Corrective Action Plans

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FINDING 2024-003 Finding Subject: COVID 19 - Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials...
FINDING 2024-003 Finding Subject: COVID 19 - Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The suspension and debarment form is now in the bidder’s packet and is mandatory to bid per our prior corrective action plan. An employee in the auditor’s office double check’s the bidders packet to ensure that the S&D form and all required information is included prior to sending it to the vendor. If the purchase does not require bidding, but is over the $25,000 small purchase threshold, an auditor’s office employee is responsible for submitting the S&D form to the vendor prior to payment and keeping the form once returned in the file for that project/vendor. Anticipated Completion Date: March 2025
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Curren...
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-002: The Corporation's accounting books and records as submitted for audit included certain accounts which were not presented in accordance with accounting standards generally accepted in the United States of America ("GAAP"). As a result, audit adjustments provided by management were required to present the December 31, 2024 financial statements in accordance with GAAP. Comments on the Finding and Each Recommendation: Management should review the internal controls to ensure that the accounting software allows for timely recording of information and that a timely review of the reconciliations is completed by another accountant not responsible for the month end close. Action(s) taken or planned on the finding: The accounting software provider is being changed and a new system to indicate review and approval of the month end closing process will be implemented.
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Curren...
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: During the year ended December 31, 2024, the Corporation did not make the required deposits to the reserve for replacements.. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $1,711 for the delinquent deposits. In future periods, management should fund the reserve for replacements on an annual basis as required by the HUD regulatory agreement or request a suspension of deposits from HUD. Action(s) taken or planned on the finding: Management will make the delinquent deposit in 2025.
Finding 572581 (2024-002)
Significant Deficiency 2024
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on...
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-002: The Corporation's accounting books and records as submitted for audit included certain accounts which were not presented in accordance with accounting standards generally accepted in the United States of America ("GAAP"). As a result, audit adjustments provided by management were required to present the December 31, 2024 financial statements in accordance with GAAP. Comments on the Finding and Each Recommendation: Management should review the internal controls to ensure that the accounting software allows for timely recording of information and that a timely review of the reconciliations is completed by another accountant not responsible for the month end close. Action(s) taken or planned on the finding: The accounting software provider is being changed and a new system to indicate review and approval of the month end closing process will be implemented.
Finding 572580 (2024-001)
Significant Deficiency 2024
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on...
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: During the year ended December 31, 2024, the Corporation withdrew $5,980 from the reserve for replacements without obtaining HUD approval. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $5,980. Action(s) taken or planned on the finding: Management will make a deposit of $5,980 during the year ended December 31, 2025.
View Audit 363712 Questioned Costs: $1
The County’s Corrective Action Plan to address the condition is to put controls in place to ensure subaward agreements are current and include all required information, required information is provided to the subrecipient at the time of award issuance, subrecipients have a UEI, monitoring activities...
The County’s Corrective Action Plan to address the condition is to put controls in place to ensure subaward agreements are current and include all required information, required information is provided to the subrecipient at the time of award issuance, subrecipients have a UEI, monitoring activities are conducted in accordance with the subaward agreement, and subrecipient risk assessment and audit verification is documented.In addition, finance personnel will be provided with the proper education and training to ensure proper monitoring procedures are being followed.The County is in the process of finalizing an updated subaward agreement that includes all required information. The subrecipient has obtained the proper UEI.The County Auditor, Michelle Samford, will be responsible for ensuring that the Corrective Action Plan is implemented. The anticipated completion date is December 31, 2025.
Finding 572480 (2024-006)
Significant Deficiency 2024
The City will ensure that federal funding awards are reported on the FFTA website.
The City will ensure that federal funding awards are reported on the FFTA website.
Finding 572479 (2024-005)
Significant Deficiency 2024
The City will start requireing all supporting documentation for all grants, including those administered by a third party.
The City will start requireing all supporting documentation for all grants, including those administered by a third party.
Finding 572478 (2024-002)
Significant Deficiency 2024
Finding 2024-002: Noncompliance with Continuing Loan Monitoring Requirements Evaluation of Finding: Significant Deficiency and Noncompliance Federal Program: HOME Investment Partnerships program Assistance Listing Number: 14.239 Federal Grantor: Department of Housing and Urban Development Federal Aw...
Finding 2024-002: Noncompliance with Continuing Loan Monitoring Requirements Evaluation of Finding: Significant Deficiency and Noncompliance Federal Program: HOME Investment Partnerships program Assistance Listing Number: 14.239 Federal Grantor: Department of Housing and Urban Development Federal Award Year: 2023-2024 Criteria: The City is a subrecipient of Community Development Block Grant (CDBG) funds from the U.S. Department of Housing and Urban Development. Per the grant agreement, the City must regularly monitor loan recipients’ compliance with the loan agreement and program guidelines. Condition: The City is not adhering to their established policy to oversee loan compliance requirements and has not retained adequate documentation to demonstrate ongoing adherence to these requirements. Cause: The noncompliance is attributed to the City being unfamiliar with the continuing loan compliance requirements specified within the CDBG grant program and grant agreement. Effect: The failure to comply with the continuing loan compliance requirements poses significant risks, including: • Potential mismanagement or misuse of funds by loan recipients. • Increased likelihood of default or financial instability among borrowers. • Inaccurate financial reporting and lack of accountability. • Overall diminished effectiveness and credibility of the CDBG program. Questioned Costs: No questioned identified. Context: We tested 8 out of 42 loans that existed prior to the fiscal year ended June 30, 2024, noting the City did not have sufficient documentation to support continuing loan compliance requirements were met. Through discussions with the City, the City was unaware of the continuing loan compliance requirements per the grant agreement. Repeat Finding: No Recommendation: To address and rectify this noncompliance issue, it is recommended that the following actions be implemented: • Provide comprehensive training on monitoring procedures and compliance requirements. • Review grant policies checklists to ensure thorough and consistent treatment. • Establish a regular schedule for loan evaluations, document inspections, and follow-up actions. By taking these corrective measures, the City can ensure it meets the continuing loan monitoring requirements and supports the success and integrity of the Community Block Development program. Corrective Action Plan: The City acknowledges the finding regarding noncompliance with the continuing loan monitoring requirements for the Community Development Block Grant (CDBG) Home Improvement Program. We recognize the importance of ensuring full compliance with all grant requirements to maintain the integrity and effectiveness of the program and will implement the recommendations by September 30, 2026. Since 1985, the City of Inglewood has approximately 281 CDBG loans issued to homeowners under the CDBG Program for either homebuyer programs or for housing rehabilitation programs. Over the years the City has contracted with the outside agency, Inglewood Neighborhood Housing Services (INHS) to administer these homeowner loan programs for Inglewood residents. It has been demonstrated that the now dissolved INHS has issued loans to homeowners and may not have recorded each transaction accurately, thus resulting in some loans being paid off without proper noticing to the City. In 2007, the City retrieved the loan files from INHS in an attempt to reconcile the outstanding loans issued by INHS. The City’s CDBG Division along with the RDA has been tasked with reconciling the home loans for both HUD and the RDA. During this period, the City suffered a gradual reduction in HUD CDBG and HOME funds which resulted in the gradual reduction of key CDBG staff members, beginning with the separation of the Senior Grants Coordinator, the Grants Coordinator, the CDBG Division Accountant, and the CDBG Administrative Analyst. The remaining full-time staff and two new full-time CDBG Division staff, saw the retirement of the Grants Manager, and a series of five subsequent managers since 2013. Since 2019, the City stabilized its staffing to include a HUD Programs Manager who is responsible for overseeing the CDBG Loan Program. The HUD Programs Manager will ensure the loans are properly monitored, and serviced. The City has two Senior Program Specialists (SPS) who have a combined total of over 40 years’ experience in HUD Programs. It is important to note, one of the two SPS has been out on leave since December 2024. Corrective Action 1.0: The city will provide CDBG staff with comprehensive training on monitoring procedures and compliance requirements Corrective Action 2.0: CDBG staff will review grant policies checklists to ensure thorough and consistent treatment. Corrective Action 3.0: CDBG staff will establish a regular annual loan evaluation, document inspections, and follow-up actions. Projected Time of Completion: September 30, 2026 The name of the contact person responsible for the corrective action: Roberto Chavez, HUD Programs Manager If the Cognizant or Oversight Agency for the Audit has questions regarding the corrective action plan, please contact Luisana Gomez, Accounting Manager lgomez@cityofinglewood.org
July 28, 2025 Cognizant or Oversight Agency for Audit The City of Inglewood respectfully submits the following corrective action plan for the year ended September 30, 2024. Name and address of independent public accounting firm: Lance, Soll & Lunghard, LLP 203 N. Brea Blvd, Suite 203 Brea, CA 92821 ...
July 28, 2025 Cognizant or Oversight Agency for Audit The City of Inglewood respectfully submits the following corrective action plan for the year ended September 30, 2024. Name and address of independent public accounting firm: Lance, Soll & Lunghard, LLP 203 N. Brea Blvd, Suite 203 Brea, CA 92821 Audit period: 10/01/2023 to 09/30/2024 The finding from the September 30, 2024 schedule of findings and questioned costs is discussed below with the corrective action plan. Finding 2024-001: Delays in Financial Reporting Evaluation of Finding: Material Weakness and Noncompliance Criteria: Management is responsible for providing timely and accurate financial information. Because the City has expended over $750,000 in federal awards, Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance), requires non-federal entities to submit their financial statements and single audit reports to the Federal Audit Clearinghouse (FAC) within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. Per HUD REAC reporting requirements and 24 CFR Part 5, Subpart H of the Uniform Guidance, auditees must submit the reporting package, including the Schedule of Findings and Questioned Costs, to the Federal Audit Clearinghouse within 30 calendar days after receipt of the auditor’s report or nine months after the end of the audit period, whichever comes first. Condition: The City did not submit its financial statements and single audit reports to the FAC within the required timeframe for the fiscal year ended September 30, 2024. The financial statements and single audit reports were submitted after the deadline of June 30, 2025. The City failed to submit the Real Estate Assessment Center (REAC) reporting package to the U.S. Department of Housing and Urban Development (HUD) within the required timeframe for the fiscal year ended September 30, 2024. The financial statements and single audit reports were also submitted after the deadline of June 30, 2025. Cause: The financial reporting was delayed primarily due to the finalization of the Inglewood Basketball Entertainment Center (IBEC) transactions, which required extensive review and adjustments to ensure accuracy and compliance. Additionally, the resolution of compliance matters related to the sale of land parcels held by the Successor Agency further contributed to the delay. These complex processes necessitated thorough examination with specialists and coordination with attorneys, ultimately impacting the timely completion of the financial reports. Effect: The late submission of the financial statements, single audit, and REAC reports impairs the ability of the federal awarding agencies and pass-through entities to monitor the City’s compliance with federal requirements and to make informed decisions regarding the continuation or modification of federal awards. The late submission also results in noncompliance with the Uniform Guidance and HUD REAC, and increases the risk of fraud, waste, and abuse of federal funds. Context: The City’s financial statements and single audit reports are used by the federal awarding agencies and pass-through entities to assess the non-federal entity's financial condition, internal controls, and compliance with federal requirements. Repeat Finding: No Recommendation: LSL does not anticipate this finding to be repeated in the next fiscal year, as the IBEC transaction is expected to be fully resolved. With the completion of this transaction and the resolution of compliance matters related to the sale of land held by the Successor Agency, the processes that contributed to the delay in financial reporting will no longer be a factor. This will enable more timely and accurate financial reporting moving forward. Management Response: Management acknowledges the auditors finding regarding delays in financial reporting, including the late issuance of financial statements, and the timing challenges caused by the accounting treatment of complex or non-routine transactions. We recognize that timely financial reporting is essential to upholding public trust, supporting informed policy decisions, and ensuring compliance with applicable accounting standards and regulatory deadlines. The delays identified during the audit were primarily attributable to the following factors: • The occurrence of a complex and non-recurring transaction during the fiscal year that required significant time for proper technical analysis and documentation. • Dependencies on information from third-party agencies, consultants, and internal departments that impacted the timing of final reporting deliverables. Corrective Action Plan: In response to this finding, the City is taking the following steps to improve the timeliness and reliability of its financial reporting process: 1. Staff Development and Capacity: The City has initiated efforts to strengthen the Finance Department’s capacity by filling key vacancies, cross-training staff, and providing targeted professional development on complex accounting topics relevant to governmental reporting. 2. Proactive Technical Review: The City will identify and evaluate complex or unusual transactions on a proactive basis throughout the fiscal year and, where appropriate, consult with the City’s external auditors or subject matter experts prior to year-end. 3. Process and Timeline Enhancements: The City is updating its year-end financial close calendar to incorporate additional review periods for high-complexity areas and to better align internal workflows and external reporting timelines. 4. Improved Coordination and Documentation: The Finance Department is implementing enhanced coordination protocols with other departments and external service providers, as well as strengthening internal documentation procedures to ensure timely and accurate support for financial entries and disclosures. The City remains committed to enhancing its financial reporting processes and internal controls. Management believes these corrective actions will lead to more timely issuance of the City’s financial statements in future periods and will continue to monitor progress and make adjustments as necessary. The name of the contact person responsible for the corrective action: Luisana Gomez, Accounting Manager If the Cognizant or Oversight Agency for the Audit has questions regarding the corrective action plan, please contact Luisana Gomez, Accounting Manager lgomez@cityofinglewood.org
Finding 2024-001 – Housing Choice Voucher Tenant Files – Eligibility – Internal Control over Tenant Files - Noncompliance & Significant Deficiency – Housing Choice Voucher Program – ALN #14.871 The Greensboro Housing Authority (GHA) continues the implementation of systems and processes to correct i...
Finding 2024-001 – Housing Choice Voucher Tenant Files – Eligibility – Internal Control over Tenant Files - Noncompliance & Significant Deficiency – Housing Choice Voucher Program – ALN #14.871 The Greensboro Housing Authority (GHA) continues the implementation of systems and processes to correct internal control of participant files in the Housing Choice Voucher Program (HCVP) with the following actions: GHA will continue to have external and internal third-party reviews of select file samples ongoing throughout the year for the purpose of identifying each of the items stated in the above finding along with other potential areas for risk. GHA has implemented accountability measures through a two-pronged approach of quality control and quality assurance checks at both the division and department levels to verify the accuracy of calculations and the completeness of program participant files. GHA has also revised and updated its file readiness checklist to ensure consistent file quality and adherence to stated protocols. GHA will continue to provide internal and external training for HCV team members. Based on the results of independent and internal reviews, we have identified specific areas for ongoing training and development. We have also targeted specific individuals who need additional development and focused training. GHA has initiated and will continue implementing the latest module(s) within its corporate software platform (YARDI). This will result in streamlining and automation of the HCV process. These upgrades and enhancements will include eligibility, intake, inspection and recertification workflows which will minimize and even mitigate specific errors that have been identified above. As a result, we will have an effective increase in both quality control and quality assurance within the entire HCV process. Anticipated Completion Date: The above plans will be implemented immediately and will be continuously monitored. We anticipate a completion date of no later than December 31, 2025. Responsible Parties: Meredith J. Daye, Chief Operating Officer Donna Mills, Vice President of Voucher Administration
View Audit 363610 Questioned Costs: $1
FINDING 2024-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Contact Person Responsible for Corrective Action: Debra Carnes Contact Phone Number and Email Address: 317.477.1105 Views of Responsible Officials: We concur with the audit finding and will enhance our int...
FINDING 2024-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Contact Person Responsible for Corrective Action: Debra Carnes Contact Phone Number and Email Address: 317.477.1105 Views of Responsible Officials: We concur with the audit finding and will enhance our internal controls and procedures for subrecipient monitoring. Specifically, we will: Corrective Action Plan for Finding 2024-001 l. Include the Assistance Listing Number (ALN) and Federal Award Identification Number (FAIN) in subaward agreements. 2. Verify that subrecipients have been audited as required. Implementation Timeline We will update our written internal controls by August 29, 2025, to reflect these enhancements. Current Status We have already verified that our subrecipient has been audited, and to the best of our knowledge, there are no findings related to ARPA funding. Sincerely, Debra A. Carnes Hancock Co. Auditor
Corrective Action Planned: The USGA will enhance the procedures within its Policy for the Acquisition of Goods & Services relating to procurements utilizing Federal funding. In particular, the Policy will be amended so that adequate documentation is retained to ensure compliance with the requirement...
Corrective Action Planned: The USGA will enhance the procedures within its Policy for the Acquisition of Goods & Services relating to procurements utilizing Federal funding. In particular, the Policy will be amended so that adequate documentation is retained to ensure compliance with the requirements for the procurement methods described in 2 CFR §200.320. Further, the updated Policy will include additional requirements to ensure that applicable documentation of the USGA’s suspension and debarment verification procedures is retained and attached to any related purchase order in the USGA’s ERP system. At the time of the Policy’s approval by the USGA’s Executive Leadership team, the document will be shared with all employees and posted on our internal shared site where Finance related policies are stored and may be referred to. The USGA’s Finance/Accounting Department will be responsible for identifying grants to which the updated Policy applies and to assist with retaining the relevant documentation. The USGA’s Finance/Accounting Department will also develop a unique coding/project identifier to assist with ensuring that the request to purchase via a Purchase Order (PO) is visibly different than a generic PO when Federal funding is involved.
Student Registration and Financial Services (SRFS) and the office of Student Financial Aid (SFA) will review existing policy/practice around updates to disbursement records. We will make any necessary changes to controls to ensure all disbursements are included for reporting to the COD within the re...
Student Registration and Financial Services (SRFS) and the office of Student Financial Aid (SFA) will review existing policy/practice around updates to disbursement records. We will make any necessary changes to controls to ensure all disbursements are included for reporting to the COD within the required timeframe.
Student Registration and Financial Services (SRFS) and the office of Student Financial Aid (SFA) will continue collaboration with school partners and the office of the Provost to reinforce university policies and procedures by continuing to provide training to individuals involved in the process of ...
Student Registration and Financial Services (SRFS) and the office of Student Financial Aid (SFA) will continue collaboration with school partners and the office of the Provost to reinforce university policies and procedures by continuing to provide training to individuals involved in the process of updating student’s enrollment. The office of the University Registration (OUR) and SFA will collaborate to use existing school partner meetings, and internal functional partner meetings to conduct training. OUR generated its first Enrollment Reporting out of the new system (Banner Student) in Summer 2022. We expect to achieve steady state processing, when moving from the main frame to ERP system within five years of go-live. SRFS will review school partner access through audit reports to determine error rates and assess risk. SRFS will review existing policy/practice around student activated drops/withdrawals/Penn Leaves of Absence and make recommendations.
Corrective Action Planned: The Authority will closely monitor all deposits to make sure that the amount of funds on deposit are protected by federal deposit insurance, corporate surety bond, or collateral. Completion Date: December 31, 2025
Corrective Action Planned: The Authority will closely monitor all deposits to make sure that the amount of funds on deposit are protected by federal deposit insurance, corporate surety bond, or collateral. Completion Date: December 31, 2025
Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suit...
Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: January 1, 2024 through December 31, 2024 The findings from the December 31, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AND FINANCIAL STATEMENT AUDITS FINDING No. 2024-001: Section 236 Interest Reduction Payments, ALN 14.103 Recommendation: Management should ensure adherence to and the monitoring of established controls over cash disbursements. Action Taken: Staff training has been provided. New manager has been advised regarding limits. This was a glitch in the OPS Spend Management system.
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 30, 2025. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month....
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 30, 2025. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month. During the scheduled monthly meetings between the Vice President of Health Services, Controller, and the Health Services Grant Senior Project Manager, Metzli Gonzales, to review the monthly Title X patient counts, an agenda item will be added to confirm that all the information is available for the Vice President of Health Services to prepare and submit the FFATA report.
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Finding 2024-001 (a)...
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Finding 2024-001 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendations, please see below for action taken. (b) Action taken - The Authority submitted all required closeout documentation and received approval from HUD on July 3, 2025. (c) Planned implementation date of corrective action - Completed by December 31, 2025.
FINDING 2024-002 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Darrin Boas Contact Phone Number and Email Address: 812-522-4020; dboas@seymourin.org Views of Responsible Officials: We co...
FINDING 2024-002 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Darrin Boas Contact Phone Number and Email Address: 812-522-4020; dboas@seymourin.org Views of Responsible Officials: We concur with the findings Description of Corrective Action Plan: Management developed, adopted and implemented a procurement policy for federal purchases that aligns with the requirement of the 2 CFR 200 Uniform Guidance. This process includes steps within the interview and application process to ensure contractors and subrecipients are eligible (not suspended, debarred, or otherwise excluded) to enter into an agreement, contract, or subaward with the City. The contract in question was agreed to during last year’s audit and part of an overall project/grant overseen by Schneck Hospital entered into in 2021. Going forward, the Clerk Treasurer will review the agreements with the vendors who are being paid from federal grant monies to ensure that the procurement policy is being followed and proper documentation is being obtained based on the procurement method. Anticipated Completion Date: Completed. The City adopted Ordinance 35 on November 25, 2024. This was the effective date of correction.
CORRECTIVE ACTION PLAN July 17, 2025 Health Resources and Services Administration Jewish Child Care Association of New York (d/b/a JCCA) and Affiliated Organization respectfully submits the following corrective action plan for the year ended June 30, 2024. _________________________________________...
CORRECTIVE ACTION PLAN July 17, 2025 Health Resources and Services Administration Jewish Child Care Association of New York (d/b/a JCCA) and Affiliated Organization respectfully submits the following corrective action plan for the year ended June 30, 2024. ____________________________________________________________________________________ CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2024 The findings from the June 30, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. FINDINGS – FINANCIAL STATEMENT FINDINGS Finding 2024-001 – Account Analyses MATERIAL WEAKNESS Recommendation We recommend that the Agency implement policies, procedures and controls to ensure that all accounting records are analyzed and reconciled on a monthly basis. In addition, the Agency should follow the policies and procedures for the proper and timely review of all journal entries. The personnel reviewing the journal entries should agree the journal entries to the source documents or underlying support and should document his or her review of the journal entry. Action Taken Management of the Agency is in agreement with this finding. The Agency experienced turnover in key positions of the finance department and therefore they have outsourced their finance function to BTQ Financial from the end of November. BTQ is focusing on the implementation of reconciling the accounts on a more routine and timelier basis which is consistent with financial policies and procedures of the Agency. Revised Policy and Procedures that incorporate this finding will be in place by 8/1/2025. Finding 2024-002 – Information Technology – General Control Activities SIGNIFICANT DEFICIENCY Recommendation We recommend the Agency follow their policy for password age. We also recommend that the Agency enable multi-factor authentication. Lastly, we recommend the Agency perform a risk assessment over the information technology environment. We recommend a written risk assessment and penetration test to be performed annually and vulnerability scans to be performed quarterly. Action Taken Password policy had been updated with stricter complexity and retention requirements, aligning to or exceeding best practices. Multi-Factor Authentication (MFA) had been implemented on all VPN and remote access to JCCA resources. HIPAA Risk Assessment will be completed by July 31, 2025. A SOCaaS (Security Operation Center as a Service) with continuous internal and external vulnerability scanning and assessment will be implemented by July 25,2025. A contract to purchase network security and email security solutions was signed and will be implemented in October 2025. Penetration testing is planned for Q1 2026 after all the mentioned security enhancements are in place. FINDINGS – FEDERAL AWARDS PROGRAM AUDIT U.S. Department of Health and Human Services, Unaccompanied Alien Children Program (Assistance Listing Number 93.676), FAIN # 90ZU0385, 90ZU0603, 90ZU0567, and 90ZU0536, for FY 2024 - Significant Deficiency Finding 2024-003 – Procurement, Suspension and Debarment Recommendation We recommend that the Agency train its personnel in relation to the exclusion screening and proper documentation thereof and that the Agency conduct regular reviews to ensure the completeness of exclusion search documentation. Action Taken As per the Purchasing policy, new vendors are sanctioned by the Purchasing department prior to the creation of a purchase order. Compliance conducts a monthly sanction review of all vendors. Sanction checks have now been completed for the vendors previously missed, and we have strengthened internal controls to ensure all newly added vendors are screened moving forward. In addition, employees whose salaries are charged to federal grants are also subject to suspension and debarment checks. JCCA ensures to actively conduct these checks in compliance with federal regulations. U.S. Department of Health and Human Services, Unaccompanied Alien Children Program (Assistance Listing Number 93.676), FAIN # 90ZU0385, 90ZU0603, 90ZU0567, and 90ZU0536, for FY 2024 - Significant Deficiency Finding 2024-004 – Activities Allowed or Unallowed, Allowable Costs/Cost Principles Recommendation We recommend that the Agency strengthen their internal control policies and procedures to ensure that the allocations per the time and effort attestation forms agree with the amount charged to the grant per the general ledger. Action Taken We acknowledge the recommendation and recognize the importance of aligning time and effort attestations with the amounts charged to grants in the general ledger. We ensure that any changes to employee allocations are reflected timely in our payroll and accounting systems to maintain consistency between documentation and financial records. Additionally, we are reviewing our internal controls and procedures to identify any process gaps and reinforce communication between HR, Payroll, and Finance teams. Going forward, we will enhance oversight to ensure that updates related to employee funding sources are promptly recorded, which will help maintain accurate grant reporting and compliance with applicable regulations The anticipated completion date of this action is August 1, 2025. If the Health Resources and Services Administration has questions regarding this plan, please call Kenneth Shieh, Chief Administrative Officer at (718) 747-4367. Sincerely yours, Signature:  Name: Kenneth Shieh Title: Chief Administrative Officer
Finding 572174 (2024-004)
Significant Deficiency 2024
Corrective Action Plan for Finding 2024-004 Contact person Responsible for Corrective Action: Karen Hennessy Contact Phone Number: 815 774-6359 Views of Responsible Official: We concur with the finding and offer the following context and corrective action plan: Condition: During our audit of the...
Corrective Action Plan for Finding 2024-004 Contact person Responsible for Corrective Action: Karen Hennessy Contact Phone Number: 815 774-6359 Views of Responsible Official: We concur with the finding and offer the following context and corrective action plan: Condition: During our audit of the County’s administration of federal funds under the CSLFRF program, we noted that the County did not have a documented process in place to track and maintain copies of Single Audit reports for subrecipients to whom it awarded federal funds. Specifically, the County was unable to provide evidence that it had obtained and reviewed Single Audit reports for any of its subrecipients during the audit period. Description of Corrective Action Plan: The county will create a tracking document that provides the following: -All CSLFRF (ARPA) subrecipients -Amounts and types of all CSLFRF allocations to the subrecipient -The fiscal cycle of the subrecipient -The date the annual financial statement was received -The person receiving the file -The file name and location -An indication if the subrecipient meets the threshold to have a single audit (not based on the amount allocated by the county) -If a single audit is required a copy will be requested from the subrecipient or from the Federal Clearing House -The date the Single Audit report was received -The name of the person receiving the file -The file name and location -The name of the person completing the review of the Single Audit report to identify any findings related to CSLFRF -Notes regarding follow up due to findings related to CSLFRF Anticipated Completion Date: August 31, 2025
Finding 572173 (2024-003)
Significant Deficiency 2024
Corrective Action Plan for Finding 2024-003 Contact person Responsible for Corrective Action: Karen Hennessy Contact Phone Number: 815 774-6359 Views of Responsible Official: We concur with finding 2024-003 and offer the following context and corrective action plan: Condition: During our audit o...
Corrective Action Plan for Finding 2024-003 Contact person Responsible for Corrective Action: Karen Hennessy Contact Phone Number: 815 774-6359 Views of Responsible Official: We concur with finding 2024-003 and offer the following context and corrective action plan: Condition: During our audit of the County’s administration of federal funds under the CSLFRF program, we noted the County failed to provide a subrecipient agreement to two subrecipient entities that would have included appropriate information related to federal award identification. Description of Corrective Action Plan: The County had all CSLFRF projects reviewed to confirm that the correct agreement type had been issued. The review found that 6 of the 56 projects had been issued a Beneficiary Agreement instead of a Subrecipient Agreement. Each of the 6 subrecipients has been contacted and provided with a Subrecipient Agreement. This corrects the finding. Completion Date: June 30, 2025
Recommendation: We recommend that the Parish establish and implement formal policies and procedures for subrecipient monitoring in accordance with 2 CFR § 200.331. This should include conducting and documenting pre-award risk assessments, developing a subrecipient monitoring plan (e.g., site visits,...
Recommendation: We recommend that the Parish establish and implement formal policies and procedures for subrecipient monitoring in accordance with 2 CFR § 200.331. This should include conducting and documenting pre-award risk assessments, developing a subrecipient monitoring plan (e.g., site visits, desk reviews), reviewing subrecipient performance and audit reports on a regular basis. Corrective Action: The Parish has established a subrecipient checklist to assess risk and compliance. The checklist will be completed as an additional measure to ensure the standards outlined in the “Grant Administration Policies & Procedure” are met.
FA 2024-002 Improve Internal Control Activities Compliance Requirement: Activities Allowed or Unallowed Allowable Costs/Cost Principle Period of Performance Procurement and Suspension and Debarment Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Fed...
FA 2024-002 Improve Internal Control Activities Compliance Requirement: Activities Allowed or Unallowed Allowable Costs/Cost Principle Period of Performance Procurement and Suspension and Debarment Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of Education Assistance Listing Number and Title: 84.027 - Special Education Grants to States 84.173 - Special Education Preschool Grants Federal Award Number: H027A220073 (Year: 2023), H027A230073 (Year: 2024), H173A220081 (Year: 2023), H173A230081 (Year: 2024), H027X210073 (Year: 2022), H173X210081 (Year: 2022), Questioned Costs: None identified Description: A review of expenditures recorded in and related to the Special Education Cluster revealed that the School District's internal control procedures were not designed appropriately to ensure that appropriate reviews and approvals occurred. Corrective Action Plans: The use of signature stamps has been discontinued. However, the underlying approval process remains unchanged. The Director will continue to review all expenditures to ensure allowability and to mitigate the risk of improper use of federal funds. Estimated Completion Date: June 30, 2025 Contact Person: Tonya Waller, Special Education Director Telephone: 706-441-0601 Email: tonya.waller@mcssga.org
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