Corrective Action Plans

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Finding #2024-001: There was not a management entity profile able to be provided in effect for the period January 1, 2024 through June 30, 2024. Comments on the Finding and Each Recommendation: HUD should approve a new board of directors and management agent. Action(s) taken or planned on the findin...
Finding #2024-001: There was not a management entity profile able to be provided in effect for the period January 1, 2024 through June 30, 2024. Comments on the Finding and Each Recommendation: HUD should approve a new board of directors and management agent. Action(s) taken or planned on the finding: Agree. The new board of directors and new management agent took over the Property effective July 1, 2024 and have executed a management entity profile with HUD.
Finding 2024-001: During the year ended December 31, 2024, one rejection letter selected for testing under the compliance supplement was missing necessary documents required by the PRAC and HUD Handbook 4350.3. Comments on the Finding and Each Recommendation: Management should ensure that all rejec...
Finding 2024-001: During the year ended December 31, 2024, one rejection letter selected for testing under the compliance supplement was missing necessary documents required by the PRAC and HUD Handbook 4350.3. Comments on the Finding and Each Recommendation: Management should ensure that all rejection letters are maintained at the site of the Property in accordance with the HUD Handbook 4350.3. Action(s) taken or planned on the finding: Management agrees with the recommendation and will ensure that rejection letters are retained in accordance with the HUD Handbook 4350.3.
Name of auditee: Van Buren Apartments, Inc. HUD auditee identification number: 122-11351 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on ...
Name of auditee: Van Buren Apartments, Inc. HUD auditee identification number: 122-11351 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Statement of condition 2024-001: During the year ended December 31, 2024, the Corporation did not make the required deposits to the reserve for replacements. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $3,468 for the delinquent deposits. In future periods, management should fund the reserve for replacements on an annual basis as required by the HUD regulatory agreement. Action(s) taken or planned on the finding: Management made a deposit of $3,468 on March 11, 2025 for the delinquent deposits.
View Audit 354161 Questioned Costs: $1
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current ...
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and RecommendationsFinding 2024-002: The Corporation made a payment to LAHD in the amount of $15,483 and did not obtain the required HUD approval. Comments on the Finding and Each Recommendation: The Corporation should request retroactive HUD approval to make the payment or request reimbursement from the lender. Action(s) taken or planned on the finding: Management has requested approval from HUD. As of the report date, no response has been received.
View Audit 354160 Questioned Costs: $1
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current ...
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: The Corporation's required deposit of $30,965 to the residual receipts account per the December 31, 2023 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited within 90 days of the fiscal year end. Comments on the Finding and Each Recommendation: Management should make all required residual receipt deposits per the annual Computation of Surplus Cash, Distributions and Residual Receipts within 90 days after fiscal year end. Action(s) taken or planned on the finding: Management deposited $30,965 into the residual receipts fund on December 20, 2024. No further action is required.
View Audit 354160 Questioned Costs: $1
When this matter was brought to the District's attention it was too late to adjust for FY 2023-2024 but the District took steps to ensure all ESSER Funds impacted were fully expended and the indirect charges were ultimately balanced out.
When this matter was brought to the District's attention it was too late to adjust for FY 2023-2024 but the District took steps to ensure all ESSER Funds impacted were fully expended and the indirect charges were ultimately balanced out.
Statement of condition #2024-001: The Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was not submitted to the federal audit clearinghouse in the required timeframe. Comments on the Finding and Each Recommendation: The Company should submit the Form SF-SAC Single...
Statement of condition #2024-001: The Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was not submitted to the federal audit clearinghouse in the required timeframe. Comments on the Finding and Each Recommendation: The Company should submit the Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 as soon as practical. Action(s) taken or planned on the finding: Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was submitted to the federal audit clearinghouse on May 13, 2024.
Statement of condition #2024-001: The Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was not submitted to the federal audit clearinghouse in the required timeframe. Comments on the Finding and Each Recommendation: The Company should submit the Form SF-SAC Single...
Statement of condition #2024-001: The Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was not submitted to the federal audit clearinghouse in the required timeframe. Comments on the Finding and Each Recommendation: The Company should submit the Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 as soon as practical. Action(s) taken or planned on the finding: Form SF-SAC Single Audit Data Collection Form for the year ended December 31, 2023 was submitted to the federal audit clearinghouse on May 28, 2024.
Corrective Action Plan and Views of Responsible Officials Views of Responsible Officials The District acknowledges the audit finding regarding insufficient retention of financial records supporting the annual ESSER expenditure reports submitted to the California Department of Education. We understan...
Corrective Action Plan and Views of Responsible Officials Views of Responsible Officials The District acknowledges the audit finding regarding insufficient retention of financial records supporting the annual ESSER expenditure reports submitted to the California Department of Education. We understand that maintaining accurate and accessible documentation is essential to federal compliance under Title 2, Code of Federal Regulations (CFR) §200.334. The District takes full responsibility for this oversight and is taking immediate steps to strengthen its internal controls and documentation practices. Corrective Action Plan 1. Reason for the Finding: This issue arose due to high turnover in the position responsible for federal reporting. As a result, institutional knowledge and documentation practices were disrupted, making it difficult to locate supporting financial records for the annual ESSER expenditure report. While the quarterly reports submitted throughout the year were accurate and properly supported, the annual report was not fully aligned with available documentation due to incomplete record retention during the staffing transitions. 2. Actions to be Taken to Correct the Issue: Centralized Document Management System: The District will implement a centralized, secure electronic document management system (e.g., Google Drive, SharePoint, or a financial records database) specifically for tracking and retaining federal program documentation. All financial records supporting ESSER and similar federal grants will be stored here and categorized by funding source, fiscal year, and reporting period. Standard Operating Procedure (SOP): A formal SOP for federal grants management will be created and distributed to all relevant departments. This will include clear guidelines for documentation, record retention timelines, and roles/responsibilities for financial reconciliation and audit readiness. Staff Training: District staff responsible for federal program management and reporting will be trained on the new SOP, federal compliance regulations (including CFR §200.334), and the use of the document management system. Refresher trainings will be conducted annually or as needed. Pre-Submission Review: A dual review process will be instituted where both the Business Services and Federal Programs teams confirm the availability and accuracy of supporting documentation before any reports are submitted to oversight agencies. 3. Timeline for Implementation: All corrective actions will be in place within 90 days. The centralized document storage system and SOPs will be finalized and rolled out within 60 days. Staff training will be completed within the following 30 days. Immediate measures to retain ESSER documentation have already been initiated.
Finding 555300 (2024-001)
Significant Deficiency 2024
Finding Number 2024-001: Monitoring of Funds Passed to Subrecipient Federal Program ALN: 93.575 Corrective Action Plan: Zero to Five Montana has implemented updated policies and procedures to ensure proper execution and documentation of subrecipient contracts and payments. All contracts are now proc...
Finding Number 2024-001: Monitoring of Funds Passed to Subrecipient Federal Program ALN: 93.575 Corrective Action Plan: Zero to Five Montana has implemented updated policies and procedures to ensure proper execution and documentation of subrecipient contracts and payments. All contracts are now processed and signed via an electronic signing service (e.g., DocuSign) by the Executive Director, with copies securely retained. Prior to disbursing funds, subrecipients with executed contracts are set up as vendors in the expense management system. The subrecipient must complete their vendor profiles and submit tax documentation. Payments are supported by an invoice that includes payment details, expense codes, and grant assignments (if applicable), and must be reviewed and approved by the Program and Operations Directors to confirm all documentation and compliance steps are met. Staff will be trained on these procedures by April 14, 2025, and quarterly audits will be conducted to monitor adherence, with findings reported to leadership and the governing board. Contact Person Responsible for Corrective Action: Caitlin Jensen, Executive Director Anticipated Completion Date: April 14, 2025
Finding 555196 (2024-002)
Significant Deficiency 2024
Finding 2024-002 Corrective Action Plan The College reassigned the duties within its business office to ensure remittances to students or parent borrowers of credit balances are executed in accordance with the timeline mandated by the U.S. Department of Education. Gratz College notes that this was ...
Finding 2024-002 Corrective Action Plan The College reassigned the duties within its business office to ensure remittances to students or parent borrowers of credit balances are executed in accordance with the timeline mandated by the U.S. Department of Education. Gratz College notes that this was the only instance of noncompliance and resulted from turnover in Gratz College’s business office staff. Anticipated Completion Date The corrective action plan was completed June 1, 2024 Names of Contact People Responsible for Corrective Action Thomas R. Cipriano, Jr. – Manager of Business Operations and Facilities Ross Holgado – Manager of Financial Reporting Karen West – Senior Accounting Associate and Coordinator of Student Billing
The Housing Authority of Somerset County disagrees with the second finding as per 2 CFR 200.511 part (c) as for the rent amount on the 50058 not matching the monthly rent amount. The reason that the Housing Authority disagrees and didn't put an action plan in place for this finding is because each f...
The Housing Authority of Somerset County disagrees with the second finding as per 2 CFR 200.511 part (c) as for the rent amount on the 50058 not matching the monthly rent amount. The reason that the Housing Authority disagrees and didn't put an action plan in place for this finding is because each file with the discrepancy had a more recent 50058 in the file which reflected the correct monthly rent amount.
Identifying Number: 2024-004 Finding: Material Weakness: Period of Performance Context: Expenditures were included on the 2024 Schedule of Expenditures of Federal Awards, however, the expenditures were incurred prior to the budget period start date. Corrective Actions Taken or Planned: The Director ...
Identifying Number: 2024-004 Finding: Material Weakness: Period of Performance Context: Expenditures were included on the 2024 Schedule of Expenditures of Federal Awards, however, the expenditures were incurred prior to the budget period start date. Corrective Actions Taken or Planned: The Director of the Office of Sponsored Programs and the Manager of Sponsored Programs will develop a standardized document checklist for all high-value expenditures. This checklist will require all Sponsored Programs analysts to submit complete documentation with expense reports and proof of payment and have their respective immediate supervisor/manager review for compliance before final approval by the Director. a. Implementing organizational changes such as updated policies and/or procedures b. Educating the team(s) and/or Department(s) on internal controls, processes and accuracy best practices during the Grant management process c. Oversight of drawdown requests by the Director of Sponsored Programs to ensure accuracy of request Planning Process: Compliance with Regulations: The Director and Manager from Sponsored Programs will ensure the corrective actions align with applicable federal grant regulations and guidelines. We will create: - Implement internal controls, with the Director and Manager from Sponsored Programs developing checks and balances at the end of each month to ensure compliance in all the grant's portfolio. - Oversight of all drawdown requests, ensuring complete and accurate supporting documentation. Communication: The Director and Manager from Sponsored Programs will communicate the corrective action plan to all relevant staff and stakeholders. Follow-up: The Director and Manager from Sponsored Programs will regularly monitor progress and adjust to resolve any inefficiencies. Training: The Director and Manager from Sponsored Programs will work on the development and delivery of mandatory training sessions for all Sponsored Programs relevant staff. This will include (not limted to): - Retrain on updated policies and procedures (OSP team, Departments and stakeholders, if applicable) - Retrain on workflows and system (OSP team, Departments and stakeholders, if applicable) - Retrain on process improvement (OSP team, Departments and stakeholders, if applicable) Policy Updates: Revision of existing policies or creation of new ones to clarify procedures. System Enhacements: Implementing new software/program that improves data accuracy and compliance in all Federal/State and Local Grants throughout Nicklaus Children's Hospital. Monitoring and Oversight: The Director and Manager from the Sponsored Programs will monitor transactions and reporting processed more frequently. Deadline for Implementation: Immediate Action: The Director of Sponsored Programs transitioned the staff member responsible for the findings to an area where their expertise is most valuable. This CAPA will take effect immediately and be fully implemented within six weeks by April 07, 2025, allowing time to create/revise SOPs, Working Practice Guidelines (WPGs), Checklists and training/retraining sessions for stakeholders and OSP team members.
View Audit 353775 Questioned Costs: $1
Recommendation: The Association should design and implement procedures to track and verify employees’ time worked on Federal grant programs along with documented reviews and approvals. Views of Responsible Officials and Planned Corrective Actions: NACDD has created an FTE allocation chart for alloc...
Recommendation: The Association should design and implement procedures to track and verify employees’ time worked on Federal grant programs along with documented reviews and approvals. Views of Responsible Officials and Planned Corrective Actions: NACDD has created an FTE allocation chart for allocating set payroll costs for each time period based on estimated time and effort functions of the employee for each grant and for our unrestricted core funding. NACDD also currently uses an online timecard system, Prime Pay Swipe clock for time keeping and payroll functions. We have already added project labels for all grants and sub-awardee grants in the system’s time keeping section and have trained staff on how to properly record their time for each grant they are working on daily. At the end of each semi-monthly pay period, staff must approve their timecards, and then the Operations Director reviews each of them and signs off on staff timecards (with the Executive Director signing off on the Operations Director’s.) The Operations Director has access to staff calendars, including scheduled meetings and other requirements for each grant. Twice a fiscal year, leadership will review grant hours actually logged with employees and decide if the current estimates of time and effort are accurate or need adjusting. If adjustments are needed, set payroll costs based on FTE allocation will be updated with our accountants.
Condition: During audit fieldwork, it was noted that the employee time cards are not approved by Department Heads. Plan: The Club will review the monitoring procedures to ensure consistent approval of employee timecards. Anticipated Date of Completion: Fiscal Year 2025 Name of Contact Person: Jennif...
Condition: During audit fieldwork, it was noted that the employee time cards are not approved by Department Heads. Plan: The Club will review the monitoring procedures to ensure consistent approval of employee timecards. Anticipated Date of Completion: Fiscal Year 2025 Name of Contact Person: Jennifer Wolfe, Director of Finance Management Response: The Club will continue to evaluate the monitoring procedures to ensure the review and approval of electronic timecards is completed consistently.
Finding 2024-004 Allowable Activities - AGREED The HA no longer Manages the USDA properties, it will not be accessing the funds in the Voucher bank account to pay for expenses. We do have 3 different accounts for Voucher, FSS Escrow and FSS Forfeitures appropriate to follow all regulations
Finding 2024-004 Allowable Activities - AGREED The HA no longer Manages the USDA properties, it will not be accessing the funds in the Voucher bank account to pay for expenses. We do have 3 different accounts for Voucher, FSS Escrow and FSS Forfeitures appropriate to follow all regulations
View Audit 353682 Questioned Costs: $1
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Fede...
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. Recommendation: The Corporation should submit audited financial statements to the Federal Audit Clearinghouse within the time frames required. Action(s) taken or planned on the finding: The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. No further action is required.
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Fede...
Finding 2024-001: Statement of condition # 2024-001: For the year ended December 31, 2023, the Corporation did not submit audited financial statements to the Federal Audit Clearinghouse within 30 days after receipt of the auditor's report. The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. Recommendation: The Corporation should submit audited financial statements to the Federal Audit Clearinghouse within the time frames required. Action(s) taken or planned on the finding: The audited financial statements were submitted to the Federal Audit Clearinghouse on April 12, 2024. No further action is required.
Views of Responsible Officials: CVT will add to a comprehensive sub-recipient checklist timely FFATA reporting and review training with Finance staff working with sub-recipient.
Views of Responsible Officials: CVT will add to a comprehensive sub-recipient checklist timely FFATA reporting and review training with Finance staff working with sub-recipient.
U.S. DEPARTMENT OF EDUCATION AND INDIANA DEPARTMENT OF EDUCATION Charter Schools – AL #84.282 Education Stabilization Fund – AL #84.425C, 84.425D & 84.425U 2024-001 Risk Assessment Process Related to Compliance Requirements (Repeat Finding 2023-001) Material Weakness Recommendation: The Auditor reco...
U.S. DEPARTMENT OF EDUCATION AND INDIANA DEPARTMENT OF EDUCATION Charter Schools – AL #84.282 Education Stabilization Fund – AL #84.425C, 84.425D & 84.425U 2024-001 Risk Assessment Process Related to Compliance Requirements (Repeat Finding 2023-001) Material Weakness Recommendation: The Auditor recommended additional resources be allocated to federal award compliance to review federal award provisions and requirements, evaluate risks of noncompliance, and respond to such risks through internal controls. The process should include methods to identify and communicate changes to federal award requirements to all key individuals within the Organization and to verify internal controls are implemented correctly and are operating effectively. Planned Corrective Action: As the organization has grown and certain federal funding streams have ended, compliance of federal programs has become decentralized. Budget constraints have led to changes in leadership in key positions and limitations in staffing. We agree that additional resources need to be added to ensure compliance with all state and federal awards. Michelle Krauter, VP, Chief Financial Officer, is responsible for ensuring fiscal compliance and will coordinate program compliance activities with the Heads of School at each campus and the Directors of Academic Accountability. Through the monitoring activities conducted by the Indiana Department of Education during 2023, staff gained a better understanding the compliance requirements and are implementing processes to ensure ongoing adherence to the requirements. Evaluation of these processes will continue through 2025.
Finding 554905 (2024-001)
Significant Deficiency 2024
U.S. Department of Education Year ended June 30, 2024 Student Financial Assistance Cluster: Federal Pell Grant Program (Assistance Listing #84.063) Federal Direct Student Loans (Assistance Listing #84.268) Compliance Requirement: Special Tests and Provisions Criteria: The Gramm-Leach-Bliley Act (Pub...
U.S. Department of Education Year ended June 30, 2024 Student Financial Assistance Cluster: Federal Pell Grant Program (Assistance Listing #84.063) Federal Direct Student Loans (Assistance Listing #84.268) Compliance Requirement: Special Tests and Provisions Criteria: The Gramm-Leach-Bliley Act (Public Law 106-102) (GLBA) requires the BOCES, on an annual basis, to identify reasonably foreseeable internal and external risks to the security, confidentiality, and integrity of customer (student) information that could result in the unauthorized disclosure, misuse, alteration, destruction, or other compromise of such information, and assess the sufficiency of any safeguards in place to control these risks. At a minimum, the GLBA risk assessment should include consideration of risk in each relevant area of operations, including: 􀀄 Employee training and management. 􀀄 Information systems, including network and software design, as well as information processing, storage, transmission, and disposal. 􀀄 Detecting, preventing, and responding to attacks, intrusions, or other system failures. Condition: During our testing, we noted the following: 􀀄 A periodic inventory of data, noting where it is collected, stored, and transmitted was not performed. 􀀄 Vulnerability scanning and penetration testing is not completed annually. 􀀄 A written information security program is not fully in place. Policies surrounding risk management have not been implemented. 􀀄 Unsupported operating systems in use. Cause: The expected documentation supporting the required controls to adequately confirm compliance with GLBA safeguards was not complete. Effect: Without demonstrable, documented controls supporting compliance with the GLBA standards for safeguarding the protected data, compliance with the law and the requirements in the federal PPA may not be assured. Context: Inquiry and observation of the information received from the BOCES related to compliance with GLBA. Auditor’s Recommendation: The BOCES should review the GLBA safeguarding rules and as soon as practical implement and document the controls necessary for compliance with the rule, focusing on the completion of a documented, thorough, and standardized risk assessment and management reporting framework. The BOCES should perform comprehensive risk assessments on a regular basis, which is suggested to be at least annually, and at any significant change in infrastructure or business process. Contact Period Responsible for Corrective Action Plan: Warren Taylor, Chief Financial Officer Corrective Action Plan and Timing of Planned Corrective Action Plan: The BOCES is actively engaged in a formal Request for Proposals (RFP) process to procure a qualified vendor for the design and implementation of a comprehensive Information Security Program aligned with GLBA requirements. The selected vendor will conduct a full assessment of existing controls, help develop required policies and procedures, and assist in ensuring full compliance with GLBA mandates, including employee training, information systems safeguards, and incident response protocols. This process will be completed by December 2025. As part of the upcoming vendor engagement, a complete data inventory and structured risk assessment will be conducted. This will identify where sensitive data is collected, stored, transmitted, and processed, and will form the basis for implementing technical and administrative safeguards. This process will be completed by March 2026. In the past several years the BOCES has reviewed several student systems and was unable to identify a system that met all of their needs due to the differences between requirements applicable to school districts and those appropriate to the unique needs of a BOCES. The organization is on track to discontinue the use of all unsupported operating systems by June 30, 2026.
2024‐001 Compliance Over Reporting Asian and Pacific Islander Wellness Center Inc. dba San Francisco Community Health Center [SFCHC] accepts this finding. A new CFO is hired in November 2024 with over 30 years of high‐level nonprofit experience in reporting compliance and finance and business operat...
2024‐001 Compliance Over Reporting Asian and Pacific Islander Wellness Center Inc. dba San Francisco Community Health Center [SFCHC] accepts this finding. A new CFO is hired in November 2024 with over 30 years of high‐level nonprofit experience in reporting compliance and finance and business operations. The new CFO has over 10 years as CFO/COO for two federally qualified health centers and immediately reviewed existing policies and procedures with focus on federal grants and compliance reporting. The next single audit submission for fiscal year ended March 31, 2025, will be submitted to the Federal Audit Clearinghouse [FAC] without delay. We are now planning timeline to commence independent review starting mid‐July. The estimated field audit will be completed by October 15. We are anticipating submission to FAC and other regulatory agencies no later than December 15, 2025, within 9 months from fiscal year [March 31]. At SFCHC, we re‐enforced the centralization of documents and records and secured sensitive information, reviewing access and rights of users to avoid compromising data. We also enabled the ‘attachment’ feature at MIP Fund Accounting. Accounting transactions along with documentation lived in digital files. A compliance calendar is now disseminated quarterly and shared with programs. We will be posting the same to SFCHC intra‐net and will be renewed each quarter. Anticipated Completion Date: At this time, the condition noted by our auditor is now addressed and will be tracked for progress. We are hiring additional staff to support grants and contracts administration, monitoring and reporting compliance. Responsible party: Rosalia Aquino Chief Financial & Compliance Officer April 9, 2025
Condition – Peak Vista (“the Organization”) determines the sliding fee discount charged to the patients based on their annual gross income and household size. During our testing of sliding fee discounts, we found that two encounters selected where the patients were charged incorrect copays. Recommen...
Condition – Peak Vista (“the Organization”) determines the sliding fee discount charged to the patients based on their annual gross income and household size. During our testing of sliding fee discounts, we found that two encounters selected where the patients were charged incorrect copays. Recommendation – The Organization should strengthen processes surrounding the monitoring of the program to ensure the Organization’s policies are consistently and properly applied. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding. The Organization has developed a plan for addressing this issue that includes updated procedures, training, and auditing. All teams engaged in the enrollment and eligibility process, including our Enrollment, Reception, and Billing teams will be retrained on the process with emphasis on proper documentation. The Organization management plans to incorporate into our quality assurance audits the documentation for single service date discount applications and provide feedback and retraining as necessary to staff as needed. Anticipated Date of Completion – In progress. Action Taken – We have reviewed the recommendation and have developed a plan for addressing this issue. Person Responsible for Corrective Action Plan – Ryan Spillane, Chief Financial Officer Corrective Action Plan – Ryan Spillane, Chief Financial Officer
View Audit 353387 Questioned Costs: $1
The City’s Department of Finance and Management concurs with the finding in the State Local Fiscal Recovery Fund and will take the following actions in response: Provide two separate trainings to City personnel regarding the requirement verifying SAM.gov searches were performed and the expectation f...
The City’s Department of Finance and Management concurs with the finding in the State Local Fiscal Recovery Fund and will take the following actions in response: Provide two separate trainings to City personnel regarding the requirement verifying SAM.gov searches were performed and the expectation for retention of documentation; Re-issue written procurement policies and procedures on the aforementioned expectation and requirement; and Communicate with city department Fiscal Managers directly to address ongoing finding.
The City concurs with the finding and will take the following actions in response: The Department of Finance and Management, Grants Management Section, will work with the City’s Department of Development to develop a procedure for Grants Management to collect and submit HOPWA Subrecipient informatio...
The City concurs with the finding and will take the following actions in response: The Department of Finance and Management, Grants Management Section, will work with the City’s Department of Development to develop a procedure for Grants Management to collect and submit HOPWA Subrecipient information for FFATA FSRS reporting.
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