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Corrective Action Plans

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Finding 1155271 (2022-003)
Material Weakness 2022
Comanche County Medical Center
TX
Questioned Costs Allowable Costs / Cost Principles Subrecipient Monitoring § 200.303
We are in receipt of the Findings Required to be Reported by Government Auditing Standards, regarding Reporting and Activities Allowed/Unallowed and Cost Principles. Management agrees with the finding. After correcting the calculation of expenses to include reimbursement from other sources, the Hosp...
We are in receipt of the Findings Required to be Reported by Government Auditing Standards, regarding Reporting and Activities Allowed/Unallowed and Cost Principles. Management agrees with the finding. After correcting the calculation of expenses to include reimbursement from other sources, the Hospital still has sufficient lost revenues and expenses to cover the amount of provider relief funding received. Management will perform a detailed analysis of the reporting requirements in accordance with the final guidelines set by HRSA for future reporting periods. As deemed necessary, the Hospital will modify policies and procedures over federal grant reporting The CFO, Hong Wade, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by December 31, 2025.
View Audit 367503 Questioned Costs: $1
Finding 1155002 (2022-011)
Material Weakness 2022
Ulster County Community Action Committee, Inc.
NY
Reporting Subrecipient Monitoring Material Weakness
Due to recent turnovers at UCCAC, program and fiscal staff did not have proper access to the reporting application to timely complete the report. The report was submitted as soon as access to the application was obtained. In addition, UCCAC has given access to multiple staff administrative access to...
Due to recent turnovers at UCCAC, program and fiscal staff did not have proper access to the reporting application to timely complete the report. The report was submitted as soon as access to the application was obtained. In addition, UCCAC has given access to multiple staff administrative access to applications. Responsible Person: Executive Director Timeline: 30-60days
View Audit 367339
Albuquerque Area Indian Health Board, Inc.
NM
Reporting Subrecipient Monitoring
View of Responsible Officials and Corrective Action Plan The AAIHB has missed the filing deadline for the FY 2022 Data Collection Form. The AAIHB will file the FY 2022 Data Collection Form within 30 days. The AAIHB will review and revise its internal review processes are completed in a timely manner...
View of Responsible Officials and Corrective Action Plan The AAIHB has missed the filing deadline for the FY 2022 Data Collection Form. The AAIHB will file the FY 2022 Data Collection Form within 30 days. The AAIHB will review and revise its internal review processes are completed in a timely manner. Corrective Action Plan Timeline Corrective action plan timeline is to submit FY 2022 audit and data collection forms within 30 days. Designation of Employee Position Responsible for Meeting Deadline Executive Director and Finance Officer
View Audit 365730
Juneau Economic Development Council
AK
Reporting Subrecipient Monitoring § 200.512
Finding 2022-001 Late Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Sam Muse, Finance and Administration Director Corrective Action: JEDC will implement a policy in which, whenever Federal or State dollars are transferred to JEDC, JEDC will obtain written clarific...
Finding 2022-001 Late Reporting and Noncompliance with Reporting Requirements Name of Contact Person: Sam Muse, Finance and Administration Director Corrective Action: JEDC will implement a policy in which, whenever Federal or State dollars are transferred to JEDC, JEDC will obtain written clarification from the entity transferring the money expressly indicating whether JEDC is a contractor or a subrecipient of the monies. Additionally, JEDC will use a “checklist” to confirm and verify that determination and will seek additional clarification if there is any disagreement in the classifications. Proposed Completion Date: July 1, 2024.
View Audit 365540
Finding 575138 (2022-009)
Significant Deficiency 2022
City of Davis
CA
Subrecipient Monitoring Reporting
Finding Reference Number: SA2022-009 Compliance with Program Expenditure Category Requirements and Reporting AL Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Federal Agency: Department of the Treasury Pass Through Entity: California St...
Finding Reference Number: SA2022-009 Compliance with Program Expenditure Category Requirements and Reporting AL Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Federal Agency: Department of the Treasury Pass Through Entity: California State Water Resources Control Board Federal Award Identification Number: CA5710001, 219223, SLFRP3223 • Fiscal Year of Initial Finding: 2022 • Name(s) of the contact person: Kelly Stachowicz, Interim City Manager • Corrective Action Plan: In the future, City staff will be more diligent in assessing appropriate expenditure category and its compliance requirements. Closer review of the grant requirements will be performed to ensure compliance with subrecipient monitoring clauses, if any. This particular occurrence was a one-time event and the activities have now concluded. • Anticipated Completion Date: July 2025
View Audit 365226
Finding 575126 (2022-003)
Material Weakness 2022
City of Davis
CA
Subrecipient Monitoring Reporting Internal Control / Segregation of Duties
Finding Reference Number: SA 2022-003 Federal Funding Accountability and Transparency Act (FFATA) Reporting AL Number: 14.218 Assistance Listing Title: CDBG - Entitlement Grants Cluster – Community Development Block Grants/Entitlement Grants COVID-19 - Community Development Block Grants/Entit...
Finding Reference Number: SA 2022-003 Federal Funding Accountability and Transparency Act (FFATA) Reporting AL Number: 14.218 Assistance Listing Title: CDBG - Entitlement Grants Cluster – Community Development Block Grants/Entitlement Grants COVID-19 - Community Development Block Grants/Entitlement Grants-CV Federal Agency: Department of Housing and Urban Development Federal Award Identification Number: B-14-MC-06-0037, B-15-MC-06-0037, B-16-MC-06-0037, B-17-MC-06-0037, B-18-MC-06-0037, B-19-MC-06-0037, B-20-MC-06-0037, B-20-MW-06-0037, B-21-MC-06-0037 • Fiscal Year of Initial Finding: 2021 • Name(s) of the contact person: Jennifer Block, Management Analyst • Corrective Action Plan: The City has an existing FFATA Procedure. All relevant staff (those working with federal funds) will receive training on the procedure to ensure familiarity with it and understanding of the requirements to complete FFATA reporting. The City filed the missing report in March 2024. • Anticipated Completion Date: March 10, 2024
View Audit 365226
Finding 574804 (2022-004)
Significant Deficiency 2022
Falmouth-Pendleton County Airport Board
OH
Equipment & Real Property Management Matching / Level of Effort / Earmarking Special Tests & Provisions
Finding Reference Number: 2022-004 Description of Finding: Lack of Internal Control Over Compliance – Unfamiliarity with Federal Compliance Requirements Statement of Concurrence or Nonconcurrence: The Board of the Falmouth Pendleton County Airport agrees with the audit finding. Corrective ...
Finding Reference Number: 2022-004 Description of Finding: Lack of Internal Control Over Compliance – Unfamiliarity with Federal Compliance Requirements Statement of Concurrence or Nonconcurrence: The Board of the Falmouth Pendleton County Airport agrees with the audit finding. Corrective Action: In future years, when receiving federal funds, management will contact the appropriate Federal agency and inquire about Uniform Guidance compliance requirements for federal funds. Name of Contact Person: Dan Bell, Board Chairman, k62airport@gmail.com (859) 816-8879 Projected Completion Date: On or before June 30, 2026
View Audit 365093
Finding 574631 (2022-002)
Material Weakness 2022
Toledo Lucas County Homelessness Board
OH
Subrecipient Monitoring Cash Management Reporting
Finding 2022-1 & 2022-2 Control Activities, Information and Communication, Monitoring • Monthly reconciliation of all financial reports within the accounting system. • Dual review by Operations Manager and Board Treasurer at monthly finance committee meetings. • Use of accounting software tools and ...
Finding 2022-1 & 2022-2 Control Activities, Information and Communication, Monitoring • Monthly reconciliation of all financial reports within the accounting system. • Dual review by Operations Manager and Board Treasurer at monthly finance committee meetings. • Use of accounting software tools and training for accurate grant-based reporting. • Accounting software issues related to transition to cloud-based software have been problem solved as possible. • Due to unresolved system limitations, TLCHB will transition to QuickBooks in January 2026, per the recommendation of the independent auditor. STATUS: Implemented bullet 1-4, bullet 5 target January 2025 • Policy to ensure funds are expended within 30 days, with exceptions approved by senior leadership. STATUS: Implemented • Monthly bank reconciliations prepared by Finance Manager and reviewed by leadership, Finance committee. • Additional staff resources allocated to support reconciliation. STATUS: Reconciliations completed; ongoing compliance in place.
View Audit 364896
Finding 574630 (2022-001)
Material Weakness 2022
Toledo Lucas County Homelessness Board
OH
Subrecipient Monitoring Cash Management Reporting
Finding 2022-1 & 2022-2 Control Activities, Information and Communication, Monitoring • Monthly reconciliation of all financial reports within the accounting system. • Dual review by Operations Manager and Board Treasurer at monthly finance committee meetings. • Use of accounting software tools and ...
Finding 2022-1 & 2022-2 Control Activities, Information and Communication, Monitoring • Monthly reconciliation of all financial reports within the accounting system. • Dual review by Operations Manager and Board Treasurer at monthly finance committee meetings. • Use of accounting software tools and training for accurate grant-based reporting. • Accounting software issues related to transition to cloud-based software have been problem solved as possible. • Due to unresolved system limitations, TLCHB will transition to QuickBooks in January 2026, per the recommendation of the independent auditor. STATUS: Implemented bullet 1-4, bullet 5 target January 2025 • Policy to ensure funds are expended within 30 days, with exceptions approved by senior leadership. STATUS: Implemented • Monthly bank reconciliations prepared by Finance Manager and reviewed by leadership, Finance committee. • Additional staff resources allocated to support reconciliation. STATUS: Reconciliations completed; ongoing compliance in place.
View Audit 364896
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. A Board-approved Budgeting Policy was implemented and most recently revised in June 2025.
1. A Board-approved Budgeting Policy was implemented and most recently revised in June 2025.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. Separate budgets are now developed and maintained for federal, non-federal, and total project funds. Each federal award is budgeted and monitored independently.
2. Separate budgets are now developed and maintained for federal, non-federal, and total project funds. Each federal award is budgeted and monitored independently.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Budget-to-actual activity is reviewed monthly using standardized variance reporting tools.
3. Budget-to-actual activity is reviewed monthly using standardized variance reporting tools.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. The CEO is responsible for ensuring that all expenditures align with the HRSA-approved total project budget.
4. The CEO is responsible for ensuring that all expenditures align with the HRSA-approved total project budget.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. Budget revisions are evaluated under 45 CFR § 75.308, and HRSA prior approval is requested when required.
5. Budget revisions are evaluated under 45 CFR § 75.308, and HRSA prior approval is requested when required.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
6. All budgets and budget modifications are approved by the Board of Directors and reflected in monthly financial management reports.
6. All budgets and budget modifications are approved by the Board of Directors and reflected in monthly financial management reports.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Action Plan:
Corrective Action Plan:
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. The Controller, outside account and CEO conduct monthly budget-to-actual reviews for all federal awards, using variance analysis tools.
1. The Controller, outside account and CEO conduct monthly budget-to-actual reviews for all federal awards, using variance analysis tools.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. Variance reports are submitted to the CEO and reviewed with the Finance Committee on a monthly basis.
2. Variance reports are submitted to the CEO and reviewed with the Finance Committee on a monthly basis.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. HRSA budget categories were added to the general ledger in 2024 to enable accurate expenditure tracking by category.
3. HRSA budget categories were added to the general ledger in 2024 to enable accurate expenditure tracking by category.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. Training on budget monitoring and federal requirements was conducted in June 2024 and will be repeated annually.
4. Training on budget monitoring and federal requirements was conducted in June 2024 and will be repeated annually.
View Audit 364764
Finding 574261 (2022-015)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. Budget compliance is reviewed quarterly as part of SCMRC’s internal financial monitoring processes.
5. Budget compliance is reviewed quarterly as part of SCMRC’s internal financial monitoring processes.
View Audit 364764
Finding 574260 (2022-014)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364764
Finding 574260 (2022-014)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. Responsibility for tracking the period of performance for all federal grants was assigned to the Controller in April 2025, with oversight provided by the CEO and Finance Committee.
1. Responsibility for tracking the period of performance for all federal grants was assigned to the Controller in April 2025, with oversight provided by the CEO and Finance Committee.
View Audit 364764
Finding 574260 (2022-014)
Material Weakness 2022
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. A centralized compliance calendar is now maintained to track grant start and end dates, obligation deadlines, and reporting due dates.
2. A centralized compliance calendar is now maintained to track grant start and end dates, obligation deadlines, and reporting due dates.
View Audit 364764
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