Corrective Action Plans

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FINDING 2022-005 Finding Subject: Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED) – Suspension and Debarment Summary of Finding: The County stated procedures were not in place to ensure vendors were not suspended or debarred prior to entering int...
FINDING 2022-005 Finding Subject: Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED) – Suspension and Debarment Summary of Finding: The County stated procedures were not in place to ensure vendors were not suspended or debarred prior to entering into covered transactions. One covered transaction for funds passed through to a subrecipient was identified during the audit period. The amount passed through to the subrecipient was $914,863. The identified transaction was examined to determine if the County verified the suspension and debarment status of the subrecipient prior to payment. Upon review we determined that the County entered into a Memorandum of Understanding (MOU) with the subrecipient on June 22, 2020. However, the County had not performed procedures to ensure the subrecipient was not suspended or debarred, or otherwise excluded or disqualified from participation in federal assistance programs or activities at the time of the initial MOU or at any time during the audit period. Recommendation We recommended that management of the County establish a proper system of internal controls and develop policies and procedures to ensure contractors and subrecipients, as appropriate, are not suspended, debarred, or otherwise excluded prior to entering into any contracts or subawards. We also recommended that supporting documentation be retained in order to be presented for audit. Contact Person Responsible for Corrective Action: Concetta Sanfilippo Contact Phone Number and Email Address: 574.523.2101 csanfilippo@elkhartcounty.com Views of Responsible Officials: We concur that suspension and debarment was not run within the audit period. However, it was not done under the direction of CLA Auditing team 2021 who instructed it was not necessary, rather the most current audit report should be run which Elkhart County did do and had on file for their subrecipient Oaklawn Psychiatric. Description of Corrective Action Plan: The Elkhart County Health Department and Auditor’s Office Grants Administrator are working collaboratively to administer this grant award with strong internal controls. The Grant’s Administrator has taken the role to routinely run Suspension and Debarment verification on this subrecipient. The date it is run is recorded and a pdf is retained for records. Anticipated Completion Date: This procedure is in place as of 2023 and correction is completed.
FINDING 2022-004 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County Health Department was required to submit data through the online portal, National Electronic Disease Surveillance System Base System, monthly beginning in October...
FINDING 2022-004 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Summary of Finding: The County Health Department was required to submit data through the online portal, National Electronic Disease Surveillance System Base System, monthly beginning in October 2022. The submitted data included program specific metrics related to patient case management of certified Elevated Blood Lead Levels. A Case Manager managed all aspects of an individual patient’s care. Once a patient’s care was complete, the case was closed by the Case Manager in the online portal. Completed cases were compiled by the Clinical Manager into a data sheet, which was then submitted to the Manager of Administration. The Manager of Administration based on the compiled data sheet prepared and submitted a reimbursement request to the State without an oversight, review, or approval process to ensure the reimbursement request was complete and accurate. Recommendation: We recommended that management of the County design and implement a proper system of internal controls, including policies and procedures that would provide segregation of duties to ensure appropriate reviews, approvals, and oversight are taking place to ensure reports are complete and accurate.” Contact Person Responsible for Corrective Action: Concetta Sanfilippo Contact Phone Number and Email Address: 574.523.2101 csanfilippo@elkhartcounty.com Views of Responsible Officials: Option 2: “We disagree with part of the finding.” Explanation and Reason for Disagreement: The County already has an established process of review and evaluation. The Case Manager’s reports on work are reported to their superior, the Clinical Manager. The Clinical Manager reviews data, enters report data into the program portal as required. A spreadsheet with case start date, patient ID number, home address and payment is submitted to the Manager of Administration who acts as secondary review and completes the invoice and submits it to the State where an additional process of review is then executed before approval and federal funds are drawn. Once the invoice is submitted, the Manager of Administration makes two copies of the invoice and the spreadsheet, one copy is sent to the Clinical Manager and the other to the Auditors office. This is an excellent procedure for checking and balance. Description of Corrective Action Plan: The Elkhart County Health Department receives elevated blood lead levels from the State. The Lead Case Manager determines if criteria are met to initiate a case. They conduct a home visit and make appropriate referrals. The lead case manager enters case information into NBS. INDIANA STATE BOARD OF ACCOUNTS 38 Ongoing case management for children with elevated blood leads levels includes coordination of blood lead tests, education, and appropriate referrals. The Lead Case Manager submits a list of cases each month to the Clinical Manager that meet the criteria for submission for reimbursement. The criteria are a completed home visit, a completed nutrition assessment, a referral for developmental assessment and documentation in NBS. The Clinical Manager reviews the cases in NBS and compiles a list and submits the data sheet to the Fiscal Manager. The Fiscal Manager prepares the invoice and submits it along with documentation to the State and Timothy Conley for review and approval. The Elkhart County Health Department will continue to have collaborative compilation of data which will be reviewed by field specialists before being submitted to the Manager of Administration for invoice reimbursement. The data and records are reviewed by the Manager of Administration and the invoice total will be confirmed and documented with the Clinical Manager prior to being submitted to the State for review and approval. Confirmation emails of secondary review will be retained as documentation. The State must approve invoices with supporting documentation and is the external party requesting reimbursement with Federal funds once approved. A copy of supporting documentation is supplied to the Elkhart County Auditor’s Office to be retained on file and to be used for receipting records once reimbursement is received and deposited into its unique 8000 series fund. Anticipated Completion Date: August of 2023 (Note: Provide the projected date of completion of major tasks for the planned corrective actions.)
FINDING 2022-003􀯗 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting􀯗 Summary of Finding:􀯗􀯗 Recipients are required to submit quarterly or annually Project and Expenditure (P&E) reports to the Department of the Treasury (Treasury). The reporting periods, as wel...
FINDING 2022-003􀯗 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting􀯗 Summary of Finding:􀯗􀯗 Recipients are required to submit quarterly or annually Project and Expenditure (P&E) reports to the Department of the Treasury (Treasury). The reporting periods, as well as the respective due dates, are based upon type of recipient and its population, as well as the recipient's allocation amount. Information to be reported includes projects funded, expenditures, and contracts for the appropriate reporting period. The County was classified as a metropolitan county with a population below 250,000 residents that received an allocation of more than $10 million in Coronavirus State and Local Fiscal Recovery Funds (CSLFRF). Therefore, quarterly P&E Reports were due by January 31, 2022, and the last day of the month after the end of each quarter thereafter. The County submitted four quarterly P&E Reports during the audit period. The County’s process for the completion and submission of the P&E Reports was the Grant Administrator prepared the P&E Reports and the County Auditor reviewed them prior to submission; however, the control was not effective in detecting and preventing noncompliance. Two of the four quarterly reports submitted during the audit period were selected for testing. The County utilized the current period obligations field to document total obligations less current period expenditures. For the reports tested, the current period obligations, per the County’s interpretation of the field, were not supported by the County’s records. The following errors were noted: Quarter 2 P&E Report (April 1, 2022 - June 30, 2022) 􀄁 The Current Period Obligations for the Revenue Replacement project were overstated by $399,097. Quarter 3 P&E Report (July 1, 2022 - September 30, 2022) 􀄁 The Current Period Obligations for the Prairie Creek Water Run Water Line project were overstated by $67,773. 􀄁 The Current Period Obligations for the Parks Department - Latrine project were overstated by $25,758. 􀄁 The Current Period Obligations for the Foraker/Southwest project were overstated by $230,338. The lack of effective internal controls and noncompliance was a systemic issue during the audit period. Contact Person Responsible for Corrective Action: Patricia Pickens Contact Phone Number and Email Address: 574.535.6719 ppickens@elkhartcounty.com􀯗 􀯗 􀯗 INDIANA STATE BOARD OF ACCOUNTS 36 117 N. 2ND St Rm 203 Goshen, IN 46526 - 574-535-6719 􀀃 Views of Responsible Officials:􀯗􀯗 We disagree with the finding.􀯗􀯗 􀯗 Explanation and Reasons for Disagreement:􀯗􀯗 The finding does not accurately reflect the administration of the SLFRF program and fails to correctly identify key challenges that impacted the difference in data. There is a rigorous system of diligent records keeping, auditing expenditures, and internal controls including multiple points of review and approval for reporting ARPA funds. All expenditures are accounted for and maintained with supporting documentation. The auditing team can clearly demonstrate attention to detail in the tracking and reporting of all expenditures. They also have extensive record of on-going issues with the reporting portal including tickets and communications with Treasury support. They have identified issues with the portal that prevented the submission of reports or caused erroneous calculations/data.
The Municipality will take all the necessary administrative measures to address and correct this situation. I will instruct the Finance Department to submit all required financial information promptly to our financial consultatn and external auditors to meet the deadline for submitting the Single A...
The Municipality will take all the necessary administrative measures to address and correct this situation. I will instruct the Finance Department to submit all required financial information promptly to our financial consultatn and external auditors to meet the deadline for submitting the Single Audit Report for the year 2024. Expected completion date: March 30, 2025
Corrective Action: Coastal Harvest will begin tracking all inventory on hand by source, including receipts, distributions, waste/loss, and any other adjustments, and will perform periodic reconciliations of amounts recorded in the inventory system and amounts recognized in the general ledger to ensu...
Corrective Action: Coastal Harvest will begin tracking all inventory on hand by source, including receipts, distributions, waste/loss, and any other adjustments, and will perform periodic reconciliations of amounts recorded in the inventory system and amounts recognized in the general ledger to ensure accurate USDA food commodities inventory recordkeeping compliance. Further, Coastal Harvest will include specific inventory policies and procedure in the manual discussed in the corrective action for finding 2022-001. Anticipated Completion Date: June 30, 2024
View Audit 307582 Questioned Costs: $1
Corrective Action: Coastal Harvest will implement formal internal control procedures, including independent reviews or other checks and balances, for all significant compliance requirements for its federal programs. Anticipated Completion Date: June 30, 2024
Corrective Action: Coastal Harvest will implement formal internal control procedures, including independent reviews or other checks and balances, for all significant compliance requirements for its federal programs. Anticipated Completion Date: June 30, 2024
Delayed Head Start reconciliations and department turnover contribted to the late submission of requred quarterly SF-425 reports. Moving forward, the report will be completed by the Chief Financial Officer. Filing Due dates will be included in our accounting calendar within Microsoft Outlook to coin...
Delayed Head Start reconciliations and department turnover contribted to the late submission of requred quarterly SF-425 reports. Moving forward, the report will be completed by the Chief Financial Officer. Filing Due dates will be included in our accounting calendar within Microsoft Outlook to coincide with our monthly close out procedures. The department will now file the report on time each quarter, then edit the report, if necessary, to ensure timely submission at all times.
#10.760 Water and Waste Disposal Systems for Rural Communities Federal Grantor: U.S. Department of Agriculture Pass-through Agency Number: N/A Criteria: Non-federal entities who receive federal or state grants or have grant programs should have documented policies and procedures in place over g...
#10.760 Water and Waste Disposal Systems for Rural Communities Federal Grantor: U.S. Department of Agriculture Pass-through Agency Number: N/A Criteria: Non-federal entities who receive federal or state grants or have grant programs should have documented policies and procedures in place over grants and grant expenditures. Condition: Internal controls over federal grants should be in place to provide reasonable assurance that misstatement in the schedule of expenditures offederal awards would be prevented or detected. Cause:The Village does not have documented policies and procedures in place over grants and grant expenditures. Effect: Without documented policies and procedures, the internal control over federal grants is low, and the risk of misstatement in the schedule of expenditures of federal awards is high. Questioned Costs: None Recommendation: We recommend that the Village works on written policies and procedures over grants and grant expenditures. Grantee Response: The Village will work with their auditor to develop and adopt written grant procedures that are in accordance with the Uniform Guidance. Contact Person: Lee Kucher Anticipated Completion: December 31, 2024
#10.760 Water and Waste Disposal Systems for Rural Communities Federal Grantor: U.S. Department of Agriculture Pass-through Agency Number: N/A Criteria:Intemal controls over preparation of the schedule of expenditures of federal awards should be in place to provide reasonable assurance that a m...
#10.760 Water and Waste Disposal Systems for Rural Communities Federal Grantor: U.S. Department of Agriculture Pass-through Agency Number: N/A Criteria:Intemal controls over preparation of the schedule of expenditures of federal awards should be in place to provide reasonable assurance that a misstatement in the schedule of expenditures of federal awards would be prevented or detected. Cause: Management relies on the auditor to assist with the preparation of the schedule of expenditures of federal awards. Effect: The Village's system of internal control may not prevent, detect, or correct misstatements in the financial statements. Questioned Costs: None Recommendation: The auditor will continue to work with the Village, providing information and training when necessary, to make the Village's personnel more knowledgeable about its responsibility for the schedule of expenditures of federal awards. Grantee Response: The control deficiency has been discussed with management and they acknowledge their responsibility for the schedule of expenditures of federal awards. The Village accepts responsibility for the schedule of expenditures of federal awards. Due to the technical nature of preparing the schedule of expenditures· of federal awards, and due to limited resources, the Village does not anticipate the need for this assistance to change in the foreseeable future. Contact Person: Lee Kucher Anticipated Completion: December 31, 2024
Finding 398586 (2022-010)
Significant Deficiency 2022
Creek County has corrected this matter and the correct paid date will be applied on th efirst quarter reporting for FY2024
Creek County has corrected this matter and the correct paid date will be applied on th efirst quarter reporting for FY2024
View Audit 307326 Questioned Costs: $1
Finding 398508 (2022-001)
Material Weakness 2022
Management acknowledges the finding and has initiated steps to address the identified issues. As of January 2024, MercyFirst made a strategic decision to outsource the entirety of its fiscal operations to industry leading BTQ Financial Services. The cooperation with the new fiscal vendor will resul...
Management acknowledges the finding and has initiated steps to address the identified issues. As of January 2024, MercyFirst made a strategic decision to outsource the entirety of its fiscal operations to industry leading BTQ Financial Services. The cooperation with the new fiscal vendor will result in overall increase on compliance and timely financials reports that overall will ensure timely audit completion and submission of DCF report.
Finding 398504 (2022-004)
Significant Deficiency 2022
Name of Contact Person Responsible for the Corrective Action Plan: David Smith, Director, Financial Services Corrective Action Plan: We concur with the finding. We will continue to review and improve policies and procedures in an effort to eliminate error and identify deficiencies from both operatio...
Name of Contact Person Responsible for the Corrective Action Plan: David Smith, Director, Financial Services Corrective Action Plan: We concur with the finding. We will continue to review and improve policies and procedures in an effort to eliminate error and identify deficiencies from both operational and financial perspectives. Anticipated Completion Date: Fiscal year 2023.
Management has submitted final audited financial statements for FY21-22.
Management has submitted final audited financial statements for FY21-22.
Federal Agency Name: Department of Agriculture Assistance Listing Number: #10.766 Program Name: Community Facilities Loans and Grants Cluster Finding Summary: During our testing, there was no formal review separate from the preparer over the reserve fund reconciliations for the federal program. In ...
Federal Agency Name: Department of Agriculture Assistance Listing Number: #10.766 Program Name: Community Facilities Loans and Grants Cluster Finding Summary: During our testing, there was no formal review separate from the preparer over the reserve fund reconciliations for the federal program. In addition, there was lack of review of the quarterly internal monitoring of the Hospital’s debt covenants. Responsible Individuals: Rick Korf, CFO Corrective Action Plan: For the reserve fund reconciliations, a secondary review will be completed and documented. The Hospital will also ensure that the quarterly covenant calculations are completed and presented to the board for review with the financials. Anticipated Completion Date: 05/31/2024
Federal Agency Name: Department of Health and Human Services; Department of Agriculture Assistance Listing Number: #93.498; #10.766 Program Name: COVID‐19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution; Community Facilities Loans and Grants Cluster Finding Summary: The Hospi...
Federal Agency Name: Department of Health and Human Services; Department of Agriculture Assistance Listing Number: #93.498; #10.766 Program Name: COVID‐19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution; Community Facilities Loans and Grants Cluster Finding Summary: The Hospital does not have an internal control system designed to allow for a complete and accurate Schedule being audited. We were requested to draft the Schedule. Responsible Individuals: Rick Korf, CFO Corrective Action Plan: We will continue to have our auditors assist with preparing the schedule of expenditures of federal awards (SEFA). Anticipated Completion Date: Ongoing
CORRECTIVE ACTION PLAN (Unaudited), continued YEAR ENDED DECEMBER 31, 2022 The Brookings County Housing and Redevelopment Commission respectfully submits the following corrective action plan for audit findings for the year ended December 31, 2022. Independent Public Accounting Firm: Wohlenberg, R...
CORRECTIVE ACTION PLAN (Unaudited), continued YEAR ENDED DECEMBER 31, 2022 The Brookings County Housing and Redevelopment Commission respectfully submits the following corrective action plan for audit findings for the year ended December 31, 2022. Independent Public Accounting Firm: Wohlenberg, Ritzman and Co. LLC P.O. Box 1018 Yankton, SD 57078 Audit Period: January 1, 2022 - December 31, 2022 The findings from the December 31, 2022 Schedule of Findings and Questioned Costs are discussed below. Findings Related to Major Federal Award Program Finding 2022-002 Reporting (Compliance; Internal Control Over Compliance) Condition as Noted in Auditor’s Finding: The Commission did not complete and submit their audit to the Federal Audit Clearinghouse by the due date of September 30, 2023. Responsible Individuals: Board of Commissioners and Management Correction Action Plan: The Commission will implement procedures to begin audit preparation work earlier in the calendar year to ensure reports are filed within the nine-month reporting deadline set forth by Uniform Guidance. Anticipated Complete Date: September 30, 2024 Very truly yours, BROOKINGS COUNTY HOUSING AND REDEVELOPMENT COMMISSION Rich Galbraith Executive Director
Finding 398434 (2022-001)
Significant Deficiency 2022
Name of auditee: Aloun Foundation Inc. Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Craig Watase Position: President Telephone: (808) 735-9099 Finding 2022-001 Comments: Management agrees with...
Name of auditee: Aloun Foundation Inc. Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Craig Watase Position: President Telephone: (808) 735-9099 Finding 2022-001 Comments: Management agrees with the finding. Actions: Management will implement policies and procedures to ensure the financial statement audit is submitted to the Federal Audit Clearinghouse within the required timeframe. Anticipated completion date: March 31, 2023
Preparation of Schedule of Federal Awards Auditor recommendation: The Town should prepare a schedule of expenditures of federal awards on an annual basis that incorporates all sources of federal awards the Town expends (USDA, CDBG, etc.). Town’s Response: The Town understands the requirement to pre...
Preparation of Schedule of Federal Awards Auditor recommendation: The Town should prepare a schedule of expenditures of federal awards on an annual basis that incorporates all sources of federal awards the Town expends (USDA, CDBG, etc.). Town’s Response: The Town understands the requirement to prepare the schedule of expenditures of federal awards that incorporates sources of federal awards. The Town will prepare the schedule in advance of the next year’s single audit.
Single Audit not Submitted to Federal Clearinghouse by Due Date Auditor recommendation: The single audit should be completed in a timely manner. Town’s Response: The Town understands the requirement to submit the single audit in a timely manner and will work with our auditor to ensure that future...
Single Audit not Submitted to Federal Clearinghouse by Due Date Auditor recommendation: The single audit should be completed in a timely manner. Town’s Response: The Town understands the requirement to submit the single audit in a timely manner and will work with our auditor to ensure that future audits are submitted timely.
Finding 398383 (2022-003)
Material Weakness 2022
FareStart has also established protocols for monitoring and tracking key deadlines related to the submission of audit documentation, including the Single Audit Reporting Package and Data Collection Form. Management has allocated resources as necessary to ensure that audit requests are addressed prom...
FareStart has also established protocols for monitoring and tracking key deadlines related to the submission of audit documentation, including the Single Audit Reporting Package and Data Collection Form. Management has allocated resources as necessary to ensure that audit requests are addressed promptly, even during periods of staffing transition or reduced capacity. Ongoing monitoring and evaluation will be conducted to ensure the effectiveness of these measures. Progress updates on the implementation of the corrective action plan will be provided to FareStart's management team and Board of Directors and any significant developments or challenges will be promptly communicated for appropriate guidance and decision-making. By proactively addressing the identified deficiencies and implementing robust corrective measures, FareStart is committed to strengthening its internal controls, enhancing compliance with federal program requirements, and ensuring the timely and accurate reporting of financial information.
Finding 398382 (2022-002)
Material Weakness 2022
FareStart will ensure that all relevant staff members receive training on federal program reporting requirements, including the accurate preparation of the Schedule of Expenditures of Federal Awards (SEFA) and the distinction between vendor and subrecipient classifications.
FareStart will ensure that all relevant staff members receive training on federal program reporting requirements, including the accurate preparation of the Schedule of Expenditures of Federal Awards (SEFA) and the distinction between vendor and subrecipient classifications.
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be rev...
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be reviewed to ensure the appropriate approvals and signatures are obtained. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective du...
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective due dates. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
Auditor's Recommendation: We recommend the Entity enhance the design of its control activities and policies and procedures should be developed to ensure physical inventories are taken at least once every two years. Action Taken: The Organization understands the importance of regular physical invento...
Auditor's Recommendation: We recommend the Entity enhance the design of its control activities and policies and procedures should be developed to ensure physical inventories are taken at least once every two years. Action Taken: The Organization understands the importance of regular physical inventories and will implement this control activity for the June 30, 2023 fiscal year end. Responsible Person: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
2022-005 Material Weakness: See finding 2022-005. Federal program: Public Housing Capital Fund CFDA 14.872 Recommendation: We recommend that management of the Authority work with its newly retained fee accountant to better establish policies and procedures to ensure compliance with the grant requ...
2022-005 Material Weakness: See finding 2022-005. Federal program: Public Housing Capital Fund CFDA 14.872 Recommendation: We recommend that management of the Authority work with its newly retained fee accountant to better establish policies and procedures to ensure compliance with the grant requisition processes. Action taken: We concur with the recommendation. The Authority has had some staff turnover over the past several years. A new executive director and a new account clerk were both hired within the past several years. Management is evaluating its processes and procedures related to grant requisitions and is planning on implementing procedures to ensure grants are requisitioned in the future.
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