Corrective Action Plans

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2022-006 Timely Submission of Data Collection Form and Single Audit Reporting to the Federal Audit Clearinghouse Finding: Under the Uniform Guidance, Section 200.512, Report Submission, the audit must be completed and the data collection form and single audit reporting package must be submitted to ...
2022-006 Timely Submission of Data Collection Form and Single Audit Reporting to the Federal Audit Clearinghouse Finding: Under the Uniform Guidance, Section 200.512, Report Submission, the audit must be completed and the data collection form and single audit reporting package must be submitted to the Federal Audit Clearinghouse (FAC) within the earlier of 30 calendar days after receipt of the auditor’s report, or nine months after the end of the audit period. This deadline would have been March 31, 2023 for the Corporation’s reporting for the year ended June 30, 2022. The Corporation’s fiscal year 2022 Single Audit package was not submitted to the FAC by the deadline of March 31, 2023. Corrective Actions Taken or Planned: The single audit for the year ended June 30, 2021 was completed in January 2025 and the single audit reporting package was submitted in February 2025. The single audit for the year ended June 30, 2022 is expected to be completed by April 15, 2025. The data collection form and single audit reporting package for future single audits will be completed timely and will be sent to the FAC by the prescribed due dates. Caralton Brown, Assistant Controller, and Jamie Mack, Vice President of Finance, will be responsible for working with the auditor to complete these on time in the future. Name of contact person responsible for corrective action: Jamie Mack, Vice President of Finance
2022-005 Segregation of Duties Finding: In order to provide assurance that unauthorized or fraudulent journal entries are not posted within the Corporation’s financial system, journal entries should be subjected to review and approval by an individual independent of the preparer of the journal entr...
2022-005 Segregation of Duties Finding: In order to provide assurance that unauthorized or fraudulent journal entries are not posted within the Corporation’s financial system, journal entries should be subjected to review and approval by an individual independent of the preparer of the journal entry prior to posting. The Corporation’s system allowed the same individual to approve and post the same entry, and entries were posted with only one level of review. Corrective Actions Taken or Planned: A process has been established effective July 2022 where journal entries are reviewed by an individual with appropriate authority, different than the preparer of the journal entry. Jamie Mack, Vice President of Finance, will approve the journal entries of Caralton Brown, Assistant Controller, and Caralton Brown will review and approve the entries prepared by Jamie Mack and Michael Caddick, outside contractor. Name of contact person responsible for corrective action: Jamie Mack, Vice President of Finance
RECOMMENDATION: Ensure your books are closed in a timely fashion and schedule audit work to begin early enough so that your reporting package will be submitted on time.Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Ensure your books are closed in a timely fashion and schedule audit work to begin early enough so that your reporting package will be submitted on time.Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Update and implement policies that agree with OMB Uniform Guidance. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Update and implement policies that agree with OMB Uniform Guidance. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Create a property management system and adopted written policies and procedures. These procedures should be reviewed and updated to, at a minimum, adhere to the newest federal guidelines under OMB Uniform Guidance. Physical inventories should be performed periodically and reconciled ...
RECOMMENDATION: Create a property management system and adopted written policies and procedures. These procedures should be reviewed and updated to, at a minimum, adhere to the newest federal guidelines under OMB Uniform Guidance. Physical inventories should be performed periodically and reconciled to the property management records. Property management records should also include copies of the original asset purchase documentation. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Develop and adopt a new policy over bank reconciliations.Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Develop and adopt a new policy over bank reconciliations.Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Proper completion of the timesheet or development of a timesheet which requires the coding. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Proper completion of the timesheet or development of a timesheet which requires the coding. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Auditors recommend the governing board require proper documentation on all types of expenditures. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: Auditors recommend the governing board require proper documentation on all types of expenditures. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
Finding 554995 (2022-002)
Significant Deficiency 2022
RECOMMENDATION: The School should adopt written reconciliation and tie-in procedures into its financial policies and procedures manual. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
RECOMMENDATION: The School should adopt written reconciliation and tie-in procedures into its financial policies and procedures manual. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
Finding 554994 (2022-001)
Significant Deficiency 2022
RECOMMENDATION: We recommend that management and the governing board be aware of the lack of segregation of duties and implement controls whenever possible to mitigate this risk. The governing board should remove the managers from the list of check signers. Action Taken: The School agrees with this...
RECOMMENDATION: We recommend that management and the governing board be aware of the lack of segregation of duties and implement controls whenever possible to mitigate this risk. The governing board should remove the managers from the list of check signers. Action Taken: The School agrees with this finding and will implement this recommendation within 120 days of this audit report.
Finding ref number: 2022-001 Finding caption: The City did not have adequate internal controls and did not comply with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Beth Wright, Finance Director 100 3rd Ave SE Pacific, WA 98047 (253) 929-1117 Cor...
Finding ref number: 2022-001 Finding caption: The City did not have adequate internal controls and did not comply with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Beth Wright, Finance Director 100 3rd Ave SE Pacific, WA 98047 (253) 929-1117 Corrective action the auditee plans to take in response to the finding: The City appreciates the importance the Auditor applies to the need for internal controls and proper federal procurement. The City is working to add language to our standard contract and purchase order referencing compliance with federal procurement, including suspension and debarment, requirements. In addition, the City will continue to emphasize and encourage training opportunities for all staff involved in projects receiving federal participation. Anticipated date to complete the corrective action: July 1, 2025
Locus and Subsidiaries respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 105 Arbor Drive, 3rd Floor Christiansburg, VA 24073 Audit period: December 31, 2022 The f...
Locus and Subsidiaries respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 105 Arbor Drive, 3rd Floor Christiansburg, VA 24073 Audit period: December 31, 2022 The findings from the December 31, 2022 Schedule of Findings and Questioned Costs (the “Schedule”) are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT 2022-002: Community Development Financial Institutions Fund – Assistance Listing No. 21.020, Capital Magnet – Assistance Listing No. 21.011, and Equitable Recovery Program – Assistance Listing No. 21.033, Restatement of Schedule of Expenditures of Federal Awards, Material Weakness Criteria and Condition: Recipients of federal funds are required to prepare a complete and accurate Schedule of Expenditures of Federal Awards. Additionally, recipients must establish and maintain effective internal controls over federal awards to provide reasonable assurance of accurate financial reporting. Context: The Organization restated the 2022 Schedule of Expenditures of Federal Awards by a material amount a result of misinterpretation of reporting requirements for loan loss reserves and allocations of other allowable purposes. Cause: The omission occurred due to a misinterpretation of reporting requirements involving the treatment grant expenditures for the purpose of lending capital and loan loss reserve funds, which differs in nature from general program expenditures. Management identified the issue and determined a change in reporting was needed to simplify tracking and reporting of federal grants, and to ensure compliance with the technical definition of expenditures in the guidance. Effect: Loan loss reserves and other amounts allocated in the wrong period resulted in an overstatement of total federal expenditures on the Schedule of Expenditures of Federal Awards. Recommendation: We recommend that the Organization implement a formalized review process to ensure all applicable expenditures, including loan loss reserves, are properly recorded in the period in which assigned. Views of Responsible Officials and Planned Corrective Actions: We agree with the finding and have established a process to ensure all expenditures are properly included in the SEFA. Name of Contact Person: Ashley Coleman, Executive Director of Finance Signature of Contact Person:
Locus and Subsidiaries respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 105 Arbor Drive, 3rd Floor Christiansburg, VA 24073 Audit period: December 31, 2022 The f...
Locus and Subsidiaries respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 105 Arbor Drive, 3rd Floor Christiansburg, VA 24073 Audit period: December 31, 2022 The findings from the December 31, 2022 Schedule of Findings and Questioned Costs (the “Schedule”) are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT 2022-001: Community Development Financial Institutions Fund Assistance Listing No. 21.020 and Capital Magnet Assistance Listing No. 21.011. Criteria and Condition: Data collection forms must be filed annually on time. Context: The data collection form and reporting package was not filed by the due date. Cause: A formal process to track the filing of the data collection form and reporting package does not exist. Effect: By not filing the data collection form and reporting package by the due date, one of the federal award requirements was not met. Recommendation: We recommend that the Organization develop a process to track the filing of the data collection form and reporting package. Views of Responsible Officials and Planned Corrective Actions: We agree with the finding and have established a process to track the filing of the data collection form and reporting package. The Financial Reporting Manager and Executive Director of Finance will add tracking of the data collection form and reporting package to their formal task lists to ensure filing is complete and timely. Name of Contact Person: Ashley Coleman, Executive Director of Finance Signature of Contact Person:
1. RSNEO will finalize engagement with external auditors no later than six months prior to the audit submission deadline. This will allow adequate time for planning, fieldwork, internal review, and final report preparation, ensuring a timely and thorough audit process. 2. A dedicated compliance o...
1. RSNEO will finalize engagement with external auditors no later than six months prior to the audit submission deadline. This will allow adequate time for planning, fieldwork, internal review, and final report preparation, ensuring a timely and thorough audit process. 2. A dedicated compliance officer will be assigned to oversee the Single Audit process. This individual will be responsible for tracking critical deadlines, coordinating with internal departments, and serving as the main point of contact with external auditors to ensure seamless communication and adherence to timelines. 3. We will establish a comprehensive audit timeline outlining all key milestones, including fieldwork initiation, internal review periods, and draft/final report submission dates. Regular check-ins will be scheduled to monitor progress, address issues promptly, and ensure the audit stays on track. 4. A document submission schedule will be implemented to ensure timely provision of required records to the auditors. Internal departments will be informed of their roles and responsibilities in advance, including specific deadlines for document submission, to enhance coordination and preparedness 5. An escalation process will be developed to manage unforeseen delays or complications during the audit. This will include steps for reallocating resources, providing additional support for internal review, and identifying alternative solutions to ensure timely resolution of outstanding items
Align Reimbursement Requests with the General Ledger Ensure that all reimbursement requests are directly tied to actual expenditures recorded in the general ledger, minimizing reliance on manual tracking. 1. 2022-005: We will ensure that all reimbursement requests are accurately aligned with t...
Align Reimbursement Requests with the General Ledger Ensure that all reimbursement requests are directly tied to actual expenditures recorded in the general ledger, minimizing reliance on manual tracking. 1. 2022-005: We will ensure that all reimbursement requests are accurately aligned with the general ledger by basing them solely on actual, recorded expenditures. This will reduce reliance on manual tracking methods and promote transparency, accuracy, and compliance in grant reporting. Implement a Systematic Reconciliation Process Establish a structured reconciliation process that links each reimbursement request to paid expenses, with supporting documentation readily available for review. 2. A formal reconciliation process will be implemented to connect each reimbursement request to the corresponding paid expenses. Supporting documentation will be organized and readily accessible for internal review and external audits, ensuring a complete and accurate audit trail. Strengthen Real-Time Grant Cash Flow Tracking Utilize existing accounting software to have a real-time tracking system for grant-related cash flow to ensure compliance with reimbursement-based grant requirements. 3. We will utilize our existing accounting software to enable real-time tracking of grant-related cash inflows and outflows. This will improve our ability to monitor available funds, ensure timely reimbursement submissions, and remain compliant with reimbursement-based grant requirements. Assign a Grant Compliance Lead Designate a finance or administrative team member to oversee cash management compliance, ensuring consistency and acting as the primary point of contact for grant related financial matters. 4. A dedicated member of the finance or administrative team will be assigned as the Grant Compliance Lead. This individual will oversee all aspects of grant cash management compliance, maintain documentation standards, and serve as the primary point of contact for grant-related financial matters. Conduct Monthly Reconciliation Meetings Facilitate monthly reconciliation meetings between finance and program teams to align financial records with program expenditures and address any discrepancies proactively. 5. Monthly reconciliation meetings will be held between the finance and program teams to review financial records, align them with program expenditures, and proactively address any discrepancies. This collaboration will support accurate reporting and effective grant management.
View Audit 353523 Questioned Costs: $1
1. Establish a Structured SEFA Review Process We will implement a two-step validation process to ensure that the information aligns with grant agreements and financial records We will Assign a secondary reviewer (e.g., a senior accountant or compliance officer) to verify grant period dates, pass...
1. Establish a Structured SEFA Review Process We will implement a two-step validation process to ensure that the information aligns with grant agreements and financial records We will Assign a secondary reviewer (e.g., a senior accountant or compliance officer) to verify grant period dates, pass-through numbers, and award classifications. We will assign a secondary reviewer to verify all grant period We will develop grant reporting checklist to confirm all key reporting elements before submission. 2. Strengthen Performance Reporting Accuracy We will establish a review process to validate performance reports against internal program data before submission. We will develop standardized templates and reporting procedures to ensure consistency and completeness. We will implement and conduct staff training to enhance our understanding of performance reporting requirements. 3. Provide Targeted Training for Key Staff We will offer Continuing Professional Education (CPE) courses focused on Single Audit requirements and federal grant reporting best practices. We will conduct internal training for finance and program personnel to strengthen their understanding of federal compliance expectations. 4. Utilize Technology to Enhance Accuracy We will utilize excel to improve SEFA accuracy. To reduce manual errors and improve efficiency, we will implement an automated grant tracking tool that allows for real-time updates, budget-to-actual comparisons, and automated alerts for reporting or expenditure deadlines. This tool will streamline processes, enhance accuracy, and ensure better financial oversight of each grant program. We will utilize performance tracking software to enhance reporting accuracy. 5. Strengthen Internal Controls and Documentation. We will create and formalize written policies and procedures for the accurate preparation of the Schedule of Expenditures of Federal Awards (SEFA) and related performance reporting. These procedures will include roles and responsibilities, timelines, data sources, and review protocols to ensure consistency, compliance with federal requirements, and readiness for audit. We will develop an organized, centralized repository, both digital and physical will be maintained for each grant. This repository will house all supporting documentation, including award letters, budgets, expenditures, reports, and correspondence. Clear naming conventions and folder structures will be used to ensure records are easy to locate for internal use and external audits. We will establish a schedule for internal reviews of grant management processes, SEFA reporting, and documentation practices. These reviews will assess compliance with policies, identify areas for improvement, and ensure corrective actions are taken as needed to strengthen accountability and operational efficiency. 6. 7. 8. Provide Targeted Training for Key Staff We will offer Continuing Professional Education (CPE) courses focused on Single Audit requirements and federal grant reporting best practices. We will conduct internal training for finance and program personnel to strengthen their understanding of federal compliance expectations. Utilize Technology to Enhance Accuracy We will utilize excel to improve SEFA accuracy. To reduce manual errors and improve efficiency, we will implement an automated grant tracking tool that allows for real-time updates, budget-to-actual comparisons, and automated alerts for reporting or expenditure deadlines. This tool will streamline processes, enhance accuracy, and ensure better financial oversight of each grant program. We will utilize performance tracking software to enhance reporting accuracy. Strengthen Internal Controls and Documentation. We will create and formalize written policies and procedures for the accurate preparation of the Schedule of Expenditures of Federal Awards (SEFA) and related performance reporting. These procedures will include roles and responsibilities, timelines, data sources, and review protocols to ensure consistency, compliance with federal requirements, and readiness for audit. We will create an organized, centralized repository, both digital and physical will be maintained for each grant. This repository will house all supporting documentation, including award letters, budgets, expenditures, reports, and correspondence. Clear naming conventions and folder structures will be used to ensure records are easy to locate for internal use and external audits. We will establish a schedule for internal reviews of grant management processes, SEFA reporting, and documentation practices. These reviews will assess compliance with policies, identify areas for improvement, and ensure corrective actions are taken as needed to strengthen accountability and operational efficiency.
Temporary Assistance for Needy Families (TANF), CFDA #93.558, Grant Period 1/1/22-12/31/22. There were multiple instances where eligibility files selected for review were either incomplete, or unable to be presented for audit review. Recommendation: As per Federal OMB Uniform Guidance Circular Compl...
Temporary Assistance for Needy Families (TANF), CFDA #93.558, Grant Period 1/1/22-12/31/22. There were multiple instances where eligibility files selected for review were either incomplete, or unable to be presented for audit review. Recommendation: As per Federal OMB Uniform Guidance Circular Compliance Supplement, each individual who receives benefits under the TANF Program, should have a completed eligibility determination on file which is available for audit review. Corrective Action: PCBSS have created a DIMS unit, where files are scanned and stored in DIMS. Implementation Date: Commenced 2022 and ongoing.
Medical Assistance Program (Medicaid, Title IXI), CFDA #93.778, Grant Period 1/1/22-12/31/22. There were multiple instances where eligibility files selected for review were either incomplete, or unable to be presented for audit review. Recommendation: As per Federal OMB Uniform Guidance Circular Com...
Medical Assistance Program (Medicaid, Title IXI), CFDA #93.778, Grant Period 1/1/22-12/31/22. There were multiple instances where eligibility files selected for review were either incomplete, or unable to be presented for audit review. Recommendation: As per Federal OMB Uniform Guidance Circular Compliance Supplement, each individual who receives benefits under the Medicaid Program, should have a completed eligibility determination on file which is available for audit review. Corrective Action: PCBSS have created a DIMS unit, where files are scanned and stored in DIMS. Implementation Date: Commenced 2022 and ongoing.
Recommendation: Strengthen controls over compliance, reporting, and cost allocation. Action Plan: - Immediate Actions (Q2 2024): - Review and document grant compliance requirements. - Implement a structured approval process for financial reports. - Long-Term Actions: - Conduct quarterly compliance t...
Recommendation: Strengthen controls over compliance, reporting, and cost allocation. Action Plan: - Immediate Actions (Q2 2024): - Review and document grant compliance requirements. - Implement a structured approval process for financial reports. - Long-Term Actions: - Conduct quarterly compliance training for grant managers (Q3 2024). - Engage an external consultant for a mid-year compliance review (Q4 2024). Responsible: John Opalinski Completion Date: Within 3 months of CAP issuance.
View Audit 353270 Questioned Costs: $1
2022-003 –REPORTING Auditee’s Response and Planned Corrective Action The Authority is now under the management of the Quincy Housing Authority and all controls and processes have been updated to account for the needs of the Holbrook Housing Authority, including internal controls over financial repo...
2022-003 –REPORTING Auditee’s Response and Planned Corrective Action The Authority is now under the management of the Quincy Housing Authority and all controls and processes have been updated to account for the needs of the Holbrook Housing Authority, including internal controls over financial reporting, documentation retention, and timeliness of reporting. Planned Implementation Date of Corrective Action: June 30, 2024 Person Responsible for Corrective Action: James Marathas, Executive Director
2022-002 – Internal Control Over Compliance Auditee’s Response and Planned Corrective Action The Authority is now under the management of the Quincy Housing Authority and all controls and processes have been updated to account for the needs of the Holbrook Housing Authority, including internal cont...
2022-002 – Internal Control Over Compliance Auditee’s Response and Planned Corrective Action The Authority is now under the management of the Quincy Housing Authority and all controls and processes have been updated to account for the needs of the Holbrook Housing Authority, including internal controls over financial reporting, documentation retention, and timeliness of reporting. Planned Implementation Date of Corrective Action: June 30, 2024 Person Responsible for Corrective Action: James Marathas, Executive Director
View Audit 353118 Questioned Costs: $1
Views of Responsible Officials and Planned Corrective Action: To address the issue, the management will develop and document a clear policy for obtaining and retaining eligibility documentation. This policy should outline the specific types of documentation required and the procedures for collectin...
Views of Responsible Officials and Planned Corrective Action: To address the issue, the management will develop and document a clear policy for obtaining and retaining eligibility documentation. This policy should outline the specific types of documentation required and the procedures for collecting and storing them. Set up a monitoring and reporting system to track the status of eligibility documentation. Regularly review reports to ensure that all required documentation is up-to-date and complete. Anticipated Date of Completion: Ongoing analysis; expected to be completed by December 1, 2025.
Views of Responsible Officials and Planned Corrective Action: East End’s accountant added another accounting procedure for the agency and started to upload copies of expense receipts to the Microsoft One Drive Cloud for files in September 2022. It was found that East End was not filing the expense r...
Views of Responsible Officials and Planned Corrective Action: East End’s accountant added another accounting procedure for the agency and started to upload copies of expense receipts to the Microsoft One Drive Cloud for files in September 2022. It was found that East End was not filing the expense receipts, invoices and reports. All East End’s receipts, etc. that the accountant received are now uploaded and saved to the Microsoft One Drive Cloud to keep East End in compliance with the Federal government and other grantors for audit purposes. Anticipated Date of Completion: Ongoing analysis; expected to be completed by September 1, 2025.
View Audit 353100 Questioned Costs: $1
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