Corrective Action Plans

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Finding 478666 (2023-002)
Significant Deficiency 2023
The City concurs with the observation and will implement procedures in 2024 as recommended. The Mayor, Tim Baudier, is responsible for the corrective action plan and the anticipated completion date is December 31, 2024.
The City concurs with the observation and will implement procedures in 2024 as recommended. The Mayor, Tim Baudier, is responsible for the corrective action plan and the anticipated completion date is December 31, 2024.
Finding 478564 (2023-002)
Significant Deficiency 2023
Management’s response/corrective action plan: The Town was unaware of this step in the federal procurement process. The Town has communicated to the departments that administer the grant expenditure that this process needs to be done.
Management’s response/corrective action plan: The Town was unaware of this step in the federal procurement process. The Town has communicated to the departments that administer the grant expenditure that this process needs to be done.
Finding 478543 (2023-001)
Material Weakness 2023
Arcare
AR
June 24, 2024 Re: Finding No 2023-001 Responsible Party: Talmage J. Whitehead, PresidenUCFO (870) 347-3313, Talmage. Whitehead@arcare.net Expected Completion date: September 2024 Finding No. 2023-001 states: Criteria: Under the requirements of the Federal Funding Accountability and Transparency Act ...
June 24, 2024 Re: Finding No 2023-001 Responsible Party: Talmage J. Whitehead, PresidenUCFO (870) 347-3313, Talmage. Whitehead@arcare.net Expected Completion date: September 2024 Finding No. 2023-001 states: Criteria: Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282), as amended by Section 6202 of Pub. L. No. 110-252, hereafter referred to as the "Transparency Act" that are codified in 2 CFR Part 170, recipients (i.e., direct recipients) of grants or cooperative agreements are required to report first tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) Condition: The Organization failed to file FFATA reporting submissions for the fiscal year ended December 31, 2023. Management agrees with the finding. We have conducted the following steps to come into compliance with the Transparency Act: • Wording has been added to Program Monitoring and Data Reporting Systems Policy: ► Grant Program and Financial Management must compile and report data and other information as required by HRSA relating to Subrecipients (FFATA). ► Director of Grant Management will perform the following standard operating procedure for each grant to inform and prevent loss of knowledge for current and future staff members: ► Review and obtain understanding of all guidance and NOA grant terms; ► Relay this information to all grant program and finance staff; ► Assign duties and reporting to appropriate staff; ► Maintain a tracking sheet for grant reporting requirements; ► Confirm all reporting is completed accurately and timely; ► A FFATA data information form will be attached to Subrecipient agreements annually to assist in the reporting requirement; ► Copies of the submissions are maintained in the Department's file to ensure proper compliance documentation is kept. • All grant awards containing subrecipients have been reviewed and data gathered in order to report in the FSRS for 2023. Staff has prepared and filed the late reports for ARcare fiscal year 2023 with exception of one which we are waiting on for more information. We expect to report on this one by September 2024. Those filed were reviewed by Finance. • No awards have been given yet in 2024 so the FSRS reports for 2024 are not due. Awards projected to be given are in September and October 2024 and we intend to be in compliance by reporting deadlines.
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
Management's Response: MNM will implement financial policies and procedures to ensure a timely independent audit process and subsequent timely filing of the audit with the Federal Audit Clearinghouse.
The Township will establish controls to determine federal revenues and if an audit under the Uniform Guidance is required. The anticipated completion date is June 30, 2024.
The Township will establish controls to determine federal revenues and if an audit under the Uniform Guidance is required. The anticipated completion date is June 30, 2024.
Management thought the bidding for the Township engineer a number of years ago, met the bidding requirements. In the future, if the Township obtains any federal grant that requires engineering services, the Township will make sure that we bid engineering services. The anticpated completion date is p...
Management thought the bidding for the Township engineer a number of years ago, met the bidding requirements. In the future, if the Township obtains any federal grant that requires engineering services, the Township will make sure that we bid engineering services. The anticpated completion date is prior to receiving another federal grant award requiring engineering services.
View Audit 315126 Questioned Costs: $1
FINDING 2023-004: Late Audit Submission The County will complete our annual audits in a timely fashion as to not exceed federal regulations.
FINDING 2023-004: Late Audit Submission The County will complete our annual audits in a timely fashion as to not exceed federal regulations.
Finding: 2023-001 Finding Description: The City did not report the subaward information for the fiscal year ended September 30, 2023. In addition, the City had errors on the annual CDBG Financial Summary Report (PR26) and one PR29 –CDBG Cash on Hand Quarterly Report. Auditee Response: The City of Me...
Finding: 2023-001 Finding Description: The City did not report the subaward information for the fiscal year ended September 30, 2023. In addition, the City had errors on the annual CDBG Financial Summary Report (PR26) and one PR29 –CDBG Cash on Hand Quarterly Report. Auditee Response: The City of Mesquite agrees with the finding. Corrective Action: The City of Mesquite will implement a reporting checklist for federal subrecipients to ensure the City’s required reporting is completed and fully compliant. Furthermore, the City will implement additional internal controls to ensure proper reconciliation of expenditures to each federal draw of funds. This will assist in reducing/eliminating reporting errors. Projected Completion Date: The corrective action will be immediately implemented and completed by September 30, 2024. Responsible Party: Manager of Accounting Services
FINDING 2023-010: Late Audit Submission Response: The District was in compliance with timely submissions until the auditor notified the District he was not able to complete the audit due to serious health issues. Due to the shortage of OPI approved auditors, the District was not able to acquire an...
FINDING 2023-010: Late Audit Submission Response: The District was in compliance with timely submissions until the auditor notified the District he was not able to complete the audit due to serious health issues. Due to the shortage of OPI approved auditors, the District was not able to acquire an auditing firm. The District will work with an auditing firm to complete future audits within the timelines required.
FINDING 2023-009: Wage Rage Compliance Response: The District will implement internal controls to ensure compliance requirements of all federal funds received. Contractors will be required to certify that they are complying with prevailing wages if the project is paid with federal funds.
FINDING 2023-009: Wage Rage Compliance Response: The District will implement internal controls to ensure compliance requirements of all federal funds received. Contractors will be required to certify that they are complying with prevailing wages if the project is paid with federal funds.
The Organization has established procedures to set consistent dates for annual in-person trainings and signing of contracts. The Organization will set up a schedule in excel with expiring dates to ensure no TEFAP food is distributed without a contract.
The Organization has established procedures to set consistent dates for annual in-person trainings and signing of contracts. The Organization will set up a schedule in excel with expiring dates to ensure no TEFAP food is distributed without a contract.
FFATA Reporting Contacts: Janet Fernandes and Andrea Newson Title: Director of Finance, and Grants Manager, respectively Anticipated Completion Date: December 2024 Corrective Action: The Foundation is dedicated to full compliance with the Federal Funding Accountability and Transparency Act (FFATA) r...
FFATA Reporting Contacts: Janet Fernandes and Andrea Newson Title: Director of Finance, and Grants Manager, respectively Anticipated Completion Date: December 2024 Corrective Action: The Foundation is dedicated to full compliance with the Federal Funding Accountability and Transparency Act (FFATA) requirements. To address the audit findings related to FFATA reporting, the Foundation is implementing the following corrective actions: • Subrecipient information was subsequently added to the system to ensure compliance. • The Compliance team will work on integrating recommendations from the Grants Management and Finance teams to fortify internal controls, ensure regular monitoring of subaward activities, and maintain open lines of communication with subrecipients to promptly gather and report all necessary subaward information. • The Finance team, in collaboration with Grants Management and Compliance, will develop a timetable to periodically verify the completeness and accuracy of the subaward reporting to align with FFATA mandates. Status as of June 2024: The Foundation has taken proactive steps to rectify the FFATA reporting oversight. The Grants Management and Finance teams have initiated a comprehensive review and update of internal procedures to ensure timely and accurate FFATA reporting. This includes the establishment of a more robust internal tracking system for subawards and enhanced training for staff involved in federal grants management. Subrecipient information for the two identified subawards has now been accurately reported in the FSRS, demonstrating the Foundation's commitment to transparency and compliance.
FINDING 2022/2023-010: Audit Report Deadline Response: The Town will work to identify any federal funds received in the future,
FINDING 2022/2023-010: Audit Report Deadline Response: The Town will work to identify any federal funds received in the future,
FINDING 2022/2023-009: Monitoring Subrecipients Response: The Town will identify and federal money and comply with compliance requirements, especially when acting as a pass-through on projects.
FINDING 2022/2023-009: Monitoring Subrecipients Response: The Town will identify and federal money and comply with compliance requirements, especially when acting as a pass-through on projects.
Finding 2023-001 U.S. Department of Education Condition: Tuition invoices and payroll costs were charged to a 2023 grant that were for services rendered prior to the grant start date. Corrective Action Planned: The School will implement procedures to review all manual journal entries for period ...
Finding 2023-001 U.S. Department of Education Condition: Tuition invoices and payroll costs were charged to a 2023 grant that were for services rendered prior to the grant start date. Corrective Action Planned: The School will implement procedures to review all manual journal entries for period of performance compliance before posting to the general ledger. Anticipated Completion Date: Immediately Contact: Gilbert Lefort III, Director of Finance, North Attleborough Public Schools
View Audit 314913 Questioned Costs: $1
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 28, 2024. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month....
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 28, 2024. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month. During the scheduled monthly meetings between the Vice President of Health Services, Controller, and the Health Services Grant Senior Project Manager, Metzli Gonzales, to review the monthly Title X patient counts, an agenda item will be added to confirm that all of the information is available for the Vice President of Health Services to prepare and submit the FFATA report.
Finding No. 2023-001: Cash Management and Subrecipient Monitoring Controls Material Weakness Finding: Cash disbursements of federal funds intended for subrecipients of the federal program were misappropriated due to a man-in-the-middle email scheme perpetrated by a TechnoServe program manager. The i...
Finding No. 2023-001: Cash Management and Subrecipient Monitoring Controls Material Weakness Finding: Cash disbursements of federal funds intended for subrecipients of the federal program were misappropriated due to a man-in-the-middle email scheme perpetrated by a TechnoServe program manager. The intended subrecipient was paid and TechnoServe was able to recover most of the losses through the bank and insurance. Corrective Actions Taken or Planned: Responsible Official: Jeff Chrisfield, Chief Financial Officer Anticipated Completion Date: December 31, 2024 View of Responsible Individuals: Between March and September 2023, an employee serving in a trusted position as finance manager perpetrated a man-in-the-middle scheme to alter payment details relating to a sub-awardee, diverting payments worth $331,127 for personal gain. This was a sophisticated scheme involving multiple fake domain names and a methodical process to hijack and control all communications between TechnoServe and the subrecipient relating to payments. The sophistication of the scheme, coupled with the employee’s direct access to all involved parties, allowed him to evade detection by both TechnoServe and the subrecipient for an extended period. Immediately after the incident, TechnoServe verified payments will all subawardees and other major vendors to ensure receipt of funds. No additional diversions occurred. To ensure no similar scheme goes undetected, the following internal controls will be implemented: 1. Formalize subrecipient bank instruction changes: When a subaward is drafted, subrecipient bank details are recorded in the subaward agreement. In this situation, the offending employee created fake email correspondence, coupled with counterfeit bank letters, to initiate a change in bank account information for the subrecipient and evade detection within TechnoServe. To mitigate this risk, TechnoServe will require that all changes to subrecipient bank instructions be documented with a formal subaward modification, signed by authorized representatives of both TechnoServe and the subrecipient. 2.Verification of vendor data changes: TechnoServe already has in place a control over vendor records requiring internal approval for changes to key vendor data, such as bank instructions. In addition, payment offices regularly verify bank instruction changes with vendors. In this case, the controls failed because the offending employee supported fraudulent changes with counterfeit bank letters and falsified email chains such that they appeared to include the payee via a man-in-the-middle scheme. To overcome this risk, TechnoServe will ensure that change to vendor banking information is verbally verified with the vendor by the relevant financial controller. In addition, we will implement an automated process that sends email notification to vendors regarding changes to the vendor’s key data (name, address, phone, email, tax identification number, primary contact, and bank information). Notification of changes to a vendor’s on-file email address will be sent to both the old and new email addresses. 3. Automated notification statements of account: In this instance, the offending employee utilized a man-in-the-middle scheme to intercept inquiries from the subrecipient regarding missing payments, which delayed TechnoServe’s detection of the payment diversion. To mitigate this risk, TechnoServe will institute a weekly automated statement of account detailing payments transacted during the preceding period with instructions about who to contact in the event of a discrepancy. These actions, taken together, will help TechnoServe to prevent or rapidly detect similar schemes going forward.
In the past, the Housing Authority has completed Rent Reasonableness forms for every new and existing tenant by referring to a rent comparison log that is periodically updated and l<ept in the office. Every tenant has the form in their files and the FMR guidelines were always adhered to assure that ...
In the past, the Housing Authority has completed Rent Reasonableness forms for every new and existing tenant by referring to a rent comparison log that is periodically updated and l<ept in the office. Every tenant has the form in their files and the FMR guidelines were always adhered to assure that the rents proposed by Landlords were reasonable. The Plainfield Housing Authority has now contracted with RentWatch as of January 4, 2024, which allows the Housing Authority to see comparable rents and automatically produces Rent Reasonable reports to print and put in tenant files.
When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all...
When this finding was brought to my attention, I made an immediate attempt to rectify this issue by having form 52675 signed and dated by tenants being recertified for continued assistance and have included this form in tenants' recertification packets. As of November 2024, Form 52675 will be in all tenant files.
Responsible Party: Sara Hudson Anticipated Completion Date: July 1, 2024 Corrective Action Plan: Per FFATA Reporting Requirements, and as provided to us (SMD) by our sub awardees, the following information and reporting will commence immediately:  SMD will report and answer the following que...
Responsible Party: Sara Hudson Anticipated Completion Date: July 1, 2024 Corrective Action Plan: Per FFATA Reporting Requirements, and as provided to us (SMD) by our sub awardees, the following information and reporting will commence immediately:  SMD will report and answer the following question in the FSRS system: The sub awardee’s business or organization's preceding completed fiscal year, did its business or organization receive (1) 80 percent or more of its annual gross revenues in U.S. federal Contract, subcontracts, loans, grants, subgrants, and/or cooperative agreements; and (2) $25,000,000 or more in annual gross revenues for U.S. federal contracts, subcontracts, loans, grans, subgrant, and/or cooperative agreements?  If the response indicates "yes" to the question additional compensation data will be collected. SMD will implement FFATA requirements by implementing a section dedicated to FFATA reporting in our Brownfields financial assistance applications. This will enable us to gather the data needed to complete the reporting. SMD has also implemented a project checklist for all of our Brownfield Cleanup Projects, with a check-o􀀁 section dedicated as a second safeguard to ensure the completion of FFATA reporting.
Finding 478117 (2023-001)
Significant Deficiency 2023
U4i
CA
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Man...
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Managing Director. The Managing Director is the agreed-upon point of contact with the federal agency to determine if the proposed new hire needs to be vetted based on the criteria set by the federal agency. If the Managing Director deems necessary that the hire needs to be vetted, a vetting task and confirmation of receipt are sent by the system to the Operations Associate. The Operations Associate oversees maintaining the RAM system and submitting new vetting requests. Once the vetting has been approved or declined, the Operations Associate enters the information into U4I’s relational database, and only at this point can the hiring process move forward, provided RAM approves the vetting. The new system has automated alarm notifications and emails monthly reports based on the “date of last vetting,” calculating the “date of new vetting” automatically for a list of over 85 employees and contractors. Remedy - We have introduced a backup Vetting POC in our vetting process moving forward to prevent this type of occurrence during transitions. If the Managing Director is unavailable, and a confirmation of the vetting task is not received, the Co-Director acting as interim Vetting POC will be asked to assume the role and evaluate the hires and vetting. The FIN/OPS team overseeing the new vetting procedure and added control steps, will make sure that all vendors, contractors and employees, without exclusions and regardless of any subjective levels of mutual trust and regardless the length of existing relationships, are run through the Job Proposal and Vetting Procedure and that the contractual process will be stopped unless there is a RAM record to consider the hire.
Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with...
Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with their application. Corrective Action: The Center has made it mandatory that two staff members verify the application and supporting documents to ensure patients are placed on the appropriate sliding fee scale discount level; secondarily the practice management system is verified to ensure the software is assigning the correct sliding fee scale and billing the patient correctly. The Center has been conducting an internal audit on a quarterly basis of five random applications to ensure that the patient has been entered into the correct sliding fee discount level and is billed correctly. The Center will increase the quarterly internal audit to 40 random applications. Name of Responsible Person: Taneia Gatchell, Controller Projected Completion Date: Completed at time of report.
Finding 478066 (2023-001)
Significant Deficiency 2023
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to...
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have communicated the policies and procedures regarding recordkeeping and documentation to support the verification process for suspension and debarment on all City contracts and purchase orders to all appropriate staff. Management will monitor the issue regularly during the year to ensure compliance. Name(s) of the contact person(s) responsible for corrective action: Christina Holmes, Director of Finance Planned completion date for corrective action plan: June 2024
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit fi...
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have updated written procedures and notified appropriate staff to ensure reporting requirements are performed and supporting documentation is maintained to confirm compliance with those requirements. Name(s) of the contact person(s) responsible for corrective action: Danielle Lopez, Housing and Neighborhood Services Manager Planned completion date for corrective action plan: June 2024
Finding 478047 (2023-001)
Significant Deficiency 2023
Finding 2023-001 Condition: The Town has not documented in writing its policies regarding federal awards. Corrective Action Planned: We will work with the Select Board over the next few months to have these policies approved. Anticipated Completion Date: Fiscal year 2025 Contact: Mary Daughr...
Finding 2023-001 Condition: The Town has not documented in writing its policies regarding federal awards. Corrective Action Planned: We will work with the Select Board over the next few months to have these policies approved. Anticipated Completion Date: Fiscal year 2025 Contact: Mary Daughraty, Town Administrator
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