Social Services of Central Ohio Lansing Housing, Inc. Corrective Action Plan Fiscal Year Ended June 30, 2022 Finding Number: 2022-001 Condition: The Corporation used surplus cash calculated at June 30, 2021, to make a payment on a residual receipts note without prior approval from HUD. Planned Corrective Action: Management acknowledges noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management deposited the surplus cash amount of $9,718 into residual receipts on September 27, 2022.

View Audit 45892

Finding 43964 (2022-002)

Significant Deficiency 2022

Cornerstone Montgomery, Inc.

MD

Reporting Significant Deficiency Internal Control / Segregation of Duties § 200.303

2022-002 COVID-19 Provider Relief Fund ? Assistance Listing Number 93.498 Recommendation: We recommend that management implement procedures to ensure budget approvals are received timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in...

2022-002 COVID-19 Provider Relief Fund ? Assistance Listing Number 93.498 Recommendation: We recommend that management implement procedures to ensure budget approvals are received timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: A process of more comprehensive review of program requirements will be put in place. Name of the contact person responsible for corrective action: Lisa Katz, Program Manager Planned completion date for corrective action plan: Currently underway and planned to be completed by May 2023.

View Audit 44279

Finding 43963 (2022-001)

Significant Deficiency 2022

Cornerstone Montgomery, Inc.

MD

Allowable Costs / Cost Principles Reporting Significant Deficiency

Department of Health and Human Services 2022-001 COVID-19 Certified Community Behavioral Health Clinic Expansion Program ? Assistance Listing Number 93.829 Recommendation: We recommend internal controls over reporting be enhanced to ensure evidence is maintained to support the reports and review per...

Department of Health and Human Services 2022-001 COVID-19 Certified Community Behavioral Health Clinic Expansion Program ? Assistance Listing Number 93.829 Recommendation: We recommend internal controls over reporting be enhanced to ensure evidence is maintained to support the reports and review performed over the reports. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: We are in the process of re-evaluating the reporting process to ensure documentation is maintained to support the reporting requirements. Name of the contact person responsible for corrective action: Lisa Katz, Chief Program Officer Planned completion date for corrective action plan: Currently underway and planned to be completed by May 2023.

View Audit 44279

Finding 43962 (2022-001)

Significant Deficiency 2022

Honestly, INC

OK

Subrecipient Monitoring Reporting Significant Deficiency

CORRECTIVE ACTION PLAN FOR AUDIT FINDING FEDERAL PROGRAM Teenage Pregnancy Prevention Program - ALN 93.297 FINDING #2022-001 Federal Funding Accountability and Transparency Act Reporting TYPE OF FINDING Compliance finding (Reporting) and Internal Control Over Compliance FINDING SUMMARY Thrive did n...

CORRECTIVE ACTION PLAN FOR AUDIT FINDING FEDERAL PROGRAM Teenage Pregnancy Prevention Program - ALN 93.297 FINDING #2022-001 Federal Funding Accountability and Transparency Act Reporting TYPE OF FINDING Compliance finding (Reporting) and Internal Control Over Compliance FINDING SUMMARY Thrive did not report one subrecipient as required by the Federal Funding Accountability and Transparency Act due to the subrecipient experiencing difficulty in receiving their UEI through SAM.gov. The subaward was issued in anticipation of the subrecipient receiving their UEI imminently. CORRECTIVE ACTION TAKEN Thrive updated the Financial Manual policy language in Section 12 -Subrecipient Financial Monitoring stating that a potential subrecipient receiving an award exceeding the FFATA reporting threshold must submit their UEI number prior to a subaward being issued. COMPLETION DATE Updated policy language finalized and approved by February 28, 2023 RESPONSIBLE PARTY Katherine Keith, Director of Finance and Administration

View Audit 44278

Finding 43958 (2022-002)

Significant Deficiency 2022

Kent County, De Government (kent County Levy Court)

DE

Procurement, Suspension & Debarment Subrecipient Monitoring Eligibility § 200.213 § 200.303

The County does check Sam.gov for suspension and debarment transactions. We will be more diligent in documenting our reviews. The three companies referred to in this finding have been doing business with the County for years and are local.

View Audit 40181

Finding 43953 (2022-005)

Significant Deficiency 2022

Anita Moreau "food Program Specialist"

TX

Questioned Costs Allowable Costs / Cost Principles Significant Deficiency § 200.404

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all costs are properly authorized and approved by TDA. Anita Moreau has repaid the $20,228 on December 28, 2022. On February 3, 2023, TDA reviewed the Corrective Action Plan provided ...

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all costs are properly authorized and approved by TDA. Anita Moreau has repaid the $20,228 on December 28, 2022. On February 3, 2023, TDA reviewed the Corrective Action Plan provided by Anita Moreau and has concluded its review.

View Audit 53422 Questioned Costs: $1

Finding 43952 (2022-004)

Significant Deficiency 2022

Anita Moreau "food Program Specialist"

TX

Subrecipient Monitoring Significant Deficiency

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all monitoring forms are completed fully and accurately and returned bi-weekly. Anita Moreau has also conducted a traing for all monitors on December 29, 2022 to address these issues....

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all monitoring forms are completed fully and accurately and returned bi-weekly. Anita Moreau has also conducted a traing for all monitors on December 29, 2022 to address these issues. These policies have been provided to all monitors. On February 3, 2023, TDA reviewed the Corrective Action Plan provided by Anita Moreau and has concluded its review.

View Audit 53422

Finding 43951 (2022-003)

Significant Deficiency 2022

Anita Moreau "food Program Specialist"

TX

Questioned Costs Cash Management Eligibility

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all meal and attendance reports are accrate. Anita Moreau is also encouraging centers to utilize the computer claiming software. These policies have been provided to all centers. On F...

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all meal and attendance reports are accrate. Anita Moreau is also encouraging centers to utilize the computer claiming software. These policies have been provided to all centers. On February 3, 2023, TDA reviewed the Corrective Action Plan provided by Anita Moreau and has concluded its review.

View Audit 53422 Questioned Costs: $1

Finding 43950 (2022-002)

Significant Deficiency 2022

Anita Moreau "food Program Specialist"

TX

Eligibility Significant Deficiency

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all information is captured on the Meal Benefit Income Eligibility Forms. These policies have been provided to all centers. On February 3, 2023, TDA reviewed the Corrective Action Pla...

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all information is captured on the Meal Benefit Income Eligibility Forms. These policies have been provided to all centers. On February 3, 2023, TDA reviewed the Corrective Action Plan provided by Anita Moreau and has concluded its review.

View Audit 53422

Finding 43949 (2022-001)

Significant Deficiency 2022

Anita Moreau "food Program Specialist"

TX

Questioned Costs Significant Deficiency

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all information is captured on the paper enrollment forms. These policies have been provided to all centers. On February 3, 2023, TDA reviewed the Corrective Actiuon Plan provided by ...

Views of Responsible Officials and Planned Corrective Actions: Anita Moreau has implemented policies to ensure all information is captured on the paper enrollment forms. These policies have been provided to all centers. On February 3, 2023, TDA reviewed the Corrective Actiuon Plan provided by Anita Moreau and has concluded its review.

View Audit 53422 Questioned Costs: $1

Finding 43934 (2022-002)

Significant Deficiency 2022

West Michigan Regional Medical Consortium

MI

Allowable Costs / Cost Principles Reporting Significant Deficiency

West MI Regional Medical Consortium respectfully submits the following corrective action plan for the year ended September 30, 2022. Auditor: Maner Costerisan 2425 E. Grand River Ave., Suite 1 Lansing, Michigan 48912 Audit Period: Year ended September 30, 2022 Organization Contact Person: Jerry Evan...

West MI Regional Medical Consortium respectfully submits the following corrective action plan for the year ended September 30, 2022. Auditor: Maner Costerisan 2425 E. Grand River Ave., Suite 1 Lansing, Michigan 48912 Audit Period: Year ended September 30, 2022 Organization Contact Person: Jerry Evans, MD; Medical Director The findings from the September 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Finding - Financial statement audit Finding 2022-001 - Material Weakness Recommendation: The Organization should implement an additional procedure to ensure that all subrecipient activity recognized in a given year accurately represent the activity of the organization. Action to be Taken: The Organization concurs with the facts of this finding and is implementing procedures to prevent this in the future. Finding - Federal audit Finding 2022-002 - Significant Deficiency Recommendation: West MI Regional Medical Consortium currently has procedures and controls in place to effectively monitor the status of the submission of the data collection form and the reporting package to ensure that the required information is submitted in a timely manner. The cause related to this finding was not due to failure in internal controls, therefore, we have no further recommendation for the Organization at this time. Action to be Taken: The Organization concurs with the facts of this finding and has procedures in place to ensure the timely submission of the data collection form and the reporting package.

View Audit 51743

Finding 43905 (2022-004)

Significant Deficiency 2022

Loretto Health and Rehabilitation Center

NY

HUD Housing Programs Reporting Significant Deficiency § 200.303

Finding 2022-004 ? Reporting ? Significant Deficiency in Internal Control over Compliance Cluster/Grantor: Department of Health and Human Services ? Health Resources and Services Administration (?HRSA?) Award Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions Awa...

Finding 2022-004 ? Reporting ? Significant Deficiency in Internal Control over Compliance Cluster/Grantor: Department of Health and Human Services ? Health Resources and Services Administration (?HRSA?) Award Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions Award Year: January 1, 2021 - December 31, 2021 Assistant Listing Number: 93.498 The management of Loretto Health have reviewed finding 2022-004: Reporting ? Significant Deficiency in Internal Control over 2Compliance. We present the following corrective action plan: Loretto Health will adopt the recommendation from the auditor to implement a control process which includes a documented secondary review and approval of the Provider Relief HRSA submission.

View Audit 48983

Corrective Action Plans

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