Corrective Action Plans

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Recommendation: Our auditors recommended the Organization to review internal controls in regards to the determination, recording, and monitoring of the sliding fee process to ensure that appropriate sliding fee rates/categories are utilized for each sliding fee encounter and that the support for the...
Recommendation: Our auditors recommended the Organization to review internal controls in regards to the determination, recording, and monitoring of the sliding fee process to ensure that appropriate sliding fee rates/categories are utilized for each sliding fee encounter and that the support for the sliding fee discounts is retained. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization recognizes the deficiency of internal controls regarding determination, recording, and monitoring of the sliding fee process from application through adjustment. The Organization has acknowledged that along with our Finance Team being new to the position for all of 2023 along with the realization that our electronic medical record was making an automatic adjustment on the Federal Poverty Level. This automatic adjustment issue has been resolved. We also reviewed the monthly adjustments and have implemented a monthly oversight process to review adjustments made to patient accounts. If the U.S. Department of Health and Human Services has questions regarding this plan, please call Tricia Lippert, Comptroller at 970-327-0537.
Finding #2024-001 Comments on Findings and Recommendation: During the year ended March 31, 2024, deposits to the reserve for replacements account were $236 less than the required amount. Management should transfer $236 from the operating account to the reserve for replacements account. Action(s) tak...
Finding #2024-001 Comments on Findings and Recommendation: During the year ended March 31, 2024, deposits to the reserve for replacements account were $236 less than the required amount. Management should transfer $236 from the operating account to the reserve for replacements account. Action(s) taken or planned on the finding: Management concurs with the finding and recommendation.
View Audit 310491 Questioned Costs: $1
The clerk has on occasion, had issues accessing the system on the last day due to heavy traffic, causing reports to be submitted late. Going forward, reports will be submitted at tleast 10 days prior to the report due date to avoid issues with connectivity.
The clerk has on occasion, had issues accessing the system on the last day due to heavy traffic, causing reports to be submitted late. Going forward, reports will be submitted at tleast 10 days prior to the report due date to avoid issues with connectivity.
Upon OSAl's recommendation, we are putting into place protocols in an official policy and procedures manual specific to all Federal Grants. With their guidance, future Federal Grants will be better documented and monitored in accordance with this policy.
Upon OSAl's recommendation, we are putting into place protocols in an official policy and procedures manual specific to all Federal Grants. With their guidance, future Federal Grants will be better documented and monitored in accordance with this policy.
Management’s Response: We had one SAMSHA grant end on 09.30.2023 which was a Project Aware grant that had to sub-recipients. We did all of the purchasing of supplies for this program the only thing the sub-recipients were responsible for was Salaries, Fringe and phone costs. This was the main thing ...
Management’s Response: We had one SAMSHA grant end on 09.30.2023 which was a Project Aware grant that had to sub-recipients. We did all of the purchasing of supplies for this program the only thing the sub-recipients were responsible for was Salaries, Fringe and phone costs. This was the main thing that we reimbursed those schools for. With the second Project Aware grant we had 3 sub-recipients and this grant started on 09/30/2021 and will end on 09/29/2026. With project we did put into place agreements that covered the duration of the grant. Each year the Project Director gave the sub-recipients that amounts of their budgets, but once again Little Wound School process all of the payments for supplies, materials, phones, travel, etc. The only things the sub-recipients had to cover was Salaries, Fringe, and utilities. Then they would submit a bill for reimbursement from Little Wound School. The Project Director and Co-Director would monitor the 3 sub-recipients to make sure they were staying in compliance with the grant.
US Department of Treasury 2023-003 American Rescue Plan Act/Coronavirus State and Local Fiscal Recovery Funds (ARPA) – Assistance Listing No. 21.027 Recommendation: We recommend the Township strengthen its internal controls over federal grant reporting by assigning responsibility for monitoring gran...
US Department of Treasury 2023-003 American Rescue Plan Act/Coronavirus State and Local Fiscal Recovery Funds (ARPA) – Assistance Listing No. 21.027 Recommendation: We recommend the Township strengthen its internal controls over federal grant reporting by assigning responsibility for monitoring grant requirements, maintaining a centralized calendar of reporting deadlines, implementing supervisory review procedures prior to report due dates, and retaining documentation evidencing the preparation, review, and submission of required reports. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Township adopted written policies and procedures governing federal funds. These policies include review of the reporting requirements of the grant upon the grant award to ensure reporting compliance and maintaining a centralized calendar of reporting deadlines. Name(s) of the contact person(s) responsible for corrective action: Timothy Tieperman, Township Manager Planned completion date for corrective action plan: June 2026
The Institute has engaged an auditor to complete the December 31, 2022, 2023, 2024, and 2025 Single Audits concurrently, and will submit each reporting package and data collection form to the Federal Audit Clearinghouse as each audit is completed. Thereafter, the Institute will complete the audit an...
The Institute has engaged an auditor to complete the December 31, 2022, 2023, 2024, and 2025 Single Audits concurrently, and will submit each reporting package and data collection form to the Federal Audit Clearinghouse as each audit is completed. Thereafter, the Institute will complete the audit and submit the reporting package within nine months after year end. Anticipated completion date: December 31, 2026. Responsible contact person: Kathy Walker, Executive Director.
Finding Number: 2023-008 Condition: The County did not have controls in place to ensure the subrecipient was paid within 30 calendar days after request for reimbursement was received. Planned Corrective Action: Chief Engineer – WRC, Evans Bantios, will review department processes regarding invoice d...
Finding Number: 2023-008 Condition: The County did not have controls in place to ensure the subrecipient was paid within 30 calendar days after request for reimbursement was received. Planned Corrective Action: Chief Engineer – WRC, Evans Bantios, will review department processes regarding invoice due dates and acquire approval documentation from the vendor if a payment is beyond the due date. Contact person responsible for corrective action: Chief Engineer – WRC, Evans Bantios Anticipated Completion Date: 06/30/2025
Finding Number 2023-006 Condition: The County did not file the required FFATA reports for CDBG subrecipients timely. Planned Corrective Action: Schedule FFATA reporting within 30 days of Cities, Villages and Township budget acceptance. Contact person responsible for corrective action: Laura Randall ...
Finding Number 2023-006 Condition: The County did not file the required FFATA reports for CDBG subrecipients timely. Planned Corrective Action: Schedule FFATA reporting within 30 days of Cities, Villages and Township budget acceptance. Contact person responsible for corrective action: Laura Randall Anticipated Completion Date: 06/17/2024
Finding 2023-004 Inadequate Internal Control over Federal Grant Reporting and Record Retention Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect During the audit, we noted that the Organization had not establis...
Finding 2023-004 Inadequate Internal Control over Federal Grant Reporting and Record Retention Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect During the audit, we noted that the Organization had not established and implemented sufficient controls over the preparation, review, submission, and retention of required federal grant reports. Specifically, the Organization could not provide sufficient documentation demonstrating that: • Financial and programmatic information in required reports was reconciled to the underlying accounting and project records; • All applicable reporting elements, including capital expenditures and contractor or subaward information, were evaluated for completeness; • Reports were reviewed and approved by appropriate personnel before certification and submission; • Reports were submitted by the applicable deadlines and evidence of submission was retained; and • Corrections or resubmissions were appropriately documented and supported. The absence of appropriately designed and implemented controls creates a reasonable possibility that materially inaccurate, incomplete, or untimely reports could be submitted, or that material noncompliance with federal reporting and record-retention requirements could occur and not be prevented, or detected and corrected, on a timely basis. Insufficient records may also prevent the Organization from substantiating reported information or demonstrating compliance during an audit, monitoring review, or other oversight. Auditor Recommendation Management should adopt written federal grant reporting procedures and implement a standardized process for preparing, reconciling, reviewing, approving, submitting, and retaining required reports. The process should address all applicable financial and programmatic reporting elements, including capital expenditures and contractor or subaward information, and should require retention of the reports, submission confirmations, supporting records, and documentation of any corrections or resubmissions for the period required by the award. Proposed Corrective Action The Organization agrees with the finding. Management will adopt written federal grant reporting and record-retention procedures, maintain a reporting calendar, and assign responsibility for preparation and review. Reported financial and programmatic information will be reconciled to the underlying accounting and project records, and a standardized checklist will be used to evaluate all applicable reporting elements. Management will document review and approval, retain evidence of timely submission, and maintain the reports, supporting records, and documentation of corrections or resubmissions in a centralized grant file for the retention period required by the award. Responsible Person: Anticipated Completion Date: June 30, 2027
Finding 2023-002 Late Submission of Single Audit Reporting Package and Data Collection Form Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect Subsequent to the original issuance of the Organization's financial ...
Finding 2023-002 Late Submission of Single Audit Reporting Package and Data Collection Form Federal award: Assistance Listing No. 21.027, Coronavirus State and Local Fiscal Recovery Funds Auditor Description of Condition and Effect Subsequent to the original issuance of the Organization's financial statements, additional expenditures of federal awards applicable to the year ended December 31, 2023, were identified. The additional expenditures caused the Organization's total federal awards expended to exceed the threshold requiring a Single Audit. Consequently, the Single Audit reporting package and data collection form were not submitted to the Federal Audit Clearinghouse by the required deadline. The additional federal expenditures were identified after the grantor clarified the period in which certain federally funded expenditures should be recognized. As a result, the Organization did not comply with the Single Audit reporting deadline, and the required audit information was not available to federal agencies and other users within the prescribed timeframe. Auditor Recommendation Management should strengthen its procedures for monitoring federal award activity, including promptly resolving questions with grantors regarding the timing and reporting of federal expenditures. Before issuing the financial statements, management should document the federal expenditures attributable to the reporting period and determine whether the total expenditures require a Single Audit. Proposed Corrective Action The Organization agrees with the finding. After the original financial statements were issued, the grantor clarified the period in which certain federally funded expenditures should be recognized. This clarification caused additional federal expenditures to be reported for 2023 and resulted in the Organization exceeding the Single Audit threshold after the original submission deadline. The 2023 reporting package and data collection form are expected to be submitted by September 10, 2026. Management will implement an annual federal awards closeout process that reconciles grant activity, resolves expenditure-recognition and cutoff questions with grantors, documents the federal expenditures attributable to the fiscal year, and evaluates the Single Audit threshold before the applicable filing deadline. Responsible Person: Anticipated Completion Date: September 10, 2026
Corrective Action Plan 2023 – 007 FINDING 2023-007 Contact Person Responsible for Corrective Action: Kevin Beaver, Clerk – Treasurer Contact Phone Number and Email Address: Ph. 812-533-1053 Kevin.Beaver@westterrehautein.gov Views of Responsible Officials: We Concur with the SBOA Findings Finding Sub...
Corrective Action Plan 2023 – 007 FINDING 2023-007 Contact Person Responsible for Corrective Action: Kevin Beaver, Clerk – Treasurer Contact Phone Number and Email Address: Ph. 812-533-1053 Kevin.Beaver@westterrehautein.gov Views of Responsible Officials: We Concur with the SBOA Findings Finding Subject: Scope Limitation Corrective Action Plan 1. Establish Formal SEFA Preparation Procedures The Clerk-Treasurer will develop and implement written procedures for the preparation and review of the Schedule of Expenditures of Federal Awards. Procedures will require: • Identification of all federal awards received during the year. • Verification of applicable Assistance Listing Numbers (ALNs). • Documentation supporting all reported expenditures. • Completion of a SEFA preparation checklist before submission. 2. Create and Maintain a Federal Awards Inventory The Town will establish a centralized listing of all federal awards received. The inventory will include: • Federal agency • Program name • Assistance Listing Number (ALN) • Grant period • Award amount • Annual expenditures • Pass-through entity information, when applicable The inventory will be reviewed and updated monthly. 3. Implement Reconciliation Procedures for Federal Expenditures Prior to preparation of the AFR and SEFA, federal expenditures will be reconciled to: • General ledger accounts • Grant reimbursement requests • Supporting grant documentation • Cash drawdowns and receipts Any discrepancies identified during the reconciliation process will be investigated and resolved before submission. 4. Implement Independent Review Controls An independent review of the SEFA will be performed before submission. The review will verify: • Completeness of all federal programs. • Accuracy of reported expenditures. • Correct Assistance Listing Numbers. • Agreement of reported amounts to support records and reconciliations. Evidence of review will be documented through a monthly signed and dated review checklist. 5. Strengthen Grant Documentation and Record Retention The Town will maintain separate grant files for each federal program containing: • Award agreements • Amendments • Reimbursement requests • Financial reports • Supporting expenditure documentation • Correspondence with grantor agencies Records will be maintained in accordance with federal and state retention requirements. 6. Establish Ongoing Monitoring Procedures The Town will perform monthly reviews of federal grant activity to ensure expenditures are properly recorded and reported. Monitoring procedures will include: • Review of grant expenditures by program. • Verification of ALN assignments. • Review of grant balances and reimbursement activity. • Follow-up and correction of identified issues. Results of quarterly reviews will be documented and retained. Quarterly monitoring reports Responsible Party: Clerk – Treasurer and Town Council President. Completion Date: immediate first steps, March 3, 2027, for full implementation. _____________________________ Kevin Beaver, Clerk – Treasurer
Actions Planned – The City has strengthened internal controls over grant management by implementing enhanced processes and oversight. Duties have been assigned to staff that include maintaining a comprehensive and up to date list of all City grants. This individual is responsible for managing a cent...
Actions Planned – The City has strengthened internal controls over grant management by implementing enhanced processes and oversight. Duties have been assigned to staff that include maintaining a comprehensive and up to date list of all City grants. This individual is responsible for managing a centralized spreadsheet that includes grant documents, funding amounts, key requirements, and other supporting information. Grant documents are reviewed including for indication of federal funding. Minutes of the City Council and Economic Development Authority are reviewed and tied to the spreadsheet. Bank deposits are reviewed daily to identify any grant-related receipts. The spreadsheet is reviewed and updated frequently to ensure accuracy and completeness. These actions bolster the City’s ability to track grant activity, ensure compliance, and prevent future occurrences related to the audit finding. Official Responsible – Jason Zimmerman, Finance Director Planned Completion Date – June 30, 2025 Disagreement With or Explanation of Finding – The City agrees with this finding. Plan to Monitor – The City’s grant spreadsheet is reviewed quarterly and used as a workpaper to bring together information for the annual financial audit. Grant documents are reviewed by Finance for terms including federal ALN numbers, or any indication of the City being a subrecipient. Daily bank receipts are reconciled to the bank and tied out on a daily report.
2023-010 Reporting - Title I, Impact Aid and ESSER Grants - Repeat Finding Individual responsible: Business Manager and Federal Grants Director Anticipated completion date: FY 2026 Corrective action plan: At this point in time the ESSER funds are no longer available, so there will not be any other d...
2023-010 Reporting - Title I, Impact Aid and ESSER Grants - Repeat Finding Individual responsible: Business Manager and Federal Grants Director Anticipated completion date: FY 2026 Corrective action plan: At this point in time the ESSER funds are no longer available, so there will not be any other documentation going forward. However, with other grants the processes have changed. Since FY 2022 an accounting firm was hired to catch the school district up on grant requests. This accountant requested funds on a quarterly basis. On July 1, 2025, the District hired a Federal Grants director to work with the Business Manager to complete the grant catch up process and to create a system that documents each expenditure and timing of the requests. Once the system is in place cash requests will be completed monthly.
2023-009 Unsupported Expenditures - Title I, Impact Aid, and ESSER Grants - Repeat Finding Individual responsible: Business Manger and Federal Grants Director Anticipated completion date: FY 2026 Corrective action plan: The District acknowledges the deficiencies in documentation and reporting for fe...
2023-009 Unsupported Expenditures - Title I, Impact Aid, and ESSER Grants - Repeat Finding Individual responsible: Business Manger and Federal Grants Director Anticipated completion date: FY 2026 Corrective action plan: The District acknowledges the deficiencies in documentation and reporting for federal grant expenditures. At this time, ESSER funds are no longer available; therefore, additional supporting documentation for those programs will not be developed. However, the District has implemented corrective actions to imporve processes over other federal programs going forward. Since fiscal year 2022, the District engaged an external accounting firm to assist with grant reporting and cash request processes. This firm implemented a process to request funds on a quarterly basis and assisted in organizing available grant information. Effective July 1, 2025, the District hired a Federal Grants Director to work in cordination with the Business Manager to complete the grant reconciliation process and implement formal procedures for tracking grant expenditures and cash requests. These procedures include maintaining documentation for each expenditure, tracking the timing and support for drawdowns, and ensuring that all activity is properly recorded and supported. Upon full implementation of these procedures, the Distirct will transition to submitting cash requests on a monthly basis and maintaining complete and accessible documentation to support all reported amounts. The District expects these improvements to resolve the finding for current and future federal programs.
Significant Deficiency Finding No. 2023-006: Procurement U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria Pursuant to the Uniform Guidance, ...
Significant Deficiency Finding No. 2023-006: Procurement U.S. Department of Housing and Urban Development Passed Through the State of Hawaii Department of Human Services Emergency Solutions Grant Program Coronavirus Federal Assistance Listing Number 14.231 Criteria Pursuant to the Uniform Guidance, a non-Federal entity, including subrecipients of a State, must have and use documented procurement standards that conform to the procurement standards of §200.318 through §200.327 of the Uniform Guidance. Condition We noted that KMNH did not adopt procurement standards compliant with sections §200.318 through §200.327 of the Uniform Guidance. Cause Management had not updated its policies and procedures to incorporate the relevant Uniform Guidance procurement standards. Effect The lack of the procurement standards consistent with the Uniform Guidance could result in a material misstatement of KMNH’s expenditures as reported in the statement of expenditures of federal awards. Identification of a Repeat Finding This finding was reported as a federal award finding in the immediate previous audit as Finding No. 2022- 004. Recommendation We again recommend that KMNH incorporate §200.318 through §200.327 of the Uniform Guidance procurement standards to their policies and procedures manual to ensure compliance with Federal standards. Corrective Action Responsible Party: Director of Operations KMNH agrees with the finding and recommendation and effective on April 26, 2024 has implemented procurement standards per the Uniform Guidance.
Finding 2023-002: For the year ended December 31, 2023, the Corporation did not submit the Data Collection Form to the Federal Audit Clearinghouse in the time period required by Uniform Guidance due to the nondisclosure of the 51% ownership interest in Star Apartments, LLC. The original Data Collect...
Finding 2023-002: For the year ended December 31, 2023, the Corporation did not submit the Data Collection Form to the Federal Audit Clearinghouse in the time period required by Uniform Guidance due to the nondisclosure of the 51% ownership interest in Star Apartments, LLC. The original Data Collection Form that was submitted omitted the HOME Investment Partnerships Program as a major program, and Wood Utilization Assistance as a federal award since Star Apartments, LLC was not included in the Corporation's financial statements. Comments on the Finding and Each Recommendation: The Corporation should submit the Data Collection Form to the Federal Audit Clearinghouse within the required time period. Management agrees with the finding and agrees with the auditor's recommendation. Action(s) Taken or Planned on the Finding: The Data Collection Form was submitted to the Federal Audit Clearinghouse, no further action is required.
o Develop a formal audit and compliance reporting calendar. o Identify all federal reporting deadlines and required submissions. o Assign responsibility for monitoring reporting deadlines. o Conduct periodic status meetings with finance staff and auditors. o Monitor audit progress regularly to ident...
o Develop a formal audit and compliance reporting calendar. o Identify all federal reporting deadlines and required submissions. o Assign responsibility for monitoring reporting deadlines. o Conduct periodic status meetings with finance staff and auditors. o Monitor audit progress regularly to identify and address delays. o Establish internal deadlines in advance of federal reporting due dates.
o Verify vendor and contractor eligibility through SAM.gov prior to contract award. o Perform periodic reviews of vendor eligibility throughout the contract period. o Maintain documentation of suspension and debarment checks within procurement files. o Incorporate suspension and debarment verificati...
o Verify vendor and contractor eligibility through SAM.gov prior to contract award. o Perform periodic reviews of vendor eligibility throughout the contract period. o Maintain documentation of suspension and debarment checks within procurement files. o Incorporate suspension and debarment verification into procurement approval procedures. o Provide staff training regarding federal procurement requirements.
Finding #2023-001: Management is responsible for ensuring compliance with certain provisions of laws, regulations, contracts, and grant agreements. An ongoing investigation by a state agency on the WIOA program for the 2020, 2021 and 2022 program years has alleged the Organization operated without a...
Finding #2023-001: Management is responsible for ensuring compliance with certain provisions of laws, regulations, contracts, and grant agreements. An ongoing investigation by a state agency on the WIOA program for the 2020, 2021 and 2022 program years has alleged the Organization operated without a legally binding agreement for operator services for more than 10 months after the expiration of the previous contract. In addition, there was not sufficient documentation to support the allocation basis of certain expenditures charged to WIOA. Response: Management acknowledges and accepts the finding and recommendation. Management will work to ensure proper policies and procedures are established and followed to ensure future reporting under the appropriate guidance by December 31, 2026.
(Noncompliance) Uniform Guidance Written Policies/Procedures Condition: While the Center had informal policies and procedures surrounding the administration of its federal programs, these policies and procedures had not been formally documented in written form to ensure compliance with the areas of ...
(Noncompliance) Uniform Guidance Written Policies/Procedures Condition: While the Center had informal policies and procedures surrounding the administration of its federal programs, these policies and procedures had not been formally documented in written form to ensure compliance with the areas of allowability of costs, cash management, or procurement as required under the Uniform Guidance. Corrective Action Planned: The Center will prepare and formally adopt written policies and procedures addressing allowability of costs, cash management, procurement, and subrecipient monitoring, in accordance with 2 CFR Part 200 (Uniform Guidance). These policies will be reviewed by the Board of Directors and incorporated into the Center's standard operating procedures for all current and future federal awards. Name(s) of Contact Person(s) Responsible for Corrective Action: Stephanie Desaulniers, Executive Director; Covation Center Board of Directors Anticipated Completion Date: December 31, 2026
Incomplete Documentation – Material Weakness Condition: During testing of the Center's activities, one (1) of the nine (9) disbursements selected for testing did not have an application checklist that was reviewed and approved prior to awarding and disbursement of funds. Corrective Action Planned: T...
Incomplete Documentation – Material Weakness Condition: During testing of the Center's activities, one (1) of the nine (9) disbursements selected for testing did not have an application checklist that was reviewed and approved prior to awarding and disbursement of funds. Corrective Action Planned: The Center will implement a standardized pre-disbursement checklist for all award applications, requiring that the checklist be fully completed, reviewed, and signed by an authorized reviewer before any funds are awarded or disbursed. No disbursement will be processed without a completed checklist on file. This step will be incorporated into the Center's written internal control procedures. Name(s) of Contact Person(s) Responsible for Corrective Action: Kendy Alvarez, Grant Program Manager; Stephanie Desaulniers, Executive Director Anticipated Completion Date: December 31, 2026
Segregation of Duties – Material Weakness Condition: The responsibility for performance of certain accounting duties, principally as related to review and approval of the award application and eligibility criteria, was vested in a limited number of employees wherein there was also a familial relatio...
Segregation of Duties – Material Weakness Condition: The responsibility for performance of certain accounting duties, principally as related to review and approval of the award application and eligibility criteria, was vested in a limited number of employees wherein there was also a familial relationship amongst individuals overseeing the program, such that there was an overall lack of segregation of duties. Corrective Action Planned: Effective August 1, 2026, Covation Center completed a planned leadership transition: the Center's founder, who was previously involved in program oversight alongside a family member, has fully departed the organization and holds no ongoing role, formal or advisory, in the review or approval of CDBG program awards. Going forward, review and approval of grant applications and eligibility determinations will require sign-off from at least two unrelated individuals, with the Board of Directors (or a designated Board committee) providing independent oversight of program activity. The Center will formally document this approval workflow as part of its written program procedures (see response to Finding 2023-003). Name(s) of Contact Person(s) Responsible for Corrective Action: Stephanie Desaulniers, Executive Director; Covation Center Board of Directors Anticipated Completion Date: Implemented August 1, 2026; formal documentation of the workflow to be completed by December 31, 2026.
Subrecipient Monitoring – Material Noncompliance and Material Weakness in Internal Control Over Compliance Corrective Action Plan: The Municipality has begun implementing standardized subrecipient monitoring procedures, including documented risk assessments, monitoring protocols, supervisory review,...
Subrecipient Monitoring – Material Noncompliance and Material Weakness in Internal Control Over Compliance Corrective Action Plan: The Municipality has begun implementing standardized subrecipient monitoring procedures, including documented risk assessments, monitoring protocols, supervisory review, and enhanced oversight to strengthen compliance with Uniform Guidance requirements. Management will evaluate the effectiveness of these controls through completion of a full audit cycle. Anticipated Completion Date June 30, 2027
Fiscal Year Ended June 30, 2023 CFDA: 93.297 Federal Awarding Agency: U.S. Department of Health and Human Services Federal Program Title: Reproductive Education to Achieve Community Health (Project REACH) Teenage Pregnancy Prevention Program Finding: FFATA Reporting Finding No. 2023-001 Audit Findin...
Fiscal Year Ended June 30, 2023 CFDA: 93.297 Federal Awarding Agency: U.S. Department of Health and Human Services Federal Program Title: Reproductive Education to Achieve Community Health (Project REACH) Teenage Pregnancy Prevention Program Finding: FFATA Reporting Finding No. 2023-001 Audit Finding The audit identified incomplete Federal Funding Accountability and Transparency Act (FFATA) reporting. Required data elements were omitted from one or more FFATA submissions because of deficiencies in the organization’s internal reporting process. Root Cause The organization determined that the missing FFATA data resulted from an internal process gap. Existing procedures did not include adequate controls to ensure that all required FFATA data elements were identified, reviewed, and verified prior to submission. Roles and responsibilities for collecting and validating reporting information were not sufficiently documented. Corrective Action Planned The organization will implement the following corrective actions: 1. Review all affected federal awards to identify incomplete or missing FFATA data. 2. Correct and submit all outstanding FFATA reports in accordance with federal reporting requirements. 3. Develop and implement written FFATA reporting procedures that define: o Required data elements. o Reporting timelines. o Staff responsibilities. o Review and approval requirements. 4. Implement a standardized FFATA reporting checklist to verify completeness and accuracy before each submission. 5. Provide training to employees responsible for FFATA reporting on applicable requirements and internal procedures. 6. Establish supervisory review and approval of all FFATA submissions before they are finalized. 7. Incorporate periodic internal monitoring to verify continued compliance and identify any reporting deficiencies promptly. Anticipated Completion Date All corrective actions will be implemented within 90 days of acceptance of this Corrective Action Plan unless otherwise directed by the federal awarding agency or pass-through entity. Responsible Official Responsible Position: Janice Slaughter, Finance Officer The responsible official will oversee implementation of the corrective actions, monitor progress, verify completion, and maintain documentation supporting compliance. Status of Prior Corrective Actions This is a new finding. No prior corrective action plan exists for this issue. Monitoring and Internal Control Improvements Management will monitor implementation of the corrective actions through periodic internal reviews, documented supervisory approvals, and annual evaluations of FFATA reporting procedures. Any deficiencies identified through monitoring will be addressed promptly through additional corrective actions and staff training. Expected Outcome Implementation of these corrective actions will result in complete, accurate, and timely FFATA reporting, strengthened internal controls over federal reporting, and reduced risk of future noncompliance.
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