Corrective Action Plans

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Finding 370548 (2022-006)
Material Weakness 2022
We will work to implement a Risk Assessment plan. We will implement controls to help make sure we are in compliance with all grant requirements and federal funds are expended in accordance with grant agreements and in a timely manner. We will ensure employees have the current and correct compliance ...
We will work to implement a Risk Assessment plan. We will implement controls to help make sure we are in compliance with all grant requirements and federal funds are expended in accordance with grant agreements and in a timely manner. We will ensure employees have the current and correct compliance supplement to work from.
The District continues to look for additional ways to improve segregation of duties with a limited staff.
The District continues to look for additional ways to improve segregation of duties with a limited staff.
We will review our procedures and investigate available alternatives to improve segregation of duties.
We will review our procedures and investigate available alternatives to improve segregation of duties.
Corrective Action: Although we had a control process in place at that time, it was not sufficient to meet the standard of the single audit. We have improved our Internal Controls since the start of the audit. We have been using CBIZ, a CPA Firm, for our third-party accounting since June of 2023. Pri...
Corrective Action: Although we had a control process in place at that time, it was not sufficient to meet the standard of the single audit. We have improved our Internal Controls since the start of the audit. We have been using CBIZ, a CPA Firm, for our third-party accounting since June of 2023. Prior to expenditures being sent to CBIZ for posting to QuickBooks, the expenditures are reviewed by 4 staff members: the Director who initiated the purchase and adds the allocations codes to the invoice/bill/receipt, the Staff Accountant, the Director of Finance and Administration and the CEO for final approval who also initials the expenditure. Once the expenditure is approved, it is then added to our AP Log and/or CC log by our Staff Accountant and then the approved expenditures are scanned to CBIZ for posting to QuickBooks by one of their staff members. A manager with CBIZ will review it again when completing our monthly financials for accuracy. Once CBIZ posts our expenditures and deposits, they note on our SharePoint and OneDrive AP, CC logs and Weekly Income Reports that the work has been posted in QuickBooks. Due to the requirements of our current Grants, we have increased our internal controls, budget overviews and Director’s responsibilities to manage their events and expenses and code allocations per the budget so if reallocation of any kind is needed, it can be revised before it goes to the CPA. In addition, there is a 2nd review of the Grant Invoice and expenditure documentation by the Director and Finance and Administration and the CEO before the invoice is submitted to the Grant Administrator for reimbursement.
Corrective Action: Although we had a control process in place at that time, it was not sufficient to meet the standard of the single audit. We have improved our Internal Controls since the start of the audit. In addition to the annual budget process, non-recurring expenses must be pre-approved by th...
Corrective Action: Although we had a control process in place at that time, it was not sufficient to meet the standard of the single audit. We have improved our Internal Controls since the start of the audit. In addition to the annual budget process, non-recurring expenses must be pre-approved by the CEO or Director Finance and Administration prior to purchasing. Monthly transactions that are auto debited from the credit card or bank account, for example health insurance, telephone, internet, etc. are processed in accordance with our budget and pre-approved by the CEO and Director of Finance and Administration. Those transactions are still reviewed monthly. Below is a section from our current Internal Control document. Disbursements For non-routine purchases, expenses must be pre-approved by the CEO or DOFA. The CEO, Directors or Executive Assistant (EA) will initiate the purchase. Due to very few non-routine purchases, LM currently does not use a purchase order system. The EA opens the mail and will give all the invoices to the Director of Finance and Administration (DOFA) to be coded and reviewed against the grant and/or budget. After coding the invoices, the DOFA gives the payable invoices to the Staff Accountant (SA). The Directors are responsible for stamping and coding all their payable invoices, comparing them against their budgets to ensure coding is correct and placing the stamped and coded payables in the appropriate area for the SA. Weekly the SA will review all the stamped and coded payables from all the Directors with the DOFA for review and approval of the various budgets. Then the DOFA will review the AP invoices with the CEO for his final approval and signature. Once payables are approved by the CEO, the SA will update the AP log in SharePoint and scan the signed/approved AP invoices to CBIZ for posting to QuickBooks. Credit Cards: Currently, the CEO, DOPO, DVM, and EA have credit cards. All expenses must be pre-approved by the CEO or DOFA. Recurring payments such as utilities, software, and telephone are done via credit card. Many office supplies and program supplies are paid via credit card. Also, many times last minute expenses are paid via credit cards. The credit card has an aggregate $10,000 limit. The CEO has an aggregate $15,000 limit. The Directors, EA and CEO should print credit card receipts, stamp and code expenses on the receipt and these receipts are to be placed daily in the Finance CC folder in the copy room. The SA will review the receipts and coding, then weekly review the CC receipts with the DOFA against the various budgets. Once reviewed and approved by the DOFA, the SA will add to the CC log on SharePoint. CBIZ will update QB monthly directly from the CC Log which includes allocation coding.
Corrective Action: The Authority will institute corrective policies and procedures including, use of quarterly reviews of tenant files for compliance with applicable HUD compliance requirements prior to audit.
Corrective Action: The Authority will institute corrective policies and procedures including, use of quarterly reviews of tenant files for compliance with applicable HUD compliance requirements prior to audit.
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current...
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management. Planned completion date for corrective action plan: Completed.
Procurement Procedures Recommendation: Management should review their financial policies to ensure they are in compliance with federal standards and will seek outside assistance in doing so if needed. Management will provide additional training for decision makers related to purchasing and will enf...
Procurement Procedures Recommendation: Management should review their financial policies to ensure they are in compliance with federal standards and will seek outside assistance in doing so if needed. Management will provide additional training for decision makers related to purchasing and will enforce the policy.
Federal Award Compliance Recommendation: Management should ensure that all personnel responsible for monitoring grant compliance receive the proper training on the requirements for federal funds. BestCare should develop policies and procedures to ensure compliance with both grant and federal requir...
Federal Award Compliance Recommendation: Management should ensure that all personnel responsible for monitoring grant compliance receive the proper training on the requirements for federal funds. BestCare should develop policies and procedures to ensure compliance with both grant and federal requirements. Action Taken: BestCare hired a CFO June 27, 2023. She has significant experience with federal awards and is implementing policies and procedures to ensure compliance. BestCare is also in the final stages of hiring a Controller which will bolster procedures to comply with federal awards. Finally, another staff accountant was hired November 13, 2023 to round out an understaffed accounting team which will allow the Controll and Sr. Accountant to focus more on processes, internal controls and compliance.
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months. The City’s updated policies will include the auditor's recommendations.
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months. The City’s updated policies will include the auditor's recommendations.
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months. Those updated policies will include safeguards to ensure no duplication of benefits will accrue and proper d...
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months. Those updated policies will include safeguards to ensure no duplication of benefits will accrue and proper documentation of procedures taken.
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months.
The City’s Community Development Department is in the process of rewriting its Policies to include the CDBG-CV provisions. Those policies should be completed within the next couple of months.
The City will implement procedures ensure the audit is completed and submitted to the federal clearinghouse in a timely manner.
The City will implement procedures ensure the audit is completed and submitted to the federal clearinghouse in a timely manner.
The City will update its policies and procedures to ensure timeliness of expenditures is met, including regular monitoring of project status and budget to actual expenditure review.
The City will update its policies and procedures to ensure timeliness of expenditures is met, including regular monitoring of project status and budget to actual expenditure review.
Sysco Lincoln refunded the amount owed to us due to their overbilling. The bills are reviewed by the nutrition supervisor and the accounting assistant when paying the bills.
Sysco Lincoln refunded the amount owed to us due to their overbilling. The bills are reviewed by the nutrition supervisor and the accounting assistant when paying the bills.
In June 2023, we moved all accounts payable and receivable deposits to the accounting assistant and the school business official reconciles the general fund account. We have two employees so internal control is obtained by using the electronic systems that we put in place. The board reviews all bill...
In June 2023, we moved all accounts payable and receivable deposits to the accounting assistant and the school business official reconciles the general fund account. We have two employees so internal control is obtained by using the electronic systems that we put in place. The board reviews all bills paid monthly from reports that are generated from our software system. We use online requisitions and the PO system that go through an approval process before purchases are made. All cash is receipted by the building secretaries, checked by the accounting assistant who then deposits the money into the bank. All receipts are prenumbered.
Finding 370327 (2022-010)
Significant Deficiency 2022
Finding: 2022-010 Untimely Review of SSI Terminations The County County Met with all MAGI and Adult Medicaid Staff to discuss and review untimely review of SSI terminations finding. The County will continue Second Party Reviews and conduct trainings based on findings.
Finding: 2022-010 Untimely Review of SSI Terminations The County County Met with all MAGI and Adult Medicaid Staff to discuss and review untimely review of SSI terminations finding. The County will continue Second Party Reviews and conduct trainings based on findings.
Finding 370326 (2022-009)
Significant Deficiency 2022
Finding: 2022-009 The County met with all MAGI Staff to discuss and rview noncooperation with child support procedures findings. The County will continue Second Party Reviews and conduct training based on findings. Inaccurate Information Entry The County met with all MAGI and Adult Medicaid Staff to...
Finding: 2022-009 The County met with all MAGI Staff to discuss and rview noncooperation with child support procedures findings. The County will continue Second Party Reviews and conduct training based on findings. Inaccurate Information Entry The County met with all MAGI and Adult Medicaid Staff to review and discuss inaccurate information entry findings. The County will continue Second Party Reviews and conduct trainings based on findings. Meeting was held December 20, 2023. Finding: 2022-006 Meeting was held December 20, 2023. Finding: 2022-007 IV-D Non-Cooperation Meeting was held December 20, 2023. Finding: 2022-008 Inaccurate Resources Entry The County met with all Adult Medicaid Staff to discuss and review the inaccurate resource entry find
Finding 370325 (2022-008)
Significant Deficiency 2022
Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Section III - Federal Award Findings and Questioned Costs (continued) Finding: 2022-009 The County met with all MAGI Staff to discuss and rview non...
Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Section III - Federal Award Findings and Questioned Costs (continued) Finding: 2022-009 The County met with all MAGI Staff to discuss and rview noncooperation with child support procedures findings. The County will continue Second Party Reviews and conduct training based on findings. Inaccurate Information Entry The County met with all MAGI and Adult Medicaid Staff to review and discuss inaccurate information entry findings. The County will continue Second Party Reviews and conduct trainings based on findings. Meeting was held December 20, 2023. Finding: 2022-006 Meeting was held December 20, 2023. Finding: 2022-007 IV-D Non-Cooperation Meeting was held December 20, 2023.
Finding 370324 (2022-007)
Significant Deficiency 2022
Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: ...
Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Name of Contact Person: Nia Broadway, Medicaid Manager Corrective Action: Proposed Completion Date: Section III - Federal Award Findings and Questioned Costs (continued) Finding: 2022-009 The County met with all MAGI Staff to discuss and rview noncooperation with child support procedures findings. The County will continue Second Party Reviews and conduct training based on findings. Inaccurate Information Entry The County met with all MAGI and Adult Medicaid Staff to review and discuss inaccurate information entry findings. The County will continue Second Party Reviews and conduct trainings based on findings. Meeting was held December 20, 2023. Finding: 2022-006 Meeting was held December 20, 2023. Finding: 2022-007 IV-D Non-Cooperation Meeting was held December 20, 2023.
Finding 370323 (2022-006)
Significant Deficiency 2022
Finding: 2022-006 Meeting was held December 20, 2023. Finding: 2022-007 IV-D Non-Cooperation Meeting was held December 20, 2023. Finding: 2022-008 Inaccurate Resources Entry The County met with all Adult Medicaid Staff to discuss and review the inaccurate resource entry findings. The County will con...
Finding: 2022-006 Meeting was held December 20, 2023. Finding: 2022-007 IV-D Non-Cooperation Meeting was held December 20, 2023. Finding: 2022-008 Inaccurate Resources Entry The County met with all Adult Medicaid Staff to discuss and review the inaccurate resource entry findings. The County will continue Second Party Reviews and conduct trainings based on findings. Inadequate Request for Information The County met with all MAGI and Adult Medicaid Staff to discuss and review inadequate request for inforamtion findings. The County will continue Second Party Reviews and conduct trainings based on findings. Meeting was held December 20, 2023.
Management agrees with the finding of the auditor's report concerning the failure to timely submit our 2022 single audit reporting package and data collection form in a timely manner. We have suffered changes in personnel which had a significant impact on our ability to gather information needed to ...
Management agrees with the finding of the auditor's report concerning the failure to timely submit our 2022 single audit reporting package and data collection form in a timely manner. We have suffered changes in personnel which had a significant impact on our ability to gather information needed to finalize our accounting records. New staff members who have taken on these responsibilities are in the process of learning those procedures and adapting to our organization’s specific requirements. Additionally, there were some communication challenges during the audit process which led to misunderstandings and further delays. In addressing these challenges, we are providing additional training and support for our new staff members and reevaluating our financial closing processes to ensure that reporting deadlines are met in future periods. Responsible Official: Chris Ronk, Chief Financial Officer (800) 937-5097
Management intends to file its 2023 data collection form prior to its due date.
Management intends to file its 2023 data collection form prior to its due date.
Craig’s Doors management is in agreement that adequate supporting documentation should be maintained and easily locatable in order to substantiate transactions in the general ledger. In FY2021 and FY2022, Craig’s Doors underwent significant transitions in leadership (i.e., departure of Finance Admi...
Craig’s Doors management is in agreement that adequate supporting documentation should be maintained and easily locatable in order to substantiate transactions in the general ledger. In FY2021 and FY2022, Craig’s Doors underwent significant transitions in leadership (i.e., departure of Finance Administrator and Executive Director). Subsequent to these individuals’ departures, identifying types and locations of supporting documentation have been extremely difficult, if not impossible. Current staff, who were not part of the Organization throughout the transition, have devoted significant hours to combing through old files, both electronic and in paper form, where available, to locate FY2022 transaction support, sometimes to no avail due to the lack of a formal filing and retention system in place for that period of time. In June 2022, the organization engaged Your Part-Time Controller, LLC ("YPTC") to assist, among other things, in getting the Organization’s financial “house” in order, including providing recommendations for improved file maintenance systems and data retention. To that end, a Document Retention Policy is in process of development, and several systems have been implemented to increase the quality and accessibility of supporting documentation, including electronic timesheets, integration of donor record system with general ledger and a transition to BILL for payment (and housing) of invoices. Management is also in the process of evaluating expense reporting systems (e.g., Divvy, Expensify, etc.) to better track and maintain purchases by Staff across the organization. It is anticipated that, under new Management, and with new retention systems in place, there will be a significant increase in the quality and availability of the Organization’s records.
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Numb...
2022-001: Submission of Single Audit Reports (Material Weakness) Federal Agency: U.S. Department of Agriculture (“USDA”) Program Title: Section 538 Rural Rental Housing Loans Assistance Listing Number: 10.438 Federal Award Source: Direct Funding Pass-Through Entity: N/A Pass-Through Identifying Number: N/A Corrective Action Plan: Fort Defiance Housing Corporation will incorporate a new procedure when qualifying residents for move-in. In accordance with USDA's 538 policy (shown below). The Agency has established certain rent restrictions to preserve affordability of GRRHP units over time. The rent restrictions for the program are as follows: • The monthly rent for any individual housing unit, including any tenant-paid utilities, must not exceed an amount equal to l /I 2'h of 30 percent of 115 percent of AMI, adjusted for family size (based on the income limits in the most recent update of RD Instruction 1980-D, Exhibit C). • On an annual basis, the average monthly rent for a project, taking into account all individual unit rents, including any tenant-paid utilities, must not exceed l/12'h of 30 percent of 100 percent of a1mual AMI, adjusted for family size [7 CFR 3565.203). To comply with these rent restrictions, the borrower must establish an estimate of tenant-paid utility costs. The calculation for tenant-paid utilities for each unit size and type of heating fuel must be made at initial occupancy when the rent structure is established. Form RD 3560 Housing Project Budget/Ulility Allowance", may be used for this purpose. In order to comply with the restrictions on rent stipulated in the USDA Handbook HB-1-3565,Chapter 8, section 5 Part E, Fort Defiance Housing will establish an estimate of tenant-paid utility costs at initial occupancy. In order to obtain this tenant paid utility cost estimate for the USDA section 538 residents, Fort Defiance housing will use the USDA section 515 tenant paid utility cost estimate provided by USDA as a proxy. This proxy will be available to all properties that have both section 538 and 515 homes located in the same county. These properties include Kayenta Estates and Church Rock Estates. The Rio Puerco Estates property consists only of section 538 properties and therefore we are not able to use the section 515 properties as a proxy. In order to comply with the USDA restrictions on rent policy, Fort Defiance Housing will use a 25% sample of utility bills from residents already residing in the same property. The sample will be broken down by unit size which is determined by the number of bedrooms and we will obtain a sample of 25% for each unit size in order to get a more accurate estimate. These estimates will be updated annually or when new information is received from utility companies of costs increases. Lastly, the analysis will be reviewed and approved by proper levels of management to evidence compliance with the requirements listed in the handbook. In order to comply with the restrictions on rent stipulated in the USDA Handbook HB-1-3565,Chapter 8, section 5 Part E, Fort Defiance Housing will establish an estimate of tenant-paid utility costs at initial occupancy. In order to obtain this tenant paid utility cost estimate for the USDA section 538 residents, Fort Defiance housing will use the USDA section 515 tenant paid utility cost estimate provided by USDA as a proxy. This proxy will be available to all properties that have both section 538 and 515 homes located in the same county. These properties include Kayenta Estates and Church Rock Estates. The Rio Puerco Estates property consists only of section 538 properties and therefore we are not able to use the section 515 properties as a proxy. In order to comply with the USDA restrictions on rent policy, Fort Defiance Housing will use a 25% sample of utility bills from residents already residing in the same property. The sample will be broken down by unit size which is determined by the number of bedrooms and we will obtain a sample of 25% for each unit size in order to get a more accurate estimate. These estimates will be updated annually or when new information is received from utility companies of costs increases. Lastly, the analysis will be reviewed and approved by proper levels of management to evidence compliance with the requirements listed in the handbook. Please see below: 3 Bedroom - 44 homes -11 utility bills 4 Bedroom -28 homes - 7 utility bills 5 Bedroom -1 homes - 1 utility bill
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