FAC Explorer

Corrective Action Plans

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Finding 1154907 (2024-014)
Material Weakness 2024
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 367237
Finding 1154907 (2024-014)
Material Weakness 2024
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 367237
Finding 1154907 (2024-014)
Material Weakness 2024
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 367237
Finding 1154907 (2024-014)
Material Weakness 2024
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 367237
Finding 1154907 (2024-014)
Material Weakness 2024
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 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
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 367237
Finding 1154906 (2024-013)
Material Weakness 2024
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 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Internal controls have been implemented within the accounting and review process to help ensure obligations and expenditures occur within approved grant timelines.
3. Internal controls have been implemented within the accounting and review process to help ensure obligations and expenditures occur within approved grant timelines.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. Monthly reviews of federal grant expenditures now include verification of the period of performance.
4. Monthly reviews of federal grant expenditures now include verification of the period of performance.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. A retrospective review of FY21–FY23 grant expenditures was initiated in 2025.
5. A retrospective review of FY21–FY23 grant expenditures was initiated in 2025.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. Period-of-performance tracking will be formally added to Finance Committee updates starting Q4 2025.
1. Period-of-performance tracking will be formally added to Finance Committee updates starting Q4 2025.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. The Controller and CEO will complete a comprehensive retrospective review of grant obligations spanning prior period end dates by December 2025, with appropriate documentation and HRSA notification as needed.
2. The Controller and CEO will complete a comprehensive retrospective review of grant obligations spanning prior period end dates by December 2025, with appropriate documentation and HRSA notification as needed.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Internal audit checklists will be updated in Q4 2025 to include period-of-performance compliance for all sampled federal expenditures.
3. Internal audit checklists will be updated in Q4 2025 to include period-of-performance compliance for all sampled federal expenditures.
View Audit 367237
Finding 1154906 (2024-013)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. Finance staff will receive refresher training on period-of-performance requirements and documentation standards by the end of 2025.
4. Finance staff will receive refresher training on period-of-performance requirements and documentation standards by the end of 2025.
View Audit 367237
Finding 1154885 (2024-002)
Material Weakness 2024
Silver Lake Regional School District
MA
Subrecipient Monitoring Internal Control / Segregation of Duties HUD Housing Programs
Corrective Action Taken:Although the Business Office has created a Federal Grants Compliance Manual, we are unable to follow the manual with fidelity due to the lack of adequate staffing. The District will continue to request additional staff during the next budget cycle.
Corrective Action Taken:Although the Business Office has created a Federal Grants Compliance Manual, we are unable to follow the manual with fidelity due to the lack of adequate staffing. The District will continue to request additional staff during the next budget cycle.
View Audit 367221
Finding 1154883 (2024-006)
Material Weakness 2024
Durham Public Schools
NC
Subrecipient Monitoring Cash Management Material Weakness
Contact Person: Jeremy Teetor, Chief Financial Officer Corrective Action Plan: The Board of Education will implement controls and procedures to ensure that all bank account and other required reconciliations are prepared on a timely basis going forward. The Finance department will also strive to kee...
Contact Person: Jeremy Teetor, Chief Financial Officer Corrective Action Plan: The Board of Education will implement controls and procedures to ensure that all bank account and other required reconciliations are prepared on a timely basis going forward. The Finance department will also strive to keep key positions filled at all times and ensure that staff receives appropriate training regarding reconciliations. Proposed Completetion Date: Immediately
View Audit 367217
Finding 1154850 (2024-001)
Material Weakness 2024
City of Cheney
WA
Questioned Costs Reporting Matching / Level of Effort / Earmarking
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Cheney January 1, 2024 through December 31, 2024 This schedule presents the corrective action planned by the City for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 20...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Cheney January 1, 2024 through December 31, 2024 This schedule presents the corrective action planned by the City for findings reported 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: 2024-001 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal allowable costs, matching and reporting requirements, and it did not comply with federal allowable costs and matching requirements. Name, address, and telephone of City contact person: Cindy Niemeier, Finance Director 609 2nd Street Cheney, WA 99004 509-498-9215 Corrective action the auditee plans to take in response to the finding: The City of Cheney recognizes the error in classifying a grant received from the Washington State Department of Commerce as a state grant rather than a federal pass­ through grant, which makes this funding source ineligible as matching funds in the funding awarded from the Department of Reclamation. The City has contacted the Department of Reclamation federal program to disclose the error and determine the required corrective action. The City of Cheney has proposed replacing the submitted reimbursement requests with City expenses as allowable matching expenses. The City is currently waiting on the Department of Reclamation for direction. The 2024 reporting error was corrected in 2025. Future projects with multiple funding sources will continue to be managed by the individual departments. The additional internal control will require the departments to meet quarterly with Finance to conduct internal audits of the reimbursement requests and completed reporting. Anticipated date to complete the corrective action: December 31, 2025
View Audit 367195 Questioned Costs: $1
Finding 1154796 (2024-001)
Material Weakness 2024
Samuel Merritt University
CA
Subrecipient Monitoring Student Financial Aid
Planned Corrective Action The University acknowledges the finding related to incomplete documentation of the formal risk assessment and the lack of monitoring over access levels to the financial aid system. We are currently developing a comprehensive, documented GLBA risk assessment that aligns with...
Planned Corrective Action The University acknowledges the finding related to incomplete documentation of the formal risk assessment and the lack of monitoring over access levels to the financial aid system. We are currently developing a comprehensive, documented GLBA risk assessment that aligns with federal requirements, including the identification of internal and external risks, evaluation of current safeguards, and implementation of appropriate remediation measures. Additionally, the University is implementing a formalized review process whereby system access roles are reviewed quarterly in collaboration with department managers to ensure user access is consistent with current job responsibilities. This will include a standardized user access review form and documented management sign-off. Implementation Date -Risk Assessment Documentation: December 31, 2025 -Access Review Procedure Implementation: December 31, 2025 Responsible Personnel Marcus D Walton Deputy Chief Operating Officer & CIO
View Audit 367160
Finding 1154192 (2024-003)
Material Weakness 2024
City of Anderson
IN
Subrecipient Monitoring § 200.1 § 200.208 § 200.303 § 200.332 § 200.339
FINDING 2024-003 Finding Subject: COVID 19 Coronavirus State and Local Fiscal Recovery - Subrecipient Monitoring Contact Person Responsible for Corrective Action: Gretchen Parker Contact Phone Number and Email Address: 765-648-6113 gparker@cityofanderson.com Views of Responsible Officials: "We concu...
FINDING 2024-003 Finding Subject: COVID 19 Coronavirus State and Local Fiscal Recovery - Subrecipient Monitoring Contact Person Responsible for Corrective Action: Gretchen Parker Contact Phone Number and Email Address: 765-648-6113 gparker@cityofanderson.com Views of Responsible Officials: "We concur with the finding." Description of Corrective Action Plan: The city has several individuals involved in the monitoring of activities related to the COVID 19 Coronavirus State and Local Fiscal Recovery federal award. The city has implemented procedures to ensure oversight and review of subrecipient reports is properly documented. Anticipated Completion Date: September 1, 2025
View Audit 367104
Finding 1154191 (2024-002)
Material Weakness 2024
City of Anderson
IN
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.303 § 200.317 § 200.318 § 200.319 § 200.320
FINDING 2024-002 Finding Subject: COVID 19 Coronavirus State and Local Fiscal Recovery - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Neal McKee Contact Phone Number and Email Address: 765-648- 6429 nmckee@cityofanderson.com Views of Responsible Official...
FINDING 2024-002 Finding Subject: COVID 19 Coronavirus State and Local Fiscal Recovery - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Neal McKee Contact Phone Number and Email Address: 765-648- 6429 nmckee@cityofanderson.com Views of Responsible Officials: “We concur with the finding.” Description of Corrective Action Plan: The City has a longstanding contractual relationship with an engineering firm with extensive knowledge of the City’s water department. The city has put controls and procedures in place to ensure services are bid where federal awards are involved and the dollar amount of such services is expected to exceed the simplified acquisition threshold. The City will review its procurement policy and amend where necessary to conform to the current requirements of CFR 200.318. The City has not contracted with suspended or debarred parties. The City has put controls and procedures in place to ensure timely documentation of suspension and debarment checks related to its federal awards. Anticipated Completion Date: January 1, 2026
View Audit 367104
Finding 1154182 (2024-003)
Material Weakness 2024
Lawrence County
IN
Internal Control / Segregation of Duties Subrecipient Monitoring Material Weakness § 200.303
August 20, 2025 FINDING 2024-003 Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Lead Reduction Grant - Reporting Audit Findings: Material Weakness Contact Person Responsible for Corrective Action: Paula Kern-Edwards Contact Phone Number and Email Address: 812-275-3234, pedwa...
August 20, 2025 FINDING 2024-003 Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Lead Reduction Grant - Reporting Audit Findings: Material Weakness Contact Person Responsible for Corrective Action: Paula Kern-Edwards Contact Phone Number and Email Address: 812-275-3234, pedwards@lawrencecounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The county corrective action plan will be designed to implement a proper system of internal controls that will ensure compliance with the Reporting requirements of the grant. - The County Health Department will implement internal controls that will prevent or correct noncompliance. The Health Department Director will review all reports related to Federal Grants prior to submission, after they have been prepared by another employee. Anticipated Completion Date: 12/31/2025
View Audit 367099
Finding 1154181 (2024-002)
Material Weakness 2024
Lawrence County
IN
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.303
August 20, 2025 FINDING 2024-003 Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Lead Reduction Grant - Reporting Audit Findings: Material Weakness Contact Person Responsible for Corrective Action: Paula Kern-Edwards Contact Phone Number and Email Address: 812-275-3234, pedwa...
August 20, 2025 FINDING 2024-003 Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Lead Reduction Grant - Reporting Audit Findings: Material Weakness Contact Person Responsible for Corrective Action: Paula Kern-Edwards Contact Phone Number and Email Address: 812-275-3234, pedwards@lawrencecounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The county corrective action plan will be designed to implement a proper system of internal controls that will ensure compliance with the Reporting requirements of the grant. - The County Health Department will implement internal controls that will prevent or correct noncompliance. The Health Department Director will review all reports related to Federal Grants prior to submission, after they have been prepared by another employee. Anticipated Completion Date: 12/31/2025
View Audit 367099
Finding 1154180 (2024-006)
Material Weakness 2024
Evangeline Booth Residence, Inc., A Florida Corporation
FL
HUD Housing Programs Special Tests & Provisions Subrecipient Monitoring
Finding 2024-006 Comments on the Finding and Each Recommendation We agree two tenants were not reimbursed their security deposits timely. This is due in part to staffing issues onsite as well as not having an address to forward the security deposits to upon the former tenant’s demise. Action(s) Take...
Finding 2024-006 Comments on the Finding and Each Recommendation We agree two tenants were not reimbursed their security deposits timely. This is due in part to staffing issues onsite as well as not having an address to forward the security deposits to upon the former tenant’s demise. Action(s) Taken or Planned on the Finding Management will review the processes and procedures with site personnel to strengthen controls over the refund of tenant security deposits. If we are late due to missing appropriate forwarding addresses, we will add documentation in the tenant files of those efforts to support our compliance with HUD procedures.
View Audit 367098
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