Corrective Action Plans

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There is no disagreement with the audit finding. The Finance Committee will review and update the County Purchasing Ordinance to include language to address this issue.
There is no disagreement with the audit finding. The Finance Committee will review and update the County Purchasing Ordinance to include language to address this issue.
The City will establish and adopt written policies for federal awards.
The City will establish and adopt written policies for federal awards.
United Way will ensure all timesheets are appropriately retained and approved.
United Way will ensure all timesheets are appropriately retained and approved.
United Way will ensure all disbursements related to major program are allowable.
United Way will ensure all disbursements related to major program are allowable.
The District has implemented an internal control process that requires the review and approval of detailed expenditure reports and G5 drawdown amounts prior to submission. The review process includes the Director of the Magnet Program, Finance Coordinator, Executive Director of School Leadership, an...
The District has implemented an internal control process that requires the review and approval of detailed expenditure reports and G5 drawdown amounts prior to submission. The review process includes the Director of the Magnet Program, Finance Coordinator, Executive Director of School Leadership, and the Business Manager to ensure accuracy, compliance, and proper authorization before completion.
Finding 2025-001 - Housing Choice Voucher Tenant Files, Eligibility - Noncompliance & Significant Deficiency - Housing Choice Voucher Program - ALN 14.871 Corrective Action Plan: The audit identified that in 3 out of 12 Housing Choice Voucher (HCV) tenant files (25% of the sample), income verificati...
Finding 2025-001 - Housing Choice Voucher Tenant Files, Eligibility - Noncompliance & Significant Deficiency - Housing Choice Voucher Program - ALN 14.871 Corrective Action Plan: The audit identified that in 3 out of 12 Housing Choice Voucher (HCV) tenant files (25% of the sample), income verification requirements were not met. The files contained tenant self-certification only, with no documented attempts to obtain third-party verification as required by HUD regulations and the Agency's Administrative Plan. Corrective Action Steps: 1. Immediate File Review & Correction: Conduct a full review of all active HCV tenant files to identify any additional instances of missing third-party verification. For any file where verification is missing, take corrective action (e.g., obtain required third-party documentation or document attempts if unavailable). Ensure the verification tracking log is being utilized for all verification attempts going forward. 2. Implementation of Stronger Monitoring Controls: Develop a standardized Income Verification Checklist. Executive Director will increase monthly quality-control checks. 3. Staff Training: Provide mandatory training on HUD verification requirements, documentation standards and correct procedures for obtaining and recording third-party verification. 4. Policy Updates: Ensure SOP outlines required verification steps and documentation standards. Anticipated Completion Date: June 30, 2026 Person Responsible: LaToya Brown, Executive Director
2025-004 REPORTING Program: Impact Aid Federal Assistance Listing Number: 84.041 Federal Agency: U.S. Department of Education Questioned Costs: None Type of Finding: Material Weakness in Internal Controls and Material Noncompliance Compliance Requirement: L. Reporting Condition/Context: Documentatio...
2025-004 REPORTING Program: Impact Aid Federal Assistance Listing Number: 84.041 Federal Agency: U.S. Department of Education Questioned Costs: None Type of Finding: Material Weakness in Internal Controls and Material Noncompliance Compliance Requirement: L. Reporting Condition/Context: Documentation was not provided to support the number of federally connected students reported on the Impact Aid application. Criteria: The District’s policies and procedures should ensure that internal controls over compliance of federal programs are in place and operating effectively. Cause: Management oversight and turnover in the federal grant department. Effect: Internal control weakness and material noncompliance. Recommendation: We recommend the District review its internal control procedures over federal programs to ensure that proper documentation is maintained to support the number of federallyconnected students on the Impact Aid application. Repeat Finding: Yes, similar to prior year finding 2024-005. Views of Responsible Officials: There is no disagreement with this finding. See the corrective action plan. Contact person: Laticia John, Business Coordinator
We agree with the recommendations and will separate duties and obtain training to the extent possible with our available resources. Ther superintendent and board will continue to monitor duties performed by the administrative personnel and contract for professional assistance as necessary.
We agree with the recommendations and will separate duties and obtain training to the extent possible with our available resources. Ther superintendent and board will continue to monitor duties performed by the administrative personnel and contract for professional assistance as necessary.
The delay was primarily due to turnover within the Finance Department, which impacted the timeliness of the year-end close and the completion of the related financial statement audit. Because the single audit submission is dependent upon completion of the financial statement audit, these delays resu...
The delay was primarily due to turnover within the Finance Department, which impacted the timeliness of the year-end close and the completion of the related financial statement audit. Because the single audit submission is dependent upon completion of the financial statement audit, these delays resulted in the Organization’s inability to meet the required filing deadline. To address this issue, Management is implementing measures to strengthen the audit preparation and reporting process. These measures include establishing a formal year-end close and audit timeline, assigning clear responsibilities for audit deliverables, monitoring progress against key deadlines, and improving continuity within the Finance function. Management will also enhance oversight of the audit process to help ensure that required financial statement and single audit information is prepared, reviewed, and provided timely so that future submissions to the Federal Audit Clearinghouse are completed in accordance with federal guidelines.
The Town acknowledges that small purchase procedures were not followed in the transaction that occurred. Price reasonableness was not insured and bids were not obtained. The Mayor and Town Clerk shall improve procurement procedures and obtain a minimum of three bids on all projects that do not requi...
The Town acknowledges that small purchase procedures were not followed in the transaction that occurred. Price reasonableness was not insured and bids were not obtained. The Mayor and Town Clerk shall improve procurement procedures and obtain a minimum of three bids on all projects that do not require public bidding or that are not on state contracts above the procedure threshold established by the Town. The Town will further update its written procurement policies and procedures to clearly define small purchase requirements, including quotation thresholds and documentation standards. Procurement staff will solicit and retain documentation of price or rate quotations from an adequate number of qualified sources for all small purchases. The staff will receive training under 2 CFR Part 200, including informal procurement methods and finally the Town will implement a supervisory review procurement file system to ensure compliance prior to payment, a checklist of sort to ensure proper document is secured.
The Town acknowledges the lack of written policy and procedures for expending federal funds and insuring vendors are not debarred, suspended, or ineligible to receive federal funds. The Town shall (1) Update its written procurement policies and procedures to require verification of vendor eligibilit...
The Town acknowledges the lack of written policy and procedures for expending federal funds and insuring vendors are not debarred, suspended, or ineligible to receive federal funds. The Town shall (1) Update its written procurement policies and procedures to require verification of vendor eligibility through SAM.gov prior to awarding any contract or issuing any purchase order funded with federal awards. (2) Require procurement staff to retain documentation of the suspension and debarment verification. (e.g., dated SAM.gov search results or vendor certifications). (3) Provide training to relevant personnel on federal procurement requirements including suspension and debarment compliance under 2 CFP Part 200.
The Mayor acknowledges the need for written policies and procedures for Federal Awards and will prepare with the Town Clerk written policies and procedures to accurately receive, disburse, and maintain records for all federal funds, grants, and awards including but not limited to procurement, suspen...
The Mayor acknowledges the need for written policies and procedures for Federal Awards and will prepare with the Town Clerk written policies and procedures to accurately receive, disburse, and maintain records for all federal funds, grants, and awards including but not limited to procurement, suspension and debarment.
he Town recognizes the Uniform Guidance section 200.510 and the importance of a SEFA sheet. The Town also acknowledges the lack of a SEFA and will prepare and provide a SEFA for all future federal tax dollars received by the Town of St. Francisville. The ledger and SEFA statement shall be kept by th...
he Town recognizes the Uniform Guidance section 200.510 and the importance of a SEFA sheet. The Town also acknowledges the lack of a SEFA and will prepare and provide a SEFA for all future federal tax dollars received by the Town of St. Francisville. The ledger and SEFA statement shall be kept by the Town Clerk and monitored by the Mayor.
Item: 2025-001 Assistance Listing Number: 93.185 Program: Immunization Research, Demonstration, Public Information and Education Training and Clinical Improvement Projects Federal Agency: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention Pass-Through Agencies: ...
Item: 2025-001 Assistance Listing Number: 93.185 Program: Immunization Research, Demonstration, Public Information and Education Training and Clinical Improvement Projects Federal Agency: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention Pass-Through Agencies: n/a Contract/Pass-Through Grantor Identifying Number: NH23IP922665 Award Year: August 2024 to July 2029 Compliance Requirement: Procurement, Suspension and Debarment Criteria: Per 2 CFR §200.318 - §200.326, non-federal entities must follow procurement procedures that ensure full and open competition and maintain proper documentation of procurement transactions. Additionally, under 2 CFR §200.213, entities must verify that vendors and subrecipients are not suspended or debarred before entering into contracts funded by federal awards. Condition: AIRA did not retain sufficient/updated documentation to support compliance with Uniform Guidance procurement standards. Specifically: • Procurement files lacked evidence of cost/price analysis and vendor selection criteria for purchases exceeding the micro-purchase threshold of $10,000. • The entity did not retain verification records confirming that selected vendors were not suspended or debarred in SAM.gov before contract execution. Name of Contact Person: Rebecca Coyle, Executive Director Phone Number: (202) 552-0208 Anticipated Completion Date Completed April 2025 Views of Responsible Officials and Corrective Actions: In April 2025, a standardized procurement checklist and a formal review process were established and are maintained to verify and document vendor eligibility through SAM.gov before awarding any contracts funded with federal funds.
FINDING 2025-006: FEMA Grants Response: The county finance office has implemented a project number for each grant received and follows other projects according to this numbering schedule. At the time of the initial FEMA grant operations there was not a Finance Officer in place, and all expenditure w...
FINDING 2025-006: FEMA Grants Response: The county finance office has implemented a project number for each grant received and follows other projects according to this numbering schedule. At the time of the initial FEMA grant operations there was not a Finance Officer in place, and all expenditure went into one Fund without description as to what expenditure they were covering. The FEMA grants for events in 2022 and 2023 are near close out with FEMA and the State, all revenue from these grants has been redeemed.
The University acknowledges the audit finding and is committed to ensuring compliance with the procurement requirements outlined in 2 CFR 200.324 (a), which mandates that recipients perform a cost or price analysis for every procurement transaction exceeding the simplified acquisition threshold. Dur...
The University acknowledges the audit finding and is committed to ensuring compliance with the procurement requirements outlined in 2 CFR 200.324 (a), which mandates that recipients perform a cost or price analysis for every procurement transaction exceeding the simplified acquisition threshold. During the audit period, it was identified that 4 sampled transactions exceeding the University’s simplified acquisition threshold of $50,000 lacked documented evidence of an independent cost or price analysis prior to March 31, 2025. In April 2025, the University remediated this policy and procedure. No exceptions were identified during the remediation period, and the finding is considered remediated. In April 2025, to address this finding and strengthen compliance, the University initiated the following corrective actions. First, the University worked with leadership to update its procurement policy to increase the simplified acquisition threshold to $250,000, aligning with federal guidelines. This change ensures that the University’s procurement processes are more consistent with federal standards. Second, a new requirement was implemented, mandating that a price analysis form be completed and retained for each procurement transaction exceeding the simplified acquisition threshold. This form documents the University’s independent price analysis. Third, the University provided targeted training to procurement staff and relevant stakeholders to ensure understanding and adherence to the updated policy and the new price analysis requirement. The training emphasized the importance of maintaining contemporaneous documentation in procurement files. Finally, the University implemented enhanced internal controls to ensure that all procurement transactions exceeding the simplified acquisition threshold are reviewed and approved by designated leadership, with documented evidence of a price analysis retained in the procurement files. Primary responsibility for implementing and monitoring this corrective action plan rests with Beth Connelly, Senior Director of Procurement Operations, 216-368-6332.
The University acknowledges the audit finding and remains committed to maintaining compliance with the cash management requirements outlined in 2 CFR 200.302 (b)(3), which stipulates that recipients must maintain records that sufficiently identify Federal awards and ensure that drawdowns are properl...
The University acknowledges the audit finding and remains committed to maintaining compliance with the cash management requirements outlined in 2 CFR 200.302 (b)(3), which stipulates that recipients must maintain records that sufficiently identify Federal awards and ensure that drawdowns are properly supported and authorized prior to submission. During the audit period, at least one drawdown was approved, one day retroactively, after submission but prior to receipt of funds. This occurred prior to the remediation period. No exceptions were identified in the remediation period, and the finding is considered remediated. The instance arose during a leadership transition with the Office of Research Administration. Since that time, the entire drawdown process, review and approval has been clarified under new leadership, and additional oversight has been implemented to ensure approvals are documented prior to submission. As part of the drawdown process review, the University developed a standardized drawdown template, which streamlines how the Federal award expense information is gathered, compared to approve budgeted amounts and reviewed for approval. The template documents the preparer, the approver and the dates of both for the respective drawdown. The Office of Research Administration received training on the use of the template in January and February 2026 and implementation is planned for February 2026. Primary responsibility for implementing the correction action plan for this finding rests with Angela Tagliaferri, Assistant Vice President of Post-Award Services and Financial Compliance, 216-368-6269.
The District and Business Manager will implement controls to properly report expenses to ISBE on a timely basis.
The District and Business Manager will implement controls to properly report expenses to ISBE on a timely basis.
The City will establish and adopt written policies for federal awards.
The City will establish and adopt written policies for federal awards.
The District continues to have a limited number of office employees. The District will attempt, with advice from the auditors, to segregate duties as much as reasonably possible with limited office personnel.
The District continues to have a limited number of office employees. The District will attempt, with advice from the auditors, to segregate duties as much as reasonably possible with limited office personnel.
A checklist to ensure all files are completed and all information is maintained was developed. A review will be held after the reassessment, to ensure all required documentation is up to date and in the client file and in CAREWare.
A checklist to ensure all files are completed and all information is maintained was developed. A review will be held after the reassessment, to ensure all required documentation is up to date and in the client file and in CAREWare.
Although the updated MDHHS form 5522 has the same information as the outdated form, MDHHS was contacted to ensure Sacred Heart is on the state listserv to receive all MDHHS email updates and the program leader will contact the Contract Monitor prior to the start of the new contract year and search t...
Although the updated MDHHS form 5522 has the same information as the outdated form, MDHHS was contacted to ensure Sacred Heart is on the state listserv to receive all MDHHS email updates and the program leader will contact the Contract Monitor prior to the start of the new contract year and search the website periodically to ensure there are no updates to forms. All updated forms will be distributed to case managers.
Finding Number: 2025-003 Planned Corrective Action: The City’s Department of Finance and Management concurs with the finding in the State and Local Fiscal Recovery Fund and will take the following actions in response: • Subrecipient monitoring will be performed by contracted CPA consultant for the o...
Finding Number: 2025-003 Planned Corrective Action: The City’s Department of Finance and Management concurs with the finding in the State and Local Fiscal Recovery Fund and will take the following actions in response: • Subrecipient monitoring will be performed by contracted CPA consultant for the one subrecipient (Heart of JOB) who showed no evidence of review of financial reports, site visits, and other oversight activity during the audit period. • Reissue written procurement policies and procedures to incorporate the aforementioned expectation and requirement; and • Although not anticipated due to the expiration of the SLFRF funding, procedures are established for any potential monitoring. Anticipated Completion Date: 11/30/2026 Responsible Contact Persons: Adam Robins, Deputy Director, Finance and Management Kali Harris, Federal Grants Coordinator
Finding Number: 2025-002 Planned Corrective Action: The City concurs with the finding and will take the following actions in response: • 100% Federally Funded Employees: Columbus Public Health will require all employees whose salaries are 100% funded by a single federal award to comply with 2 CFR § ...
Finding Number: 2025-002 Planned Corrective Action: The City concurs with the finding and will take the following actions in response: • 100% Federally Funded Employees: Columbus Public Health will require all employees whose salaries are 100% funded by a single federal award to comply with 2 CFR § 200.430 through after-the-fact time and effort certifications completed quarterly of the grant period. These certifications will confirm that 100% of the employee’s actual work performed was allocable to the federal award and will include both employee certification and supervisory review. They will be due 30 days following the quarterly end date. In addition, CPH will implement enhanced internal monitoring procedures, including periodic activity verification and supervisory attestation by the Fiscal Analyst, to ensure that work performed aligns with the grant’s scope and that payroll charges are accurate and properly supported;• Partially Federally Funded Employees: Employees whose salaries are allocated across multiple funding sources will follow full federal time and effort reporting requirements in accordance with 2 CFR § 200.430. These employees will complete afterthe- fact time and effort reporting reflecting the actual distribution of work performed across all cost objectives. Reported time will be supported by appropriate documentation and will not be based on budget estimates. Supervisors will review and formally sign off on reported time and effort on at least a quarterly basis to ensure accuracy, reasonableness, and alignment with actual activities. Additional internal monitoring, including periodic review and payroll-to-activity reconciliation reviewed by the Fiscal Analyst, will be conducted to ensure compliance and proper allocation of personnel costs. Anticipated Completion Date: 7/1/2026 Responsible Contact Persons: Anita Clark, Assistant Health Commissioner, Columbus Public Health Katie Pettiford, Fiscal Manager
Finding Number: 2025-001 Planned Corrective Action: The City concurs with the finding and will take the following action in response: • The Department of Finance and Management, Grants Management section, will work with the Department of Development for collection and submission of HOPWA Subrecipien...
Finding Number: 2025-001 Planned Corrective Action: The City concurs with the finding and will take the following action in response: • The Department of Finance and Management, Grants Management section, will work with the Department of Development for collection and submission of HOPWA Subrecipient information for FFATA FSRS reporting that have not been reported in SAM.gov. • Columbus Public Health (Ryan White) promptly addressed this matter and implemented corrective actions to ensure full compliance with applicable requirements. In accordance with the subaward reporting provisions of the Federal Funding Accountability and Transparency Act (FFATA), the agency has revised its vendor determination form—utilized for all contractual agreements—to incorporate the required reporting criteria. All subawards exceeding $30,000 under UT833926 have been reported in SAM.gov. Data will be entered into the corporate system no later than the month following the execution of the contract. Going forward, all qualifying subawards will be entered into SAM.gov by the Fiscal Analyst in a timely manner, and the Fiscal Manager will perform an annual review to verify compliance with FFATA reporting requirements. Anticipated Completion Date: 6/30/2026 Responsible Contact Persons: Adam Robins, Deputy Director, Finance and Management Lucie McMahon, Grants Management Coordinator, Department of Housing and Urban Development Erin Prosser, Deputy Director, Department of Development Alex Cofield, Development Program Coordinator/Compliance & Special Projects Anticipated Completion Date: 3/24/2026 Responsible Contact Persons: Anita Clark, Assistant Health Commissioner, Columbus Public Health Katie Pettiford, Fiscal Manager
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