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Corrective Action Plans

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Finding 1215150 (2025-011)
Material Weakness 2025
Friends Alliance Housing Ii,inc D/b/a Friendship House
LA
Subrecipient Monitoring HUD Housing Programs Internal Control / Segregation of Duties
Management will implement a monthly reserve funding checklist, automate recurring reserve transfers where feasible, and require Board review of reserve account activity. Reserve deposits will be supported by bank statements and documented through signed monthly checklists, with exceptions documented...
Management will implement a monthly reserve funding checklist, automate recurring reserve transfers where feasible, and require Board review of reserve account activity. Reserve deposits will be supported by bank statements and documented through signed monthly checklists, with exceptions documented and remediated.
View Audit 401818
Finding 1215141 (2025-004)
Material Weakness 2025
Inter-Tribal Council of Michgian, Inc.
MI
Subrecipient Monitoring Internal Control / Segregation of Duties § 200.331
2025-004: Subrecipient Monitoring - Contractor vs. Subrecipient Determination (Significant Deficiency in Internal Control) Statement of Condition/Criteria: 2 CFR §200.331 requires pass-through entities to evaluate each subaward to determine whether the recipient is a subrecipient or a contractor. Th...
2025-004: Subrecipient Monitoring - Contractor vs. Subrecipient Determination (Significant Deficiency in Internal Control) Statement of Condition/Criteria: 2 CFR §200.331 requires pass-through entities to evaluate each subaward to determine whether the recipient is a subrecipient or a contractor. This evaluation should be based on the characteristics outlined in 2 CFR §200.331(a) and (b) and documented to support proper classification. Effective internal control over federal awards also requires documentation of compliance-related judgments to ensure consistent application and oversight. During our testing of internal controls over compliance, we noted that the Organization does not maintain formal documentation supporting its evaluation of whether award recipients are classified as contractors or subrecipients in accordance with Uniform Guidance. Planned Corrective Action: The Council will work to implement requirements at the program level to evaluate and document all contracts to properly identify between contract and subaward. Contact person responsible for corrective action plan: Clayton Kincheloe, Executive Director Anticipated Completion Date: September 2026
View Audit 401814
Finding 1215135 (2025-003)
Material Weakness 2025
Inter-Tribal Council of Michgian, Inc.
MI
Subrecipient Monitoring
2025-003: Subrecipient Monitoring – Ineligible Subaward (Noncompliance) and Significant Deficiency in Internal Control Statement of Condition/Criteria: According to 2 CFR § 25.300, a recipient may not make a subaward to a subrecipient that has not obtained a UEI and provided it to the recipient. A r...
2025-003: Subrecipient Monitoring – Ineligible Subaward (Noncompliance) and Significant Deficiency in Internal Control Statement of Condition/Criteria: According to 2 CFR § 25.300, a recipient may not make a subaward to a subrecipient that has not obtained a UEI and provided it to the recipient. A recipient must notify any potential subrecipients that the recipient cannot make a subaward unless the subrecipient obtains and provides a UEI to the recipient. For the major program tested, $39,000 of subawards were made to a subrecipient (LIFT), who does not have a UEI. Although due diligence was done in attempted to obtain the information, the EIN was received instead. Planned Corrective Action: Communication has been made to program managers regarding the requirement and due diligence will be done in checking the correct UEI with the FAC prior to signing any contracts for subawards. Contact person responsible for corrective action plan: Clayton Kincheloe, Executive Director Anticipated Completion Date: September 2026
View Audit 401814
Finding 1215134 (2025-002)
Material Weakness 2025
Inter-Tribal Council of Michgian, Inc.
MI
Subrecipient Monitoring § 200.332
2025-002: Subrecipient Monitoring – Risk Assessment (Noncompliance) and Significant Deficiency in Internal Control Statement of Condition/Criteria: According to 2 CFR § 200.332, a pass-through entity must evaluate each subrecipient's fraud risk and risk of noncompliance as a form of subrecipient mon...
2025-002: Subrecipient Monitoring – Risk Assessment (Noncompliance) and Significant Deficiency in Internal Control Statement of Condition/Criteria: According to 2 CFR § 200.332, a pass-through entity must evaluate each subrecipient's fraud risk and risk of noncompliance as a form of subrecipient monitoring. In doing so, a pass-through entity must review financial reports, including their financial audits, ensure that the subrecipient takes corrective action on all significant developments affecting the subaward, issue a management decision on any audit findings pertaining only to the Federal award provided to the subrecipient from the pass-through and resolve audit findings specifically related to the subaward. If a finding rises to a certain level, the pass-through should consider taking action against noncompliant subrecipients. The organization does not have a formal risk assessment process in place. As of the date of fieldwork, audit reports of member tribes receiving subrecipient payments were not all received and therefore, were not reviewed to perform a proper risk assessment. We additionally noted that a quarterly report was not submitted as required per the agreement and funds were still distributed. Planned Corrective Action: The Council will work on implementing an efficient, yet effective risk assessment process for all subrecipients. Contact person responsible for corrective action plan: Clayton Kincheloe, Executive Director Anticipated Completion Date: September 2026
View Audit 401814
Finding 1215128 (2025-001)
Material Weakness 2025
Inter-Tribal Council of Michgian, Inc.
MI
Procurement, Suspension & Debarment Subrecipient Monitoring Reporting
2025-001: Delinquent Data Collection Form Filing (SF-SAC) (Noncompliance) Statement of Condition/Criteria: Uniform Guidance requires the auditee to submit a reporting package and Data Collection Form to the Federal Audit Clearinghouse within the prescribed timeframe. The auditee must submit the repo...
2025-001: Delinquent Data Collection Form Filing (SF-SAC) (Noncompliance) Statement of Condition/Criteria: Uniform Guidance requires the auditee to submit a reporting package and Data Collection Form to the Federal Audit Clearinghouse within the prescribed timeframe. The auditee must submit the reporting package and DCF within the earlier of 30 calendar days after receipt of the auditor’s reports, or 9 months after the end of the audit period. For the fiscal year ended 9/30/2024, the auditee’s Data Collection Form and reporting package were not submitted timely to the Federal Audit Clearinghouse. Failure to submit the Data Collection Form and reporting package timely may result in delayed federal oversight and monitoring, increased risk of federal agencies deeming the organization noncompliant with Single Audit requirements, or potential sanctions including withholding of federal awards and/or suspension of future funding. Planned Corrective Action: The Council will implement a Single Audit compliance calendar to ensure timely filing. The Executive Director will be responsible for submission of the Data Collection Form and reporting package and will retain confirmation documentation in the finance records. Contact person responsible for corrective action plan: Clayton Kincheloe, Executive Director Anticipated Completion Date: September 2026
View Audit 401814
Finding 1215066 (2025-001)
Material Weakness 2025
Central Valley School District No. 356
WA
Subrecipient Monitoring Allowable Costs / Cost Principles Internal Control / Segregation of Duties
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Central Valley School District No. 356 September 1, 2024 through August 31, 2025 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Central Valley School District No. 356 September 1, 2024 through August 31, 2025 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2025-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with federal eligibility requirements. Name, address, and telephone of District contact person: Mathew Knott, Director of Business Services 2218 N. Molter Road Liberty Lake, WA 99019 509-558-5437 Corrective action the auditee plans to take in response to the finding: The District does agree that one school with a poverty rate above 75% was not served. However, OSPI reviewed and approved the District’s Title I application, including our proposed ranking and allocation methodology, and no concerns or comments were raised during that review process. Additionally, the District was able to provide alternative snapshot dates demonstrating that no individual school was truly above the 75% threshold. Once the District became aware of the issue, we proactively contacted OSPI to determine whether any corrective action was necessary for the current year. OSPI’s guidance was that no changes or corrections were required for the current year and that adjustments should instead be implemented in the following year if a school exceeded the 75% threshold. Based on that direction from OSPI, the District did not make current-year corrections. Given these circumstances, including OSPI’s prior approval of the application and subsequent guidance that no corrective action was required, the District respectfully disagrees with the State Auditor’s Office conclusion that this matter rises to the level of a Finding rather than being addressed through a Management Letter. We consider this matter to be resolved as no school going into the 2025-2026 fiscal year was above the 75% threshold. Anticipated date to complete the corrective action: 8/31/2025
View Audit 401770
Finding 1215053 (2025-005)
Material Weakness 2025
Central Minnesota Jobs and Training Services
MN
Allowable Costs / Cost Principles Internal Control / Segregation of Duties Subrecipient Monitoring
Finding 2025-005: Documentation of Allocations for Certain Costs Recommendation: The Organization should reinforce its existing allocation documentation procedures by ensuring they are consistently applied to all disbursements charged to federal programs. Management should enhance oversight and moni...
Finding 2025-005: Documentation of Allocations for Certain Costs Recommendation: The Organization should reinforce its existing allocation documentation procedures by ensuring they are consistently applied to all disbursements charged to federal programs. Management should enhance oversight and monitoring controls to verify that required documentation is completed and retained for every applicable transaction. Action Taken: CMJTS has since worked with DEED to update our cost allocation policy, and DEED approved our new policy. In this policy, the CMJTS fiscal team will work with CMJTS program managers to update allocations for the upcoming month. Changes to allocations will be documented and saved for record retention. CMJTS also migrated to a new accounting system in February 2025 which makes it easier to track allocations and ensure required documentation is completed and retained.
View Audit 401763
Finding 1214907 (2025-001)
Material Weakness 2025
Herkimer County Community College
NY
Subrecipient Monitoring Eligibility
Views of Responsible Officials: The college verbally assigned GLBA responsibilities to an individual in a meeting several years ago regarding GLBA which was attended by all departments affected by its regulations. However, that assignment was not formalized in writing. This individual separated empl...
Views of Responsible Officials: The college verbally assigned GLBA responsibilities to an individual in a meeting several years ago regarding GLBA which was attended by all departments affected by its regulations. However, that assignment was not formalized in writing. This individual separated employment with the college in January 2026. As a result, the college is currently in the process of transitioning its information technology (IT) department under the auspices of the State University of New York Information Technology Exchange Center (SUNY ITEC) where the college has access to a wide range of resources including experts in GLBA. With this transition, SUNY ITEC will appoint the Chief Information Officer / IT Director as the qualified individual (QI) for GLBA compliance. SUNY ITEC’s Security Services will support the Director; informing and advising them of relevant IT Security Program and Security Operations activities and compliance, and the Director will be the signing QI.
View Audit 401665
Finding 1214893 (2025-001)
Material Weakness 2025
Vashon Island School District No. 402
WA
Procurement, Suspension & Debarment Subrecipient Monitoring
Finding ref number: 2025-001 Finding caption: The District did not have adequate internal controls and did not comply with federal procurement requirements. Name, address, and telephone of District contact person: Cassie Zizah, Director of Business and Finance 9309 SW Cemetery Road Vashon, WA 98070 ...
Finding ref number: 2025-001 Finding caption: The District did not have adequate internal controls and did not comply with federal procurement requirements. Name, address, and telephone of District contact person: Cassie Zizah, Director of Business and Finance 9309 SW Cemetery Road Vashon, WA 98070 206.463.6262 Corrective action the auditee plans to take in response to the finding: To resolve the documentation deficiency, VISD has created a procurement documentation form that will be included in VISD 6220P. Completion of this form and corresponding documents will be required prior to a requisition being approved and a PO issued to the awarded vendor. Upon transition from SMS To Qmlativ, these documents will be attached during the requisition process furthering confirming that all procurement requirements are met prior to PO issuance and creating an added layer of internal control as this will be reviewed by a minimum of four individuals via the VISD approval process. Anticipated date to complete the corrective action: May 2026
View Audit 401648
Finding 1214879 (2025-001)
Material Weakness 2025
Newburyport Housing Authority
MA
HUD Housing Programs Internal Control / Segregation of Duties Subrecipient Monitoring
CORRECTIVE ACTION PLAN 2025-001- REPORTING Significant Deficiency/Noncompliance Auditee’s Response and Planned Corrective Action The Newburyport Housing Authority submitted audit documentation late due to the Executive Director, Tracy Watson, being on medical leave since August 2025. During this tim...
CORRECTIVE ACTION PLAN 2025-001- REPORTING Significant Deficiency/Noncompliance Auditee’s Response and Planned Corrective Action The Newburyport Housing Authority submitted audit documentation late due to the Executive Director, Tracy Watson, being on medical leave since August 2025. During this time, staff experienced difficulties obtaining the required documentation needed to complete the audit in a timely manner. The NHA Board of Commissioners named Kim Kane as Interim Executive Director during Tracy Watson’s absence. Kim Kane will ensure all documentation is submitted in full and in a timely manner. Planned Implementation Date of Corrective Action: Immediately Person Responsible for Corrective Action: Kim Kane, Interim Executive Director
View Audit 401612
Finding 1214875 (2025-006)
Material Weakness 2025
County of Mono
CA
Subrecipient Monitoring
HOME Continuing Loan Compliance Similar to the CDBG loans, letters were sent out for fiscal year 2025-26 in February 2026. The County Administrative Office will give one month for responses. Return envelopes were included. For those not providing documentation, the County Administrative Office will ...
HOME Continuing Loan Compliance Similar to the CDBG loans, letters were sent out for fiscal year 2025-26 in February 2026. The County Administrative Office will give one month for responses. Return envelopes were included. For those not providing documentation, the County Administrative Office will partner with the Sheriff’s Department to deliver additional letters in person. With a Sheriff’s Deputy delivering letters in person this should pressure homeowners to provide monitoring documentation. Corrective action to begin FY 2025-26
View Audit 401604
Finding 1214873 (2025-005)
Material Weakness 2025
County of Mono
CA
Subrecipient Monitoring
CDBG Continuing Loan Compliance Letters were sent out for fiscal year 2025-26 in February 2026. The County Administrative Office will give one month for responses. Return envelopes were included. For those not providing documentation, the County Administrative Office will partner with the Sheriff’s ...
CDBG Continuing Loan Compliance Letters were sent out for fiscal year 2025-26 in February 2026. The County Administrative Office will give one month for responses. Return envelopes were included. For those not providing documentation, the County Administrative Office will partner with the Sheriff’s Department to deliver additional letters in person. With a Sheriff’s Deputy delivering letters in person this should pressure homeowners to provide monitoring documentation. Corrective action to begin FY 2025-26
View Audit 401604
Finding 1214865 (2025-003)
Material Weakness 2025
Saraland Manor, Inc.
MS
Subrecipient Monitoring Eligibility HUD Housing Programs
We agree with Finding 2025-003 and the recommendations described above. We will provide additional training to staff to ensure annual inspections are completed in a timely manner.
We agree with Finding 2025-003 and the recommendations described above. We will provide additional training to staff to ensure annual inspections are completed in a timely manner.
View Audit 401563
Finding 1214864 (2025-002)
Material Weakness 2025
Saraland Manor, Inc.
MS
Subrecipient Monitoring Eligibility HUD Housing Programs
We agree with Finding 2025-002 and the recommendations described above. We will provide additional training to staff to ensure annual recertifications are completed in a timely manner.
We agree with Finding 2025-002 and the recommendations described above. We will provide additional training to staff to ensure annual recertifications are completed in a timely manner.
View Audit 401563
Finding 1214863 (2025-004)
Material Weakness 2025
Saraland Manor, Inc.
MS
Internal Control / Segregation of Duties Subrecipient Monitoring HUD Housing Programs
We agree with Finding 2025-004 and the recommendations described above. We will work to implement additional controls over financial reporting to ensure the financials are submitted in a timely manner.
We agree with Finding 2025-004 and the recommendations described above. We will work to implement additional controls over financial reporting to ensure the financials are submitted in a timely manner.
View Audit 401563
Finding 1214780 (2025-001)
Material Weakness 2025
Sanford
SD
Subrecipient Monitoring Internal Control / Segregation of Duties Allowable Costs / Cost Principles § 200.303
As it relates to Research milestone billing for the PASC grant, procedures were revised in 2025 after the 2024 Audit. Upon receipt of invoice and payment from PASC, the Research Billing team will review and provide notification to Research Director and Research Manager via email if the invoice and p...
As it relates to Research milestone billing for the PASC grant, procedures were revised in 2025 after the 2024 Audit. Upon receipt of invoice and payment from PASC, the Research Billing team will review and provide notification to Research Director and Research Manager via email if the invoice and payment received matches to what is shown as owed in our systems. The Corrective Action Plan from the 2024 Audit was already put into place however this is a repeat finding due to the timing of the 2024 finding. Responsible Party: Stephanie Swanson, Director of Insurance Anticipated completion date: Already Complete
View Audit 401518
Finding 1214777 (2025-001)
Material Weakness 2025
Metro Towers, Inc. St. James Place
MO
HUD Housing Programs Special Tests & Provisions Procurement, Suspension & Debarment
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED DECEMBER 31, 2025 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee t...
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED DECEMBER 31, 2025 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee to prepare a corrective action plan to address each audit finding included in the current year auditor’s reports. The Corrective Action Plan for Current Year Findings present our corrective action plan for the Financial Statement and/or Federal Award Findings described in the accompanying Schedule of Findings and Questioned Costs for the period ended December 31, 2025. Finding 2025-001 Responsible Party Name: Fred Gibbs Position: President – Management Agent Telephone Number: 913-709-1811 Federal Agency U.S. Department of Housing and Urban Development Federal Program Mortgage Insurance for Purchase or Refinancing of Existing Multifamily Rental Housing (Section 207/223(F)) Compliance Requirements N – Special Tests and Provisions Finding Type Financial Statement and Federal Awards Auditee’s Comment on Finding We agree with the auditor’s finding. Corrective Action We will follow our policies and procedures to ensure that accounting records are kept accurate and complete, and a responsible official will review and sign off on the monthly financial statements. Anticipated Completion Date July 31, 2026
View Audit 401516
Finding 1214770 (2025-001)
Material Weakness 2025
Parallel Senior Villas, INC
KS
HUD Housing Programs Special Tests & Provisions Subrecipient Monitoring
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED DECEMBER 31, 2025 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee t...
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED DECEMBER 31, 2025 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee to prepare a corrective action plan to address each audit finding included in the current year auditor’s reports. The Corrective Action Plan for Current Year Findings present our corrective action plan for the Financial Statement and/or Federal Award Findings described in the accompanying Schedule of Findings and Questioned Costs for the period ended December 31, 2025. Responsible Party Name: Fred Arreguin Position: Chief Financial Officer Telephone Number: 816-561-4240 Finding 2025-001 (Material Weakness) Federal Agency U.S. Department of Housing and Urban Development Federal Program Supportive Housing for the Elderly (Section 202) Compliance Requirements N – Special Tests and Provisions Finding Type Federal Awards Auditee’s Comments on Finding We agree with the auditor’s finding. Corrective Action We performed the required repair and maintenance on the elevator issue identified during the February 23, 2026 inspection. The elevator company reinspected the elevator on April 1, 2026, and noted the issue was resolved. On April 3, 2026, we received a Certificate of Inspection that expires on February 23, 2027. Anticipated Completion Date April 3, 2026
View Audit 401507
Finding 1214767 (2025-001)
Material Weakness 2025
Northeast Texas Public Health District
TX
Internal Control / Segregation of Duties Subrecipient Monitoring Allowable Costs / Cost Principles § 200.430
Management’s Views and Corrective Action Plan: Management’s Views: Management agrees with the finding. While the hours charged to the federal programs were reasonable and supported, the lack of timely supervisory approval represents a breakdown in the District’s established internal control procedur...
Management’s Views and Corrective Action Plan: Management’s Views: Management agrees with the finding. While the hours charged to the federal programs were reasonable and supported, the lack of timely supervisory approval represents a breakdown in the District’s established internal control procedures over payroll processing. Management acknowledges the importance of ensuring that all payroll charges to federal awards are properly reviewed and approved in accordance with District policy and federal requirements. Corrective Action: The District’s Human Resource Department will verify timecard approvals on Mondays. If Monday falls on a holiday, approvals will be verified on the Friday before. Human Resources will verify that each employee has approved his or her timecard for the prior week and that the employee’s Supervisor or Director has also approved the timecard. For timecards not approved by the employee, an email will be sent to the employee and the Supervisor or Director will be included. For timecards not approved by the Supervisor or Director, an email will be sent to the Supervisor or Director requesting approval, and the CEO will be included. Prior policy did not specify actions when timecards are not approved. Responsible Party: The District’s Human Resources Director and Department Directors Implementation Date: June 1, 2026 Monitoring Procedures: The Human Resources Director will maintain documentation of the weekly review process, including any follow-up communications. Compliance with the timecard approval policy will be periodically reviewed to ensure the control is operating effectively. Any recurring issues will be communicated to executive management for further action. Monitoring procedures were not included in prior policy.
View Audit 401492
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
Management acknowledges the finding related to student eligibility and internal controls over Direct Loan aggregate limits and agrees that enhancements are necessary to ensure full compliance with federal requirements.
Management acknowledges the finding related to student eligibility and internal controls over Direct Loan aggregate limits and agrees that enhancements are necessary to ensure full compliance with federal requirements.
View Audit 401488
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
This condition relates to the prior fiscal year and occurred before centralized oversight of Financial Aid operations was established under the Business Services division in February 2026.
This condition relates to the prior fiscal year and occurred before centralized oversight of Financial Aid operations was established under the Business Services division in February 2026.
View Audit 401488
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
Corrective actions implemented and in progress include:
Corrective actions implemented and in progress include:
View Audit 401488
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
· Implementation of a formal pre-disbursement review process to verify aggregate loan limits using NSLDS data
· Implementation of a formal pre-disbursement review process to verify aggregate loan limits using NSLDS data
View Audit 401488
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
· Strengthening system validation procedures to ensure integrations and automated controls are functioning as intended
· Strengthening system validation procedures to ensure integrations and automated controls are functioning as intended
View Audit 401488
Finding 1214765 (2025-002)
Material Weakness 2025
Carolina University
NC
Student Financial Aid Subrecipient Monitoring Matching / Level of Effort / Earmarking
· Establishment of supervisory review for students approaching aggregate loan limits and higher-risk disbursements
· Establishment of supervisory review for students approaching aggregate loan limits and higher-risk disbursements
View Audit 401488
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