Corrective Action Plans

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Unaudited REAC Reporting Recommendation: CLA recommends the CDA develops an internal control monitoring system to ensure unaudited REAC filings are submitted on time. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding:...
Unaudited REAC Reporting Recommendation: CLA recommends the CDA develops an internal control monitoring system to ensure unaudited REAC filings are submitted on time. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will work closely with our outside accountant to ensure timely REAC reporting, securing a submission confirmation email. Management will also further confirm submission via HUD online systems. Name(s) of the contact person(s) responsible for corrective action: Betty Noel, Assistant Director Planned completion date for corrective action plan: April 18, 2023
Condition: The District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will monitor these filing requirements more closely when the filing deadline approaches. Anticipated Date of Completion: June 30, 2023. Name of Contact ...
Condition: The District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will monitor these filing requirements more closely when the filing deadline approaches. Anticipated Date of Completion: June 30, 2023. Name of Contact Person: Dr. Kevin J. Nohelty, Superintendent. Management Response: The District experienced turnover for key employees within the grant reporting process and is currently strengthening internal control procedures over grant reporting and monitoring.
Condition: The District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will monitor these filing requirements more closely when the filing deadline approaches. Anticipated Date of Completion: June 30, 2023. Name of Contact ...
Condition: The District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will monitor these filing requirements more closely when the filing deadline approaches. Anticipated Date of Completion: June 30, 2023. Name of Contact Person: Dr. Kevin J. Nohelty, Superintendent. Management Response: The District experienced turnover for key employees within the grant reporting process and is currently strengthening internal control procedures over grant reporting and monitoring.
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with wage rate requirements. Name, address, and telephone of District contact person: Jeri Carlson 33330 8th Ave S Federal Way, WA 98003 253.945.2045 During the course of the...
Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with wage rate requirements. Name, address, and telephone of District contact person: Jeri Carlson 33330 8th Ave S Federal Way, WA 98003 253.945.2045 During the course of the audit, the District immediately took steps to obtain and review all certified payroll documents from the beginning of the project to current and verified that the contractor was compliant with federal prevailing wage rules. This information was provided to the Auditors. The District has already taken steps to ensure the additional compliance steps are followed for federally funded construction projects. The District will also ensure staff are appropriately trained on these requirements.
Finding 23546 (2022-072)
Significant Deficiency 2022
2022-072a ? Gainwell Technologies (our MMIS Fiscal Intermediary) has contacted their internal audit team to determine next steps for the inclusion of NCCI testing in the 2024 SOC Audit (Audit period 7/2023-6/2024). A meeting has been scheduled for May 2, 2023 to discuss this. Upon review of the 20...
2022-072a ? Gainwell Technologies (our MMIS Fiscal Intermediary) has contacted their internal audit team to determine next steps for the inclusion of NCCI testing in the 2024 SOC Audit (Audit period 7/2023-6/2024). A meeting has been scheduled for May 2, 2023 to discuss this. Upon review of the 2021 finding in February of 2022, Gainwell researched if this was implemented in any other Gainwell account?s SOC1 audit and were advised that industry standards do not include NCCI edit reviews in SOC auditing. EOHHS/Medicaid will provide additional details as they become available. Anticipated Completion Date: Ongoing 2022-072b ? The requirements outlined in the NCCI Medicaid Technical Guidance issued by CMS will be incorporated throughout Rhode Island?s procurement of a new Medicaid Management Information System which is scheduled to commence with development of requirements, scopes of work, and RFPs beginning in May 2023 and is projected to continue through mid-2029 with the completion of certification of all functional modules. Anticipated Completion Date: Ongoing 2022-072c ? MC Oversight put the provision for NCCI compliance edits in the MCO contracts to be effective 7/1/23. This contract amendment will be going out this week (week of 4/24/2023) to the MCOs. We would need to look on an implementation timeline (as with the TPL findings) with the MCOs later this summer/fall regarding any testing they need to do with these new compliance edits for encounter data. Anticipated Completion Date: July 1, 2023 Contact Persons: Hector Rivera, Interdepartmental Project Manager Executive Office of Health and Human Services hector.l.rivera@ohhs.ri.gov Charles Estabrook, Managed Care Administrator Executive Office of Health and Human Services charles.estabrook@ohhs.ri.gov
In collaboration with DLT and its IES vendor, EOHHS has made plans to move the RI Bridges PEV data query to a later date in the month to ensure PEV occurs after the quarterly DLT SWICA refresh date. This will ensure EOHHS is capturing more delinquent wage records (reported late by employers) before...
In collaboration with DLT and its IES vendor, EOHHS has made plans to move the RI Bridges PEV data query to a later date in the month to ensure PEV occurs after the quarterly DLT SWICA refresh date. This will ensure EOHHS is capturing more delinquent wage records (reported late by employers) before the file is sent. EOHHS and DLT are also assessing an option to add a monthly SWICA update file in addition to the existing quarterly file. Furthermore, EOHHS is pursuing system enhancements to integrate state wage data provided by Equifax?s The Work Number (TWN) to RI Bridges. Adding TWN data, which is provided by pay period, to quarterly SWICA files would enable RI Bridges to process renewals and validate post-eligibility income with more frequently available wage data. Anticipated Completion Date: To Be Determined. EOHHS and DLT continue to discuss technical aspects of a monthly update file exchange. System requirements to integrate Equifax TWN data is included in Medicaid?s SFY24 Annual Planning process and will be scheduled for deployment later in CY2024. Contact Person: Brian Tichenor, RIBridges Medicaid Administrator Executive Office of Health and Human Services brian.tichenor@ohhs.ri.gov
2022-069a ? There are ongoing projects efforts with the Gainwell Technologies (the MMIS Fiscal Agent) to clean up the gaps in the TPL process that leads to inaccurate TPL data within the MMIS, those projects include: ? Changing the logic in the MMIS to end date members active TPL segments when Medic...
2022-069a ? There are ongoing projects efforts with the Gainwell Technologies (the MMIS Fiscal Agent) to clean up the gaps in the TPL process that leads to inaccurate TPL data within the MMIS, those projects include: ? Changing the logic in the MMIS to end date members active TPL segments when Medicaid eligibility is lost ? Cleaning up active TPL segments for members with dates of death in the MMIS ? Project request to clean up inaccurate Policy begin dates that are being changed by incoming ?MMA file? (From CMS) data ? Project to update coverage type codes for Medicare Advantage plans to have their own distinct code ? Expanding logic on MMA file to include more Medicaid members so more Medicare information can be taken in by the MMIS Additionally, there is work with Deloitte and Gainwell to ensure we have accurate TPL information within the RIBridges system. 2022-069b ? EOHHS has worked with Gainwell Technologies (the MMIS Fiscal Agent) to supply the MCOs with monthly files that include their enrolled members who have active TPL information within MMIS. These files have been generated and QCd by the systems team. We are currently in process with the MCO team to determine how these files will be delivered to the MCOs and define the expectations of how the MCOs use these files. Anticipated Completion Date: December 2024 Contact Person: Jeffrey Schmeltz, Chief of Family Health Systems Executive Office of Health and Human Services jeffrey.schmeltz@ohhs.ri.gov
View Audit 23102 Questioned Costs: $1
The Municipality will be evaluating possible training alternatives so that personnel from different Offices such as the Planning Office, Municipal Secretary, Internal Audit and Department of Housing can take them. In turn, the following link will be provided: https://www. Hudexchange.infor/trainings...
The Municipality will be evaluating possible training alternatives so that personnel from different Offices such as the Planning Office, Municipal Secretary, Internal Audit and Department of Housing can take them. In turn, the following link will be provided: https://www. Hudexchange.infor/trainings/cources/ffata-subaward-reporting-system-webinar-for-cdbg-grantees1/, which is a one hour training course that is on the HUD Exchange platform on the FFATA Reporting System. IMPLEMENTATION DATE During fiscal year 2023 RESPONSIBLE PERSON Zaid Diaz Isaac, Program Director
Finding 23476 (2022-060)
Significant Deficiency 2022
RIDOH agrees with the finding and recommendation. RIDOH agrees that redirection of accounting and budgets will require updated contract modifications and subaward forms to ensure proper identification of relevant federal program information, including CFDA number and federal grant name. RIDOH belie...
RIDOH agrees with the finding and recommendation. RIDOH agrees that redirection of accounting and budgets will require updated contract modifications and subaward forms to ensure proper identification of relevant federal program information, including CFDA number and federal grant name. RIDOH believes that the deficiencies occurred due to use of placeholder accounts in contract approval forms for SFY22 when HEZ contract extensions were being prepared at the end of SFY21 for SFY22. Per COVID Governance, a placeholder account number (4875999.02) was created in RIFANS for anticipated additional federal funds (which were not awarded). This placeholder account was used in the COVID Mapping document early in SFY22 and all the contract approval forms had to match the current COVID Mapping document in order to be processed. In addition, the funding sources for SFY22 COVID activities changed frequently as the FEMA 100% reimbursement deadline was extended quarter by quarter through all of SFY22. However, all changes to approved funding for all HEZ contracts should have been appropriately documented in the contract files. RIDOH will take the following steps: ? Memoranda will be written to document the use of placeholder accounts in SFY22 subaward extension approval forms, and all appropriate account numbers and amounts that replaced the placeholder accounts will be documented as approved funding for the subaward purpose. ? Files for SFY23 subawards charged to ELC grants will be reviewed to verify that appropriate funding approval documentation is included. Memoranda will be written to document any funding changes not appropriately captured in subaward approval forms. ? Any placeholder accounts that may have been used for SFY24 subaward amendments will be identified and the list disseminated to all contract managers with instructions to check with COVID Finance leadership to verify the accounts that should be used if a placeholder account was included in any subaward approval paperwork. Assure that appropriate documentation is created and stored if the funding source(s) for any subawards change from the original signed authorization. In the event that funding sources are added, contract modifications shall be issued including applicable Sub-Award forms properly identifying applicable funding sources. Anticipated Completion Date: September 30, 2023 Contact Persons: Alisha Collela, Chief Financial Officer Department of Health alisha.collela@health.ri.gov Dorinda Keene, Deputy CFO/Purchasing Department of Health dorinda.l.keene@health.ri.gov Carla Lundquist, Deputy CFO/Federal Grants Manager Department of Health carla.lundquist@health.ri.gov
Finding 23460 (2022-056)
Significant Deficiency 2022
2022-056a ? RIDE finance will establish procedures by 10/31/23. 2022-056b ? RIDE finance and IT will develop and implement a schedule by 10/31/23. 2022-056c ? RIDE finance and IT will determine relevancy of complementary controls in the SOC2 report by 9/30/23. 2022-056d ? RIDE finance and IT will...
2022-056a ? RIDE finance will establish procedures by 10/31/23. 2022-056b ? RIDE finance and IT will develop and implement a schedule by 10/31/23. 2022-056c ? RIDE finance and IT will determine relevancy of complementary controls in the SOC2 report by 9/30/23. 2022-056d ? RIDE finance and IT will develop and implement an IT vendor management process by 12/31/23. Anticipated Completion Date: December 31, 2023 Contact Person: Mark Dunham, Director, Finance Office Department of Elementary and Secondary Education mark.dunham@ride.ri.gov
Finding 23459 (2022-055)
Significant Deficiency 2022
The Department finance office will work with the charter office to update its policies, procedures, and internal controls for review of charter schools with charter management organizations (CMO) to ensure proper risk assessment for conflicts of interest, related party transactions, and segregation ...
The Department finance office will work with the charter office to update its policies, procedures, and internal controls for review of charter schools with charter management organizations (CMO) to ensure proper risk assessment for conflicts of interest, related party transactions, and segregation of duties between the CMO and the charter school. Anticipated Completion Date: December 31, 2023 Contact Person: Mark Dunham, Director, Finance Office Department of Elementary and Secondary Education mark.dunham@ride.ri.gov
The Department will continue to monitor Title I supplement/supplant methodologies for subrecipients through its subrecipient monitoring/risk assessment survey. The Department will require Title I subrecipients to submit supplement/supplant policies, procedures, and methodologies as a requirement to...
The Department will continue to monitor Title I supplement/supplant methodologies for subrecipients through its subrecipient monitoring/risk assessment survey. The Department will require Title I subrecipients to submit supplement/supplant policies, procedures, and methodologies as a requirement to complete the survey. Anticipated Completion Date: December 31, 2023 Contact Person: Mark Dunham, Director, Finance Office Department of Elementary and Secondary Education mark.dunham@ride.ri.gov
Finding 23451 (2022-051)
Significant Deficiency 2022
The most recent federal pandemic recovery awards have been administered as an appropriation of funds. This tightens the controls over the use of the funds, ensures performance metrics were agreed to prior to release of funds to the subrecipient, and requires consistent reporting and monitoring of p...
The most recent federal pandemic recovery awards have been administered as an appropriation of funds. This tightens the controls over the use of the funds, ensures performance metrics were agreed to prior to release of funds to the subrecipient, and requires consistent reporting and monitoring of performance metrics. Anticipated Completion Date: Completed prior to release of audit. Contact Person: Paul Dion, Director Department of Administration, Pandemic Recovery Office paul.l.dion@doa.ri.gov
The implementation of the Grants Management System has increased controls, standardized business practices, and implemented policy and regulation subrecipients addressing this finding in full. Anticipated Completion Date: System completed December 2022; Regulation completed April 2023 Contact Pers...
The implementation of the Grants Management System has increased controls, standardized business practices, and implemented policy and regulation subrecipients addressing this finding in full. Anticipated Completion Date: System completed December 2022; Regulation completed April 2023 Contact Person: Steve Thompson, Chief of Strategic Planning, Monitoring and Evaluation Department of Administration, Office of Management & Budget, Grants Management Office steve.thompson@omb.ri.gov
Finding 23444 (2022-050)
Significant Deficiency 2022
Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with subrecipient monitoring. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Trans...
Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with subrecipient monitoring. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation loren.doyle@dot.ri.gov
Finding 23441 (2022-047)
Significant Deficiency 2022
Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with earmarking. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation lor...
Finance and the Office of Highway Safety will work together to create policies and procedures to ensure compliance with earmarking. Anticipated Completion Date: September 30, 2023 Contact Person: Loren Doyle, Acting Chief Operating Officer / Chief Financial Officer Department of Transportation loren.doyle@dot.ri.gov
Finding 23439 (2022-038)
Significant Deficiency 2022
We agree with the recommendations and are actively taking steps to address the noncompliance. We expect these steps will result in more consistent FFATA reporting by state agencies with applicable subawards. ? The Grant Management System implemented in December 2022 includes a dedicated section for...
We agree with the recommendations and are actively taking steps to address the noncompliance. We expect these steps will result in more consistent FFATA reporting by state agencies with applicable subawards. ? The Grant Management System implemented in December 2022 includes a dedicated section for each subrecipient at the entity level for the collection of required information for FFATA reporting. If an agency has a subaward that meets the FFATA threshold, key information they need for FFATA reporting is easily accessible. ? Provided mandatory FFATA reporting training for all state agencies with active subawards. The training was conducted 2/8/23. ? Launched a dedicated FFATA reporting page on the Grants Management Office website which contains training resources and a helpful FFATA reporting worksheet. ? Forthcoming FFATA reporting policy. Expected in first half of 2023. Anticipated Completion Date: September 30, 2023 Contact Person: Steve Thompson, Chief of Strategic Planning, Monitoring and Evaluation Department of Administration, Office of Management & Budget, Grants Management Office steve.thompson@omb.ri.gov
Finding 23424 (2022-040)
Significant Deficiency 2022
2022-040a ? The State will expand its formalized risk assessment procedures for the MMIS and RIBridges by enhancing its documentation of the responsibilities of the various State agencies that utilize and manage the systems. 2022-040b ? The MARSE-2.2 Security Framework implemented for RIBridges, in...
2022-040a ? The State will expand its formalized risk assessment procedures for the MMIS and RIBridges by enhancing its documentation of the responsibilities of the various State agencies that utilize and manage the systems. 2022-040b ? The MARSE-2.2 Security Framework implemented for RIBridges, including a formal Risk Assessment performed on RIBridges at startup that determined the System Security and Privacy Control Plan (SSP) that has been implemented. All new system changes are assessed and the SSP controls are updated to remain compliant as needed. The SSP is assessed annual by a third party auditor and defects in the controls are tracked on the system POAM for these as well as other defects that are identified through continuous monitoring and other audits. A General Attestation (in lieu of SOC2 Type2) is in progress for next fiscal year and this will be one of the corrective actions. Anticipated Completion Date: Ongoing Contact Person: Deb Merrill, Information Security Officer Department of Administration, Division of Information Technology deb.merrill@doit.ri.gov
The department of public works updated and put into effect its SOPs for electronic project billing in January 2021. DPW's action plan is to continue adhering to its updated process and procedures. Key individuals responsible: DPW Deputy Director Laupele Tilei, Civil Engineer Uaealesi Doris Faumuina...
The department of public works updated and put into effect its SOPs for electronic project billing in January 2021. DPW's action plan is to continue adhering to its updated process and procedures. Key individuals responsible: DPW Deputy Director Laupele Tilei, Civil Engineer Uaealesi Doris Faumuina-Sipelii; to be completed by September 30 2023
Finding 23390 (2022-001)
Significant Deficiency 2022
City of Camarillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: CliftonLarsonAllen LLP 2875 Michelle Drive, Suite 300 Irvine, CA 92606 Audit Period: July 1, 2021 ? June 30, 2022 Significant Defi...
City of Camarillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: CliftonLarsonAllen LLP 2875 Michelle Drive, Suite 300 Irvine, CA 92606 Audit Period: July 1, 2021 ? June 30, 2022 Significant Deficiency in Internal Control over Compliance and Other Matter: 2022-001 Recommendation: We recommend that the City implement policies and procedures to ensure that FFATA reporting occurs for all subawards of $30,000 or more for all federal awards. Action Taken: The City works with a consultant that provides the FFATA reporting for all Department of Housing and Urban Development grants. The City is updating its grant procedures to include a new process to file the FFATA report for all federal grants that have subawards of $30,000 or greater. For any questions regarding this plan, please contact me at (805) 388-5320 or email muribe@cityofcamarillo.org.
Thurston Regional Planning Council January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Council for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost...
Thurston Regional Planning Council January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Council 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: 2022-001 Finding caption: The Council lacked adequate internal controls for ensuring compliance with suspension and debarment requirements. Name, address, and telephone of Council contact person: Tyson Justis 2411 Chandler Court S.W. Olympia, WA 98502 360-741-2515 Corrective action the auditee plans to take in response to the finding: The Council plans on implementing a formalized suspension/debarment verification process in our contracting and procurement procedures for goods and services. In addition, a debarment certification section will be included in our federally funded professional service contracts. Anticipated date to complete the corrective action: 9/1/2023
Elementary and Secondary School Emergency Relief Wage Rate Requirements Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425D Recommendation: CLA recommends that the District implement controls to ensure construction contracts include the proper wording and implement cont...
Elementary and Secondary School Emergency Relief Wage Rate Requirements Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425D Recommendation: CLA recommends that the District implement controls to ensure construction contracts include the proper wording and implement controls to ensure certified payrolls are received and reviewed. We also recommend the district implement controls for monitoring third party contractors when the contractors are responsible for compliance requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The district was contracting with CESA #10 facilities management to oversee the project. The prevailing wage requirement was designated in the bidding process and the district was assured that the prevailing wage rule would be met. Wage reports were requested and maintained by the CESA #10 office. From now on the district will be requesting that these documents be sent on to the district in a timely manner for review and take pictures of the postings at the job site. Name(s) of the contact person(s) responsible for corrective action: Joe Green Planned completion date for corrective action plan: Next capital project
View Audit 18647 Questioned Costs: $1
Child Nutrition Cluster Segregation of Duties Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District implement a formal review process over the reporting and verification requirements related to the Child Nutrition Cluster ...
Child Nutrition Cluster Segregation of Duties Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District implement a formal review process over the reporting and verification requirements related to the Child Nutrition Cluster during the fiscal year and properly retain the documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This process was completed in the fall of 2022. The person handling this for 2021-22 didn?t complete this process because lunches and breakfasts were all free.. Name(s) of the contact person(s) responsible for corrective action: Lisa Hinker Planned completion date for corrective action plan: Fall of 2022
Finding Reference Number 2022-002: Reporting for AL #98.001 Name of contact person responsible for corrective action: Fernando Ortega Galli Anticipated completion date: 8/31/2023 Corrective action: We will report the sub-award made to Touch Foundation Tanzania (i.e., the only sub-award made by Touch...
Finding Reference Number 2022-002: Reporting for AL #98.001 Name of contact person responsible for corrective action: Fernando Ortega Galli Anticipated completion date: 8/31/2023 Corrective action: We will report the sub-award made to Touch Foundation Tanzania (i.e., the only sub-award made by Touch Foundation Inc. for more than $30,000 in FY22) to the Federal Funding Accountability and Transparency Act Subaward Reporting System (?FSRS?)
FINDINGS - MAJOR FEDERAL AWARD PROGRAM AUDIT Department of Housing and Urban Development Finding, 2022-002: Major Programs: Major Program: Section 202 Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 RECOMMENDATION The auditor recommends ensuring all tenants? 90-day E...
FINDINGS - MAJOR FEDERAL AWARD PROGRAM AUDIT Department of Housing and Urban Development Finding, 2022-002: Major Programs: Major Program: Section 202 Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 RECOMMENDATION The auditor recommends ensuring all tenants? 90-day EIV reports are generated within the required time period to verify tenant information promptly and help reduce errors in subsidy payments. ACTION TAKEN The Project will be monitoring the use of the EIV system for move-ins and recertifications.
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