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Corrective Action Plans

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Finding 7805 (2023-004)
Significant Deficiency 2023
Town of Westport, Conencticut
CT
Procurement, Suspension & Debarment Subrecipient Monitoring Significant Deficiency
United States Department of the Education 2023-004 Special Education Cluster – AL No. 84.027/84.173 Recommendation: We recommend that the BOE policies be updated to include that vendors will be reviewed to ensure they are not suspended and debarred. Explanation of disagreement with audit finding...
United States Department of the Education 2023-004 Special Education Cluster – AL No. 84.027/84.173 Recommendation: We recommend that the BOE policies be updated to include that vendors will be reviewed to ensure they are not suspended and debarred. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with this finding. Management further notes that a policy will be put in place to review all vendors through the Sam website to verify that the vendor has not been debarred or ineligible from receiving Federal Government funds. The of the contact person responsible for corrective action: Elio Longo Planned completion date for corrective action plan: June 30, 2024.
View Audit 10136
Finding 7802 (2023-003)
Significant Deficiency 2023
Town of Westport, Conencticut
CT
Procurement, Suspension & Debarment Subrecipient Monitoring Significant Deficiency
United States Department of the Treasury 2023-003 COVID-19 American Rescue Plan Act Local Fiscal Recovery – AL No. 21.027 United States Department of Transportation 2023-003 Highway Planning and Construction – AL No. 21.205 Recommendation: We recommend that the policies be updated to include t...
United States Department of the Treasury 2023-003 COVID-19 American Rescue Plan Act Local Fiscal Recovery – AL No. 21.027 United States Department of Transportation 2023-003 Highway Planning and Construction – AL No. 21.205 Recommendation: We recommend that the policies be updated to include that vendors will be reviewed to ensure they are not suspended and debarred. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with this finding. Management further notes that a policy was put in place in March 2023 to review all vendors through the Sam website to verify that the vendor has not been debarred or ineligible from receiving Federal Government funds. Name of the contact person responsible for corrective action: Sheila Carey
View Audit 10136
Finding 7781 (2023-002)
Significant Deficiency 2023
Harry S. Truman Community Development Corporation
MO
Subrecipient Monitoring Significant Deficiency
2023-02 Recommendation: The Organization should review its transactions invoiced but not paid prior to year-end in order to properly record accrued liabilities. Corrective Action Planned: We acknowledge that there is currently not a sufficient process in place to ensure that accounts payable...
2023-02 Recommendation: The Organization should review its transactions invoiced but not paid prior to year-end in order to properly record accrued liabilities. Corrective Action Planned: We acknowledge that there is currently not a sufficient process in place to ensure that accounts payable and accrued expenses are properly recorded. A policy will be implemented to review the accounting records to ensure that accounts payable and accrued expenses are properly recorded now that the Organizations has staff and an outsourced accounting firm with the knowledge and skills to fulfill this need. Implementation Date: The entity will adopt a policy to review expenses invoiced but not yet paid to determine what amounts need to be accrued to ensure proper treatment of activity. This will be implemented by the entity by December 31, 2024.
View Audit 10117
Finding 7780 (2023-001)
Material Weakness 2023
Harry S. Truman Community Development Corporation
MO
Subrecipient Monitoring Material Weakness
2023-01 Recommendation: The Organization review its transactions for repairs and maintenance and obtain the fixed assets depreciation schedule in order to properly record capital improvement and depreciation transactions. Corrective Action Planned: We acknowledge that there is currently no...
2023-01 Recommendation: The Organization review its transactions for repairs and maintenance and obtain the fixed assets depreciation schedule in order to properly record capital improvement and depreciation transactions. Corrective Action Planned: We acknowledge that there is currently not a sufficient process in place to ensure that capital expenditures and depreciation are properly recorded. A policy will be implemented to review the accounting records to ensure that capital expenditures and depreciation are properly recorded now that the Organizations has staff and an outsourced accounting firm with the knowledge and skills to fulfill this need. Implementation Date: This action plan is for the entity to adopt a policy to review repairs and maintenance activity on a regular basis to determine what amounts need to be capitalized as a fixed asset to ensure proper treatment of activity.. This will be implemented by the entity by December 31 2024.
View Audit 10117
Thornton Fractional Township High School District No. 215
IL
Reporting Subrecipient Monitoring
Condition: The School District did not comply with the requirements of filing one quarterly report by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/30/2...
Condition: The School District did not comply with the requirements of filing one quarterly report by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/30/2024. Name of Contact Person: John Robinzine, Interim Superintendent. Management Response: The District will work with staff and review the reporting deadlines so reports moving forward are filed in a timely manner by the due dates.
View Audit 10114
Finding 7693 (2023-002)
Significant Deficiency 2023
Fremont County School District #1
WY
Subrecipient Monitoring Reporting Internal Control / Segregation of Duties
Name of Contact Person Travis Sweeney, SFO Business Manager Corrective Action In the future, no matter how many different individuals are collecting data for reporting, all supporting documentation will be retained by Business Office personnel and kept in the audit file. Proposed Completion Dat...
Name of Contact Person Travis Sweeney, SFO Business Manager Corrective Action In the future, no matter how many different individuals are collecting data for reporting, all supporting documentation will be retained by Business Office personnel and kept in the audit file. Proposed Completion Date Fiscal year ended June 30, 2024
View Audit 10031
Calumet City School District 155
IL
Reporting Subrecipient Monitoring
Condition: School District did not comply with the requirements of filing period and quarterly reports by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/...
Condition: School District did not comply with the requirements of filing period and quarterly reports by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/30/2024. Name of Contact Person: Joe Zotto, Superintendent. Management Response: Management will work together with staff to verify that reporting deadlines are met moving forward.
View Audit 10020
Calumet City School District 155
IL
Reporting Subrecipient Monitoring
Condition: School District did not comply with the requirements of filing period and quarterly reports by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/...
Condition: School District did not comply with the requirements of filing period and quarterly reports by the due date set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: 6/30/2024. Name of Contact Person: Joe Zotto, Superintendent. Management Response: Management will work together with staff to verify that reporting deadlines are met moving forward.
View Audit 10020
Finding 7629 (2023-003)
Significant Deficiency 2023
Ferndale Area School District
PA
Internal Control / Segregation of Duties Subrecipient Monitoring Cash Management
Nutrition Cluster – CFDA Nos. 10.553 and 10.555 Significant Deficiency: See Finding 2023-002
Nutrition Cluster – CFDA Nos. 10.553 and 10.555 Significant Deficiency: See Finding 2023-002
View Audit 10014
Cook County School District 130
IL
Reporting Subrecipient Monitoring
Condition: The School District did not comply with the requirements of filing period reports by the due dates set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: June 30, 2...
Condition: The School District did not comply with the requirements of filing period reports by the due dates set by ISBE. Plan: Management will review its policies and procedures and implement changes to strengthen internal control over federal reporting. Anticipated Date of Completion: June 30, 2024. Name of Contact Person: Colleen McKay, Superintendent. Management Response: The District will review the reporting deadlines and file reports moving forward on a timely manner by the due dates.
View Audit 9995
Finding 7598 (2023-001)
Significant Deficiency 2023
Ozarks Resource Group D/b/a Ozarks Community Health Center
MO
Subrecipient Monitoring Eligibility HUD Housing Programs
Corrective Action Plan Year Ended May 31, 2023 To United States Department of Health and Human Services Ozarks Community Health Center respectfully submits the following corrective action plan for the year ended May 31, 2023. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: ...
Corrective Action Plan Year Ended May 31, 2023 To United States Department of Health and Human Services Ozarks Community Health Center respectfully submits the following corrective action plan for the year ended May 31, 2023. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: May 31, 2023 The findings from the May 31, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Financial Statement Findings: Finding 2023.001 - Sliding Fee Scale Documentation Recommendation The Organization should ensure that internal controls are in place to effectively ensure that patients receive the correct sliding fee discounts. Action Taken Beginning June 1, 2023, management has… If there are any question regarding this plan, please e-mail Lindsay Pearson at lindsay.pearson@ozarkschc.com. Sincerely, Lindsay Pearson Chief Financial Officer
View Audit 9941
City of Buffalo Section 8 Housing Assistance Payments Program Ny409
NY
Subrecipient Monitoring HUD Housing Programs Reporting
The City was unaware of the FFATA reporting requirements. As a result of this finding, we have reached out to HUD to obtain reporting instructions and have begun the process of gathering subrecipient information necessary for reporting. As soon as all pertinent information has been gathered, the Off...
The City was unaware of the FFATA reporting requirements. As a result of this finding, we have reached out to HUD to obtain reporting instructions and have begun the process of gathering subrecipient information necessary for reporting. As soon as all pertinent information has been gathered, the Office of Strategic Planning will begin filing all past due reports until we become current.
View Audit 9889
Finding 7516 (2023-003)
Material Weakness 2023
Platte Health Center
SD
Subrecipient Monitoring Material Weakness Matching / Level of Effort / Earmarking § 200.303
Single Audit Finding 2023-003 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 Finding Summary: The Health Center does not have controls in place to ensure compliance with the requirements as th...
Single Audit Finding 2023-003 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 Finding Summary: The Health Center does not have controls in place to ensure compliance with the requirements as they have not been calculating or monitoring the required debt ratios. The Health Center was relying on annual calculations performed by the Eide Bailly audit team. Responsible Individuals: Vicki Jensen, Chief Financial Officer Corrective Action Plan: Platte Health Center will perform debt service ratio and working capital calculations and implement a review process over the calculations as part of their year-end close process to ensure all covenants of the loan are met. Anticipated Completion Date: June 30, 2024
View Audit 9749
Austin College
CO
Subrecipient Monitoring
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Austin College has employed GreyCastle Securities to fill our vCISO requirement and completed a Risk Assessment on November 16th. We have scheduled a Penetration Test with our vCISO for early Spring. Once the Penetration testing and...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Austin College has employed GreyCastle Securities to fill our vCISO requirement and completed a Risk Assessment on November 16th. We have scheduled a Penetration Test with our vCISO for early Spring. Once the Penetration testing and reporting have been completed, we will be presenting to the Board of Trustees in the last academic year meeting, which will be our practice moving forward. We are currently working with GreyCastle to address other policy and vendor management services with some quotes in hand and being reviewed. Policies such as Incident Response and Information Security Policies have been completed. Additionally, we are working to create Contingency Planning and Processes as well as a disaster recovery site. Most of these items are planned to complete much earlier than June 1st, 2024, but our last Trustee meeting isn’t until May when we’ll present academic year findings. Person Responsible for Corrective Action Plan: Garrett Hubbard – Director of Information Technology Anticipated Date of Completion: June 1st, 2024
View Audit 9676
Finding 7476 (2023-003)
Material Weakness 2023
Harris-Stowe State University
MO
Subrecipient Monitoring Eligibility Material Weakness
Finding 2023-003 Personnel Responsible for Corrective Action: Executive Director of the TRIO Program – Jasmine Lewis Anticipated Completion Date: June 2024 Corrective Action Plan: The TRIO Division at the University has established a procedure that involves the Directors and Coordinators for ea...
Finding 2023-003 Personnel Responsible for Corrective Action: Executive Director of the TRIO Program – Jasmine Lewis Anticipated Completion Date: June 2024 Corrective Action Plan: The TRIO Division at the University has established a procedure that involves the Directors and Coordinators for each program (Educational Talent Search, Upward Bound, and Student Support Services). In this process, TRIO staff compile eligibility files that contain documents used to assess student participant eligibility and the services they receive within their respective programs. Once students have completed all the required forms outlined in the checklist, Educational Advisors determine the student's eligibility for the program. After confirming eligibility and ensuring that the file is complete, it is then sent to the Executive Director of the TRIO for a second review to verify accuracy. At the end of each grant year, the Executive Director will seek the assistance of a third-party entity to conduct an external review to ensure the program's compliance.
View Audit 9669
Finding 7471 (2023-006)
Significant Deficiency 2023
Harris-Stowe State University
MO
Student Financial Aid Matching / Level of Effort / Earmarking Subrecipient Monitoring
Finding 2023-006 Personnel Responsible for Corrective Action: Registrar – Yolanda Kenton Anticipated Completion Date: December 2023 Corrective Action Plan: The University filled the Registrar position which had been vacant for 6 months. In addition, the Registrar’s Office implemented a control...
Finding 2023-006 Personnel Responsible for Corrective Action: Registrar – Yolanda Kenton Anticipated Completion Date: December 2023 Corrective Action Plan: The University filled the Registrar position which had been vacant for 6 months. In addition, the Registrar’s Office implemented a control that includes running a monthly enrollment status report allowing for changes to be reported within the 60 day window. The current Registrar has also done Registrar training with the American Association of Collegiate Registrars and Admissions Officers (AACRAO).
View Audit 9669
Finding 7410 (2023-003)
Significant Deficiency 2023
Thomas More University
KY
Student Financial Aid Subrecipient Monitoring Significant Deficiency
Prior to the student information system transition, regular monitoring of the return of funds took place for Direct Loans, specifically for the returns associated with R2T4 calculations. During the transition, this process was not immediately replaced. It was noted during the audit cycle that issues...
Prior to the student information system transition, regular monitoring of the return of funds took place for Direct Loans, specifically for the returns associated with R2T4 calculations. During the transition, this process was not immediately replaced. It was noted during the audit cycle that issues existed within the new system related to returning funds and tickets were submitted to Jenzabar about the issues, specifically raising concerns about the timing of returns. Not all returns were being picked up by the process that collects the returns and sends them in batches to COD. Adjustments have been made to the system and testing has shown that all of the returns are being picked up now. The Financial Aid Office is also regularly monitoring returns again, similar to the process prior to the transition, and we are now monitoring both Direct Loan and Pell grant returns. This process is managed by an Excel spreadsheet of all Direct Loan and Pell grant returns that have been made in JFA. Any time a return of a Direct Loan or Pell grant is made in JFA, the return is added to the spreadsheet. A Financial Aid Counselor has a regular reminder on their calendar once per week to monitor each return to ensure that the full return process has taken place through COD and that the funds have been returned timely. Anticipated Completion Date: October 1, 2023
View Audit 9556
Finding 7401 (2023-002)
Significant Deficiency 2023
Louisiana Housing Corporation
LA
Subrecipient Monitoring Eligibility Reporting
The Corporation (LHC) acknowledges that sub-recipient monitoring for the LIHWAP program was not performed within the fiscal year ending 2023 as stated in the Federal FY2023 Model Plan submitted to the Department of Health and Human Services (DHHS). Lauren Holmes, the Energy Assistance Administrator,...
The Corporation (LHC) acknowledges that sub-recipient monitoring for the LIHWAP program was not performed within the fiscal year ending 2023 as stated in the Federal FY2023 Model Plan submitted to the Department of Health and Human Services (DHHS). Lauren Holmes, the Energy Assistance Administrator, is responsible for overseeing the corrective action plan and the Energy Assistance Department resumed monitoring of all sub-recipients in those respective programs beginning in September 6, 2023 as stated in the Federal 2024 Model Plan accepted by DHHS. LHC would like to additionally note that the 2023 federal fiscal year is still open and alternate methods of sub-recipient monitoring have taken place aside from on-site visits i.e. budget tracking, desk monitoring and multi-level invoice review. 45 CFR Subpart E allows for States to determine all methods of monitoring.
View Audit 9537
Finding 7400 (2023-001)
Significant Deficiency 2023
Louisiana Housing Corporation
LA
Subrecipient Monitoring Eligibility Reporting
The Corporation (LHC) acknowledges that sub-recipient monitoring for the LIHEAP program was not performed within the fiscal year ending 2023 as stated in the Federal FY2023 Model Plan submitted to the Department of Health and Human Services (DHHS). Lauren Holmes, the Energy Assistance Administrator,...
The Corporation (LHC) acknowledges that sub-recipient monitoring for the LIHEAP program was not performed within the fiscal year ending 2023 as stated in the Federal FY2023 Model Plan submitted to the Department of Health and Human Services (DHHS). Lauren Holmes, the Energy Assistance Administrator, is responsible for overseeing the corrective action plan and the Energy Assistance Department resumed monitoring of all sub-recipients in those respective programs beginning in September 6, 2023 as stated in the Federal 2024 Model Plan accepted by DHHS. LHC would like to additionally note that the 2023 federal fiscal year is still open and alternate methods of sub-recipient monitoring have taken place aside from on-site visits i.e. budget tracking, desk monitoring and multi-level invoice review. 45 CFR Subpart E allows for States to determine all methods of monitoring.
View Audit 9537
Finding 7392 (2023-002)
Material Weakness 2023
Douglas County, Nv
NV
Subrecipient Monitoring Matching / Level of Effort / Earmarking Material Weakness § 200.303 § 200.329
Finding 2023-002 Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Financial Assistance Listing: 21.027 Federal Agency: U.S. Department of the Treasury Passed-through: N/A Award Year: 2022-2023 Compliance Requirement: Reporting Grant Award Number: Applies to all awards wi...
Finding 2023-002 Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Financial Assistance Listing: 21.027 Federal Agency: U.S. Department of the Treasury Passed-through: N/A Award Year: 2022-2023 Compliance Requirement: Reporting Grant Award Number: Applies to all awards with findings and no specific grant award. Type of Finding: Material Instance of Noncompliance, Material Weakness in Internal Controls over Compliance Management’s Response: We concur. Views of Responsible Officials and Corrective Action: Management agrees with the finding and understands the importance of properly reporting federal and will institute a multi-step review system before such reporting is finalized and submitted. Name of Responsible Person: Terri Willoughby, CFO Name of Department Contact: Finance Projected Implementation Date: January 1, 2024
View Audit 9528
Finding 7304 (2023-001)
Significant Deficiency 2023
Deckerville Community Schools
MI
School Nutrition Programs Subrecipient Monitoring Cash Management
District Contact Person: Marsha Taylor, Business Manager Finding – Federal Award Finding and Question Cost Finding 2023-001 – Considered a significant deficiency Recommendation: The District should verify that all required components of meal applications are completed fully and accurately and that i...
District Contact Person: Marsha Taylor, Business Manager Finding – Federal Award Finding and Question Cost Finding 2023-001 – Considered a significant deficiency Recommendation: The District should verify that all required components of meal applications are completed fully and accurately and that income eligibility is recalculated accurately prior to approval. Action to be taken: The District concurs with the facts of this finding and will verify that all income eligibility is recalculated accurately prior to approval.
View Audit 9477
City of Marlborough
MA
Subrecipient Monitoring Reporting § 200.1
Condition: Obligations were overstated by $9,341,064 on the June 30, 2023 Project and Expenditure report. Corrective Action Planned: Only obligated expenditures that meet the Federal criteria will be reported on the Project and Expenditure Report. Anticipated Completion Date: January 2024 when ...
Condition: Obligations were overstated by $9,341,064 on the June 30, 2023 Project and Expenditure report. Corrective Action Planned: Only obligated expenditures that meet the Federal criteria will be reported on the Project and Expenditure Report. Anticipated Completion Date: January 2024 when the Project and Expenditure Report for Q4 2023 is due Contact: Diane Smith, City Auditor
View Audit 9456
Finding 7272 (2023-001)
Significant Deficiency 2023
Lighthouse Central Florida, Inc.
FL
Subrecipient Monitoring Reporting Significant Deficiency
U.S. Department of Housing and Urban Development Lighthouse Central Florida, Inc. and Lighthouse Works!, Inc. (collectively, the Organization) respectfully submits the following corrective action plan for the year ended September 30, 2023. Audit period: October 1, 2022 – September 30, 2023 The fi...
U.S. Department of Housing and Urban Development Lighthouse Central Florida, Inc. and Lighthouse Works!, Inc. (collectively, the Organization) respectfully submits the following corrective action plan for the year ended September 30, 2023. Audit period: October 1, 2022 – September 30, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDIT U.S. Department of Housing and Urban Development Community Development Block Grants – Assistance Listing No. 14.218 Recommendation: The Organization should implement an internal review process before the information is submitted to the pass-through agencies. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Lighthouse Central Florida, Inc. is performing a review of its internal process and designating internal review procedures to ensure future compliance. Name of the contact person responsible for corrective action: Christina Carrier, Vice President of Finance Planned completion date for corrective action plan: March 31, 2024
View Audit 9443
Penns Manor Area School District
PA
Reporting Subrecipient Monitoring
Education Stabilization Fund – CFDA No. 84.425; Name of contact person – Jennifer Sleppy, Business Manager; Recommendation: We recommend management contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. In addition, personnel respon...
Education Stabilization Fund – CFDA No. 84.425; Name of contact person – Jennifer Sleppy, Business Manager; Recommendation: We recommend management contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. In addition, personnel responsible for the completion of the annual report should review the instructions for the report to obtain a better understanding of the reporting requirements and should also retain the support for the determination of amounts reported. Further, management should ensure the amounts reported on the upcoming annual report for fiscal year 2022-23 contain only the expenditures for that fiscal year. Action Taken: Management agrees with the recommendations and will contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. The personnel responsible for the completion of the annual report will review the instructions for the report to obtain a better understanding of the reporting requirements and will retain the support for the determination of amounts reported. In addition, management will ensure the amounts reported for the upcoming annual report for fiscal year 2022-23 contain only the expenditures for that fiscal year.
View Audit 9423
Finding 7166 (2023-001)
Significant Deficiency 2023
Ahepa 371 Ii, Inc.
MI
Subrecipient Monitoring
Statement of Condition 2023-001 (Assistance Listing No. 14.157): The form SF-SAC single audit data collection form for the year ended June 30, 2022 was not submitted to the federal audit clearinghouse in the required timeframe. Recommendation: The Corporation should submit the form SF-SAC single aud...
Statement of Condition 2023-001 (Assistance Listing No. 14.157): The form SF-SAC single audit data collection form for the year ended June 30, 2022 was not submitted to the federal audit clearinghouse in the required timeframe. Recommendation: The Corporation should submit the form SF-SAC single audit data collection form for the year June 30, 2022, as soon as practical and submit all future Form SF-SAC Single Audit Data Collection Forms in the required timeframe. Action(s) taken or planned on the finding: Agree. Form SF-SAC single audit data collection form for the year ended June 30, 2022, was submitted to the federal audit clearinghouse on April 25, 2023. No further action is required.
View Audit 9282
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