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Corrective Action Plans

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Legacy Traditional School - Surprise
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342496
Legacy Traditional School - Queen Creek
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342495
Legacy Traditional School - Phoenix
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342494
Legacy Traditional School - Northwest Tucson
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342493
Legacy Traditional School - North Phoenix
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342491
Legacy Traditional School - North Chandler
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director
View Audit 342490
Legacy Traditional School - Mesa
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342489
Legacy Traditional School - Maricopa
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342488
Legacy Traditional School - Laveen
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342487
Legacy Traditional School - Goodyear
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342486
Legacy Traditional School - Glendale
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342485
Legacy Traditional School - East Tucson
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342484
Legacy Traditional School - Deer Valley
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342483
Legacy Traditional School - Chandler
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342482
Legacy Traditional School - Gilbert
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342481
Legacy Traditional School - East Mesa
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342480
Legacy Traditional School - Casa Grande
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342479
Legacy Traditional School - Avondale
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342477
Finding 523127 (2024-004)
Material Weakness 2024
Lighthouse Academies of Northwest Indiana, Inc.
IN
Internal Control / Segregation of Duties Subrecipient Monitoring Material Weakness § 200.303
2024-004 Education Stabilization Funds – Assistance Listing No. 84.425 Recommendation: We recommend that NWILCS implement procedures and controls to ensure the required reports are accurate and completed timely. Explanation of disagreement with audit finding: There is no disagreement with the audit ...
2024-004 Education Stabilization Funds – Assistance Listing No. 84.425 Recommendation: We recommend that NWILCS implement procedures and controls to ensure the required reports are accurate and completed timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. NWILCS will revise our policy and procedures to ensure required reports are done accurately and completed timely. This was demonstrated during the completion of the annual reports for the Education Stabilization Funds this past December 2024. We provided accurate and timely reports by the stated deadlines required by the vendor. Name of the contact person responsible for corrective action: David Sevier Planned completion date for corrective action plan: Completed in December 2024
View Audit 342416
Finding 523099 (2024-002)
Significant Deficiency 2024
St. Louis Area Food Bank, Inc.
MO
Internal Control / Segregation of Duties Special Tests & Provisions Subrecipient Monitoring
Finding 2024-002: Lack of Internal Control Over Compliance for Food Distributions Corrective Action Plan: Food distribution invoice signed by one (1) partner agency did not agree to the actual weight disbursed. We have taken action to address this issue, and it has already been implemented. A new Ch...
Finding 2024-002: Lack of Internal Control Over Compliance for Food Distributions Corrective Action Plan: Food distribution invoice signed by one (1) partner agency did not agree to the actual weight disbursed. We have taken action to address this issue, and it has already been implemented. A new Chief Operating Officer along with several warehouse employees were hired to ensure that proper staffing was maintained in the process. Management has also developed new Standard Operating Procedures (SOPs) and training programs for warehouse staff to ensure accurate documentation and compliance moving forward. This allows for the packing lists to be printed and packing to occur well in advance to allow for adjustments to be made in time to accurately reflect the amounts disbursed. The new SOPs also include that partner agencies have at least 24 hours to contact the Organization for any issues with the distribution and the Organization will update documentation and/or collect the order to reflect the documentation. Two positions have been staffed: Inventory Control and Quality Control part of their role is to make sure the pick ticket matches the pick order and then reconcile against the invoice at the time of posting. Name of Responsible Person: Meredith Knopp, Chief Executive OfficerAnticipated Completion Date: Implemented in December 31, 2024
View Audit 342402
Finding 523090 (2024-003)
Significant Deficiency 2024
St. Louis Area Food Bank, Inc.
MO
Internal Control / Segregation of Duties Eligibility Significant Deficiency
Finding 2024-003: Lack Internal Control Over Compliance for Timely Execution of Required Agreements Corrective Action Plan: Single Audit partner agreements for fiscal year 2024 (July 1, 2023 - June 30, 2024) with five (5) partner agencies were signed in June 2024 and November 2024. Management notes...
Finding 2024-003: Lack Internal Control Over Compliance for Timely Execution of Required Agreements Corrective Action Plan: Single Audit partner agreements for fiscal year 2024 (July 1, 2023 - June 30, 2024) with five (5) partner agencies were signed in June 2024 and November 2024. Management notes that as of year-end and final fieldwork, personnel are now in place who understand the importance of maintaining and completing required documentation, including annual and bi-annual agreements. Management will implement additional measures, such as improved tracking systems and staff training, to prevent future delays in the execution of required annual and bi-annual agreements. Management currently reconciles Al33 documents to agency partners. In addition, the management team is ensuring documents are signed and stored in an electronic document signature platfonn i.e DocuSign. Access to this platform will be available to all key staff for utilization and verification. Tracking is also documented within a separate excel spreadsheet and reconciled back to the electronic signature database. A Standard Operating Procedure has been created and implemented. Name of Responsible Person: Meredith Knopp, Chief Executive Officer Anticipated Completion Date: December 31 , 2024
View Audit 342402
Finding 523012 (2024-001)
Significant Deficiency 2024
Aids Foundation of Chicago
IL
Subrecipient Monitoring § 200.332 § 200.501
Finding: The Foundation is not in compliance with recordkeeping for program monitoring and evaluation, as the Foundation did not comprehensively assess all subrecipients using risk-based/subrecipient monitoring policies and procedures. Staff were not aware of the extent of the requirements to monito...
Finding: The Foundation is not in compliance with recordkeeping for program monitoring and evaluation, as the Foundation did not comprehensively assess all subrecipients using risk-based/subrecipient monitoring policies and procedures. Staff were not aware of the extent of the requirements to monitor program and fiscal compliance of project sponsors and document results and evidence of compliance or noncompliance. Therefore, a number of project sponsors/subrecipients were not monitored. Corrective Action Taken or Planned: The Foundation has updated its Quality Management Plan to include comprehensive subrecipient monitoring policies. The Foundation’s Quality Management team is working with all programming to implement a robust monitoring process, including risk assessments, adherent to grantor regulations, service delivery, and program outcomes. Date of Completion: January, 2024 Name of Contact Person: Laurie Wettstead, Chief Finance Officer
View Audit 342288
Finding 522997 (2024-001)
Significant Deficiency 2024
Town of Winchester, Connecticut
CT
Procurement, Suspension & Debarment Subrecipient Monitoring
FINDING 2024-001 – SIGNIFICANT DEFICIENCY- PROCUREMENT AND SUSPENSION AND DEBARMENT- INTERNAL CONTROL OVER VERIFICATION AGAINST THE SYSTEM FOR AWARD MANAGEMENT (“SAM”) Description of Finding: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awar...
FINDING 2024-001 – SIGNIFICANT DEFICIENCY- PROCUREMENT AND SUSPENSION AND DEBARMENT- INTERNAL CONTROL OVER VERIFICATION AGAINST THE SYSTEM FOR AWARD MANAGEMENT (“SAM”) Description of Finding: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, (Uniform Guidance) requires compliance with provisions of procurement, suspension, and debarment. Non-federal entities are required to ensure that they do not award contracts or make subawards to any parties that are suspended or debarred from receiving federal funds. This verification may be accomplished by checking the System for Award Management (SAM). The Town did not have a process in place to check that vendors were not suspended or debarred by checking the System for Award Management (SAM). Statement of Concurrence or Nonconcurrence: The Town agrees with the audit finding. Corrective Action: The Town has adopted a municipal purchasing policy including steps to ensure vendors are not suspended or debarred by checking the System for Award Management (SAM) and maintain documentation showing that verification. Name of Contact Person: Ann Marie Rheault, Director of Finance (860) 738-6961. Projected Completion Date: Policy already implemented.
View Audit 342254
Finding 522996 (2024-003)
Significant Deficiency 2024
Community Action Partnership of Cambria County
PA
Subrecipient Monitoring Internal Control / Segregation of Duties
Significant Deficiency: See Finding 2024-002
Significant Deficiency: See Finding 2024-002
View Audit 342242
Community Action Partnership of Cambria County
PA
Special Tests & Provisions Subrecipient Monitoring Eligibility
Name of Contact Person – Tracy Helsel, Head Start Program Director Recommendation: It was recommended that program management provide training and education to the governing body on the Head Start Program including eligibility requirements, policies, and practices, and ensure documentation of such ...
Name of Contact Person – Tracy Helsel, Head Start Program Director Recommendation: It was recommended that program management provide training and education to the governing body on the Head Start Program including eligibility requirements, policies, and practices, and ensure documentation of such training. Action Taken: As this compliance issue was recently addressed in the Organization’s ACF monitoring review, the Organization implemented corrective action that included in-person, virtual, and recorded training to board members, as well as providing binders to the governing body members that contained hard copies of protocols and training materials. Completion Date: September 30, 2024
View Audit 342242
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