Corrective Action Plans

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Finding 2023-001- Housing Choice Voucher Tenant Files - Eligibility- Internal Control over Tenant Files - Noncompliance and Significant Deficiency Housing Choice Voucher Program CFDA #14.871 Corrective Action Plan: 1) SCCHA will continue increased monitoring and review of HCVP files to improve acc...
Finding 2023-001- Housing Choice Voucher Tenant Files - Eligibility- Internal Control over Tenant Files - Noncompliance and Significant Deficiency Housing Choice Voucher Program CFDA #14.871 Corrective Action Plan: 1) SCCHA will continue increased monitoring and review of HCVP files to improve accuracy and ensure compliance with regulatory and statutory requirements related to income projection and tenant rent determinations. 2) SCCHA will continue to require any new staff members with income projection / rent calculation responsibilities to attend HCVP rent calculation training and pass the corresponding certification exam. 3) SCCHA will contract with an industry consultant to review internal processes and procedures related to income projections / tenant rent calculations specifically and initial eligibility and annual and interim recertifications processes in general to identify potential methods of improving accuracy and streamlining the process. Anticipated Completion Date: 1) June 30, 2024 2) June 30, 2024 3) April 30, 2024, depending on third-party trainer availability Persons Responsible: Larry McLean-Executive Director, Pam Jackson-HCV Program Director, Suellen Riley-Keen-Program Integrity & Compliance Coordinator
Corrective Action Plan It is TRRC policy for the Executive Director sign off on all check authorizations and have two authorized check signers to sign each check being disbursed. The Executive Director has approved the bank reconciliations, journal entries, and all check authorizations for the entir...
Corrective Action Plan It is TRRC policy for the Executive Director sign off on all check authorizations and have two authorized check signers to sign each check being disbursed. The Executive Director has approved the bank reconciliations, journal entries, and all check authorizations for the entire fiscal year 2023. Also, bank reconciliations were prepared by the fiscal clerk for the entire fiscal year 2023. Anticipated Completion Date July 1, 2024 Responsible Parties Jeremy Oshner, Executive Director Mike Muehl, Finance Director 107 North 3rd Quincy, IL 62301 (217) 224-8171
Finding 2023-001: Excess Residual Receipts Lexington Housing Authority (LHA) did fail to determine excess receipts were due to HUD when its PRAC renewed November 1, 2022. Amount due is $5,29234. LHA is preparing to ask HUD if we can use some of the excess receipts to fix the smoke alarm system as ...
Finding 2023-001: Excess Residual Receipts Lexington Housing Authority (LHA) did fail to determine excess receipts were due to HUD when its PRAC renewed November 1, 2022. Amount due is $5,29234. LHA is preparing to ask HUD if we can use some of the excess receipts to fix the smoke alarm system as well as a couple other items. If LHA is not able to, then they will be remitted back to HUD. LHA agrees with the finding and the planned corrective action follows. LHA should have answers back from HUD in regards to using the funds within the next two weeks. LHA Procedure for the future: When Annual Contract is renewed, check balance of Residual Receipts and if over the $4500 limit, remit the amount back to HUD.
The District will implement quarterly journal entries to remove 50% of the retirement expenditures from federal grants for employees charged to the grant.
The District will implement quarterly journal entries to remove 50% of the retirement expenditures from federal grants for employees charged to the grant.
View Audit 12419 Questioned Costs: $1
Finding 9065 (2023-003)
Significant Deficiency 2023
Elementary and Secondary School Emergency Relief Assistance Listing Nos. 84.425D and 84.425U Recommendation: CLA recommends that the District implement a formal review process over the reporting requirement relating to ESSER annual reports. Explanation of disagreement with audit finding: There is no...
Elementary and Secondary School Emergency Relief Assistance Listing Nos. 84.425D and 84.425U Recommendation: CLA recommends that the District implement a formal review process over the reporting requirement relating to ESSER annual reports. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Annual ESSER reporting will be prepared by the bookkeeper, reviewed and signed off by the District Administrator, and be submitted Name(s) of the contact person(s) responsible for corrective action: Cari Guden, District Administrator Planned completion date for corrective action plan: July 1st 2023
Finding 9062 (2023-004)
Significant Deficiency 2023
Child Nutrition Cluster - Assistance Listing nos. 10.553 and 10.555 Recommendation: CLA recommends the District review and update policies and procedures over review of certain transactions to ensure that all federal grants with covered transaction have vendors reviewed for suspension and debarment ...
Child Nutrition Cluster - Assistance Listing nos. 10.553 and 10.555 Recommendation: CLA recommends the District review and update policies and procedures over review of certain transactions to ensure that all federal grants with covered transaction have vendors reviewed for suspension and debarment status. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: All food service vendors will be checked for suspension and debarment on the Sam.gov website. Name(s) of the contact person(s) responsible for corrective action: Morgan Mueller, Bookkeeper Planned completion date for corrective action plan: July 1st 2023
CORRECTIVE ACTION PLAN (Concerning Finding 2023-001) December 21, 2023 Finding: 2023-001 Subrecipient Monitoring Federal Program Information: U.S. Department of Education Passed through the State of Vermont Agency of Education ALN: 84.425 - Education Stabilization Fund Contact Person Respons...
CORRECTIVE ACTION PLAN (Concerning Finding 2023-001) December 21, 2023 Finding: 2023-001 Subrecipient Monitoring Federal Program Information: U.S. Department of Education Passed through the State of Vermont Agency of Education ALN: 84.425 - Education Stabilization Fund Contact Person Responsible for Corrective Action: Cheryl Hammond, Business Manager Corrective Action: The Two Rivers Supervisory Union will take the following actions to address finding 2023-001:  Review 2 CFR 200.332(a)  Create a temple subreceipient form  Complete the form annually and create a new form with any chance to the sub granted amount  Begin this process immediately Anticipated Completion Date: December 21, 2023
Finding Number: 2023-001 Planned Corrective Action: The Dayton Early College Academy will comply with all federal grant compliance requirements – including reporting requirements and deadlines. Anticipated Completion Date: 07/01/2023 Responsible Contact Person: Steven Hinshaw, Treasurer
Finding Number: 2023-001 Planned Corrective Action: The Dayton Early College Academy will comply with all federal grant compliance requirements – including reporting requirements and deadlines. Anticipated Completion Date: 07/01/2023 Responsible Contact Person: Steven Hinshaw, Treasurer
The District is committed to remedying the finding. A federal procurement policy is being drafted and is expected to be implemented by the Board of Directors soon. The District will determine how much (if any) additional wages are to be paid to meet the prevailing wages requirement and pay them as...
The District is committed to remedying the finding. A federal procurement policy is being drafted and is expected to be implemented by the Board of Directors soon. The District will determine how much (if any) additional wages are to be paid to meet the prevailing wages requirement and pay them as soon as they have been identified.
Condition: In a population of over 550 invoices, exceptions were noted in 1 out of 47 invoices tested. The 1 invoice was paid twice and claimed for reimbursement twice. Plan: Management will implement procedures to ensure an expenditure has cleared the bank before they are claimed as expenditures an...
Condition: In a population of over 550 invoices, exceptions were noted in 1 out of 47 invoices tested. The 1 invoice was paid twice and claimed for reimbursement twice. Plan: Management will implement procedures to ensure an expenditure has cleared the bank before they are claimed as expenditures and remove the expenditure from the grant if they pay in another manner. Anticipated Date of Completion: 6/30/2024 Name of Contact Person: LeeAnn Taylor, Assistant Superintendent of Finance & Business Operations Management Response: N/A
View Audit 12384 Questioned Costs: $1
Condition: In a population of 3 error prone applications selected for verification, exceptions were noted on 1 of the applications selected for verification. The 1 verification documentation received determined the student should be changed from reduced lunch to paid lunch and this change was not ma...
Condition: In a population of 3 error prone applications selected for verification, exceptions were noted on 1 of the applications selected for verification. The 1 verification documentation received determined the student should be changed from reduced lunch to paid lunch and this change was not made. Plan: Management will review and implement procedures to ensure the free or reduced lunch status is properly updated during the application verification process. Anticipated Date of Completion: 6/30/2024 Name of Contact Person: LeeAnn Taylor, Assistant Superintendent of Finance & Business Operations Management Response: N/A
Condition: The determining official did not complete the form and did not sign the form for all applications selected. Plan: Management will review and implement procedures to ensure the verification forms are completed correctly. Anticipated Date of Completion: 6/30/2024 Name of Contact Person: Lee...
Condition: The determining official did not complete the form and did not sign the form for all applications selected. Plan: Management will review and implement procedures to ensure the verification forms are completed correctly. Anticipated Date of Completion: 6/30/2024 Name of Contact Person: LeeAnn Taylor, Assistant Superintendent of Finance & Business Operations Management Response: N/A
With respect to the lack of performance of a risk assessment, formal, written subrecipient monitoring policies and procedures for the Trust are now in place and will cover the entire fiscal year period ending June 30, 2024. Management will strictly adhere to these policies and procedures with respec...
With respect to the lack of performance of a risk assessment, formal, written subrecipient monitoring policies and procedures for the Trust are now in place and will cover the entire fiscal year period ending June 30, 2024. Management will strictly adhere to these policies and procedures with respect to all new subrecipients and subrecipients that are still active and receiving reimbursements during the year. With respect to the lack of follow-up with findings in subrecipients’ audit reports, the Trust will update its subrecipient monitoring policies and procedures to include immediate follow-up and documentation of corrective actions taken by subrecipients to address audit findings in their single audit reports. Individual(s) Responsible for Corrective Action Plan: Denise Wise Vice President of Finance & Controller, NTHP 202-588-6192 John Chomiak Chief Financial & Administration Officer, NMSC 202-372-5617 Anticipated Completion Date: June 30, 2024
Finding 9043 (2023-001)
Significant Deficiency 2023
Finding No. 2023-001: SFA – Direct Loan Disbursement Notification Reporting Contact person for corrective action: Dr. LaMario Primas – Associate Vice President of Student Financial Services/ Interim Director of Financial Aid & Scholarships Corrective Action Plan: Morehouse College plan to implement...
Finding No. 2023-001: SFA – Direct Loan Disbursement Notification Reporting Contact person for corrective action: Dr. LaMario Primas – Associate Vice President of Student Financial Services/ Interim Director of Financial Aid & Scholarships Corrective Action Plan: Morehouse College plan to implement the following to address finding No. 2023-001 • Effective Spring 2024 of the 2023-2024 academic year, the Office of Financial Aid & Scholarships department will implement the following mechanisms to ensure that all disbursement notifications are sent to students no earlier than 30 days before, and no later than 30 days after crediting the student’s account with Direct Loan as required. o Automic Auto Scheduling: ▪ Automic will be configured to execute batch communications to all required students. This process will be scheduled to run multiple times throughout the 30-day before and after window to ensure compliance.
2023-003 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Cash Management Corrective Action Plan: Wellbeing Initiative has reviewed Title 2 CFR §200.305 and updated the Internal Controls Policy and Procedure Manual to include the following policy. Other polic...
2023-003 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Cash Management Corrective Action Plan: Wellbeing Initiative has reviewed Title 2 CFR §200.305 and updated the Internal Controls Policy and Procedure Manual to include the following policy. Other policies and procedures have been implemented and used since the incident to prevent the erroneous draw of funds prior to their expenditure. Item 10.3. Cash Management- : Criteria for cash management requirs non-Federal entities to utilize the reimbursement method and requires that expenditures were incurred prior to the date of the reimbursement request. Funds drawn from the Federal Payment Management System are deposited into a separate account and transferred to the appropriate account for reimbursement of previously accrued expenses. As allowable by grant guidelines the organization may drawdown funds in advance for expenditures to be made within the next 72 hours and meet the following requirements: i. Be limited to the minimum amounts needed to cover allowable project costs ii. Be timed in accordance with the actual immediate cash requirements of carrying out the approved project iii. Not be made to cover future expenditures Anticipated Completion Date: Completed 11/16/2023 Responsible: Chief Executive Team Danielle Smith and Sadie Thompson
2023-002 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Subrecipient Monitoring Corrective Action Plan: Wellbeing Initiative has reviewed subrecipient monitoring criteria and updated the Internal Controls Policy and Procedure Manual to include the following...
2023-002 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Subrecipient Monitoring Corrective Action Plan: Wellbeing Initiative has reviewed subrecipient monitoring criteria and updated the Internal Controls Policy and Procedure Manual to include the following policy. The appropriate measures have been taken to ensure these requirements are met in the coming years. Item 10.8.b.i-xv. Subrecipient monitoring requirements for pass-through entities, include the requirement that pass-through entities ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Required information includes but is not limited to: i. Subrecipient name (which must match the name associated with its unique entity identifier); ii. Subrecipient's unique entity identifier; iii. Federal Award Identification Number (FAIN); iv. Subaward Period of Performance Start and End Date; v. Subaward Budget Period Start and End Date; vi. Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation; vii. Total Amount of the Federal Award committed to the subrecipient by the pass-through entity; viii. Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA); ix. Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity; x. Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement; xi. Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414. xii. All requirements imposed by the pass-through entity on the subrecipient so that the Federal award is used in accordance with Federal statutes, regulations and the terms and conditions of the Federal award; xiii. Any additional requirements that the pass-through entity imposes on the subrecipient in order for the pass-through entity to meet its own responsibility to the Federal awarding agency including identification of any required financial and performance reports; xiv. A requirement that the subrecipient permit the pass-through entity and auditors to have access to the subrecipient's records and financial statements as necessary for the pass-through entity to meet the requirements of this part; and xv. Appropriate terms and conditions concerning closeout of the subaward Anticipated Completion Date: Completed 11/16/2023 Responsible: Chief Executive Team: Danielle Smith and Sadie Thompson
2023-001 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Reporting Corrective Action Plan: Wellbeing Initiative has reviewed FFATA reporting requirements and has adopted a procedure to ensure such reporting is completed as required. Wellbeing Initiative, In...
2023-001 - Noncompliance and Significant Deficiency in Internal Controls over Compliance for Reporting Corrective Action Plan: Wellbeing Initiative has reviewed FFATA reporting requirements and has adopted a procedure to ensure such reporting is completed as required. Wellbeing Initiative, Inc.’s Internal Controls Policy and Procedure Manual includes the following policy. Procedures have been put in place by the Project Director for appropriate grants. Item 10.8.a. First-tier subaward reporting requirements under the Federal Funding Accountability and Transparency Act (FFATA), requires prime recipients to report first-tier subawards to non-Federal entities equal to or exceeding $30,000 within 30 days. Wellbeing Initiative will follow FFATA reporting requirements for qualifying sub-recipients. Anticipated Completion Date: Completed 11/16/2023 Responsible: Chief Executive Team - Danielle Smith and Sadie Thompson
Material Weakness, Internal Control over Compliance Personnel Responsible for Corrective Action: Julie Whitmore, Director of Nutrition Services and Leon Hanhardt, Superintendent of Schools Anticipated Completion Date: June 30, 2024 Corrective Action Plan: The District will document the review of a s...
Material Weakness, Internal Control over Compliance Personnel Responsible for Corrective Action: Julie Whitmore, Director of Nutrition Services and Leon Hanhardt, Superintendent of Schools Anticipated Completion Date: June 30, 2024 Corrective Action Plan: The District will document the review of a sampling of eligibility determinations for program participants.
Condition: Payments for expenditures associated with debt service obligations were expensed to the program but not disbursed to the debt holder. Cause: Internal controls in place did not ensure expenditures recorded met the federal compliance requirements for Allowable Costs/Cost Principles as defi...
Condition: Payments for expenditures associated with debt service obligations were expensed to the program but not disbursed to the debt holder. Cause: Internal controls in place did not ensure expenditures recorded met the federal compliance requirements for Allowable Costs/Cost Principles as defined in 2 CFR Part 200. Auditor Recommendation: We recommend the District enhance internal controls to ensure that eligible expenditures have been incurred prior to recording the expense. Plan of Action: The District has hired a Finance Director who has committed to increased financial monitoring to ensure federal compliance principles are met. In addition, the district has hired a new Operations Manager and District Accountant. The new team is committed to enhancing and adhering to internal controls to ensure proper monitoring of policies and procedures. In the event that there are questions about compliance for grants in general, the District will continue to rely on timely guidance from external governmental accounting consultants, the Oregon Department of Revenue, and the Oregon Department of Education. Date of implementation: Immediately and ongoing. If there are any questions regarding this plan, please contact Sam Stegemiller by email at sstegemill@grantspass.k12.or.us or by phone at 541-474-5703.
View Audit 12366 Questioned Costs: $1
Finding 8999 (2023-003)
Significant Deficiency 2023
The deficiency of lack of proper documentation for two mobile distributions is due to oversite by our agency relations team to ensure proper recipient paperwork is maintained at each mobile distribution. Our added mobile distributions to meet the increased need for food in our community has tripled ...
The deficiency of lack of proper documentation for two mobile distributions is due to oversite by our agency relations team to ensure proper recipient paperwork is maintained at each mobile distribution. Our added mobile distributions to meet the increased need for food in our community has tripled this workload. Staff has been retrained to ensure the proper paperwork is filed. Mississippi DHS alleges our food bank has not provided adequate supporting documentation for two TEFAP contracts ending September 30, 2022. The CEO of the food bank and many staff members worked with MS DHS for 14 months and feel we have provided everything requested and cooperated every way we can. This was our first contract with MS DHS and the learning curve for reporting has been great. The reimbursement request by MS DHS is currently being appealed.
The deficiency of lack of proper documentation for two mobile distributions is due to oversite by our agency relations team to ensure proper recipient paperwork is maintained at each mobile distribution. Our added mobile distributions to meet the increased need for food in our community has tripled ...
The deficiency of lack of proper documentation for two mobile distributions is due to oversite by our agency relations team to ensure proper recipient paperwork is maintained at each mobile distribution. Our added mobile distributions to meet the increased need for food in our community has tripled this workload. Staff has been retrained to ensure the proper paperwork is filed. Mississippi DHS alleges our food bank has not provided adequate supporting documentation for two TEFAP contracts ending September 30, 2022. The CEO of the food bank and many staff members worked with MS DHS for 14 months and feel we have provided everything requested and cooperated every way we can. This was our first contract with MS DHS and the learning curve for reporting has been great. The reimbursement request by MS DHS is currently being appealed.
View Audit 12341 Questioned Costs: $1
The deficiency of one Tennessee TEFAP report being late is due to staff changes and our missing the first report of the new fiscal year by 1 business day. We have since hired a Compliance Officer who will confirm each report is filed by the 10th business day, which will add an additional check and b...
The deficiency of one Tennessee TEFAP report being late is due to staff changes and our missing the first report of the new fiscal year by 1 business day. We have since hired a Compliance Officer who will confirm each report is filed by the 10th business day, which will add an additional check and balance. The deficiency of 12 Mississippi DHS reports being late is due to lack of staff filing in a timely manner and learning the complex filing process with this new contract. We have since hired a Director of Development, who will ensure our grant coordinators file these reports by the 10th business day of each month. Additionally, our Compliance Officer will confirm timely filings. We continually strive to submit all of our monthly reporting to the Tennessee Department of Agriculture and Mississippi Department of Human Services prior to the 10-business day deadline and consider any missed deadlines as undesirable.
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the implementation of multi‐factor authentication for anyone accessing customer information on the institution's system. Auditor Recommendation. We recommend that the College implement procedures ...
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the implementation of multi‐factor authentication for anyone accessing customer information on the institution's system. Auditor Recommendation. We recommend that the College implement procedures to ensure that all Gramm Leach Bliley Policies are met and reviewed by a second individual. As a result of this condition, the College isn't meeting the safeguard requirements necessary to comply with the Federal Trade Commission. In addition, the lack of safeguard controls creates an increased risk to highly sensitive data that is possessed by the College. Corrective Action. Currently, the College is reviewing the compliance requirements for Gramm Leach Bliley and will amend the current policy to ensure multi‐factor authentication and all other requirements of the Gramm Leach Bliley Act are appropriately included in the College's policy. Responsible Person. Matt Biermann, Director of IT Anticipated Completion Date. June 30, 2024
The Hospital will reach out to HRSA to inquire as to the appropriate course of action. If an amendment of the reporting is rquired, the Hospital will submit an amended report.
The Hospital will reach out to HRSA to inquire as to the appropriate course of action. If an amendment of the reporting is rquired, the Hospital will submit an amended report.
Recommendation: The electronic file case management should require a sign off for both the staff and the supervisor related to the eligibility and recertification of SSVF program participants. Corrective Action: In order to ensure that eligibility and recertifications of SSVF program participants w...
Recommendation: The electronic file case management should require a sign off for both the staff and the supervisor related to the eligibility and recertification of SSVF program participants. Corrective Action: In order to ensure that eligibility and recertifications of SSVF program participants were correctly being reviewed by a Supervisor, Frontline Service implemented new case management steps to add sign off steps for both the staff and the supervisor to provide an audit trail. Person Responsible for Corrective Action: Ken Webster, CFO Completion Date for Corrective Action: The corrective action was implemented in February 2023 in response to the recommendations provided by the Review Report on November 30, 2022 by The Department of Veterans Affairs (VA) which recommendations mirrored the recommendations from Bober Markey Fedorovich.
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