Corrective Action Plans

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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
Head Start Semi Annual and Annual Federal Financial Reports will be filed by the VP of Administration.
Head Start Semi Annual and Annual Federal Financial Reports will be filed by the VP of Administration.
GCCAC will have reports reviewed by the VP of Finance before they are submitted.
GCCAC will have reports reviewed by the VP of Finance before they are submitted.
2023-003 Property and Equipment Management Responsible Person: Ronald McNair, Executive Director The Inventory tracking sheet did not contain all required asset information and was not properly reconciled to property records. Corrective Action Plan: Executive Director, Ronald McNair has requested he...
2023-003 Property and Equipment Management Responsible Person: Ronald McNair, Executive Director The Inventory tracking sheet did not contain all required asset information and was not properly reconciled to property records. Corrective Action Plan: Executive Director, Ronald McNair has requested help in this manner from T&TA. Executive Director, Ronald McNair has hired a Facilities Manager to work with Fiscal staff to ensure any purchase, construction or renovation activities that occur throughout the fiscal year are recorded and added to the inventory schedule and supporting documentation for each transaction is submitted and filed in the Finance Department. This schedule will include a listing of all real property and details for each site, including acquisition cost, renovation and/or new construction, as well as the dates and source of funds expended. Once updated, the schedule will be reviewed and approved by the Executive Director. Monthly audits by Facilities Manager and Fiscal Officer will be conducted to ensure compliance. The Fiscal Officer and Board Directors will conduct quarterly and year end audits to ensure that requirements are met. The Corrective Action will commence Effective September 10, 2024; and shall be completed by May 31, 2025.
Finding 2023-007: Timely Submission of Single Audit Report (SAR) and Document Collection Form (DCF) To eliminate this finding recurring in future periods, POF will create an internal Annual Audit Plan (AAP), identifying required tasks, deliverables, due dates, and responsible internal and external ...
Finding 2023-007: Timely Submission of Single Audit Report (SAR) and Document Collection Form (DCF) To eliminate this finding recurring in future periods, POF will create an internal Annual Audit Plan (AAP), identifying required tasks, deliverables, due dates, and responsible internal and external personnel for each task. POF’s AAP will include five-six (5-6) months' lead time prior to future mandatory submission dates. Simultaneously, POF will communicate the AAP timelines with the Audit Engagement Partner to ensure audit staffing continuity and availability. POF will achieve accurate, complete, and timely future SAR and DCF submissions through incorporating these process improvements along with strengthening its internal controls, gaining experience in its first two Single Audits, and in acquiring an understanding of the Auditor’s role in verifying compliance and the adequacy of related supporting documentation.
Finding 2023-006 Supporting Documents for Eligibility Requirements During September 2024, POF updated its Housing Procedures Manual in compliance with Section 200.303 of Uniform Guidance and Ohio Recovery House Regulations. This document now more fully addresses, among other things, eligibility and...
Finding 2023-006 Supporting Documents for Eligibility Requirements During September 2024, POF updated its Housing Procedures Manual in compliance with Section 200.303 of Uniform Guidance and Ohio Recovery House Regulations. This document now more fully addresses, among other things, eligibility and required minimum documentation standards. POF has already begun to build individual client files to retain and periodically update these required supporting documents for all Its affected residential clients.
Finding 2023-005 Accuracy of Federal Reports POF's initial and current exposure a few months later to Single Audit compliance requirements have sharpened its focus on the need to purposefully identify and maintain corroborating evidence regarding its timely submission and acceptance by each of the ...
Finding 2023-005 Accuracy of Federal Reports POF's initial and current exposure a few months later to Single Audit compliance requirements have sharpened its focus on the need to purposefully identify and maintain corroborating evidence regarding its timely submission and acceptance by each of the respective funding sources. While POF believes that all these reporting requirements were timely met and accepted by all funding sources, It did not consistently maintain either the report itself, or the related documentation such as copies of the emails sent or the associated read-receipts as evidence of these reports. Effective July 1, POF routinely and consistently accumulated and organized these documents as well as ancillary evidence of their transmission to, receipt by, and acknowledgement of acceptance by the federal agency. POF will be more diligent in its transmissions to funders. POF noted that the 2022 Closeout Report was inexplicably re-submitted instead of the correct 2023 Closeout Report. This is unacceptable, and POF will add a second set of reviews by a second person to improve quality control in this area. As necessary, POF will seek professional education and advice in implementing policies, practices, and procedures in addition to those already described herein.
Finding 2023-004 Adequate Allowable Cost Documentation As indicated in the 2022 POFCAP response to Finding 2022-003, and as reiterated herein, POF began to implement additional internal control procedures and practices effective July 1, 2024, to ensure that underlying cost documentation is adequate...
Finding 2023-004 Adequate Allowable Cost Documentation As indicated in the 2022 POFCAP response to Finding 2022-003, and as reiterated herein, POF began to implement additional internal control procedures and practices effective July 1, 2024, to ensure that underlying cost documentation is adequate, reasonable, and complete in accordance with 2 CFR Part 200 Subpart E and other regulatory requirements. More specifically, vendor invoices as of that date and related supporting documents such as weekly meeting reports and sign-in sheets are being scanned and retained electronically. As in 2022, the contact information from the 2023 weekly reports was transmitted to either Wright State University or The Ohio State University for data mining purposes. On July 22, 20224, the POF Board of Directors unanimously adopted the POF Record Retention Policy, as recommended by the auditors. The Board also unanimously adopted a Code of Conduct along with Conflict of Interest, and Whistleblower policies as further evidence of their commitment to instituting policies and procedures designed to strengthen internal controls and comply with federal regulations. Questioned Cost Totaling $19,179 Effective July 1, 2024, POF's new internal control policies, and procedures will eliminate or drastically reduce future discrepancies of this nature.
View Audit 325057 Questioned Costs: $1
Implementation of plan of action - Management will review its procurement policies to ensure that the School complies with 2 CFR 200.320 of the Uniform Guidance. Implementation date - Anticipated completion October 15, 2024. Persons responsible for the implementation - The Board of Directors and H...
Implementation of plan of action - Management will review its procurement policies to ensure that the School complies with 2 CFR 200.320 of the Uniform Guidance. Implementation date - Anticipated completion October 15, 2024. Persons responsible for the implementation - The Board of Directors and Head of School.
View Audit 325032 Questioned Costs: $1
Implementation of plan of action - Management will review control policies to ensure that approvals of purchases are documented prior to disbursement of federal funds. Implementation date - Complete as of June 30, 2024. Persons responsible for the implementation - The Board of Directors and Head o...
Implementation of plan of action - Management will review control policies to ensure that approvals of purchases are documented prior to disbursement of federal funds. Implementation date - Complete as of June 30, 2024. Persons responsible for the implementation - The Board of Directors and Head of School.
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