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Corrective Action Plans

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Finding 400629 (2023-001)
Significant Deficiency 2023
Medical Teams International
OR
Cash Management § 200.305
Medical Teams International already has the personnel and resources needed to Calculate the interest earned in relation to Federal awards and included in the month close cycle process for tracking purposes. Medical Teams will set a process in place to ensure funds in excess of the stipulated $500, a...
Medical Teams International already has the personnel and resources needed to Calculate the interest earned in relation to Federal awards and included in the month close cycle process for tracking purposes. Medical Teams will set a process in place to ensure funds in excess of the stipulated $500, are identified during the year and remitted. This action plan will be led my the Director of Global Finance, Florence Ruona, with an estimated completion date of September 30, 2024
View Audit 308679
Pillar College and Subsidiaries
NJ
Student Financial Aid Cash Management Matching / Level of Effort / Earmarking
Credit Balances Held Beyond Payment Period Planned Corrective Action: Per our policies, accounts are reviewed weekly and credit balances are processed within the 14-day period. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Impl...
Credit Balances Held Beyond Payment Period Planned Corrective Action: Per our policies, accounts are reviewed weekly and credit balances are processed within the 14-day period. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Spring 2024.
View Audit 308676
Finding 400626 (2023-005)
Significant Deficiency 2023
Pillar College and Subsidiaries
NJ
Questioned Costs Student Financial Aid Significant Deficiency
Incorrect Pell Calculations Planned Corrective Action: Per our policies we will work in conjunction with Academics to ensure timely response in updating Pell based enrollment changes. Tasks will be generated to ensure both groups are reviewing in a timely manner. Person Responsible for Corrective Ac...
Incorrect Pell Calculations Planned Corrective Action: Per our policies we will work in conjunction with Academics to ensure timely response in updating Pell based enrollment changes. Tasks will be generated to ensure both groups are reviewing in a timely manner. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Fall 2023.
View Audit 308676 Questioned Costs: $1
Finding 400624 (2023-004)
Significant Deficiency 2023
Pillar College and Subsidiaries
NJ
Student Financial Aid Reporting Significant Deficiency
Inaccurate and Untimely Return of Title IV Funds (R2T4) Planned Corrective Action: With new automation we have more timely notifications on when students have been dropped. The Pillar Financial Aid department has updated their policies to monitor the withdrawal calculations to ensure they are comple...
Inaccurate and Untimely Return of Title IV Funds (R2T4) Planned Corrective Action: With new automation we have more timely notifications on when students have been dropped. The Pillar Financial Aid department has updated their policies to monitor the withdrawal calculations to ensure they are completed within the allotted timeframe. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Spring 2024.
View Audit 308676
Finding 400622 (2023-003)
Material Weakness 2023
Pillar College and Subsidiaries
NJ
Questioned Costs Student Financial Aid Eligibility
Disbursements to Ineligible Students Planned Corrective Action: With the new automation process we have exceptions that will prevent the funding from posting if there is no LDA listed. We have also updated the Disbursement Criteria Approval to help prevent inaccurate disbursements from posting. Pers...
Disbursements to Ineligible Students Planned Corrective Action: With the new automation process we have exceptions that will prevent the funding from posting if there is no LDA listed. We have also updated the Disbursement Criteria Approval to help prevent inaccurate disbursements from posting. Person Responsible for Corrective Action Plan: Ingrid Ortiz, Director of Financial Aid Anticipated Date of Completion: Implemented as of Fall 2023.
View Audit 308676 Questioned Costs: $1
Finding 400618 (2023-002)
Material Weakness 2023
Pillar College and Subsidiaries
NJ
Subrecipient Monitoring Material Weakness
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: The GLBA Information Security document will be updated to reflect the February 2023 changes. Person Responsible for Corrective Action Plan: Washington Ricardo Izquierdo, Senior Director of Information Technology Anticipated Date of ...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: The GLBA Information Security document will be updated to reflect the February 2023 changes. Person Responsible for Corrective Action Plan: Washington Ricardo Izquierdo, Senior Director of Information Technology Anticipated Date of Completion: May 31, 2024.
View Audit 308676
Finding 400615 (2023-001)
Material Weakness 2023
Coupeville School District No. 204
WA
Subrecipient Monitoring Internal Control / Segregation of Duties Special Tests & Provisions
It is very unusual for the district to ever complete projects with unrestricted Federal funds and in this case it was in the midst of a national crisis. In the event that there are future projects, that are Federally funded in excess of $2,000, Coupeville School District (CSD) will have adequate con...
It is very unusual for the district to ever complete projects with unrestricted Federal funds and in this case it was in the midst of a national crisis. In the event that there are future projects, that are Federally funded in excess of $2,000, Coupeville School District (CSD) will have adequate controls for ensuring compliance with Davis-Bacon Act (Federal prevailing wage rate) requirements.
View Audit 308675
Finding 400611 (2023-002)
Significant Deficiency 2023
Covered Bridge Healthcare of St. Joseph County
MI
Reporting Significant Deficiency
Significant changes have been made to how Finance maintains all files and documents to ensure accuracy and integrity of all reports issued by the Finance Department. Specific folders have been set up in the Shared Drive and all members of the Finance Team have appropriate access. These changes were...
Significant changes have been made to how Finance maintains all files and documents to ensure accuracy and integrity of all reports issued by the Finance Department. Specific folders have been set up in the Shared Drive and all members of the Finance Team have appropriate access. These changes were made in February 2024 and are monitored monthly by the Finance Manager and CFO.
View Audit 308666
Finding 400610 (2023-001)
Significant Deficiency 2023
Easter Seals Southern California
CA
Equipment & Real Property Management Special Tests & Provisions Procurement, Suspension & Debarment
Corrective Action Plan Date: May 31, 2024 Cognizant or Oversight Agency: U.S. Department of Health and Human Services Easter Seals Southern California respectfully submits the following corrective action plan for the year ended December 31, 2023. Name and address of independent public accounting fir...
Corrective Action Plan Date: May 31, 2024 Cognizant or Oversight Agency: U.S. Department of Health and Human Services Easter Seals Southern California respectfully submits the following corrective action plan for the year ended December 31, 2023. Name and address of independent public accounting firm: Armanino, LLP 18101 Von Karman Avenue, Suite 1400 Irvine, CA 92612 Audit period: 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 number assigned in the schedule. FINDINGS-FEDERAL AWARDS SIGNIFICANT DEFICIENCY 2023-001 Under the Code of Federal Regulations, specifically 45 CFR section 1303.46, Organizations that use Head Start funds to purchase real property or purchase, construct, or renovate (major) a facility appurtenant to real property (either owned or leased) must record a Notice of Federal Interest. Recommendation: Management should refresh its understanding of federal compliance requirements as they pertain to infrequently occurring activities such as this. Action Taken: We agree with the finding. As soon as we were made aware of the noncompliance issue, we immediately began the process to record the Notice of Federal Interest . The Notice of Federal Interest was filed with the San Diego Recorders Office on May 15, 2024.Name of responsible person: Susan Berglund CFO Anticipated completion date: May 15, 2024 If the U.S. Department of Health and Human Services has questions regarding this plan, please call Susan Berglund, CFO at (657) 207-5079 Sincerely yours, Susan Berglund CFO 1063 McGaw Avenue, Suite 100, Irvine, CA 92614 • 714.834.1111 easterseals.com/southemcal
View Audit 308664
Finding 400609 (2023-002)
Significant Deficiency 2023
Young Women's Christian Association of St. Paul and Affiliates
MN
Allowable Costs / Cost Principles § 200.303
Federal Agency Name: Department of Health and Human Services Pass-Through Entity: Ramsey County Minnesota Assistance Listing Number: 93.558 Program Name: Minnesota Family Investment Program (MFIP) Finding Summary: For one employee tested, documentation was not maintained to support all hours charged...
Federal Agency Name: Department of Health and Human Services Pass-Through Entity: Ramsey County Minnesota Assistance Listing Number: 93.558 Program Name: Minnesota Family Investment Program (MFIP) Finding Summary: For one employee tested, documentation was not maintained to support all hours charged to the TANF program. Responsible Individuals: Lisa Gochanour, Accounting Manager – Stephanie Kilian, CFO Corrective Action Plan: For the employee tested the effective date of an employee status change was not clear and was subject to interpretation. We have made changes to ensure that any future documentation has clear beginning and ending dates. This will eliminate confusion of allocable hours in the future. Anticipated Completion Date: Completed. 5/1/2024
View Audit 308647
Finding 400606 (2023-001)
Significant Deficiency 2023
The National Association of State Workforce Agencies
DC
Reporting Significant Deficiency
Corrective Action: We concur with the recommendation. NASWA has implemented the following procedures to ensure that the general ledger accurately reflects approved federal grant expense and revenue activity.
Corrective Action: We concur with the recommendation. NASWA has implemented the following procedures to ensure that the general ledger accurately reflects approved federal grant expense and revenue activity.
View Audit 308643
Finding 400606 (2023-001)
Significant Deficiency 2023
The National Association of State Workforce Agencies
DC
Reporting Significant Deficiency
Generation of monthly grant profit & loss statements, which are run per grant, to validate incurred expenses and revenue recognized in monthly invoice / draw down.
Generation of monthly grant profit & loss statements, which are run per grant, to validate incurred expenses and revenue recognized in monthly invoice / draw down.
View Audit 308643
Finding 400606 (2023-001)
Significant Deficiency 2023
The National Association of State Workforce Agencies
DC
Reporting Significant Deficiency
Detailed review and creation of general ledger adjustments to expenses and/or revenue as grant funds are exhausted, or as other miscellaneous miscoding is discovered.
Detailed review and creation of general ledger adjustments to expenses and/or revenue as grant funds are exhausted, or as other miscellaneous miscoding is discovered.
View Audit 308643
Finding 400606 (2023-001)
Significant Deficiency 2023
The National Association of State Workforce Agencies
DC
Reporting Significant Deficiency
Final review and confirmation of monthly grant profit & loss statements before signing off on final invoicing or federal fund draw down.
Final review and confirmation of monthly grant profit & loss statements before signing off on final invoicing or federal fund draw down.
View Audit 308643
Finding 400595 (2023-004)
Material Weakness 2023
City of Portsmouth
OH
Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303
2023-004 FFATA Reporting Recommendation: We recommend the City establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS no later than the end of the month following the month of issuance of each subaward. Explanation of disagreemen...
2023-004 FFATA Reporting Recommendation: We recommend the City establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS no later than the end of the month following the month of issuance of each subaward. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review City’s policy and Establish procedures and internal controls to ensure that all required subawards are reported timely and accurately to FSRS n later than the end of the month following the month of issuance of each subaward. Name(s) of the contact person(s) responsible for corrective action: Jeffrey Crimer, Doug Weller, Kyera Pope. Planned completion date for corrective action plan: 06/30/2024. Moving forward: No later than the end of the month following the month of issuance of each subaward.
View Audit 308638
Finding 400593 (2023-003)
Significant Deficiency 2023
City of Portsmouth
OH
Questioned Costs Period of Performance Subrecipient Monitoring § 200.303 § 200.308 § 200.309 § 200.403
2023-003 – Period of Performance Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that expenditures are not charged to federal awards during the period of performance. Explanation of disagreement with audit finding: There is no disagreement with the audit ...
2023-003 – Period of Performance Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that expenditures are not charged to federal awards during the period of performance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Office of Special Education and Related services and the Portsmouth Finance department will monitor expenditures on an ongoing basis to ensure the funds are spent in accordance with the period of performance of the grant. The Finance department will review all purchases and notify the Office of Special Education if purchases are unallowable and do not follow the period of performance and have alternate suggestions on how the purchase can be made. Name(s) of the contact person(s) responsible for corrective action: Pamela Battle-Hardy, Director of Special Education and Related Services Planned completion date for corrective action plan: January 1, 2025
View Audit 308638 Questioned Costs: $1
Finding 400591 (2023-002)
Material Weakness 2023
City of Portsmouth
OH
Questioned Costs Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking § 200.300 § 200.303 § 200.306 § 200.308 § 200.309
2023-002 – Allowable Costs/Cost Principles Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that it retains documentation supporting time and effort on federal grants and that this documentation is available for audit purposes. Explanation of disagreement ...
2023-002 – Allowable Costs/Cost Principles Recommendation: We recommend that PPS enhance its procedures and internal controls to ensure that it retains documentation supporting time and effort on federal grants and that this documentation is available for audit purposes. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Office of Special Education and related services, in collaboration with Portsmouth Schools Finance department will monitor that the certification of pay certifications are completed on a semi-annual basis. Finance will communicate via email, the list of personnel required to have the certification and also review once they are completed by the Office of Special Education. Finance will review all dates and signatures. Name(s) of the contact person(s) responsible for corrective action: Pamela Battle-Hardy, Director of Special Education and Related Services Planned completion date for corrective action plan: January 1, 2025
View Audit 308638 Questioned Costs: $1
Finding 400586 (2023-001)
Significant Deficiency 2023
City of Portsmouth
OH
Subrecipient Monitoring HUD Housing Programs Reporting § 200.303
2023-001 Reporting- IDIS Recommendation: We recommend that the City review its policies and procedures to ensure that compliance with federal reporting requirements are evident. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review grant policy and proc...
2023-001 Reporting- IDIS Recommendation: We recommend that the City review its policies and procedures to ensure that compliance with federal reporting requirements are evident. Explanation of disagreement with audit finding: NO Action taken in response to finding: Review grant policy and procedures to ensure that City’s policy and procedure is in compliance with federal reporting requirements. Name(s) of the contact person(s) responsible for corrective action: Jeffrey Crimer, Doug Weller, Kyera Pope. Planned completion date for corrective action plan: 06/30/2024.
View Audit 308638
Finding 400585 (2023-001)
Significant Deficiency 2023
Longmont Housing Authority
CO
Reporting Significant Deficiency Internal Control / Segregation of Duties
Significant Deficiency in Internal Control 2023-001 Reporting Repeat finding from prior year: Yes Finding Summary: – The Program requires the Authority to prepare and provide quarterly financial status reports to the granting agency. Responsible Individuals: Housing and Community Investment Director...
Significant Deficiency in Internal Control 2023-001 Reporting Repeat finding from prior year: Yes Finding Summary: – The Program requires the Authority to prepare and provide quarterly financial status reports to the granting agency. Responsible Individuals: Housing and Community Investment Director, Housing Compliance Manager, Accounting Supervisor Corrective Action Plan: Quarterly reports were completed during the audit. Organizationally we need to develop a routing sheet for these awards so employees are informed of the requirements before and after contract execution. Anticipated Completion Date: April 30, 2024
View Audit 308635
Finding 400568 (2023-002)
Significant Deficiency 2023
6 Stones Mission Network
TX
Reporting Internal Control / Segregation of Duties Significant Deficiency
Finding 2023-002: Reporting - significant deficiency in internal controls over compliance and compliance finding. Management Response 6 Stones Mission Network will follow 2 CFR Part 200 reporting requirements by: • Creating a reporting timeline from the grant award document and presenting to the 6 S...
Finding 2023-002: Reporting - significant deficiency in internal controls over compliance and compliance finding. Management Response 6 Stones Mission Network will follow 2 CFR Part 200 reporting requirements by: • Creating a reporting timeline from the grant award document and presenting to the 6 Stones Board of Directors Finance Committee. • Providing monthly status updates on the ongoing reporting until the project and all reporting tasks are completed.
View Audit 308626
Finding 400567 (2023-001)
Significant Deficiency 2023
6 Stones Mission Network
TX
Procurement, Suspension & Debarment
Finding 2023-001: Procurement - significant deficiency in internal controls over compliance and compliance finding. Management Response 6 Stones Mission Network will follow 2 CFR Part 200 guidelines regarding procurement by: • Providing 2 CFR Part 200 procurement training to the Finance team and sum...
Finding 2023-001: Procurement - significant deficiency in internal controls over compliance and compliance finding. Management Response 6 Stones Mission Network will follow 2 CFR Part 200 guidelines regarding procurement by: • Providing 2 CFR Part 200 procurement training to the Finance team and summary of the guidelines for the Board of Directors Finance Committee. • Creating a procurement checklist using 2 CFR Part 200 guidelines reviewing status updates monthly with the 6 Stones Board of Directors Finance Committee until the project and all tasks are completed.
View Audit 308626
Finding 400565 (2023-002)
Significant Deficiency 2023
Generations United, Inc.
DC
Subrecipient Monitoring § 200.331 § 200.332
Views of Responsible Officials: While the Organization did evaluate sub-recipients prior to each sub-award, documentation of that evaluation was not retained as required. For any new subrecipients, the Organization will perform the required pre-award risk assessment and retain adequate documentation...
Views of Responsible Officials: While the Organization did evaluate sub-recipients prior to each sub-award, documentation of that evaluation was not retained as required. For any new subrecipients, the Organization will perform the required pre-award risk assessment and retain adequate documentation of the work performed and results.
View Audit 308614
Finding 400564 (2023-001)
Significant Deficiency 2023
Generations United, Inc.
DC
Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303 § 200.318 § 200.319 § 200.320
Views of Responsible Officials: The Organization will complete and implement a formal, written procurement policy.
Views of Responsible Officials: The Organization will complete and implement a formal, written procurement policy.
View Audit 308614
Finding 400563 (2023-007)
Significant Deficiency 2023
City of Nogales Arizona
AZ
Procurement, Suspension & Debarment Reporting Significant Deficiency
2022 – 007 – Reporting Recommendation: The City of Nogales should enhance and/or modify existing controls over reporting to in order to prevent reporting noncompliance and ensure adherence to all grant guidance requirements. Explanation of disagreement with audit finding: There is no disagreement wi...
2022 – 007 – Reporting Recommendation: The City of Nogales should enhance and/or modify existing controls over reporting to in order to prevent reporting noncompliance and ensure adherence to all grant guidance requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Corrective Action Plan: The City will work with all departments that have grants to ensure that all grants are reporting based on grant requirements. Names of contact person(s) responsible for corrective action: Mr. Roy Bermudez, City Manager Anticipated Completion Date: June 30, 2025
View Audit 308606
Finding 400562 (2023-006)
Significant Deficiency 2023
City of Nogales Arizona
AZ
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.303 § 200.324
2022 – 006 – Procurement and Suspension and Debarment Recommendation: The City of Nogales should enhance and/or modify existing controls over procurement, suspension and debarment policies and procedures to ensure adherence to all uniform grant guidance requirements. This could include implementing ...
2022 – 006 – Procurement and Suspension and Debarment Recommendation: The City of Nogales should enhance and/or modify existing controls over procurement, suspension and debarment policies and procedures to ensure adherence to all uniform grant guidance requirements. This could include implementing a more robust checklist that should be completed, signed off by management and included with each procurement which has all required items noted such as cost/price analysis and verification of suspension and debarment of vendors. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Corrective Action Plan: The City will work on creating a checklist for all directors/management to sign off on that will be included in every capital purchase that requires procurement. This will include verification of vendors. Names of contact person(s) responsible for corrective action: Mr. Roy Bermudez, City Manager Anticipated Completion Date: June 30, 2025
View Audit 308606
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