Corrective Action Plans

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Suspension and Debarment U.S. Department of Transportation U.S. Department of Treasury U.S. Department of Health and Human Services Recommendation: None, the County has implemented internal controls to ensure suspension and debarment assessments are performed before a contract is awarded. Explanat...
Suspension and Debarment U.S. Department of Transportation U.S. Department of Treasury U.S. Department of Health and Human Services Recommendation: None, the County has implemented internal controls to ensure suspension and debarment assessments are performed before a contract is awarded. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will continue to ensure that suspension and debarment assessment are performed. Name(s) of the contact person(s) responsible for corrective action: Tracy Bayne Planned completion date for corrective action plan: Appropriate corrected actions were implement on December 31, 2023.
FFATA Reporting U.S. Department of Housing and Urban Development Recommendation: We recommend the County implement a process that includes tracking timely submission of the Federal Funding Accountability and Transparency Act (FFATA) reports and training employees on the FFATA reporting requirements...
FFATA Reporting U.S. Department of Housing and Urban Development Recommendation: We recommend the County implement a process that includes tracking timely submission of the Federal Funding Accountability and Transparency Act (FFATA) reports and training employees on the FFATA reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will identify all federal awards that FFATA reporting is required. Once all of the requirements are identified, the County will then determine if there are eligible subrecipients or contracts that need to be reported on the FFATA website. Name(s) of the contact person(s) responsible for corrective action: Tracy Bayne Planned completion date for corrective action plan: December 31, 2024
Audit Finding Reference: 2023-003 Department’s Response: We concur. Views of Responsible Officials and Corrective Action: Not all reimbursement submissions were reviewed by someone other than the preparer prior to submission. Subsequent to June 30, 2023, CCEOK established an internal control that re...
Audit Finding Reference: 2023-003 Department’s Response: We concur. Views of Responsible Officials and Corrective Action: Not all reimbursement submissions were reviewed by someone other than the preparer prior to submission. Subsequent to June 30, 2023, CCEOK established an internal control that requires all requests submitted for reimbursement be reviewed by someone other than the preparer prior to submission. Name of Contact Person: Lisa Wheeler, CPA Director of Finance Lwheeler@CCEOK.org 918-508-7118 2340 N Harvard Ave, Tulsa, OK 74158 Projected Implementation: July 1, 2024
Department’s Response: We concur. Views of Responsible Officials and Corrective Action: Time charged to the grants was based on an estimate of efforts and did not have records to support actual time spent on grant activities. Subsequent to June 30, 2023, CCEOK implemented policies to ensure timeshee...
Department’s Response: We concur. Views of Responsible Officials and Corrective Action: Time charged to the grants was based on an estimate of efforts and did not have records to support actual time spent on grant activities. Subsequent to June 30, 2023, CCEOK implemented policies to ensure timesheets completed by staff and approved by program managers are used to calculate compensation billed to federal awards to ensure that employee time billed to the grants adequately supported. Any true up calculations needed to ensure accuracy will be completed by the end of the grant period. Name of Contact Person: Lisa Wheeler, CPA Director of Finance Lwheeler@CCEOK.org 918-508-7118 Projected Implementation: July 1, 2024
Management will make sure the audited financial statements are filed into the REAC system 90 days after the fiscal year-end in future years.
Management will make sure the audited financial statements are filed into the REAC system 90 days after the fiscal year-end in future years.
Management will deposit required amounts.
Management will deposit required amounts.
View Audit 325367 Questioned Costs: $1
Management response: Warren Easton experienced key personnel changes and lingering effects of COVID-19 which had a direct effect on the financial statement year end closing procedures. Easton plans to re-emphasize policies and procedures to enforce a timely financial close. Responsible Party: Lindsa...
Management response: Warren Easton experienced key personnel changes and lingering effects of COVID-19 which had a direct effect on the financial statement year end closing procedures. Easton plans to re-emphasize policies and procedures to enforce a timely financial close. Responsible Party: Lindsay Carter, Chief Financial Officer Estimated Completion Date: December 30, 2023
2023-005: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Reporting: Material Weakness in Internal Control over Compliance and Material Non-Compliance Finding Summary: Due to an error with the online submission portal, Wallowa Resources was unable to submit...
2023-005: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Reporting: Material Weakness in Internal Control over Compliance and Material Non-Compliance Finding Summary: Due to an error with the online submission portal, Wallowa Resources was unable to submit the required information to FSRS. Corrective Action Pan: USDA fixed the online submission portal in September 2024, and Wallowa Resources immediately submitted the required information to FSRS. Wallowa Resources will ensure that any future obligations to first-tier subrecipients will be reported via FSRS in a timely manner. Responsible Individual(s): Joni Maasdam, Finance Manager. Anticipated Completion Date: Completed September 2024.
View Audit 325232 Questioned Costs: $1
2023-004: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Subrecipient Monitoring: Significant Deficiency in Internal Control over Compliance and Non-Compliance Finding Summary: Several required elements per 2 CFR 200.331 being absent from the subrecipient ...
2023-004: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Subrecipient Monitoring: Significant Deficiency in Internal Control over Compliance and Non-Compliance Finding Summary: Several required elements per 2 CFR 200.331 being absent from the subrecipient agreements, including: Subrecipients’ unique entity identifier, Federal award date of award to Wallowa Resources by the USDA, and ALN number and dollar amount made available by the USDA Wallowa Resources was unable to provide support that subrecipients were assessed for suspension and debarment during the risk assessment. Corrective Action Plan: Wallowa Resources will implement a formal subrecipient monitoring policy using the guidance of 2 CFR 200.332. We are aware of this policy and have used it before. It was an oversight in this case – due in part to the fact that the subrecipients were recommended to us by NRCS staff and were in good standing with NRCS. Responsible Individual(s): Joni Maasdam, Finance Manager. Anticipated Completion Date: October 2024.
2023-003: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Cash Management: Significant Deficiency in Internal Control over Compliance and Non-Compliance Finding Summary: RFRs are prepared and submitted by the same employee. Corrective Action Plan: Wallowa ...
2023-003: U.S. Department of Agriculture - Soil and Water Conservation - Assistance Listing #10.902 Cash Management: Significant Deficiency in Internal Control over Compliance and Non-Compliance Finding Summary: RFRs are prepared and submitted by the same employee. Corrective Action Plan: Wallowa Resources has already acted to correct this issue. All RFR’s are now reviewed and signed off by the Executive Director. Responsible Individual(s): Nils Christoffersen, Executive Director and Joni Maasdam, Finance Manager Anticipated Completion Date: Completed September 2024.
Management Response/Corrective Action Plan: Additional reports will be run to verify totals before filings of quarterly reports, paying particular attention to end of year and the needed reversal of the prior year payroll accrual. Errors found in reports will be corrected in subsequent records as al...
Management Response/Corrective Action Plan: Additional reports will be run to verify totals before filings of quarterly reports, paying particular attention to end of year and the needed reversal of the prior year payroll accrual. Errors found in reports will be corrected in subsequent records as allowable under Department of Treasury grant reporting guidelines.
Management Response/Corrective Action Plan: The Community Development and Finance Departments acknowledge that EN funds were drawn when it appeared that PI funds were available. The finding was partly influenced by the nature of first quarter draws and the need to record prior year expenses. We ha...
Management Response/Corrective Action Plan: The Community Development and Finance Departments acknowledge that EN funds were drawn when it appeared that PI funds were available. The finding was partly influenced by the nature of first quarter draws and the need to record prior year expenses. We have corrected the discrepancy and to address this in the future, we plan to implement a balance sheet account to better track PI balances and expenditures.
View Audit 325183 Questioned Costs: $1
Management Response/Corrective Action Plan: Going forward the School Nutrition staff will keep a spreadsheet documenting meals reimbursed previous fiscal years, and in each month to compare to the number of meals calculated for the current billing month.
Management Response/Corrective Action Plan: Going forward the School Nutrition staff will keep a spreadsheet documenting meals reimbursed previous fiscal years, and in each month to compare to the number of meals calculated for the current billing month.
Condition: A Single Audit was not timely completed for the fiscal reporting years noted. The years ending December 31, 2023, and 2022. Planned Corrective Action: The Comstock Community Center has established internal guidelines for identifying future Single Audit requirements and will seek clarific...
Condition: A Single Audit was not timely completed for the fiscal reporting years noted. The years ending December 31, 2023, and 2022. Planned Corrective Action: The Comstock Community Center has established internal guidelines for identifying future Single Audit requirements and will seek clarification with any federal granting agencies related to filing requirements each year. Additionally, as evidenced by the filing of this report, the Comstock Community Center has performed the audit for the year ending December 31, 2023. Contact person responsible for corrective action: Mary T. Gustas, Executive Director, Michelle WhitePaster, Account Manager Anticipated Completion Date: The necessary adjustments have been made to the Community Center’s records and are appropriately presented in the financial statements. Accordingly, no further corrective action is deemed necessary.
Finding 503145 (2023-004)
Significant Deficiency 2023
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Act...
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Action taken in response to finding: The City of Harrington, Delaware will review the State’s procurement process to satisfy the compliance requirements for the program. The City of Harrington, Delaware will also put procedures in place to check and review each bidder as part of the Federal suspension and debarment policies. Name(s) of the contact person(s) responsible for corrective action: Norman Barlow, City Manager Amanda Marlow, Assistant City Manager Planned completion date for corrective action plan: Procurement training and monitoring, ongoing Suspension and debarment training and monitoring, ongoing
Finding 503144 (2023-003)
Significant Deficiency 2023
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Act...
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Action taken in response to finding: The City of Harrington, Delaware will review the State’s procurement process to satisfy the compliance requirements for the program. The City of Harrington, Delaware will also put procedures in place to check and review each bidder as part of the Federal suspension and debarment policies. Name(s) of the contact person(s) responsible for corrective action: Norman Barlow, City Manager Amanda Marlow, Assistant City Manager Planned completion date for corrective action plan: Procurement training and monitoring, ongoing Suspension and debarment training and monitoring, ongoing
Finding 503143 (2023-002)
Significant Deficiency 2023
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Act...
Recommendation: The City should review and enhance controls and procedures to ensure that it follows the applicable procurement policy and Federal suspension and debarment regulations for all goods and services charged to the program. Explanation: There is no disagreement with the audit finding. Action taken in response to finding: The City of Harrington, Delaware will review the State’s procurement process to satisfy the compliance requirements for the program. The City of Harrington, Delaware will also put procedures in place to check and review each bidder as part of the Federal suspension and debarment policies. Name(s) of the contact person(s) responsible for corrective action: Norman Barlow, City Manager Amanda Marlow, Assistant City Manager Planned completion date for corrective action plan: Procurement training and monitoring, ongoing Suspension and debarment training and monitoring, ongoing
The organization will ensure that the selection and approval of the documentation is obtained in a sufficient time period to allow the audit to begin in a timely manner in order the audit report file by the due date.
The organization will ensure that the selection and approval of the documentation is obtained in a sufficient time period to allow the audit to begin in a timely manner in order the audit report file by the due date.
We gather financial intel data on all proposed sites that tell us what will need to be purchased, when it needs to be purchased and what source documentation must be maintained. This data collection also includes predictions on the cost of labor. Next, we have to assess our own organization’s needs ...
We gather financial intel data on all proposed sites that tell us what will need to be purchased, when it needs to be purchased and what source documentation must be maintained. This data collection also includes predictions on the cost of labor. Next, we have to assess our own organization’s needs and create a budget that will be submitted to TDA for approval. Every item in the budget must stand the test of allowability vis a vi FNS Instruction 796-2, Revision 4. During our data gathering process we will identify cost items that require Special Prior Written Approval prior to entering the cost in our CACFP budget.
Training logs will be maintained and will include agenda, and sign-in sheets complete with staff titles and signature. Staff training on this new strategy will begin on August 1, 2024. The Director is responsible for ensuring this training occurs and is properly documented. Documentation of all trai...
Training logs will be maintained and will include agenda, and sign-in sheets complete with staff titles and signature. Staff training on this new strategy will begin on August 1, 2024. The Director is responsible for ensuring this training occurs and is properly documented. Documentation of all training will be maintained. - The Directors of all participating sites under this sponsorship must attend annual training provided by the Director. - A new employee of the sponsoring organization or site who performs key activities will be trained by the ED or an appropriate supervisor prior to a new employee beginning key activities. All current sponsor level employees receive training annually.
Southwest Magic Food Program has updated its current management plan to reflect new strategies that demonstrate Program Accountability. Financial management system has been modified to provide a step-by-step procedure for ensuring integrity and accountability of all funds. Our new approach will ensu...
Southwest Magic Food Program has updated its current management plan to reflect new strategies that demonstrate Program Accountability. Financial management system has been modified to provide a step-by-step procedure for ensuring integrity and accountability of all funds. Our new approach will ensure that only expenses that are approved, allowable, reasonable, and necessary will be reported as CACFP costs. Step 1: The first step in this process is creating a budget that will support our efforts to deliver meals to hungry children. We gather financial intel data on all proposed sites that tells us what will need to be purchased, when it needs to be purchased and what source documentation must be maintained. This data collection also includes predictions on the cost of labor. Next we have to assess our own organization’s needs and create a budget that will be submitted to TDA for approval. Every item in the budget must stand the test of allowability vis a vi FNS Instruction 796-2, Revision 4. During our data gathering process we will identify cost items that require Special Prior Written Approval prior to entering the cost in our CACFP budget. These items are submitted to the SPWA process for approval. Examples of SPWA cost reviews can be viewed in the Square Meals web site. This budgeting process requires us to examine every anticipated expense and verify the allowability of the expense. Our policy is that if the expense item is not included in the budget, it will not be allowed or reported to TDA. The Director will be responsible for each task, as of January 21, 2024. We now consider budgeting as an ongoing process that occurs daily, weekly and monthly as does the analysis of planned vs. actual expenses. Step 2: Every procurement must be validated with a receipt which identifies the vendor, date of purchase, items purchases, and how the purchases were paid for. Labor costs must be supported by time distribution reports, attendance records, payroll documentation and proof that the item was actually paid for. Step 3: Ensure all source documentation is provided to the accountant maintaining our general ledger. Step 4: Ensure that expenses recorded in the annual financial sampling tool are supported by the source documents listed above. If documents cannot be provided then in costs cannot be recorded regardless of any test of allowability, reasonableness or necessary. Our current management plan has been updated to include the comments shown in yellow. We believe that it should also be recognized that KidKare aka Minute Menu is a viable tool that assists in maintaining up to date and available on demand enrollment and MBIE documents. In addition, it is a powerful tool that greatly enhances accuracy in attendance and meal count records. The KidKare system was purchased because it is designed to collect enrollment, income, attendance, and menu data. When used properly it will address every concerned identified with regard to Enrollment, MBIE, Attendance and Meal Counts, and Meal Production Records.
This finding documents our local staff failures to record attendance meal counts at the point of service and the failure of our monitors to identify these violations of the rules governing client enrollment. In the future, regardless of the KidKare system, site staff will produce Form 1535 (attendan...
This finding documents our local staff failures to record attendance meal counts at the point of service and the failure of our monitors to identify these violations of the rules governing client enrollment. In the future, regardless of the KidKare system, site staff will produce Form 1535 (attendance and meal count record) and submit that document to the sponsor at the end of each week. The manual meal counts on the 1535 forms assure accurate point of service meal documentation. The information from the paper 1535 will be doubled checked for accuracy by the facility director or designee before entering the information into the MM/KidKare system. After entry, another check is made to ensure that both sets of meal counts match. This will assure that only meals that are supported by proper point of service source documentation will be entered in the KidKare system and claimed for reimbursement. At the end of the month, both copies i.e. manual and MM/KidKare counts are sent to the sponsor for another level of oversight. Both copies of these paper and system-printed counts will be filed at the facility in the director’s office and at the sponsor’s office in the file for each facility file. This procedure will be implemented July of 2023. Monitoring staff will verify that the procedure is being followed by conducting unannounced visits to all sites within two weeks of implementation. The Director will monitor these actions to ensure this follow up occurs.
New Client Enrollment Procedures: As the parent/guardian requests childcare services from one of our sites they are presented with a form entitled “Enrollment Data Tracking Form.” This form constitutes paper copy of every enrollment document. It will have a signature and a date on that form. Staff a...
New Client Enrollment Procedures: As the parent/guardian requests childcare services from one of our sites they are presented with a form entitled “Enrollment Data Tracking Form.” This form constitutes paper copy of every enrollment document. It will have a signature and a date on that form. Staff at the site level will enter this data on the KidKare enrollment form and present it to the parent and obtain an electronic signature and date of enrollment. The KidKare system is designed to recognize the date of enrollment and when that date approaches its 10th month a warning is sent to the site administrator. It warns that in a short bit of time an updated form must be obtained and entered into KidKare to allow the site the ability to claim meals for that child.
Audit Recommendation: Management should put controls in place over the preparation and review of the schedule of federal expenditures of federal awards to ensure that only (and all) federal expenditures are included. Planned Corrective Actions: The Organization has reorganized and expanded the in...
Audit Recommendation: Management should put controls in place over the preparation and review of the schedule of federal expenditures of federal awards to ensure that only (and all) federal expenditures are included. Planned Corrective Actions: The Organization has reorganized and expanded the internal finance team to allow for more capacity to prepare an accurate SEFA and to provide requested audit documentation in a timely manner. The Organization accepts the recommendation. Anticipated Completion Date: Close of fiscal year 2024 Contact Person: Steven Gaydos, Chief Financial Officer
View Audit 325099 Questioned Costs: $1
Audit Recommendation: Procedures should be implemented requiring the review of all documentation for all employees who charge time to federal programs. Planned Corrective Actions: The Organization will review its payroll documentation procedures to make the appropriate changes and dedicate staff...
Audit Recommendation: Procedures should be implemented requiring the review of all documentation for all employees who charge time to federal programs. Planned Corrective Actions: The Organization will review its payroll documentation procedures to make the appropriate changes and dedicate staffing to perform these procedures. Anticipated Completion Date: Close of fiscal year 2024 Contact Person: Steven Gaydos, Chief Financial Officer
View Audit 325099 Questioned Costs: $1
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