Corrective Action Plans

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Management’s Response and Corrective Action Plan: As of August 2023, this finding has already been corrected by the following correction plan: When credit cards are being used to pay for VBR related items, the employee purchasing the item documents the business purpose to verify that the purchases ...
Management’s Response and Corrective Action Plan: As of August 2023, this finding has already been corrected by the following correction plan: When credit cards are being used to pay for VBR related items, the employee purchasing the item documents the business purpose to verify that the purchases are allowable under Uniform Guidance. This is documented on the invoice or receipt. During the monthly reconciliation of credit card statements, the bookkeeper matches up all receipts for expenditures recorded on the monthly statements. The Director of Operations or Executive Director then reviews that backup documentation is received for all expenditures. The reviewer signs off on the reconciliation to show that documentation for all expenditures has been reviewed. The Executive Director reviews all expenses in the monthly general ledger report for allowability and document her approval by signing the monthly reports. This review is completed for all credit card transactions in second half of 2023 and future years.
Finding 496389 (2023-002)
Significant Deficiency 2023
FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Justice Children Exposed to Violence – Assistance Listing No. 16.818 2023-002: Internal Controls over Compliance and Other Matters L. Reporting Internal Control Over Major Programs SIGNIFICANT DEFICIENCIES Recommendation: We recommend Y...
FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Justice Children Exposed to Violence – Assistance Listing No. 16.818 2023-002: Internal Controls over Compliance and Other Matters L. Reporting Internal Control Over Major Programs SIGNIFICANT DEFICIENCIES Recommendation: We recommend Youthprise document its review and approval process over reports and document report submission dates. Action Taken: Management agrees with this finding and has since corrected the deficiency effective Fall 2023. If questions arise regarding this plan, please call Talbrey Benson-Goupil at 612-464-8485. Sincerely yours, Talbrey Benson-Goupil Finance Director
Finding 2023-001: Allowable costs – significant deficiency in internal controls over compliance and compliance finding. Management Response CCGD was issued monitoring findings by HHSC for the monitoring period October 2021 (FY 21) -November 2022 (FY 22) in April 2023. As a result of that finding, CC...
Finding 2023-001: Allowable costs – significant deficiency in internal controls over compliance and compliance finding. Management Response CCGD was issued monitoring findings by HHSC for the monitoring period October 2021 (FY 21) -November 2022 (FY 22) in April 2023. As a result of that finding, CCGD received a finding in its 2022 audit. Because of the timing of the findings, as noted in the 2023 audit report, there was not time to resolve the issue before 2023. Therefore, even though the below described plan was implemented in 2023, immediately upon receipt of the initial finding, CCGD was still issued a finding in its FY2023 audit. The notification was received in the 7th month of fiscal year 2023, the following plan has been implemented. o Timesheet and GL mismatch i. Management Response: 1. Perform an audit of existing setup of HRIS-Paycom system to determinecause of mismatch 2. If needed, reimplement Paycom with required setup or change vendors 3. All departments along with respective service categories werereestablished in Paycom to only display employees applicable servicecategories based their respective grants. 4. Conduct quarterly audits of timesheets and GL to ensure there are nomismatches. 5. Time study was performed on quarterly basis to ensure individualperformance complies with funders mandate. ii. Progress Update - GL and Timesheet Mismatch: 1. Audit of existing setup to review the following: a. Department(s) - revised department names/descriptions i. Made changes to all applicable employees’ setup. b. Home Allocation(s) – revised home allocation(s)i. Revised/edited the default home allocation description ii. Assigned correct default home allocation to employees c. Service Categories i. Revised/edited service categories assigned to each department 2. Observations: a. Following Paycom updates, CCGD experienced technical challenges due to software glitches which continued to result in timesheet and GL mismatches. CCGD is continuing to work with Paycom to identify and eliminate the problem. b. CCGD subsequently sought assistance from Paycom in the troubleshooting process. 3. Departmental training of timekeeping process a. Personalized standard operating procedures used b. Real-time examples/instruction provided to staff in training session(s) 4. Post-training audits conducted to include: a. Timecard/sheet review b. GL review and comparison of timecards and sheetsiii. Future Steps and Anticipated Timeline: 1. Continuation of post-training audits to include: a. Timecard/sheet review b. GL review and comparison of timecards and sheets 2. With an anticipated deadline completion date of December 31, 2023, for adherence of full compliance, CCGD effectively implemented system updates prior to this deadline to ensure payroll processing is now based on the actual time and effort performed. iv. Progress Update – Performance Activity Report 1. To provide further back up to time and effort, an additional option in Paycom was enabled for staff to enter notes on day-to-day activity. 2. Departmental training on this goal was performed and completed as of March 31, 2024. 3. Continuation of post-training audits to include: a. Timecard/sheet review b. GL review and comparison of timecards and sheets v. Post implementation plan and observation: CCGD is fully committed to complying with funders and audit standards. Furthermore, CCGD will continue to monitor and identify any potential errors in its payroll reporting to bring a timely solution if required. Furthermore, minor reporting errors occur in payroll GL reports on a random basis. The errors appear to be technical, and as such, we are currently working with Paycom to resolve this issue. Additionally, CCGD will continue to perform time study to ensure that all salary expenses and allocations are adhered to the respective program budget. Parties Responsible: Chief Executive Officer, Chief Financial Officer, and Director - Human Resources
Recommendation: The Organization should make arrangements for the timely completion of requested audit files to ensure the timely filing of the consolidated financial statements for the year ending June 30, 2024. Reporting views of responsible officials: Management has been in contact with their fun...
Recommendation: The Organization should make arrangements for the timely completion of requested audit files to ensure the timely filing of the consolidated financial statements for the year ending June 30, 2024. Reporting views of responsible officials: Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely.
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent calculations are correctly performed and all required forms are maintained in tenant files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Ac...
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent calculations are correctly performed and all required forms are maintained in tenant files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: The Authority will train the individuals doing the calculations to ensure calculations are correctly performed and all required forms are maintained in tenant files. Name of the contact person responsible for corrective action: Bob Kazmierski Planned completion date for corrective action plan: December 31, 2024
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent reasonableness calculations are completed and maintained in the files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in...
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent reasonableness calculations are completed and maintained in the files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: The Authority will train individuals doing the calculations to ensure calculations are done and maintained in the files and implement processes to verify rent reasonableness calculations are done. Name of the contact person responsible for corrective action: Bob Kazmierski Planned completion date for corrective action plan: December 31, 2024
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a method to track actual time spent on various programs to time allocated to federal award programs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in...
Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a method to track actual time spent on various programs to time allocated to federal award programs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: The Authority has implemented a time tracking model as of July 1, 2023 to have back-up documentation of actual time for budget and audit purposes. Name of the contact person responsible for corrective action: Bob Kazmierski Planned completion date for corrective action plan: December 31, 2024
Health Center Cluster – Assistance Listing Numbers 93.224 & 93.527 Recommendation: We recommend implementing certain quality checks while reviewing UDS before submission like comparing total expenses in Table 8A to underlying financial statements. Explanation of disagreement with audit finding: Ther...
Health Center Cluster – Assistance Listing Numbers 93.224 & 93.527 Recommendation: We recommend implementing certain quality checks while reviewing UDS before submission like comparing total expenses in Table 8A to underlying financial statements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Management will implement additional checks in quality review process of UDS prior to submission. Name(s) of the contact person(s) responsible for corrective action: Jennifer Beckius, CFO Planned completion date for corrective action plan: December 2024
Finding 496371 (2023-001)
Significant Deficiency 2023
Internal control deficiency and noncompliance over reporting of lost revenues attributable to coronavirus reported in the provider relief fund report. Management has reviewed this finding and agrees with the conclusion. There will be no additional provider relief fund reports submitted given this w...
Internal control deficiency and noncompliance over reporting of lost revenues attributable to coronavirus reported in the provider relief fund report. Management has reviewed this finding and agrees with the conclusion. There will be no additional provider relief fund reports submitted given this was the final report submitted to substantiate the payments received. However, if this program begins again, management will implement a control to ensure lost revenues are not duplicated. The entity will work with the grantor regarding the questioned costs identified. Contact Person: Paul Nolde-Morrissey, Corporate Controller Expected Completion Date: September 30, 2024
View Audit 319252 Questioned Costs: $1
Comments on the Finding and Each Recommendation: During the year ended December 31, 2023, two resident files at Liberty Lake selected for testing under HUD Consolidated Audit Guide contained improper income or asset verification information in the completed resident certification. The Agent should s...
Comments on the Finding and Each Recommendation: During the year ended December 31, 2023, two resident files at Liberty Lake selected for testing under HUD Consolidated Audit Guide contained improper income or asset verification information in the completed resident certification. The Agent should submit corrected resident certifications and implement additional policies to ensure future resident certifications are completed accurately. Action(s) taken or planned on the finding: The Agent agrees with the finding and recommendation. The Agent has processed corrected resident certifications and is in the process of implementing additional training for employees responsible for resident certifications.
Comments on the Finding and Each Recommendation: During the year ended December 31, 2023, Villagebrook Apartments did not recertify residents timely as required by HUD Handbook 4350.3. The Agent should complete a review of all resident files and complete all recertifications that were not completed ...
Comments on the Finding and Each Recommendation: During the year ended December 31, 2023, Villagebrook Apartments did not recertify residents timely as required by HUD Handbook 4350.3. The Agent should complete a review of all resident files and complete all recertifications that were not completed timely. The Agent should ensure that all residents are recertified timely in the future. Action(s) taken or planned on the finding: The Agent reported this concern and agrees with the finding and recommendation. The Agent is working to address the staffing issues at Villagebrook Apartments and to provide additional training to the employees regarding recertification requirements. As of December 31, 2023, the Agent has completed a 100% file review and believes that all outstanding recertifications have been completed.
We will have a site staff and their supervisors sign off on the site volunteer sheets each month. The NSI president will preform and document a monthly review of the numbers and include them in the quarterly reports.
We will have a site staff and their supervisors sign off on the site volunteer sheets each month. The NSI president will preform and document a monthly review of the numbers and include them in the quarterly reports.
We will work closely with the Dancing Sky Area Agency on Aging to make sure our numbers match throughout the year.
We will work closely with the Dancing Sky Area Agency on Aging to make sure our numbers match throughout the year.
Contact Person of Southwest Washington Accountable Community of Health: Eddie Gallagher, Director of Finance and Operations Name and Address of Independent Public Accounting Firm: McDonald Jacobs, P.C. 121 SW Salmon Street, Suite 1100 Portland, OR 97204 Audit Period: January 1, 2023 through Dece...
Contact Person of Southwest Washington Accountable Community of Health: Eddie Gallagher, Director of Finance and Operations Name and Address of Independent Public Accounting Firm: McDonald Jacobs, P.C. 121 SW Salmon Street, Suite 1100 Portland, OR 97204 Audit Period: January 1, 2023 through December 31, 2023. The finding from the December 31, 2023 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the numbers assigned in the schedules. Finding #2023-001 Significant deficiency over cash management 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases Federal Agency: U.S. Department of Health and Human Services Pass-thru Agency: State of Washington Finding Controls should be in place over the preparation and submission of monthly billing invoices. Two out of three billing invoices tested were prepared and submitted by the same individual without supervisory review and approval prior to submission. The Organization was understaffed in the Finance Department during this time. Recommendation We recommend documented review and approval of billing invoices before submission by a member of management different from the preparer. Corrective Action: Processes were subsequently updated to prevent further instances of this deficiency. Updated processes were in place for the remainder of 2023. It is noteworthy that the State of Washington Department of Health performed a site visit and no findings or recommendations were identified.
The Town will implement a policy to document procedures to demonstrate compliance with Single Audit Act Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
The Town will implement a policy to document procedures to demonstrate compliance with Single Audit Act Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
Seymour Public Schools will go out to bid for any purchases over $25,000. Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
Seymour Public Schools will go out to bid for any purchases over $25,000. Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
The Town will implement internal controls to ensure the filing deadline is met. Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
The Town will implement internal controls to ensure the filing deadline is met. Jason Vieira of the Towns Finance Department is responsible for the corrective action plan.
FFATA Reporting Federal Award Information Federal Agencies: U.S. Department of Housing and Urban Development Program Title: Community Development Block Grants/Entitlement Grants Award Numbers: B-22-MC-06-0571, B-21-MC-06-0571 Award Years: 2021-2022 Name of Contact Person: Margaret Herrero, Deput...
FFATA Reporting Federal Award Information Federal Agencies: U.S. Department of Housing and Urban Development Program Title: Community Development Block Grants/Entitlement Grants Award Numbers: B-22-MC-06-0571, B-21-MC-06-0571 Award Years: 2021-2022 Name of Contact Person: Margaret Herrero, Deputy Director of Finance Corrective Action: The City will include the review of the FFATA reports in their preparation of the CDBG reports and ensure that the FAATA reports are prepared and submitted in a timely manner when subcontracts exceed the $30,000 threshold. Proposed Completion Date: Fiscal Year ended June 30, 2024.
Finding 2023-111-007-Grant Agreement Compliance - CDBG Environmental Review Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will updat...
Finding 2023-111-007-Grant Agreement Compliance - CDBG Environmental Review Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to ensure that they are following all grant agreement requirements and will maintain adequate documentation to document grant compliance.
Finding 2023-111-006-Grant Agreement Compliance - CDBG Reporting Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant man...
Finding 2023-111-006-Grant Agreement Compliance - CDBG Reporting Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to include monthly or quarterly reconciliations of grant expense and will maintain complete grant files so that an accurate and complete so that correct reporting can be submitted as required.
Finding 2023-111-005-Federal Special Tests and Provisions -CBG Wage Rate Requirements Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff ...
Finding 2023-111-005-Federal Special Tests and Provisions -CBG Wage Rate Requirements Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to ensure that Federal Wage Rate requirements are included in all eligible construction contracts and procedures to monitor that contractors and subcontractors comply with wage rate requirements.
Finding 2023-111-004-Federal Reporting-Community Development Block Grant (CDBG) Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned C01Tective Action: Finance staff will r...
Finding 2023-111-004-Federal Reporting-Community Development Block Grant (CDBG) Program Name/Assistance Listing Title: CDBG Assistance Listing Number: 14.228 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned C01Tective Action: Finance staff will review grant management policies and procedures to ensure the city is correctly submitting federal reporting to HUD as required.
Finding 2023-111-003-Federal Reporting Compliance - American Rescue Plan (ARP) Program Name/Assistance Listing Title: ARP Assistance Listing Number: 21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will upd...
Finding 2023-111-003-Federal Reporting Compliance - American Rescue Plan (ARP) Program Name/Assistance Listing Title: ARP Assistance Listing Number: 21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to include monthly or quarterly reconciliations of grant expense and will maintain complete grant files so that an accurate and complete SEFA that ties to the general ledger can be prepared annually for audit and required reporting.
Finding 2023-III-002-Federal Audit Clearinghouse Submission Program Name/Assistance Listing Title: CDBG/ARP Assistance Listing Number: 14.228/21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update gra...
Finding 2023-III-002-Federal Audit Clearinghouse Submission Program Name/Assistance Listing Title: CDBG/ARP Assistance Listing Number: 14.228/21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to include monthly or quarterly reconciliations of grant expense and will maintain complete grant files so that an accurate and complete SEFA that ties to the general ledger can be prepared annually for audit and that the SEFA will be completed in a timely manner and the Single Audit will be submitted to the FAC as required.
Finding 2023-III-001-Schedule of Expenditures of Federal Awards (SEFA) Program Name/Assistance Listing Title: CDBG/ARP Assistance Listing Number: 14.228/21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will...
Finding 2023-III-001-Schedule of Expenditures of Federal Awards (SEFA) Program Name/Assistance Listing Title: CDBG/ARP Assistance Listing Number: 14.228/21.027 Contact Person: Caron S. Vela, Director of Finance Anticipated Completion Date: March 31, 2025 Planned Corrective Action: Finance staff will update grant management policies and procedures to include monthly or quarterly reconciliations of grant expense and will maintain complete grant files so that an accurate and complete SEFA that ties to the general ledger can be prepared annually for audit and required reporting.
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