Corrective Action Plans

Finding 575798 (2024-001)

Significant Deficiency 2024

TN

Internal Control / Segregation of Duties

Due to the size of the District's administration and limited number of employees, total segregation of duties is not feasible at this time. The Board of Commissioners will continue to be closely involved in financial reporting and will continue to provide oversight in order to mitigate risk of misap...

Due to the size of the District's administration and limited number of employees, total segregation of duties is not feasible at this time. The Board of Commissioners will continue to be closely involved in financial reporting and will continue to provide oversight in order to mitigate risk of misappropriation of assets.

View Audit 365778

Finding 575797 (2024-001)

Significant Deficiency 2024

Rockingham Planning Commission

NH

Allowable Costs / Cost Principles Significant Deficiency

Planned Corrective Action: Assistant Director to review and initial all Executive Director's timesheets. Planned Implementation Date of Corrective Action: July 2024 Person Responsible for Corrective Action: Annette Pettengill

View Audit 365777

Finding 575796 (2024-005)

Material Weakness 2024

Union County Fiscal Court

KY

Procurement, Suspension & Debarment Allowable Costs / Cost Principles Material Weakness

Prepared by: Lissa Gibson, Union County Treasurer Date Prepared: 6-20-2025 Person Responsible for Corrective Action Plan: Jill Hunley or Kim Nance Anticipated Completion Date: Already jmplemented Official's Response: This is a rollover comment from FY 22 and 23 regarding expenditures in general....

Prepared by: Lissa Gibson, Union County Treasurer Date Prepared: 6-20-2025 Person Responsible for Corrective Action Plan: Jill Hunley or Kim Nance Anticipated Completion Date: Already jmplemented Official's Response: This is a rollover comment from FY 22 and 23 regarding expenditures in general. If purchase orders are not issued on the day of purchase they were dated the date the invoices were received. This has been corrected to match the date of invoice.

View Audit 365767

Finding 575782 (2024-001)

Material Weakness 2024

Overdose Lifeline, Inc.

IN

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Material Weakness

Finding 2024-01 Financial Close Process Condition: The auditors noted a lack of a strong financial close process which led to several material audit adjustments that were proposed during the audit and recorded by the client to properly reflect various financial statement accounts. Corrective Actio...

Finding 2024-01 Financial Close Process Condition: The auditors noted a lack of a strong financial close process which led to several material audit adjustments that were proposed during the audit and recorded by the client to properly reflect various financial statement accounts. Corrective Actions Taken or Planned: The Organizations’ Board and Executive Team consisting of the CEO, COO and key Organization staff to include the independent bookkeeper and Grant and Finance Manager recognize the need to further significantly improve on the oversight and reconciliation of the financial statement process. The team will develop processes to include but not limited to. - A comprehensive financial close process will be formalized and documented. This process will include clear timelines, task ownership, and internal controls to ensure the timely and accurate reconciliation of all accounts prior to audit submission. - Beginning in 2025, all financial transactions and balances will undergo rigorous monthly reviews to ensure proper classification in the correct financial statement accounts, reducing the likelihood of errors. - Quarterly meetings will occur to review entries and approval of entry assignment will occur.

View Audit 365764

Finding 575781 (2024-001)

Significant Deficiency 2024

City of Chisholm

MN

Internal Control / Segregation of Duties Reporting Significant Deficiency

The City Clerk-Treasurer will attempt to monitor transactions and structure the duties of the office personnel to ensure as much segregation of duties as possible within the City's staffing limitations and funding constraints.

View Audit 365757

Finding 575780 (2024-001)

None 2024

Town of Foxborough, Massachusetts

MA

Internal Control / Segregation of Duties

July 28, 2025 The Town of Foxborough, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Robert E. Brown II, CPA 25 Cemetery Street P.O. Box 230 Mendon, Massachusetts 01756 Audit perio...

July 28, 2025 The Town of Foxborough, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Robert E. Brown II, CPA 25 Cemetery Street P.O. Box 230 Mendon, Massachusetts 01756 Audit period: The finding from the June 30, 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule of expenditures of federal awards. Finding 2024-001 – Education Stabilization Fund – AL No. 84.425U Department of Education Massachusetts Department of Elementary and Secondary Education Other Matters Related to Internal Control over Compliance of the Major Program Criteria: Where employees work solely or partially on a single Federal program or cost objective, their salaries or wages must be supported by periodic certification that the employee worked on this program for the period covered by the program. The certifications should be prepared at least semi-annually, and should be signed by the employee or supervisory official having first-hand knowledge of the work performed by the employee. Condition: During our test of controls over compliance with time and effort certifications the Town was not able to provide evidence that the required certifications of time and effort for those employees whose time was spent either completely or partially spent on this program was performed as required by Uniform Guidance. Questioned Costs: Unknown Context: During our test of payroll transactions of the major program (Education Stabilization Fund) it was noted that 2 of the employees charged to this major program had time and effort certifications that were only completed annually as opposed to being prepared at least semi-annually. Effect: The Town was not in compliance with the time and effort certification requirements. Cause: In Fiscal Year 2024, the employee in charge of grant management was under the assumption that annual time and effort certifications were sufficient. Individuals involved with the grants were informed in Fiscal Year 2025 that semi-annual time and effort certifications were required. Identification as a Repeat Finding: N/A Recommendation: We recommend the Town of Foxborough follow procedures to ensure that semi-annual certifications and/or monthly certifications are prepared and signed by either the employees and/or supervisory official having first-hand knowledge of the work performed by the employees in a timely manner in order to comply with the time and effort certification requirement. Responsible for Corrective Plan: Karin Sheridan, School Business Administrator Estimated Completion Date: This process of semi-annually began with Fiscal Year 2025. Action Taken: Individuals involved with grant management began the process of semi-annual certifications in Fiscal Year 2025.

View Audit 365754

Finding 575779 (2024-003)

Significant Deficiency 2024

Town of Mountain Village

CO

Procurement, Suspension & Debarment Subrecipient Monitoring

COVID-19 Coronavirus State and Local Fiscal Recovery Funds – Assistance Listing No. 21.027 Recommendation: The Town should update all contracts to include a suspension and debarment paragraph to verify status with every renewal or collecting certification from the proposed entity. Additionally, th...

COVID-19 Coronavirus State and Local Fiscal Recovery Funds – Assistance Listing No. 21.027 Recommendation: The Town should update all contracts to include a suspension and debarment paragraph to verify status with every renewal or collecting certification from the proposed entity. Additionally, the Town should update procedures to ensure that a vendor’s status is checked in SAM.gov prior to contracting with a vendor. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Action Taken in Response to Finding: The Town will require all contracts related to federal awards to include a suspension and debarment paragraph to verify status with every renewal or collecting certification from the proposed entity. Additionally, procedures have been updated to ensure that a vendor’s status is checked in SAM.gov prior to contracting with a vendor. Name of the Contact Person Responsible for Corrective Action: Lizbeth Lemley, Finance Director Planned Completion Date for Corrective Action Plan: Procedure updates will be complete by September 30, 2025, and these actions will be implemented upon execution of the next contract related to a federal award.

View Audit 365751

Finding 575778 (2024-004)

Material Weakness 2024

St. Jude's Ranch for Children, Inc.

NV

Subrecipient Monitoring § 200.332

System of Internal Controls Over Compliance: Subrecipient Monitoring; U.S. Department of Treasury, Assistance Listing #21.027, Coronavirus State and Local Fiscal Recovery Funds, Passed Through State of Nevada Criteria: In accordance with 2 CFR 200.332, the auditee must maintain a system of internal ...

System of Internal Controls Over Compliance: Subrecipient Monitoring; U.S. Department of Treasury, Assistance Listing #21.027, Coronavirus State and Local Fiscal Recovery Funds, Passed Through State of Nevada Criteria: In accordance with 2 CFR 200.332, the auditee must maintain a system of internal control over compliance to ensure they provide each subrecipient within the required appropriate document the performance of internal controls over the compliance for subrecipient monitoring. Condition: The Organization did not appropriately implement internal controls necessary to ensure appropriate documentation was available to support the performance of controls in compliance with 2 CFR 200.332. Context: The Organization did not identify funds being passed through from one subsidiary of the Organization to a second subsidiary in a timely manner and based on this timing did not appropriately document the performance of internal controls over the compliance of subrecipient monitoring. Cause: The Organization did not identify its only subrecipient for this award in a timely manner. Effect: The Organization was not able to properly document its performance of internal controls over most of the requirements outlined in 2 CFR 200.332 for the award based on untimely identification of its subrecipient. Recommendation: We recommend management design and implement a system of internal controls over compliance where consideration of possible subrecipients is considered when the award is being applied for and that well documented and supportable internal controls over subrecipient monitoring are implemented when there are subrecipients identified under an award. Views of Responsible Officials and Planned Corrective Actions: SJRC NV Region is addressing its missing controls related to the requirements of 2 CFR 200.332. We acknowledge that SJRC must ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the information required under 2 CFR 200.332 at the time of the subaward all requirements. This includes that every subaward is clearly identified to the subrecipient as a subaward and includes at the time of the subaward and if any data elements change, that there must be an approved subaward modification. We will also ensure we meet the requirements under 2 CFR 200.332 to include our obligations to risk assess and monitor any subrecipients. The timeframe for correction is immediate and full accounting system control improvements will be implemented as part of our 2025 fiscal year-end close. Submitted by: Dr. Christina Vela, DPP Chief Executive Officer St. Jude's Ranch for Children, Inc. and its subsidiaries cvela@stjudesranch.org

View Audit 365748

Finding 575775 (2024-002)

Material Weakness 2024

Community Action Team, Inc.

OR

Procurement, Suspension & Debarment Subrecipient Monitoring Material Weakness § 200.303

2024-002 Federal Award Special Reporting - Federal Funding Accountability and Transparency Act (FFATA)- Material Non-Compliance and Material Weakness in Internal Controls over Compliance (Repeat of finding 2023-003} Recommendation: The Organization should establish written policies and procedures r...

2024-002 Federal Award Special Reporting - Federal Funding Accountability and Transparency Act (FFATA)- Material Non-Compliance and Material Weakness in Internal Controls over Compliance (Repeat of finding 2023-003} Recommendation: The Organization should establish written policies and procedures regarding review of grant agreements for compliance requirements along with written policies and procedures for first-tier subawards including tracking and proper internal control procedures. Action Taken: Management concurs with the finding and has defined corrective action to address it. We understand a material weakness is identified in the internal control over special reporting. We have identified gaps in our reporting processes and worked to implement changes to ensure compliance with special reporting requirements. The responsibility for reporting under the Federal Funding Accountability and Transparency Act (FFATA) will be within the Fiscal Department. Policies and procedures will be updated regarding special reporting requirements. The Fiscal department will also be responsible for reviewing all contracts to identify all compliance requirements. Tracking procedures will be implemented to ensure reports are filed timely. The above identified corrective action was implemented in July 2024. Stacey Wilson, Fiscal Director, has implemented a tracking system for the FFATA.

View Audit 365745

Finding 575774 (2024-002)

Material Weakness 2024

North Valley Caring Services

CA

Eligibility Internal Control / Segregation of Duties Subrecipient Monitoring § 200.302

Management concurs with the finding and will revise procedures to ensure detailed, timely recording of USDA Foods distributions. Staff will receive training on documentation requirements, and management will implement periodic compliance reviews. These corrective actions are expected to be complet...

Management concurs with the finding and will revise procedures to ensure detailed, timely recording of USDA Foods distributions. Staff will receive training on documentation requirements, and management will implement periodic compliance reviews. These corrective actions are expected to be completed by March 1, 2025.

View Audit 365739

Finding 575773 (2024-001)

Material Weakness 2024

North Valley Caring Services

CA

Subrecipient Monitoring Eligibility

Management concurs with the finding. NVCS was followed guidance received from the pass‐through entity but did not fully implement the required proxy documentation format. Management will revise procedures to ensure that the “Volunteer Proxy: [Name]” designation is clearly included where applicable...

Management concurs with the finding. NVCS was followed guidance received from the pass‐through entity but did not fully implement the required proxy documentation format. Management will revise procedures to ensure that the “Volunteer Proxy: [Name]” designation is clearly included where applicable and will provide training to distribution staff. Internal monitoring will be implemented to ensure future compliance. The corrective action is expected to be fully implemented by March 1, 2025.

View Audit 365739

Finding 575769 (2024-002)

Material Weakness 2024

Catherine's Health Center

MI

Special Tests & Provisions Subrecipient Monitoring Eligibility

Recommendation – We recommend the Center provide proper training to employees to ensure that the sliding fee discounts are being properly applied and documented. In addition to implementing policies and procedures to ensure the sliding fee discounts are being properly monitored and supervised on a ...

Recommendation – We recommend the Center provide proper training to employees to ensure that the sliding fee discounts are being properly applied and documented. In addition to implementing policies and procedures to ensure the sliding fee discounts are being properly monitored and supervised on a periodic basis to ensure compliance. Action Taken – We concur with the audit finding. While the Center has a policy that meets the compliance requirements, management is responsible for the implementation and monitoring of those processes and procedures. Additional staff training on slide fee discounts is in place and quarterly review and testing of compliance with Center sliding fee discount policy is ongoing.

View Audit 365733

Finding 575731 (2024-003)

Material Weakness 2024

City of Rhinelander

WI

Procurement, Suspension & Debarment § 200.318 § 200.320

Reference: 2024-003 Corrective Action: The City will work on updating the procurement policy to include clearer expectations. Responsible Person: Kristopher Hanus Frederickson, Mayor; Patrick Reagan, City Administrator; Wendi Bixby, Finance Director/Treasurer Anticipated Completion Date: 12/31/2...

Reference: 2024-003 Corrective Action: The City will work on updating the procurement policy to include clearer expectations. Responsible Person: Kristopher Hanus Frederickson, Mayor; Patrick Reagan, City Administrator; Wendi Bixby, Finance Director/Treasurer Anticipated Completion Date: 12/31/2025

View Audit 365725

Finding 575730 (2024-003)

Material Weakness 2024

Parkview Services

WA

Reporting Matching / Level of Effort / Earmarking § 200.502

Management agrees with this finding. Parkview Services will implement a formal SEFA preparation checklist by December 31st, 2025 that requires Finance Director to review federal loan agreements, program-specific compliance supplements, and prior year SEFAs to ensure all applicable programs are repor...

Management agrees with this finding. Parkview Services will implement a formal SEFA preparation checklist by December 31st, 2025 that requires Finance Director to review federal loan agreements, program-specific compliance supplements, and prior year SEFAs to ensure all applicable programs are reported. The checklist will include a step to verify whether any federal loans with ongoing compliance requirements, including EIDL, must be included even if no new funds were expended during the audit period. The Finance Director will find and take trainings and seek out updates on federal reporting requirements, including any programspecific guidance for all federal awards held by the organization. Finance Director will monitor and idetntify of continuing compliance requirements for loans, as well as the treatment of federal loans in the SEFA. Before finalizing the SEFA each year, the Finance Director will perform a documented review of the draft against the checklist and supporting loan documentation. The Executive Director will provide a secondary review to confirm completeness before submission to the auditors. This dual review process will begin with the preparation of the 2025 SEFA.

View Audit 365724

Finding 575727 (2024-002)

Material Weakness 2024

Parkview Services

WA

Questioned Costs Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking

Management agrees with this finding. Parkview Services will adopt and implement a written policy by October 31st, 2025 that strictly prohibits the use of federal funds for any non-program purpose, including temporary inter-fund loans. The policy will require that all federal program cash remain in t...

Management agrees with this finding. Parkview Services will adopt and implement a written policy by October 31st, 2025 that strictly prohibits the use of federal funds for any non-program purpose, including temporary inter-fund loans. The policy will require that all federal program cash remain in the designated account until disbursed for documented, allowable purposes in accordance with federal regulations and grant agreements. Any transfers from the federal account will require pre-approval from the Finance Director, written justification, and documentation that the expenditure is allowable under the grant. The organization will also incorporate additional cash-flow monitoring procedures to prevent situations where federal funds might be considered for operational use. To address related reconciliation issues, the bank reconciliation process will include a review of the federal account by the Board Vice President or Treasurer within 30 days of month-end, starting with the September 30th reconciliation. This reviewer will verify that all transactions are allowable, properly documented, and recorded in the correct period. Any discrepancies will be immediately investigated and resolved.

View Audit 365724 Questioned Costs: $1

Finding 575726 (2024-001)

Significant Deficiency 2024

Parkview Services

WA

Eligibility Procurement, Suspension & Debarment Reporting

Management does not agree with this finding. Parkview Services disputes this finding and maintains that no corrective action is necessary. All tenants met eligibility requirements prior to move-in, and there was no risk of non-compliance with funding agreements. Eligibility was verified in each case...

Management does not agree with this finding. Parkview Services disputes this finding and maintains that no corrective action is necessary. All tenants met eligibility requirements prior to move-in, and there was no risk of non-compliance with funding agreements. Eligibility was verified in each case through DDA referral packets from the supported living service provider or email communications with the DDA case manager. These contain protected personal and health information and are therefore not retained in landlord files. The funding agreements require that DDA provide referrals for the project but do not prescribe the format or timing of specific documents placed in the tenant file. While Parkview has an internal practice of obtaining a “referral letter” for each file, the absence or later dating of this letter in the cited cases reflects procedural deviations due to extenuating circumstances, not a failure to verify eligibility. Standard practices, including a move-in checklist and file review, were in place, and Parkview remained fully compliant with contractual requirements

View Audit 365724

Finding 575723 (2024-001)

Significant Deficiency 2024

Oak Street Senior Apartments INC

MI

Questioned Costs HUD Housing Programs Reporting

OAK STREET SENIOR APARTMENTS, INC. HUD PROJECT NO. 048-EE018 CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Oak Street Senior Apartments, Inc. respectfully submits the following corrective action plan for the year end December 31, 2024. Auditor: Maner Costerisan 2425 E. Grand River Ave. Suite 1...

OAK STREET SENIOR APARTMENTS, INC. HUD PROJECT NO. 048-EE018 CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Oak Street Senior Apartments, Inc. respectfully submits the following corrective action plan for the year end December 31, 2024. Auditor: Maner Costerisan 2425 E. Grand River Ave. Suite 1 Lansing, MI 48912 Audit Period: Year ended December 31, 2024 Corporation Contact Person: Elliott Broderick, Management Agent Representative The finding from the December 31, 2024 schedule of findings and questioned costs are discussed below. The finding is numbered consistently with the number assigned in the schedule. Finding – Federal Award Findings and Questioned Costs Finding 2024-001: Considered a significant deficiency in internal control over financial reporting Recommendation: The Corporation should ensure that there are proper internal controls in place over financial reporting to ensure accurate and timely submission of financial transactions, including monthly replacement reserve deposits. Action to be Taken: The Management agent concurs with the facts of this finding and as properly funded the replacement reserve account in 2025.

View Audit 365715 Questioned Costs: $1

Finding 575722 (2024-001)

Material Weakness 2024

Town of Warren

RI

Procurement, Suspension & Debarment Subrecipient Monitoring § 200.214

Finding 2024-001 Suspension & Debarment - Management concurs with the finding. The Town will design and implement polcies and procedures regrding verification of enetity suspension and deparment. Contact person - Brian Sullivan. Project Completion Date 9/30/2025

View Audit 365704

Finding 575688 (2024-004)

Material Weakness 2024

Mesa County, Colorado

CO

Subrecipient Monitoring Eligibility

The County concurs with this finding and will be working to improve the timeliness of Medicaid eligibility determinations by using the COGNOS reports to determine which cases are approaching the due date. Ongoing cases will be reviewed to verify continued eligibility.

View Audit 365700

Finding 575687 (2024-003)

Material Weakness 2024

Mesa County, Colorado

CO

Subrecipient Monitoring § 200.332

The County concurs with this finding and will be working to enhance internal controls over the adherence to our policies and procedures in accordance with 2 CFR 200.332 to ensure compliance with subrecipient monitoring requirements.

View Audit 365700

Finding 575683 (2024-003)

None 2024

New River Valley Community Services

VA

CORRECTIVE ACTION PLAN July 2, 2025 New River Valley Community Services respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit ...

CORRECTIVE ACTION PLAN July 2, 2025 New River Valley Community Services respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit period: June 30, 2024 The findings from the June 30, 2024, Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS-FINANCIAL STATEMENT AUDIT 2024-001: Reconciliation of Cash Accounts (Material Weakness) Condition Bank reconciliations were not completed timely for fiscal year 2024. There were no operating account reconciliations completed for the year at the time of preliminary audit fieldwork. These were completed subsequent to the final fieldwork timeframe. Performing timely monthly bank reconciliations reduces the risk that errors will go undetected and/or uncorrected. It is generally easier and less time-consuming to reconcile accounts while transactions are fresh in mind. Criteria Bank reconciliations should be reconciled and reviewed each month prior to the preparation of the monthly financial statements. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. Effect Bank reconciliations were not completed timely for fiscal year 2024. Recommendation We recommend all bank accounts be reconciled and reviewed each month prior to the preparation of the monthly financial statements. We recommend management continue to take steps to ensure that bank reconciliations are completed timely going forward. Corrective Action Due to a system implementation and personnel openings, bank reconciliations were not completed timely during FY24. However, before the FY24 audit was completed, all bank reconciliations were reconciled and reviewed. Bank reconciliations are a high priority and are now being reconciled and reviewed monthly and will continue to be going forward. FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAM AUDIT 2024-002: Mental Health Block Grant ALN 93.958, Late Filing of End of Year Performance Contract Report with Virginia Department of Behavioral Health and Developmental Services Condition The Agency filed its end of year performance contract report with the DBHDS on October 30, 2024. This Report was due by September 3, 2024. The Agency was granted a two week extension, by the DBHDS to September 17, 2024. Criteria The end of year performance contract report was due September 3, 2024 for fiscal year 2024. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. The Agency filed its end of year performance contract report with the DBHDS on October 30, 2024. Recommendation We recommend that management ensures the timely filing of this report each year no later than August 31st. Corrective Action Due to a system implementation and lack of personnel, the performance contract report was filed last for FY24. The current report is due September 2, 2025 and has been completed timely and will be submitted before or on the due date. Going forward, this deadline will be met. 2024-003: Coronavirus State and Local Fiscal Recovery Funds ALN 21.027 and Mental Health Block Grant ALN 93.958, Late Filing of Data Collection Form Condition The Agency's audit was not yet completed at the 9 month filing deadline for the data collection form with the Federal Audit Clearinghouse, which was March 31, 2025. Criteria The data collection form was due to be filed with the Federal Audit Clearinghouse no later than March 31, 2025 for fiscal year 2024. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. Effect The Agency's audit was not yet completed at March 31, 2025. Recommendation We recommend that management ensures the timely filing of this form each year no later than March 31st. Corrective Action Due to a system implementation and lack of personnel, the performance contract report was filed last for FY24. The current report is due September 2, 2025 and has been completed timely and will be submitted before or on the due date. Going forward, this deadline will be met. If the Federal Audit Clearinghouse has questions regarding this plan, please call Holly Carroll, Finance Accounting Supervisor at 540-961-8362. Sincerely yours, Holly Carroll Finance Accounting Supervisor

View Audit 365691

Finding 575682 (2024-002)

None 2024

New River Valley Community Services

VA

Reporting

CORRECTIVE ACTION PLAN July 2, 2025 New River Valley Community Services respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit ...

CORRECTIVE ACTION PLAN July 2, 2025 New River Valley Community Services respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, VA 24018 Audit period: June 30, 2024 The findings from the June 30, 2024, Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS-FINANCIAL STATEMENT AUDIT 2024-001: Reconciliation of Cash Accounts (Material Weakness) Condition Bank reconciliations were not completed timely for fiscal year 2024. There were no operating account reconciliations completed for the year at the time of preliminary audit fieldwork. These were completed subsequent to the final fieldwork timeframe. Performing timely monthly bank reconciliations reduces the risk that errors will go undetected and/or uncorrected. It is generally easier and less time-consuming to reconcile accounts while transactions are fresh in mind. Criteria Bank reconciliations should be reconciled and reviewed each month prior to the preparation of the monthly financial statements. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. Effect Bank reconciliations were not completed timely for fiscal year 2024. Recommendation We recommend all bank accounts be reconciled and reviewed each month prior to the preparation of the monthly financial statements. We recommend management continue to take steps to ensure that bank reconciliations are completed timely going forward. Corrective Action Due to a system implementation and personnel openings, bank reconciliations were not completed timely during FY24. However, before the FY24 audit was completed, all bank reconciliations were reconciled and reviewed. Bank reconciliations are a high priority and are now being reconciled and reviewed monthly and will continue to be going forward. FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAM AUDIT 2024-002: Mental Health Block Grant ALN 93.958, Late Filing of End of Year Performance Contract Report with Virginia Department of Behavioral Health and Developmental Services Condition The Agency filed its end of year performance contract report with the DBHDS on October 30, 2024. This Report was due by September 3, 2024. The Agency was granted a two week extension, by the DBHDS to September 17, 2024. Criteria The end of year performance contract report was due September 3, 2024 for fiscal year 2024. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. The Agency filed its end of year performance contract report with the DBHDS on October 30, 2024. Recommendation We recommend that management ensures the timely filing of this report each year no later than August 31st. Corrective Action Due to a system implementation and lack of personnel, the performance contract report was filed last for FY24. The current report is due September 2, 2025 and has been completed timely and will be submitted before or on the due date. Going forward, this deadline will be met. 2024-003: Coronavirus State and Local Fiscal Recovery Funds ALN 21.027 and Mental Health Block Grant ALN 93.958, Late Filing of Data Collection Form Condition The Agency's audit was not yet completed at the 9 month filing deadline for the data collection form with the Federal Audit Clearinghouse, which was March 31, 2025. Criteria The data collection form was due to be filed with the Federal Audit Clearinghouse no later than March 31, 2025 for fiscal year 2024. The Agency had two vacant positions in the Finance Department, one being the Senior Finance Director position for eight months. The Agency also experienced some difficulties in extracting data in some areas due to the implementation of a new software system. Effect The Agency's audit was not yet completed at March 31, 2025. Recommendation We recommend that management ensures the timely filing of this form each year no later than March 31st. Corrective Action Due to a system implementation and lack of personnel, the performance contract report was filed last for FY24. The current report is due September 2, 2025 and has been completed timely and will be submitted before or on the due date. Going forward, this deadline will be met. If the Federal Audit Clearinghouse has questions regarding this plan, please call Holly Carroll, Finance Accounting Supervisor at 540-961-8362. Sincerely yours, Holly Carroll Finance Accounting Supervisor

View Audit 365691

Finding 575679 (2024-002)

Significant Deficiency 2024

The Praxis Project

CA

Procurement, Suspension & Debarment § 200.214 § 200.322

2024-002 Procurement Policy Recommendation: We recommend that management amend and formally update the procurement policy to address the following critical areas: Vendor acceptance and debarment testing, definition and procedures for the Simplified Acquisition Threshold, domestic preference for pro...

2024-002 Procurement Policy Recommendation: We recommend that management amend and formally update the procurement policy to address the following critical areas: Vendor acceptance and debarment testing, definition and procedures for the Simplified Acquisition Threshold, domestic preference for procurements, procedures for handling procurement issues and policy governance and version control. Action Taken: To improve clarity, accountability, and regulatory compliance, the Finance Department will work with the Fiscal Sponsorship Department to develop The Praxis Project's procurement policy going forward. We will ensure the updated policy includes the following: · We will formalize procedures to confirm vendor eligibility, including consistent use of the SAM.gov exclusions list prior to entering contracts, and ensure documentation is retained for audit purposes. · The updated policy will outline specific steps for procurement activities at various thresholds, particularly mid-range purchases, with requirements for obtaining multiple quotes and documenting price comparisons. · In alignment with Federal guidelines, the revised policy will include a provision supporting preference for U.S .- made products and materials when feasible. · New sections will be added to address how the Organization will manage vendor selection reviews, disputes, and issue resolution to promote fairness and consistency in the procurement process. · To ensure transparency and version control, the policy will include the date of each revision and a process for periodic review. The Fiscal Sponsorship Department will implement the updated policy, coordinate training for programmatic staff, and monitor compliance with the updated procedures. We expect the revised procurement policy to be finalized and implemented by July 31, 2025. If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call Susan Pagel, CPA at 503-701-7173. Sincerely yours, Xavier Morales Executive Director

View Audit 365689

Finding 575678 (2024-001)

Material Weakness 2024

The Praxis Project

CA

Reporting Internal Control / Segregation of Duties § 200.501

CORRECTIVE ACTION PLAN July 10, 2025 Cognizant or Oversight Agency for Audit The Praxis Project, Inc. (the Organization) respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: AAFCPAs, Inc. 50 Wash...

CORRECTIVE ACTION PLAN July 10, 2025 Cognizant or Oversight Agency for Audit The Praxis Project, Inc. (the Organization) respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: AAFCPAs, Inc. 50 Washington Street Westborough, MA 01581 Audit period: January 1, 2024 - December 31, 2024 The findings from the July 10, 2025 Schedule of Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS-FEDERAL AWARD PROGRAMS AUDITS 2024-001 Schedule of Federal Awards Management Recommendation: We recommend that the Organization implement formal procedures to regularly track and monitor cumulative Federal expenditures across all departments, projects and programs. This should include a centralized review process on at least a quarterly basis to assess whether the Single Audit threshold is approaching or exceeded. Procedures should be updated to include: · Establishing a formal process to track all Federal awards on an ongoing basis, including grant numbers, Assistance Listing Numbers (ALNs), contract periods, award amounts, and qualifying expenditures. · Calculating Federal expenditures based upon expenses incurred rather than cash received or invoiced. · Assigning responsibility to a specific individual or department for maintaining the SEFA throughout the year. · Implement quarterly monitoring procedures to track cumulative Federal expenditures and proactively assess whether the Single Audit threshold is likely to be met. · Ensure that program managers and finance personnel are regularly trained to understand the reporting, compliance and audit requirements tied to Federal awards. Implementing these steps will improve the Organization's ability to meet Federal reporting deadlines and meet compliance and audit requirements. 2024-001 Schedule of Federal Awards Management (Continued) Action Taken: In response to the finding, we are taking the following corrective actions: · Effective June 24, 2025, the finance department will implement a standardized process for tracking all Federal awards. · We will ensure that all Federal expenditures are tracked and reported on an incurred-expense basis. · The responsibility for maintaining and updating the SEFA will be formally assigned to the Assistant Director of Finance. · Beginning in the next fiscal quarter, the finance team will conduct quarterly reviews of cumulative Federal expenditures to proactively assess our proximity to the Single Audit threshold. Findings will be documented and reviewed by the Sr. Director of Finance. · We will ensure program managers, finance personnel, and the FS Team are aware and understand Federal compliance, reporting requirements, and audit thresholds. We believe these actions will significantly strengthen our compliance framework, enhance transparency, and ensure that the Organization remains fully prepared for future audits.

View Audit 365689

Finding 575673 (2024-003)

Material Weakness 2024

Rebuilding Together Metro Chicago

IL

Questioned Costs Allowable Costs / Cost Principles § 200.403

Views of Responsible Officials: Management agrees and will implement improved documentation and review procedures. Estimate time of completion: February 10, 2025.

View Audit 365681 Questioned Costs: $1

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