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Corrective Action Plans

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Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
Account Reconciliations are catalogued monthly in both hardcopy and electronic formats. The
Account Reconciliations are catalogued monthly in both hardcopy and electronic formats. The
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
principal auditor tracks the completion of monthly reconciliations. The principal auditor verifies,
principal auditor tracks the completion of monthly reconciliations. The principal auditor verifies,
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
on a test basis, the accuracy and timeliness of account reconciliations, ensure monthly closeout
on a test basis, the accuracy and timeliness of account reconciliations, ensure monthly closeout
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
procedures are followed, and that internal controls over the reconcilement process are effective.
procedures are followed, and that internal controls over the reconcilement process are effective.
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
These changes have helped to strengthen our controls over the account reconciliations in general,
These changes have helped to strengthen our controls over the account reconciliations in general,
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
allowing for more accurate and timely completion of many of our monthly reconciliations.
allowing for more accurate and timely completion of many of our monthly reconciliations.
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
Audit Reference: 2023-002 Compliance and Significant Deficiency in Internal Control over Compliance with Reporting {Compliance Reporting)
Audit Reference: 2023-002 Compliance and Significant Deficiency in Internal Control over Compliance with Reporting {Compliance Reporting)
View Audit 299158
Finding 386833 (2023-002)
Significant Deficiency 2023
City of Birmingham
AL
Reporting Significant Deficiency Internal Control / Segregation of Duties
Management in the Finance and Community Development Departments have decided to let Grants Team member prepare financial reports for ERA grants.
Management in the Finance and Community Development Departments have decided to let Grants Team member prepare financial reports for ERA grants.
View Audit 299158
Finding 386832 (2023-001)
Significant Deficiency 2023
Cumberland Pediatric Foundation
TN
Allowable Costs / Cost Principles Cash Management
Management's Response: We concur. View of Responsible Officials and Corrective Action: Grant budgets are prepared in advance of the funding award. The contracts are awarded based on the projected budget. CPF billed for the salary reimbursement based on the contracted budgeted salary. This resulted ...
Management's Response: We concur. View of Responsible Officials and Corrective Action: Grant budgets are prepared in advance of the funding award. The contracts are awarded based on the projected budget. CPF billed for the salary reimbursement based on the contracted budgeted salary. This resulted in some salaries not being exact. To correct, CPF will bill the exact paid salary. Recommendation: CPF management will review and obtain documentation on each employee's payroll amount and include it in the backup documentation submitted with invoicing. This documentation will clearly support the method and amount of the calculation for all monthly reimbursement requests for salary and will ensure it matches what each employee is paid. Monthly documentation will be obtained before invoicing grants. The person responsible for implementing the corrective action plan is the accountant, Louise, Ratts, CPA. Completion Date: March 01, 2024
View Audit 299152
Mhccc Housing CORP Iic
IL
HUD Housing Programs
Finding: Management did not complete the search for a tenant prior to move-in. According to Chapter 9 ofthe HUD Multifamily Occupancy Handbook, HUD requires an Existing Tenant Search through the Enterprise Income Verification System (EIV) be completed for all new tenants prior to move in. Due to a c...
Finding: Management did not complete the search for a tenant prior to move-in. According to Chapter 9 ofthe HUD Multifamily Occupancy Handbook, HUD requires an Existing Tenant Search through the Enterprise Income Verification System (EIV) be completed for all new tenants prior to move in. Due to a clerical error, an incorrect social security number was entered while running the EIV. We recommend management verify the information entered into the EIV. Corrective Action: Management acknowledges the error and will continue to verify the social security numbers being entered.
View Audit 299143
Finding 386827 (2023-002)
Significant Deficiency 2023
Delton Kellogg Schools
MI
Allowable Costs / Cost Principles Significant Deficiency Internal Control / Segregation of Duties
The School will have all employees reimbursed under federal grants sign semi-annual certifications or activity reports to verify alllocation of wages.
The School will have all employees reimbursed under federal grants sign semi-annual certifications or activity reports to verify alllocation of wages.
View Audit 299140
Finding 386826 (2023-001)
Significant Deficiency 2023
Delton Kellogg Schools
MI
Significant Deficiency Internal Control / Segregation of Duties
The School wil establish procedures to ensure that budgets for all federal grants are reviewed on an on-going basis.
The School wil establish procedures to ensure that budgets for all federal grants are reviewed on an on-going basis.
View Audit 299140
Finding 386817 (2023-001)
Significant Deficiency 2023
Bullhook Community Health Center, Inc.
MT
Special Tests & Provisions Eligibility Significant Deficiency
U.S. Department of Health and Human Services Bullhook Community Health Center, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 through June 30, 2023 The findings from the schedule of findings and questioned costs are discuss...
U.S. Department of Health and Human Services Bullhook Community Health Center, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 through June 30, 2023 The findings from the 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 SIGNIFICANT DEFICIENCY 2023-001 Health Center Program Cluster Recommendation: Management should review their policies and procedures with the personnel responsible for providing the sliding fee discount and for ensuring that documentation is maintained to support the eligibility of sliding fee discount. We also recommend that management implement, monthly or quarterly, a self-audit process of newly approved sliding fee discount recipients and their associated patient record. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Staff were retrained on sliding fee policy and procedure. Going forward frequent audits from the sliding fee applications received and entered will be conducted to ensure that proper documentation is maintained. Name(s) of the contact person(s) responsible for corrective action: Kyndra Hall, CEO Planned completion date for corrective action plan: June 30, 2024 If the U.S. Department of Health and Human Services has questions regarding this plan, please call Kyndra Hall, Chief Executive Officer at (406) 395-6904.
View Audit 299121
Finding 386814 (2023-001)
Significant Deficiency 2023
Pensdale Housing, Inc.
CA
Subrecipient Monitoring
Finding 2023-001: Comments on the Finding and Each Recommendation The Form SF-SAC Single Audit Data Collection Form for the years ended May 31, 2023 and 2022 were not submitted to the federal audit clearinghouse in the required timeframe. The Corporation should submit the Form SF-SAC Single Audit...
Finding 2023-001: Comments on the Finding and Each Recommendation The Form SF-SAC Single Audit Data Collection Form for the years ended May 31, 2023 and 2022 were not submitted to the federal audit clearinghouse in the required timeframe. The Corporation should submit the Form SF-SAC Single Audit Data Collection Forms for the years ended May 31, 2023 and 2022 as soon as practical. Action(s) taken or planned on the finding Management and the Board of Directors concur with the finding and the auditor's recommendations. Form SF-SAC Single Audit Data Collection Form for the years ended May 31, 2023 and 2022 will be submitted to the federal audit clearinghouse as soon as practical upon the receipt of the Corporation's UEI number.
View Audit 299118
Finding 386812 (2023-001)
Material Weakness 2023
Rural Health Corporation of Northeastern Pennsylvania
PA
Reporting
In June of 2022, Rural Health Corporation of Northeastern Pennsylvania implemented a new Electronic Medical Records System. This implementation, combined with turnover in the billing department, and the hiring of an outsourced claims processor, led to billing delays and various other challenges rela...
In June of 2022, Rural Health Corporation of Northeastern Pennsylvania implemented a new Electronic Medical Records System. This implementation, combined with turnover in the billing department, and the hiring of an outsourced claims processor, led to billing delays and various other challenges related to accounts receivable. An internal biller was hired, and processes are in place to monitor and reconcile accounts receivable on at least a monthly basis. The CFO acknowledges and is responsible for this corrective action plan.
View Audit 299113
Finding 386811 (2023-002)
Material Weakness 2023
Rural Health Corporation of Northeastern Pennsylvania
PA
Due to significant turnover at Rural Health Corporation of Northeastern Pennsylvania, several income verifications were not completed in time. Additional hiring and training are required to ensure that these processes are followed. The outsourced billing company is routinely scheduled to participate...
Due to significant turnover at Rural Health Corporation of Northeastern Pennsylvania, several income verifications were not completed in time. Additional hiring and training are required to ensure that these processes are followed. The outsourced billing company is routinely scheduled to participate in training with the front desk personnel and main office personnel. Another internal practice manager/front desk manager has been promoted to work with the parties involved to remedy the situation. The CFO acknowledges and is responsible for this corrective action plan.
View Audit 299113
Finding 386809 (2023-001)
Significant Deficiency 2023
Nativity B.v.m. Place
PA
Subrecipient Monitoring
Finding 2023-001: Comments on the Finding and Each Recommendation: The Form SF-SAC Single Audit Data Collection Form for the years ended June 30, 2021 and 2022 were not submitted to the federal audit clearinghouse in the required timeframe. Action(s) taken or planned on the finding The Corporati...
Finding 2023-001: Comments on the Finding and Each Recommendation: The Form SF-SAC Single Audit Data Collection Form for the years ended June 30, 2021 and 2022 were not submitted to the federal audit clearinghouse in the required timeframe. Action(s) taken or planned on the finding The Corporation should submit the Form SF-SAC Single Audit Data Collection Forms for the years ended June 30, 2021 and 2022 as soon as practical. Management and the Board of Directors concur with the finding and the auditor's recommendation. Form SF-SAC Single Audit Data Collection Form for the year ended June 30, 2021 was submitted to the federal audit clearinghouse on April 27, 2022, and the Form SF-SAC Single Audit Data Collection Form for the year ended June 30, 2022 was submitted on September 20, 2023. No further action is required.
View Audit 299112
Finding 386808 (2023-001)
Significant Deficiency 2023
Missouri Coalition for Community Behavioral Healthcare
MO
Internal Control / Segregation of Duties
Recommendation: Although the small size of the Coalition’s accounting staff limits the extent of segregation of duties, we believe the Board of Directors needs to remain involved in financial affairs of the Coalition.
Recommendation: Although the small size of the Coalition’s accounting staff limits the extent of segregation of duties, we believe the Board of Directors needs to remain involved in financial affairs of the Coalition.
View Audit 299095
Finding 386808 (2023-001)
Significant Deficiency 2023
Missouri Coalition for Community Behavioral Healthcare
MO
Internal Control / Segregation of Duties
Views of Responsible Officials and Planned Correction: The Coalition concurs with the recommendations that Missouri Coalition of Community Mental Health Centers d/b/a Missouri Behavioral Health Council and Related Entity would be best served by segregating fiscal duties as outlined above. Upon recei...
Views of Responsible Officials and Planned Correction: The Coalition concurs with the recommendations that Missouri Coalition of Community Mental Health Centers d/b/a Missouri Behavioral Health Council and Related Entity would be best served by segregating fiscal duties as outlined above. Upon receiving this recommendation, the Coalition has worked to implement this recommendation. In addition, the Association’s Board of Directors will remain involved in the financial affairs of the Association to provide oversight and independent review functions.
View Audit 299095
Finding 386807 (2023-002)
Significant Deficiency 2023
Dodgeland School District
WI
Internal Control / Segregation of Duties Reporting
This segregation of duties weakness is impratical to totally correct due to the limited resources and staff available to the district. The District will continue to use other controls, where practical, to compensate for this limitation.
This segregation of duties weakness is impratical to totally correct due to the limited resources and staff available to the district. The District will continue to use other controls, where practical, to compensate for this limitation.
View Audit 299093
Finding 386805 (2023-002)
Material Weakness 2023
Hamilton County, Tennessee
TN
Reporting Matching / Level of Effort / Earmarking
Person Responsible for Corrective Action Plan: Mary Ellen Heuton, Chief Financial Officer Hamilton County Schools Corrective Action Plan: The District (Hamilton County Schools) has implemented new procedures to ensure the quarterly reports are being loaded into the State's dashboard for compliance w...
Person Responsible for Corrective Action Plan: Mary Ellen Heuton, Chief Financial Officer Hamilton County Schools Corrective Action Plan: The District (Hamilton County Schools) has implemented new procedures to ensure the quarterly reports are being loaded into the State's dashboard for compliance with the requirement. Anticipated Completion Date: June 30, 2024.
View Audit 299091
Finding 386804 (2023-002)
Material Weakness 2023
Jardines De Aguada - Municipality of Aguada
PR
Subrecipient Monitoring Allowable Costs / Cost Principles Material Weakness
COMMONWEALTH OF PUERTO RICO AUTONOMOUS MUNICIPALITY OF AGUADA CORRECTIVE ACTION PLAN FOR THE FISCAL YEAR ENDED JUNE 30, 2023 Audit Report: Reports on Compliance and Internal Control in Accordance with Government Auditing Standards and OMB Super Circular Uniform Guidance Aud...
COMMONWEALTH OF PUERTO RICO AUTONOMOUS MUNICIPALITY OF AGUADA CORRECTIVE ACTION PLAN FOR THE FISCAL YEAR ENDED JUNE 30, 2023 Audit Report: Reports on Compliance and Internal Control in Accordance with Government Auditing Standards and OMB Super Circular Uniform Guidance Audit Period: July 1, 2022 – June 30, 2023 Principal Executive: Hon. Christian E. Cortés Feliciano Fiscal Year: 2022-2023 Contact Person: Mrs. Geavelis Pérez Ruiz, Finance Director Phone: (787)868-6400 Original Finding Number: 2023-002 Statement of Concurrence or Nonconcurrence: We concur partially with the finding. Corrective Action: The Municipality received strengthening funds, which require the filing of monthly reports, specifically on the 15th of each month. The Municipality acknowledges that it has not submitted certain reports specifically for the 15th of each month, however, they have been submitted monthly. The fact that the report was not submitted by a specific date is not synonymous with the municipality not adequately monitoring the program's activities. That is why we do not completely agree with what is stated in the cause of condition. To ensure that the report is submitted by the 15th of each month, since March 2023, a reminder with a notice was established in the calendar several days before the filing date. Implementation Date: Fiscal year 2023-2024 Responsible Person: CPA Marisol Rosa Acevedo Municipal Administrator
View Audit 299080
Finding 386797 (2023-003)
Significant Deficiency 2023
Town of Yarmouth
ME
Procurement, Suspension & Debarment Subrecipient Monitoring Matching / Level of Effort / Earmarking
Management’s response/corrective action plan: Grant fund administrators have been notified of their responsibility to check SAM.GOV for any new vendors who may do work under a Federal Grant. The business office is also reviewing existing vendors to ensure compliance along with checking any new vendo...
Management’s response/corrective action plan: Grant fund administrators have been notified of their responsibility to check SAM.GOV for any new vendors who may do work under a Federal Grant. The business office is also reviewing existing vendors to ensure compliance along with checking any new vendors added to the system by the school department. A shared tracking document has been created and a note added to the vendor's profiles in the financial software.
View Audit 299077
Finding 386796 (2023-002)
Significant Deficiency 2023
Town of Yarmouth
ME
Procurement, Suspension & Debarment
Management response/corrective action plan: At the time of the school addition for PreK there were two cleaning contractors working in the district, both were approached about the new space. GDI was able to increase staffing to meet the need. New contractors were not pursued as the initial plan incl...
Management response/corrective action plan: At the time of the school addition for PreK there were two cleaning contractors working in the district, both were approached about the new space. GDI was able to increase staffing to meet the need. New contractors were not pursued as the initial plan included adding our own staff to meet the need. Staffing shortages caused us to continue with GDI beyond our initial plan thus breaking the Micro Purchasing threshold of 2 CFR Part 200. Though a review and selection process occurred to procure playground equipment, the cost of the equipment exceeded the threshold where a more defined RFP process should have been utilized. Future grant funded projects and equipment purchases will be addressed per the Yarmouth School Department Policy NEPN/NSBA Code: DJ-R Administrative Procedure: Federal Procurement Manual.
View Audit 299077
Finding 386795 (2023-001)
Significant Deficiency 2023
Town of Yarmouth
ME
Allowable Costs / Cost Principles Cash Management Internal Control / Segregation of Duties
Management response/corrective action plan: An incorrect formula was applied to the GDI invoices for the FY23 year. The grant had sufficient overall funds and was not over spent. The current (FY24) invoices for services under the Pre-K grant are being split based on the latest grant revision.
Management response/corrective action plan: An incorrect formula was applied to the GDI invoices for the FY23 year. The grant had sufficient overall funds and was not over spent. The current (FY24) invoices for services under the Pre-K grant are being split based on the latest grant revision.
View Audit 299077
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