Corrective Action Plans

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CORRECTIVE ACTION PLAN August 11, 2023 U.S. DEPARTMENT OF EDUCATION U.S. DEPT. OF AGRICULTURE Purdy School District R-II respectfully submits the following corrective action plan for the year ended June 30, 2023. Contact information for the individual responsible for the corrective action: Dr T...
CORRECTIVE ACTION PLAN August 11, 2023 U.S. DEPARTMENT OF EDUCATION U.S. DEPT. OF AGRICULTURE Purdy School District R-II respectfully submits the following corrective action plan for the year ended June 30, 2023. Contact information for the individual responsible for the corrective action: Dr Travis Graham, Superintendent Purdy School District R-II 201 Gabby Gibbons Dr Purdy, MO 65734 (417) 442-3215 Independent Public Accounting Firm: The CPA Group, PC, 217 4th Street, Monett, MO 65708 Audit Period: Year ended June 30, 2023 The findings from the June 30, 2023, Schedule of Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT Material Weakness – Internal Control over Financial Reporting - Segregation of duties Finding 2023-001 Recommendation: We realize Because of limited resources and personnel, management may not be able to achieve a proper segregation of duties; however, our professional standards require that we bring this lack of segregation of duties to your attention in this report. Action Taken: The limited number of available personnel prohibits segregation of incompatible duties and the District does not have the resources to hire additional accounting personnel. Completion Date: Not applicable Sincerely, Dr Travis Graham, Superintendent Purdy School District R-II
Responsible Party: Sara Hudson Anticipated Completion Date: July 1, 2024 Corrective Action Plan: Per FFATA Reporting Requirements, and as provided to us (SMD) by our sub awardees, the following information and reporting will commence immediately:  SMD will report and answer the following que...
Responsible Party: Sara Hudson Anticipated Completion Date: July 1, 2024 Corrective Action Plan: Per FFATA Reporting Requirements, and as provided to us (SMD) by our sub awardees, the following information and reporting will commence immediately:  SMD will report and answer the following question in the FSRS system: The sub awardee’s business or organization's preceding completed fiscal year, did its business or organization receive (1) 80 percent or more of its annual gross revenues in U.S. federal Contract, subcontracts, loans, grants, subgrants, and/or cooperative agreements; and (2) $25,000,000 or more in annual gross revenues for U.S. federal contracts, subcontracts, loans, grans, subgrant, and/or cooperative agreements?  If the response indicates "yes" to the question additional compensation data will be collected. SMD will implement FFATA requirements by implementing a section dedicated to FFATA reporting in our Brownfields financial assistance applications. This will enable us to gather the data needed to complete the reporting. SMD has also implemented a project checklist for all of our Brownfield Cleanup Projects, with a check-o􀀁 section dedicated as a second safeguard to ensure the completion of FFATA reporting.
Responsible Party: JCCS PC & Sara Hudson Anticipated Completion Date: February 29, 2024 Corrective Action Plan: For the fiscal year ending June 30, 2023, the organization prepared a draft of the SEFA with the intent of finalizing it with the assistance of the auditor. We were unaware this would ...
Responsible Party: JCCS PC & Sara Hudson Anticipated Completion Date: February 29, 2024 Corrective Action Plan: For the fiscal year ending June 30, 2023, the organization prepared a draft of the SEFA with the intent of finalizing it with the assistance of the auditor. We were unaware this would result in a finding in the audit. The organization will work with JCCS PC going forward to independently prepare the annual SEFA.
Condition: The County incorrectly reported expenditures on their annual Project and Expenditure (P&E) report for fiscal year ending December 31, 2023. There were various typos and excluded expenditures related to the following projects: HVAC, Windows for Courthouse, Courthouse Smoke Alarm System, a...
Condition: The County incorrectly reported expenditures on their annual Project and Expenditure (P&E) report for fiscal year ending December 31, 2023. There were various typos and excluded expenditures related to the following projects: HVAC, Windows for Courthouse, Courthouse Smoke Alarm System, and Whitworth building purchase. Recommendation: The County should ensure all expenditures incurred within the fiscal year are included on the annual report. Additionally, an internal policy should be developed to ensure all ordinances are communicated to the necessary department heads. Name of Contact Person: Kirby Ballard View of Responsible Officials and Planned Corrective Action: The County Treasurer will ensure all expenditures are tracked throughout the year by using ordinances approved by the Board for the use of American Rescue Plan Act funds as well as invoices for each project. An internal policy has been developed that requires the County Treasurer to sign off on ordinances as they are received. Furthermore, the County Treasurer has implemented a review process to ensure the annual report is correctly stated. Anticipated Date of Completion: Ongoing Analysis
The Organization will continue to rely on the outside assistance of its auditors for the necessary guidance to prepare financial statements and related notes and the schedule of expenditures of federal and state awards in accordance to generally accepted accounting principles because it is the most ...
The Organization will continue to rely on the outside assistance of its auditors for the necessary guidance to prepare financial statements and related notes and the schedule of expenditures of federal and state awards in accordance to generally accepted accounting principles because it is the most cost effective solution.
The Organization’s Board of Directors will continue to rely on its direct knowledge of daily operations and direct contact with employees to control and safeguard assets.
The Organization’s Board of Directors will continue to rely on its direct knowledge of daily operations and direct contact with employees to control and safeguard assets.
Finding 478149 (2023-001)
Significant Deficiency 2023
AUDIT FINDINGS 10 SECTION II- FINANCIAL STATEMENT FINDINGS None. SECTION III - FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2023-001 Improve Controls over Disbursements Federal Agency: U.S. Department of Education Cluster/Program: Education Stabilization Fund Award Name: COVID-19 – Elementary and Se...
AUDIT FINDINGS 10 SECTION II- FINANCIAL STATEMENT FINDINGS None. SECTION III - FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2023-001 Improve Controls over Disbursements Federal Agency: U.S. Department of Education Cluster/Program: Education Stabilization Fund Award Name: COVID-19 – Elementary and Secondary School Emergency Relief (ESSER III) Fund and COVID-19 – American Rescue Plan Elementary and Secondary School Emergency Relief (ARP ESSER) AL Number(s): 84.425D/84.425U Award Year: 2023 Compliance Requirement: Allowable Costs/Cost Principles Type of Finding: Compliance and Internal Control over Compliance - Significant Deficiency Criteria or Specific Requirement Grantees must provide reasonable assurance that federal awards are expended only for allowable activities and that the costs of goods and services charged to federal awards are allowable and in accordance with the applicable cost principles. Management is also responsible for establishing and maintaining effective internal control over compliance with federal requirements that have a direct and material effect on a federal program. A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. 2 41 Cochituate Road ∙ P.O. Box 408 ∙ Wayland, Massachusetts 01778-0408 Condition and Context Supervisory approval was not obtained for 16 of 23 payroll transactions tested. Further, there was no documented evidence that multiple individuals were involved in 13 out of 16 vendor expenditures charged to the grant and one journal entry charging expenditures to the grant. Cause Weaknesses in the design and operation of controls. Corrective Action The organization has identified the need for and implemented fiscal controls for personnel (payroll) expenditures which include, but are not limited to, proper authorization by the Director of Special Education and/or Assistant Superintendent for each Federal grant disbursement in the form of signature for approval of payment kept on file in the dated bi-weekly payroll folder. Secondly, the Director of Finance reviews, approves, and authorizes all bi-weekly payrolls electronically in two ways: through electronic signature in Munis and through email to the payroll clerk, kept on file in the dated bi-weekly warrant folder (hard copy). Lastly, the School Committee votes and approves all bi-weekly payrolls at their regularly held public sessions, which are captured in meeting minutes and as a hard copy kept on file in the Payroll office. The organization has identified the need for and implemented fiscal controls for non-personnel expenditures which include, but are not limited to, proper authorization by school principals, directors of curriculum and instruction, directors of grants and special education/student services, and/or Assistant Superintendent for each Federal grant disbursement in the form of signature on the invoice indicating “ok to pay” or through authorization via email and kept on file in the appropriate grant folder and electronic Accounts Payable weekly warrant. Secondly, the Director of Finance reviews, approves, and authorizes all requisitions before they are converted to purchase orders through electronic signature in Munis, and approves all Accounts Payable weekly warrants. Lastly, the School Committee votes and approves all Accounts Payable warrants at their regularly held public sessions, which are captured in meeting minutes and as a hard copy kept on file in the Accounts Payable office. Name of Contact Person: Susan Bottan, Director of Finance and Operations, susan_bottan@waylandps.org, 508-358-3750 Projected Completion Date Fiscal controls have been established and are being followed, as of July 10, 2023 since the Director of Finance and Operations began employment at Wayland Public Schools.
View Audit 314827 Questioned Costs: $1
Management agrees that the closing process needs to be improved to allow for timely closing of the general ledger and financial reporting in compliance with federal and other regulatory deadlines. Effective May 2024, RHD has implemented a shortened monthly and year-end closing schedule to assist in ...
Management agrees that the closing process needs to be improved to allow for timely closing of the general ledger and financial reporting in compliance with federal and other regulatory deadlines. Effective May 2024, RHD has implemented a shortened monthly and year-end closing schedule to assist in meeting this goal. Management also believes that audit timing for the fiscal year ended June 30, 2023 was an anomaly based on the identified need for corporate restructuring that was occurring concurrently with audit process. This added complexity to the subsequent event disclosures and testing required. Additionally, RHD intends to formally affiliate with Inperium as disclosed in Note 3 of the accompanying financial statements. Systems and closing procedures will be evaluated and redesigned as part of the affiliation integration process. Position Title of Person Overseeing This Issue: Corporate Controller
Management agrees that more document review and oversight is needed to ensure that payroll transactions are supported. In the fiscal year ended June 30, 2023, RHD selected and implemented in phases a new Human Resource Information System (“HRIS”), Paylocity. In April 2023, RHD went live with the fir...
Management agrees that more document review and oversight is needed to ensure that payroll transactions are supported. In the fiscal year ended June 30, 2023, RHD selected and implemented in phases a new Human Resource Information System (“HRIS”), Paylocity. In April 2023, RHD went live with the first phase, Payroll and Benefits modules. During the fiscal year ending June 30, 2025, it is anticipated that the second phase of the HRIS will fully replace the current system, and the process for completing forms currently completed on paper will be replaced with electronic records within Paylocity. Additionally, RHD intends to formally affiliate with Inperium as disclosed in Note 3 of the accompanying financial statements. Administrative functions will be evaluated and redesigned as part of the affiliation process. Position Title of Person Overseeing This Issue: Chief Human Resource Officer
Finding 478117 (2023-001)
Significant Deficiency 2023
U4i
CA
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Man...
Managements response: Beginning in early 2023, the Organization implemented a new vetting monitoring system and procedure. All contractors and employees submitted for hire by the Program Managers, or the Executive Director, are referred via a Job Proposal automated task document approval to the Managing Director. The Managing Director is the agreed-upon point of contact with the federal agency to determine if the proposed new hire needs to be vetted based on the criteria set by the federal agency. If the Managing Director deems necessary that the hire needs to be vetted, a vetting task and confirmation of receipt are sent by the system to the Operations Associate. The Operations Associate oversees maintaining the RAM system and submitting new vetting requests. Once the vetting has been approved or declined, the Operations Associate enters the information into U4I’s relational database, and only at this point can the hiring process move forward, provided RAM approves the vetting. The new system has automated alarm notifications and emails monthly reports based on the “date of last vetting,” calculating the “date of new vetting” automatically for a list of over 85 employees and contractors. Remedy - We have introduced a backup Vetting POC in our vetting process moving forward to prevent this type of occurrence during transitions. If the Managing Director is unavailable, and a confirmation of the vetting task is not received, the Co-Director acting as interim Vetting POC will be asked to assume the role and evaluate the hires and vetting. The FIN/OPS team overseeing the new vetting procedure and added control steps, will make sure that all vendors, contractors and employees, without exclusions and regardless of any subjective levels of mutual trust and regardless the length of existing relationships, are run through the Job Proposal and Vetting Procedure and that the contractual process will be stopped unless there is a RAM record to consider the hire.
The Authority is aware that its staff does not have training to prepare the general ledger, more complex accrual adjustments and to prepare financial statements and related notes in accordance with generally accepted accounting principles. The Authority will rely on the assistance of the fee accoun...
The Authority is aware that its staff does not have training to prepare the general ledger, more complex accrual adjustments and to prepare financial statements and related notes in accordance with generally accepted accounting principles. The Authority will rely on the assistance of the fee accountants and auditors for preparation of these transactions, ledgers, financial statements and related notes.
The Authority is aware of the lack of segregation of duties caused by the limited size of its staff. Segregation of duties is enhanced whenever possible and the Board of Comissioners assumes an active roll through monthly review of receipt and disbursement transactions and monthly financial stateme...
The Authority is aware of the lack of segregation of duties caused by the limited size of its staff. Segregation of duties is enhanced whenever possible and the Board of Comissioners assumes an active roll through monthly review of receipt and disbursement transactions and monthly financial statements.
Finding 2023-001: Data Collection Form and Single Audit Reporting Package Finding: The Organization did not comply with the required submission date of the data collection form and reporting package to the FAC for the fiscal year ended June 30, 2023. Corrective Action: Prepare reports prior to due d...
Finding 2023-001: Data Collection Form and Single Audit Reporting Package Finding: The Organization did not comply with the required submission date of the data collection form and reporting package to the FAC for the fiscal year ended June 30, 2023. Corrective Action: Prepare reports prior to due dates. If a report is late, request an exception/extension in writing to file with the report. Contact: Michele Blasey, Controller Expected Completion Date: 3/31/25
Corrective Action Planned: The Village of Lisbon will include all future federal award transactions as part of the Water System Enterprise Fund in the accounting software. Person Responsible for Corrective Action: Alisha Middletom, Clerk. Anticipated Completion Date: June 14, 2024
Corrective Action Planned: The Village of Lisbon will include all future federal award transactions as part of the Water System Enterprise Fund in the accounting software. Person Responsible for Corrective Action: Alisha Middletom, Clerk. Anticipated Completion Date: June 14, 2024
The Organization is aware that their staff does not have a process to prepare financial statements, schedule of expenditures of federal awards, and related notes in accordance with GAAP. The Organization will continue to make this decision on a cost/benefit basis and have auditors assist in prepari...
The Organization is aware that their staff does not have a process to prepare financial statements, schedule of expenditures of federal awards, and related notes in accordance with GAAP. The Organization will continue to make this decision on a cost/benefit basis and have auditors assist in preparing the financial statements and related notes. Management does review the financial statements and the schedule of expenditures of federal awards and compares to the Organization’s financial records for completeness and accuracy and accepts responsibility for those financial statements and schedule of expenditures of federal awards.
The Organization is aware of the lack of segregation of duties caused by the limited size of its staff, and will continue to use other controls, where practical to compensate for this limitation.
The Organization is aware of the lack of segregation of duties caused by the limited size of its staff, and will continue to use other controls, where practical to compensate for this limitation.
Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with...
Finding Reference #: 2023‐003 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Description of Finding: Errors in the sliding fee category ‐ 1 patient was improperly billed for as compared to the sliding fee level they were properly approved for based on support provided with their application. Corrective Action: The Center has made it mandatory that two staff members verify the application and supporting documents to ensure patients are placed on the appropriate sliding fee scale discount level; secondarily the practice management system is verified to ensure the software is assigning the correct sliding fee scale and billing the patient correctly. The Center has been conducting an internal audit on a quarterly basis of five random applications to ensure that the patient has been entered into the correct sliding fee discount level and is billed correctly. The Center will increase the quarterly internal audit to 40 random applications. Name of Responsible Person: Taneia Gatchell, Controller Projected Completion Date: Completed at time of report.
Views of Responsible Officials:This instance was largely due to staff turnover. ASCB will train all grant-related and all finance staff in proper processes and procedures based on contract price thresholds. This will create awareness throughout both departments which will result in everyone taking o...
Views of Responsible Officials:This instance was largely due to staff turnover. ASCB will train all grant-related and all finance staff in proper processes and procedures based on contract price thresholds. This will create awareness throughout both departments which will result in everyone taking ownership of the process and not being reliant on any one staff member.
Views of Responsible Officials: Agreed that the differences were insignificant, however, ASCB understands how important it is to ensure the timesheet hours match the general ledger. So we have already created a new salary allocation worksheet that uses less complex formulas and calculations to strea...
Views of Responsible Officials: Agreed that the differences were insignificant, however, ASCB understands how important it is to ensure the timesheet hours match the general ledger. So we have already created a new salary allocation worksheet that uses less complex formulas and calculations to streamline the process. The new worksheet also uses less manual input which reduces room for error.
Finding 478066 (2023-001)
Significant Deficiency 2023
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to...
Corona Virus State and Local Recovery Funds– Assistance Listing No. 21.027 Clean Water State Revolving Fund– Assistance Listing No. 66.458 Recommendation: We recommend the City implement procedures to ensure that documentation of the verification process for suspension and debarment is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have communicated the policies and procedures regarding recordkeeping and documentation to support the verification process for suspension and debarment on all City contracts and purchase orders to all appropriate staff. Management will monitor the issue regularly during the year to ensure compliance. Name(s) of the contact person(s) responsible for corrective action: Christina Holmes, Director of Finance Planned completion date for corrective action plan: June 2024
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit fi...
Community Development Block Grant Programs– Assistance Listing No. 14.218 Recommendation: We recommend the City implement procedures to ensure that reporting requirements are performed and is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: City staff have updated written procedures and notified appropriate staff to ensure reporting requirements are performed and supporting documentation is maintained to confirm compliance with those requirements. Name(s) of the contact person(s) responsible for corrective action: Danielle Lopez, Housing and Neighborhood Services Manager Planned completion date for corrective action plan: June 2024
Name of the Contact Person Responsible for the Corrective Action Plan: Brian Clark, Chief Financial Officer. Corrective Action Plan: Additional steps within the existing process have been put in place. The Procurement Department has implemented a verification step to confirm a vendor’s suspension ...
Name of the Contact Person Responsible for the Corrective Action Plan: Brian Clark, Chief Financial Officer. Corrective Action Plan: Additional steps within the existing process have been put in place. The Procurement Department has implemented a verification step to confirm a vendor’s suspension and/or debarment status. This step also requires documented proof of verification to be saved on the vendor master file within the County’s Financial Software. A periodic review is now required to ensure all vendors meet these requirements on an ongoing basis. Anticipated Completion Date: Implemented as of June 30, 2024
Name of the Contact Person Responsible for the Corrective Action Plan: Brian Clark, Chief Financial Officer. Corrective Action Plan: Additional steps within the existing process have been put in place. The Procurement Department has implemented a verification step to confirm a vendor’s suspension ...
Name of the Contact Person Responsible for the Corrective Action Plan: Brian Clark, Chief Financial Officer. Corrective Action Plan: Additional steps within the existing process have been put in place. The Procurement Department has implemented a verification step to confirm a vendor’s suspension and/or debarment status. This step also requires documented proof of verification to be saved on the vendor master file within the County’s Financial Software. A periodic review is now required to ensure all vendors meet these requirements on an ongoing basis. Anticipated Completion Date: Implemented as of June 30, 2024
School District 12 Education Foundation (dba Five Star Education Foundation) agrees with the finding and recommendation.School District 12 Education Foundation (dba Five Star Education Foundation) will document approval, or other internal control, to prove transactions charged to grants are allowabl...
School District 12 Education Foundation (dba Five Star Education Foundation) agrees with the finding and recommendation.School District 12 Education Foundation (dba Five Star Education Foundation) will document approval, or other internal control, to prove transactions charged to grants are allowable, within the period of performance required by the grant and are meet procurement policies established by Uniform Guidance.
School District 12 Education Foundation (dba Five Star Education Foundation) agrees with the finding and recommendation. School District 12 Education Foundation (dba Five Star Education Foundation) will review the Uniform Guidance to ensure compliance ensure compliance with the single audit requirem...
School District 12 Education Foundation (dba Five Star Education Foundation) agrees with the finding and recommendation. School District 12 Education Foundation (dba Five Star Education Foundation) will review the Uniform Guidance to ensure compliance ensure compliance with the single audit requirements.
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