Corrective Action Plans

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Contact Person: Shameikia Smith, VP of Housing Services We agree with the finding. Clear documentation of eligibility requirements for each grant should be communicated with program personnel and should be verified for each applicant. In May of 2023, we implemented an internal auditing system to en...
Contact Person: Shameikia Smith, VP of Housing Services We agree with the finding. Clear documentation of eligibility requirements for each grant should be communicated with program personnel and should be verified for each applicant. In May of 2023, we implemented an internal auditing system to ensure compliance with grant/funding requirements, ensuring eligibility and eligible costs. 50 files are reviewed each month. Any deficiencies are required to be updated within two-weeks of the receipt of the report. As of 2024, there is stability in the staffing pattern and leadership of the Emergency Rental Assistance Program. In February of 2024, the Emergency Rental Assistance team is now combined with our Housing Services department. This change will help mitigate risk and increase compliance to 100%. Completion Date: Completion Date February 29, 2024
Finding 2022-002 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting Program Research and Development Program Cluster: Renewable Energy Research and Development and Denali Commission Programs Planned Corrective Action Plan To improve the timeliness of the SF-SAC,...
Finding 2022-002 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting Program Research and Development Program Cluster: Renewable Energy Research and Development and Denali Commission Programs Planned Corrective Action Plan To improve the timeliness of the SF-SAC, the President & CEO will require the Manager of Key Accounts and Special Projects to allocate adequate resources to ensure the timely preparation and submission of audit requirements for audit purposes. The President & CEO will proactively enforce the audit schedule and require departments to complete grant requirements by their due dates. Completion Date By April 1, 2024. Bill Stamm, President & CEO bstamm@avec.org 4831 Eagle Street, Anchorage, Alaska 99503 4831
Finding 2022-001 Significant Deficiency in Internal Control over Compliance, - Cash Management Progoram Research and Development Program Cluster: Renewable Energy Research and Development Planned Corrective Action Plan To prevent and detect any potential noncompliance with cash management requ...
Finding 2022-001 Significant Deficiency in Internal Control over Compliance, - Cash Management Progoram Research and Development Program Cluster: Renewable Energy Research and Development Planned Corrective Action Plan To prevent and detect any potential noncompliance with cash management requirements, the President & CEO will review and approve grant reimbursements before uploaded to grantor on VIPERS. Completion Date Already implemented.
The District will continue to review the duties of office employees and segregate duties where possible.
The District will continue to review the duties of office employees and segregate duties where possible.
The Orleans Parish Sheriff's Office is delinquent in filing quarterly performance reports. The task of filing the reports fell on the Internal Auditor/FEMA Auditor. This employee retired in May 2021 and has not been replaced as of this filing. We have requested that our Attorneys who taken the lead...
The Orleans Parish Sheriff's Office is delinquent in filing quarterly performance reports. The task of filing the reports fell on the Internal Auditor/FEMA Auditor. This employee retired in May 2021 and has not been replaced as of this filing. We have requested that our Attorneys who taken the lead with communications and submissions to FEMA and GOHSEP file all the delinquent reports and continue to file them until these this critical positions are filled.
The Orleans Parish Sheriff's Office has a late filing audit finding in connection with our 2022 audit. This audit was due to be filed June 30, 2023. Due to a staff shortage, the 2021 financial audit was not filed until June 2023. This delayed the commencement of the 2022 audit until after the filing...
The Orleans Parish Sheriff's Office has a late filing audit finding in connection with our 2022 audit. This audit was due to be filed June 30, 2023. Due to a staff shortage, the 2021 financial audit was not filed until June 2023. This delayed the commencement of the 2022 audit until after the filing deadline. Prior to this time, the Office's internal auditor, whow as integral in compiling the audit, had not been replaced since retiring and the Chief Financial Officer was dismissed from his position and not replaced. This left the Accounting Department with two full time accountants and the Comptroller who absorbed the Internal Auditor's duties as well as the Chief Financial Officer duties. This abrupt staffing issue left the Office significantly delayed in compiling the necessary information for the 2022 audit. To try and expediate the 2022 audit, the Office ahs engaged Postlethwaite & Netterville to prepare the financial statements as opposed to the Office preparing the financial statements. We anticipate this will ensure that the 2023 statements are completed expeditiously in order for the deparment to ensure that the 2023 audit will filed by the June 30, 2024 deadline. For further information related to this Corrective Action Plan, please contact Elizabeth Boyer, Comptroller at 504-202-9220 or by email at boyere@opso.us.
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing payroll expenditures. The organization will significantly increase the practice of capturing payroll expenses in the appropriat...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing payroll expenditures. The organization will significantly increase the practice of capturing payroll expenses in the appropriate period and within the appropriate grant period to report grant expenses for reimbursement. Completed before January 2024.
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including sufficient supporting records to report gr...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including sufficient supporting records to report grant expenses for reimbursement. Completed before January 2024.
View Audit 302849 Questioned Costs: $1
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including a subclass to track and report grant expen...
Response: The organization agrees with the finding. There were gaps in information flow due to staff turnover. The organization already has a process in place for reviewing expenditures. The organization will significantly increase the practice of including a subclass to track and report grant expenses for reimbursement. Completed before January 2024.
View Audit 302849 Questioned Costs: $1
Response: The organization agrees with the finding. Now that the organization has filled the accounting director position the delinquent audits are being completed as efficiently as possible.
Response: The organization agrees with the finding. Now that the organization has filled the accounting director position the delinquent audits are being completed as efficiently as possible.
Response: The organization has created and maintains a comprehensive log of all grants received. Log data includes grant number, grant source and CFDA number, the grant period,total grant amount, the grant advance amount received, the usage of the funds, and the remaining balance. Completed January ...
Response: The organization has created and maintains a comprehensive log of all grants received. Log data includes grant number, grant source and CFDA number, the grant period,total grant amount, the grant advance amount received, the usage of the funds, and the remaining balance. Completed January 2024.
The City looks forward to the annual audit and appreciates the relationship with the local audit team and the Washington State Auditor’s Office. We regularly reach out to seek guidance and are quick to implement any recommendations from the office. However, we disagree with both the basis of the f...
The City looks forward to the annual audit and appreciates the relationship with the local audit team and the Washington State Auditor’s Office. We regularly reach out to seek guidance and are quick to implement any recommendations from the office. However, we disagree with both the basis of the finding and the statement that “The City does not have adequate controls for ensuring compliance with federal suspension and debarment requirements.” As a Non-Entitlement Unit, the City was eligible for and elected to use the “Revenue Loss” category as an eligible use of the funding. Throughout all the materials released by the federal government related to eligible uses and compliance, there were references to the revenue loss eligibility category “providing recipients with broad latitude to use funds for the provision of government services to the extent of reduction in revenue due to the pandemic.” Furthermore, the SLFRF Compliance and Reporting Guidance explicitly states, “For recipients electing the “Standard Allowance,” Treasury will presume that up to $10 million, not to exceed the award allocation, in revenue has been lost due to the public health emergency. Recipients are permitted to use that amount to fund “government services.” This use option and guidance was in direct contrast to all other use options that required more cumbersome compliance requirements typically associated with federal grants. The revenue loss option was clearly recognizing the impact that the cumbersome compliance requirements would have on smaller entities and stated that it was to “ease the administrative burden”. As stated above, if you elected the standard allowance, Treasury will PRESUME that up to $10m, not to exceed the award allocation, in revenue has been lost due to the public health emergency and recipients are permitted to use that amount to fund “governmental services”. Why have an eligible use category of revenue loss with the presumption and understanding that it’s for governmental services yet have compliance requirements that completely undermine the category? At the time the city incurred the expenditures in question they were for the procurement of governmental service and it was not known which of these services would be categorized as federal under the revenue loss eligible use option. In fact, one of the expenses in question was a contracted payment that was entered into in a prior year for governmental services, specifically public safety. It is important to note that neither of the vendors who were paid were suspended nor debarred. The city also strongly disagrees with the statement that “The City did not have adequate controls for ensuring compliance with federal suspension and debarment requirements.” The city has excellent internal controls as it was able to demonstrate during the auditor review of other federally funded programs. The guidance that was issued with the funding was painstakingly read and reviewed and funding was spent per the guidance. We believe the interpretation and application of the guidance by the State Auditor’s Office for Non-Entitlement Units as it relates to the revenue loss option is incomplete and incorrect. Despite this disagreement, the city will continue to comply with federal funding requirements related to suspension and debarment.
Finding 392506 (2022-001)
Material Weakness 2022
Finding ref number: 2022-001 Finding caption: The County did not have adequate internal controls over and did not comply with reporting requirements for the Coronavirus State and Local Fiscal Recovery Funds program. Name, address, and telephone of County contact person: Susan Geiger, Director Budget...
Finding ref number: 2022-001 Finding caption: The County did not have adequate internal controls over and did not comply with reporting requirements for the Coronavirus State and Local Fiscal Recovery Funds program. Name, address, and telephone of County contact person: Susan Geiger, Director Budget & Risk Management 1 NE 7th Street, Rm 211 Coupeville, WA 98239 Ph. 360-678-7837 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for non-concurrence). An internal audit of ARPA disbursements and reporting was conducted in 2023. Quarterly reporting was adjusted to correct variances found during the internal audit. Staff was provided further training on ARPA reporting requirements and secondary review of quarterly reports was provided. Further corrective action was taken in the 2023 4th Quarter to identify grant recipients in the ARPA reporting system as recipients. Anticipated date to complete the corrective action: 4/30/2024
Finding 2022-002 - Department of Health and Human Services – Research & Development Cluster- Subrecipient Monitoring Statement of Condition: No formal documentation existed to indicate that the Foundation performed the required monitoring of its subrecipient’s activity and no written policy exists ...
Finding 2022-002 - Department of Health and Human Services – Research & Development Cluster- Subrecipient Monitoring Statement of Condition: No formal documentation existed to indicate that the Foundation performed the required monitoring of its subrecipient’s activity and no written policy exists to establish procedures to document the monitoring of the subrecipient. Management Response: The RTOG Foundation Inc. currently utilizes a standard form “Subrecipient’s Compliance With Uniform Administrative Requirements, Cost Principles, and Audit Requirements For Federal Awards, Subpart F” with all federally-funded grants and cooperative agreements subject to the Uniform Guidance. Additionally, activity of the sole subrecipient of the Foundation, the American College of Radiology (ACR) is monitored under the Management Services Agreement with the NSABP Foundation Inc., via routine analysis and documentation of ongoing activities as well as the inspection of ACR financial statements to ensure compliance with 2 CFR 200.332.
Finding 392492 (2022-001)
Significant Deficiency 2022
Finding 2022-001 – Segregation of Duties Statement of Condition: The Foundation does not have adequate segregation of duties present for the approval of payments to subcontractors, which is reflected as federal subcontracts expense on the financial statements. The project manager, who was responsib...
Finding 2022-001 – Segregation of Duties Statement of Condition: The Foundation does not have adequate segregation of duties present for the approval of payments to subcontractors, which is reflected as federal subcontracts expense on the financial statements. The project manager, who was responsible for reviewing and approving the subcontractor’s invoices in preparation for payment authorization by members of the Foundation’s Board, was employed by the subcontractor. Management Response: In August of 2022, the RTOG Foundation Inc. executed a Financial Management Services Agreement with the NSABP Foundation Inc. to provide oversight and management of financial statement preparation. The independent resources provided under this contract include day to day financial support from a Director of Finance with a supporting staff of accountants, financial analysts, and top-level oversight by a Senior Director of Finance with extensive experience in the financial management of clinical trials. The prior project manager referenced above has relinquished all financial accounting responsibilities and appropriate segregation of duties has been achieved, including, but not limited to, internal controls surrounding the payment of invoices. Routine financial analysis, account reconciliations, treasury functions, audit support and budgeting are also included under this services agreement. Monthly financial results are reviewed with the Board of Directors at regularly scheduled meetings.
Noncompliance with Uniform Guidance Late Filing of Single Audit Reporting Package Criteria: Under the Single Audit Act of 1996 and Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), ...
Noncompliance with Uniform Guidance Late Filing of Single Audit Reporting Package Criteria: Under the Single Audit Act of 1996 and Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), §200.512, Report Submission, the Single audit reporting package is required to be filed within the earlier of 30 calendar days after receipt of the auditors' report, or 9 months after the end of the audit period. Cause/Condition: Numerous audit adjustments to the Community Development Special Grant Fund were required, causing a delay in financial reporting. The required deadline was not met on a timely basis for the year ended December 31, 2021. Effect: The City was not incompliance with §200.512 of the Uniform Guidance. Recommendation: We recommend the requirements of §200.512 of the Uniform guidance be adhered to by striving to have all information required for the audit available on a timely basis. This will help to ensure timely audit report issuance and compliance with the filing deadline. Questioned Costs: None. Context: The 2021 Single Audit reporting package was filed on October 11, 2022, 11 days after the required filing date. Response: Management agrees with this finding. There has been significant turnover in key positions of the Community Development Department. It is the City's goal to provide all information required for future audits on a timely basis in order to complete financial statements for submission deadlines outlined in Uniform Guidance, §200.512. Corrective Action Plan: Management will direct the Community Development Department to ensure a monthly review and reconciliation of general ledger balances be performed and reviewed by a responsible official. Differences will be investigated and adjustments made on a timely basis to ensure accurate and timely financial reporting. Additionally, training will be provided to those individuals charged with recording the financial activities of the Community Development Special Grant Fund, and serious consideration will be given to hiring an outside accounting consultant. Anticipated Completed Date: April 15, 2024.
Finding 2022-004 Reporting The auditors recommended the following: 5. Management implement procedures to ensure required reports are prepared, reviewed and submitted in a timely manner and in compliance with its grant agreements. Additionally, adequate documentation should be appropriately maintain...
Finding 2022-004 Reporting The auditors recommended the following: 5. Management implement procedures to ensure required reports are prepared, reviewed and submitted in a timely manner and in compliance with its grant agreements. Additionally, adequate documentation should be appropriately maintained to support all reports prepared and submitted under the grant agreements. Context The audit sample consisted of 8 reports, 6 monthly reports from two County grant agreements and 2 quarterly reports from the WBDC grant agreement. Six of the 8 reports were submitted late. Delays in reporting ranged from 6 to 192 days. Additionally for 5 of the 6 County reports, evidence to support the completion and submission of the performance reporting metrics was unavailable. A copy of the data collection form for Salesforce was not maintained on file. Staffing Corrective Actions With the addition of an Interim Director of Finance and Administration in March 2023, SDA was able to submit all reports on time for the remainder of 2023. The permanent Director of Finance and Administration is responsible for continued oversight of reporting, deadlines and documentation. SDA is in the process of hiring a Grants Manager who will have responsibility for ensuring that all funder reports are submitted on schedule, accurately and in full compliance with grant agreements. Process Corrective Action SDA clarified its process for preparing and submitting reports on time. SDA added a review by the CEO before final submission to elevate the importance of these reports. System Corrective Actions SDA contracted with a Compliance Specialist to create a compliance calendar that outlines every major date for all reporting obligations by SDA. This calendar will be used by the Finance and Administration team to ensure full compliance with funder requirements.
Finding 2022-003 Procurement The auditors recommended the following: 4. Management adhere to its written policy and maintain documentation to support all management decisions related to federally funded procurements to comply with federal regulations. SDA should consider creating a checklist form t...
Finding 2022-003 Procurement The auditors recommended the following: 4. Management adhere to its written policy and maintain documentation to support all management decisions related to federally funded procurements to comply with federal regulations. SDA should consider creating a checklist form to document its procurement decisions and related approvals, as required. Also, we recommend SDA develop procedures to identify federally funded contracts let/awarded during the fiscal year. Context Two contracts were identified that required documentation to validate that the entire RFQ process from RFQ formulation to advertisement to receipt and evaluation were completed. One of the said contracts could not provide the backup documentation to validate that the evaluation process had been completed. There was no evidence that debarment/suspension verification checks were performed prior to awarding the contract. Staffing Corrective Actions In September 2023, SDA hired a permanent Director of Business Growth Services with experience in federal grant funding. In November 2023, SDA hired a permanent Director of Finance and Administration for additional support in management and oversight. Both Directors are responsible for overseeing procurement processes and reviewing documentation of the process. Process Corrective Actions The SDA has created a checklist and training materials on procurement processes and decisions. Mandatory training sessions for Program Directors and other appropriate staff will be held to ensure that the guidelines are understood. All procurement decisions and information will be filed in the password protected e-filing system. Policy Corrective Actions The SDA maintains active written policies on procurement that adhere to federal guidelines. In June of 2023, the SDA board approved an enhancement of the SDA Fiscal Policy to make the procurement policy more accessible to all members of the organization. The Director of Finance and Administration will continue to conduct periodic quality compliance checks to ensure that all procurement follows SDA policy. All procurement decisions and information will be filed in the e-filing system, Google Drive.
Finding 2022-002 Internal Controls over Allowable Costs ...
Finding 2022-002 Internal Controls over Allowable Costs The auditors recommend the following: 3. Management implement procedures to ensure all expenditures are properly reviewed and approved, and supporting documentation maintained in accordance with federal regulations. Context SDA was unable to produce backup for several invoice payments and evidence of one Time & Effort Certification for allocation to specific grants. Staffing Corrective Action SDA continues to have an outside accounting firm conduct a semi-annual review of financial statements and invoice documentation in advance of the official audit process. The addition of internal staff provides audit support needed to validate that the new systems, procedures and processes implemented by SDA to correct the 2022 audit findings. Process Corrective Action In 2023, SDA introduced training for managers on the requirement of Time & Effort Certification submission for all staff and contractors who are working on grant-funded projects. The updated process requires Mangers to approve a signed Time & Effort Certification with any invoice approval. The Director of Finance and Administration will rigorously enforce the SDA policy that all invoices, receipts, and Time and Effort Certifications must be submitted to receive payment for any work completed. Systems Corrective Action In mid-2023, SDA implemented a centralized and password protected e-filing system to hold all important records for all programs and every area of the business including finance, human resources, and administration. To further ensure that all payments made by the organization have appropriate invoice backup, Bill.com, an invoice and payables tracking system, was implemented fully in 2023 with an approval chain that houses evidence of all transactions.
View Audit 302802 Questioned Costs: $1
Reporting Financial, Internal Control Weakness and Noncompliance PRDOH accepts the finding, due to a misinterpretation on the waiver given by the FAC with regard to Hurricane Fiona, the PRDOH incurred in a delay for the contracting for the 2022 single audit. At this time the Department has acceler...
Reporting Financial, Internal Control Weakness and Noncompliance PRDOH accepts the finding, due to a misinterpretation on the waiver given by the FAC with regard to Hurricane Fiona, the PRDOH incurred in a delay for the contracting for the 2022 single audit. At this time the Department has accelerated the hiring process of the auditors for 2022 and 2023. The 2022 report is in the final stages for distribution and upload to the FAC. On the other hand, the 2023 report is in the field work stage. As per conversation with the auditors we are expecting to be ready by August 2024.
Medical Assistance Program Special Test and Provisions- ADP Risk Analysis and System Security Review Material Weakness and Noncompliance The DOH disagrees with this finding as they believe the MCO should have received a SOC 1 Type 1 and Type 2 Report. The DOH has requested this information from th...
Medical Assistance Program Special Test and Provisions- ADP Risk Analysis and System Security Review Material Weakness and Noncompliance The DOH disagrees with this finding as they believe the MCO should have received a SOC 1 Type 1 and Type 2 Report. The DOH has requested this information from the MCO, however, it has not been provided yet due to the short time frame for gathering the requested information.
Medical Assistance Program Reporting Material Weakness in Internal Control- Financial Reporting The PRDOH partially agrees with the finding. because the PRDOH has implemented several corrective actions. PRDOH has established control for all programs to ensure the timely performed reconciliations bet...
Medical Assistance Program Reporting Material Weakness in Internal Control- Financial Reporting The PRDOH partially agrees with the finding. because the PRDOH has implemented several corrective actions. PRDOH has established control for all programs to ensure the timely performed reconciliations between the finance office, the federal affairs office, this procedure has started since august 2022. On the other hand, the Department of Treasury has begun a series of training with regard to the ERP that will be in place by October 2024. This new system, to close the monthly period all programs will need to reconcile first before closing the period.
Childrens Insurance Program Reporting Material Weakness in Internal Control- Financial Reporting The PRDOH partially agrees with the finding. because the PRDOH has implemented several corrective actions. PRDOH has established control for all programs to ensure the timely performed reconciliations be...
Childrens Insurance Program Reporting Material Weakness in Internal Control- Financial Reporting The PRDOH partially agrees with the finding. because the PRDOH has implemented several corrective actions. PRDOH has established control for all programs to ensure the timely performed reconciliations between the finance office, the federal affairs office, this procedure has started since august 2022. On the other hand, the Department of Treasury has begun a series of training with regard to the ERP that will be in place by October 2024. This new system, to close the monthly period all programs will need to reconcile first before closing the period.
Maternal and Child Health Services Block Grants to the States Earmarking Material Weakness in Internal Control over Compliance The PRDOH partially agrees with the finding. The narrative of compliance with the requirement is presented annually in the report to the federal government. They are evide...
Maternal and Child Health Services Block Grants to the States Earmarking Material Weakness in Internal Control over Compliance The PRDOH partially agrees with the finding. The narrative of compliance with the requirement is presented annually in the report to the federal government. They are evidenced by the completed forms for budget and reported expenses that are submitted for the annual request for funds. The accounts between the programs have already been separated, so it shows the fulfillment of the Earmarking 30-30-10; Each is assigned 30% or more for required service and no more than 10% for the administration thereof. In the order hand the PRDOH has encountered challenges with the payroll to separate the percentage work for each grant however, this is shown on all the monitoring made by the federal government and all the reports send by the program. Also, with the new ERP from the Department of Treasury the new system will allow for that purpose, at this time the Department of treasury is currently working with the agency with the data conversation to migrate to the new system, this system is expected to be running by October 2024.
Epidemiology and Laboratory Capacity for Infectious Diseases Cash Management Significant Deficiency in Internal Control over Compliance For the audited period and until August 2023, the procedure of the program and the Department of Health was "advanced" and was as follows: 1. The Epidemiology ...
Epidemiology and Laboratory Capacity for Infectious Diseases Cash Management Significant Deficiency in Internal Control over Compliance For the audited period and until August 2023, the procedure of the program and the Department of Health was "advanced" and was as follows: 1. The Epidemiology program worked with the validation of the voucher and recovered the director's signature for the punch of the "certificate". Once the validation and signature were in place, the cash request was processed. Once the cash request was remitted or the credit notice was registered, the receipt was delivered to the Tax Intervention area. 2. The Fiscal Intervention area works on the approval of the payment on the vouchers. Vouchers were worked on a first-come, first-served basis. This intervention process can take a week or more. The program had no control over the timing of payment approvals. This created a weakness when it came to cash management compliance. The program did confirm that the money was available at the time the payment was approved but had no control over the date the payment was approved. However, due to the nature of our funds and the volume of invoices, the Treasury Department asked us to change the modality for terms of cash requests from "advanced" to reimbursement. This began to be implemented as of September 2023. This method of reimbursement makes it easier for the program to have better control over cash management. With this method, the program requests the funds on the days that the Treasury Department makes the payment rolls. Once the petition is created on the same day of the print run and approved by the Program Director, it is submitted to the Office of Federal Affairs to prepare the request for funds to the federal government. The Office of Federal Affairs has the flexibility and agility to process such a request within two days. This helps us to meet the requirements of cash management.
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