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Finding 62135 (2022-001)
Significant Deficiency 2022
The Town of Chelmsford, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with th...
The Town of Chelmsford, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDING?FEDERAL AWARD PROGRAM AUDIT DEPARTMENT OF AGRICULTURE 2022-001 Child Nutrition Cluster ? Assistance Listing Numbers 10.553 and 10.555 Recommendation: We recommend to annually (at a minimum) document the verification that all vendors are not suspended or debarred from participation in Federal assistance programs or activities. Explanation of disagreement with audit finding: There is no disagreement with the audit finding and agrees that the vendors were not suspended or disbarred. Action taken in response to finding: The Chelmsford Public Schools is one of the twelve districts that is part of the Metro North Collaborative (MNC). The MNC executes the competitive bid process for several of the school nutrition products. A certificate of good standing was required in the bid process and the MNC has added the recommended language that the participant certify to the best of its knowledge and belief that it and its principals are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from the covered transactions by any Federal department or agency. Chelmsford Public Schools will also assist the MNC with documenting the suspension/debarment verifications at the time of the bid process and bid award with screen shots from the SAM.gov website resource. In addition, the Chelmsford Public Schools has verified that list of vendors is not suspended or disbarred, using the SAM.gov website resource. Name(s) of the contact person(s) responsible for corrective action: The Director of School Nutrition of the Chelmsford Public Schools. Planned completion date for corrective action plan: The spring of 2023 (April ? May timeframe) is when the MNC invites interested vendors to submit bids for the school nutrition products and the bid documents will reflect the recommended language. In January and February of 2023, the Chelmsford Public Schools verified the list of vendors is not suspended or disbarred, using the SAM.gov website resource.
Carrollton Exempted Village School District Carroll County, Ohio Corrective Action Plan 2 CFR Section 200.511(c) For the Fiscal Year Ended June 30, 2022 Finding Number Planned Corrective Action Anticipated Completion Date Responsible Contact Person 2022-001 The School District will implement inter...
Carrollton Exempted Village School District Carroll County, Ohio Corrective Action Plan 2 CFR Section 200.511(c) For the Fiscal Year Ended June 30, 2022 Finding Number Planned Corrective Action Anticipated Completion Date Responsible Contact Person 2022-001 The School District will implement internal controls to ensure that all contractors working on federally funded projects for which wage rate requirements apply, are notified and the School District will obtain necessary documentation to verify compliance. In addition, the School District will implement internal controls to ensure the necessary language is included in all future solicitations for quotes or bids for which prevailing wage requirements apply. Additionally, the issue has been addressed in current ESSER Building contract language for Wellness Clinic project. Financial ? Amy Spears, Treasurer Buildings & Grounds ? Andy Reeves, Asst Supt.
Finding 62131 (2022-001)
Significant Deficiency 2022
Finding Name: 2022-001-Reporting Federal Program: COVID-19 Provider Relief Fund ALN: 93.498 Owensboro Health, Inc. (OHI)?s System CFO and VP of Accounting has reviewed the COVID-19 Provider Relief Fund findings from KPMG relating to the Uniform Guidance. We understand the recommendation set forth ...
Finding Name: 2022-001-Reporting Federal Program: COVID-19 Provider Relief Fund ALN: 93.498 Owensboro Health, Inc. (OHI)?s System CFO and VP of Accounting has reviewed the COVID-19 Provider Relief Fund findings from KPMG relating to the Uniform Guidance. We understand the recommendation set forth by KPMG and will revamp our controls and processes to include additional review of the quarterly grant reports entered in the US Department of Health Human Services portal before and after submission. OHI?s corrective action plan: 1. Going forward, OHI will have a formal agenda to discuss and approve the grant reports prior to the submission to the US Department of Health and Human Services portal. 2. The quarterly Cares Act (PRF) reporting will be reviewed, approved and attested by the System CFO, VP of Accounting, Manager of Revenue and Regulatory Analysis and Manager of Decision Support. Contact person/s responsible for the correction action: Ruby Jacildo and Jeremy Stewart Anticipated Date: March 31, 2023
2022-008. Finding: Procurement Requirements Not Followed ? Edwardsville Campus Response: We agree that procurement requirements were not followed for the identified purchases. Corrective Action Plan: Steps will be taken to reduce the risk of noncompliance going forward in instances where the procu...
2022-008. Finding: Procurement Requirements Not Followed ? Edwardsville Campus Response: We agree that procurement requirements were not followed for the identified purchases. Corrective Action Plan: Steps will be taken to reduce the risk of noncompliance going forward in instances where the procuring department may not regularly utilize grants funds for procurements. Contact Person: Matt Brown (SIUE Purchasing Director) Anticipated completion date: June 30, 2023
2022-005. Finding: Inadequate Procedures for Ensuring Retention of Eligibility Documentation for the Upward Bound Program ? Edwardsville Campus Response: We agree we did not have adequate procedures to ensure the required documents were retained for all students who received stipends during the per...
2022-005. Finding: Inadequate Procedures for Ensuring Retention of Eligibility Documentation for the Upward Bound Program ? Edwardsville Campus Response: We agree we did not have adequate procedures to ensure the required documents were retained for all students who received stipends during the period tested. Corrective Action Plan: We will implement adequate controls to ensure document retention, including in instances where responsible staff have departed the University. Contact Person: Timothy Staples (Director of University Services to East St Louis) Anticipated completion date: June 30, 2023
CORRECTIVE ACTION PLAN Volunteer Residences-Two, Inc. respectfully submits the following corrective action plan for the year ended September 30, 2022. Purkey, Carter, Compton, Swann, & Carter, PLLC P.O. Box 727 Morristown, Tennessee 37815 Audit period: October 1, 2021 - September 30, 2022 The find...
CORRECTIVE ACTION PLAN Volunteer Residences-Two, Inc. respectfully submits the following corrective action plan for the year ended September 30, 2022. Purkey, Carter, Compton, Swann, & Carter, PLLC P.O. Box 727 Morristown, Tennessee 37815 Audit period: October 1, 2021 - September 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS ? FINANCIAL STATEMENT AUDIT None FINDINGS ? FEDERAL AWARD PROGRAMS AUDITS Finding No. 2022 ? 001: Ineffective oversight and operation of internal controls over compliance by management The Project managers at two out of the three complexes did not follow all HUD requirements when performing the tenant recertification process. The tenant files tested for internal controls over compliance contained multiple deficiencies, including missing manager signatures and dates on HUD Form 50059 and HUD Forms 9887/A; missing tenant signatures and dates on HUD Form 50059, citizenship declaration, and HUD Forms 9887/A; missing spouse signatures and dates on HUD Form 50059, HUD Forms 9887/A, and lease; and incorrect calculation of tenant assets. Criteria: According to the HUD Handbook 4350.3: 1. The HUD-50059 certifications must be signed and dated by the manager, tenant, and spouse (if applicable). 2. The lease must be signed and dated by the head-of-household, spouse, co-head (if applicable), and any adult family members and the manager. 3. The HUD-9887 and HUD-9887A must be signed by the tenant, manager, and spouse (if applicable). 4. Owners must verify all income, assets, expenses, deductions, family characteristics, and circumstances that affect family eligibility or level of assistance. For savings accounts, use the current balance. For checking accounts, use the average balance for the last six months. 5. Citizens must sign declaration certifying U.S. Citizenship. Cause of Condition: The management agent did not have proper systems in place to ensure that all documents are completed per HUD requirements pursuant to HUD Handbook 4350.3. Recommendation: Auditor recommends management agent review HUD Handbook 4350.3 and put proper internal controls in place to ensure manager of the Project is trained on the handbook and is complying with all applicable requirements pursuant to HUD Handbook 4350.3. Action Taken: Management agent will provide additional training on HUD requirements to managers during their annual manager?s training and implement procedures to ensure managers are complying with requirements pursuant to HUD Handbook 4350.3.
Finding: During a review by the external auditors of the tally sheets utilized by the clubs for meals served and submitted to the finance department for input into the billing system used by the Department of Education (DOE) for reimbursement, it was discovered that an incorrect number of meals was ...
Finding: During a review by the external auditors of the tally sheets utilized by the clubs for meals served and submitted to the finance department for input into the billing system used by the Department of Education (DOE) for reimbursement, it was discovered that an incorrect number of meals was keyed into the system for one club. The number of meals submitted was higher than what the club had originally reported and resulted in an overpayment received from DOE. Corrective Actions Taken or Planned: The organization, with oversight from Kay Ridgard, Controller, immediately contacted DOE and let them know of the error. DOE made the corrective adjustment in their system and recovered the overpayment by reducing the upcoming September 2022 payment due to the organization by the amount of the overpayment received. There was a complete review of the internal process used in the billing of DOE for meals for each location. The process for submission for reimbursement is outlined below with changes highlighted: 1. Tally sheets sent from the clubs are reviewed by the Accounts Payable Associate (Procurement Coordinator when hired) to ensure that there are no addition errors. 2. Numbers from the tally sheets are entered into an Excel file to give summary totals for the organization and this is used by the Accounts Payable Associate to input data into the DOE system. 3. The Controller (or Manager) reviews the excel file before the data is input into the DOE system to ensure it accurately reflects the tally sheets. 4. Data is input in the DOE system and reports are generated showing the accepted submission that will be reimbursed. 5. The Controller (or Manager) performs a second review to ensure the submitted data match the previously reviewed Excel file.
View Audit 50517 Questioned Costs: $1
Finding 2022-002 ? Federal and State Findings and Questioned Costs Corrective Action Plan: Edit check reports from the district?s student information syste, Infinite Campus, will be provided on a monthly basis, no later than the 5th of the month for the preceding month. Any errors listed on the repo...
Finding 2022-002 ? Federal and State Findings and Questioned Costs Corrective Action Plan: Edit check reports from the district?s student information syste, Infinite Campus, will be provided on a monthly basis, no later than the 5th of the month for the preceding month. Any errors listed on the reports will be researched and corrected by the Food Service Director or Assisitant Food Service Director. After all meal sales errors are corrected the final reports will be provided to the Director of Business Services no later than the 10th of the month. These reports will be used to make the monthly federal (USDA) food service claims and retained as documentation for the claims. Person(s) Responsible: Director of Business Services and Food Service Director. Timing for Implementation: August 2022.
2022-003. Finding: Sliding Fee Discount Not Applied to All Eligible Patients ? School of Medicine Response: We agree. We did not provide the sliding fee discount to eligible patients after a Medicare claim posting. Now that we are aware of the weakness, we are committed and have developed a correcti...
2022-003. Finding: Sliding Fee Discount Not Applied to All Eligible Patients ? School of Medicine Response: We agree. We did not provide the sliding fee discount to eligible patients after a Medicare claim posting. Now that we are aware of the weakness, we are committed and have developed a corrective action plan to address the matter. Corrective Action Plan: The following corrective actions are in process: ? In conjunction with SIU Patient Business Services (PBS): Review and revise/update all billing policies/procedures that relate to the Sliding Fee Discount Program (SFDP). o Status: Currently in process of review o Anticipated completion date: 2-3 months (April-May 2023) ? Educate staff on updated SFDP; including all applicable PBS staff members, all FQHC financial counselors, and any FQHC administration staff. Re-education will be performed semi-annually to all staff mentioned above o Status: Pending o Anticipated completion date: 3-6 months (June-Sept 2023) ? Develop and implement a self-audit procedure to be performed internally on a quarterly basis o Status: Pending o Anticipated completion date: 6-9 months (By end of year 2023) Contact Person: Agnes Arnold (Asst Professor of Family and Community Medicine) Anticipated completion date: As noted above.
Finding 2022-002 Finding 2022-002: Improper HEERF Student and Institutional Aid Reporting Federal Program: COVID-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund - Student and Institutional Aid Federal Agency: U.S. Department of Education Pass-Through Entity: Not applicab...
Finding 2022-002 Finding 2022-002: Improper HEERF Student and Institutional Aid Reporting Federal Program: COVID-19 - Education Stabilization Fund - Higher Education Emergency Relief Fund - Student and Institutional Aid Federal Agency: U.S. Department of Education Pass-Through Entity: Not applicable Assistance Listing Number: 84.425E, 84.425F Federal Award Year: June 30, 2022 Criterion: The U.S. Department of Education (the Department) has issued guidance for the Education Stabilization Funds (ESF) Higher Education Emergency Relief Funds (HEERF) for quarterly reporting for all Sections (a)(1), (a)(2), (a)(3) and (a)(4) that requires that institutions to prepare a report for each quarter for funds that are drawn down and disbursed/spent. The reports are to be posted on the institution?s website within 10 days of the calendar quarter end. Additionally, institutions are required to prepare an annual report and submit to the Department summarizing the uses of the HEERF funds for the calendar year. Condition The College reported an inaccurate amount of institutional expenses on the quarterly report for the quarter ending September 30, 2021. There was also no evidence maintained of timely reporting for the student or institutional reports for the quarters ending September 30, 2021, December 31, 2021, March 31, 2022, and June 30, 2022. Corrective Action Plan The College has corrected all reports to include the missing information. To help to ensure that this does not happen in the future, the College will create a policy that includes a review by at least one other individual. The Associate Vice President of Finance and Administration will coordinate the gathering of all necessary information and will complete the report. The Vice President of Finance and Administration will review the report for completeness and accuracy. The Associate Vice President of Finance and Administration will submit the report. Responsible Persons Amy Arbogast?Vice President of Finance and Administration Connie Jablonski?Associate Vice President of Finance and Administration Anticipated Completion Date The reports in question have been completed and resent to the Department of Education. The secondary review will begin with the March submission that is due in early April. This review will a part of Thiel?s Audit Process for Fiscal 2022 ? 2023.
Finding 2022-001: Return of Title IV Funds Federal Program: Student Financial Assistance Cluster - Federal Pell Grant Program Federal Agency: U.S. Department of Education Pass-Through Entity: Not applicable Assistance Listing Number: 84.063 Federal Award Year: June 30, 2022 Criterion: 34 CFR 668.22...
Finding 2022-001: Return of Title IV Funds Federal Program: Student Financial Assistance Cluster - Federal Pell Grant Program Federal Agency: U.S. Department of Education Pass-Through Entity: Not applicable Assistance Listing Number: 84.063 Federal Award Year: June 30, 2022 Criterion: 34 CFR 668.22 requires that when a recipient of Title IV grant or loan assistance withdraws from an institution during a payment period or period of enrollment in which the recipient began attendance, the institution must determine the amount of Title IV grant or loan assistance that the student earned as of the student's withdrawal date in accordance with Federal regulations and return the unearned portion of the grant or loan funds to the Title IV programs as soon as possible but no later than 45 days after the withdrawal date. Corrective Action Plan The College will make timely returns of Title IV funds within the required 45-day requirement. The withdrawal date determination will be made no later than 30 days after the end of the earliest the earliest of the (1) payment period or period of enrollment, (2) academic year, or (3) educational period, as appropriate. Return to Title IV calculations will be completed with applicable dates and required aid adjustments will be made accordingly. Implementation will begin immediately. Kim Peters and/or Denise Owens will initiate all transactions, Michelle Work will approve. Responsible Persons Michelle Work, Director of Financial Aid Anticipated Completion Date This is an ongoing process and will begin immediately.
CORRECTIVE ACTION PLAN - JUNE 30, 2022 Finding 2022-002: Immaterial Compliance Federal Award Finding This finding is caused by the District?s Food Service Fund?s fund balance being over the USDA?s threshold of 3 months average expenditures. The District is fully aware of this situation and has a sp...
CORRECTIVE ACTION PLAN - JUNE 30, 2022 Finding 2022-002: Immaterial Compliance Federal Award Finding This finding is caused by the District?s Food Service Fund?s fund balance being over the USDA?s threshold of 3 months average expenditures. The District is fully aware of this situation and has a spend down plan in place to help alleviate the excess fund balance down to a reasonable level and anticipates the completion date for the corrective action plan be before the end of the 2022-23 fiscal year. The persons responsible for the corrective action are Cathy Kierczynski, the food service director and Katy Xenakis-Makowski, Superintendent. The plan for monitoring adherence is the food service director and business manager will work together to assess where the fund balance is after all of the projects from the spend down plan are completed. Condition: This finding is caused by the District?s Food Service Fund?s fund balance being over the USDA?s threshold of 3 months average expenditures. The USDA requires that the ending balance of the non-profit school food service fund does not exceed three months? average of operating expenses [7 CFR Part 210.14(b)]. Corrective Steps Taken: At this time, the District has a spend down plan in place with the State of Michigan to help alleviate the excess fund balance down to a reasonable level. Anticipated Completion Date: At the end of the 2022-23 Fiscal Year. Monitoring: The plan for monitoring adherence is the food service director and superintendent will work together to assess where the fund balance is after all of the projects from the spend down plan are completed. Name of Responsible Person for Further Information: Cathy Kierczynski, Food Service Director and Katy Xenakis-Makowski, Superintendent. Questioned Costs Related to this Finding: None.
2022-006 Section 8 Project Based Cluster-PBRA/MOD Tenant Utility Allowances ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 tenant files for eligibility standards revealed the following: ? One recertification displayed a tenant utility allowance that did not match the value listed in...
2022-006 Section 8 Project Based Cluster-PBRA/MOD Tenant Utility Allowances ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 tenant files for eligibility standards revealed the following: ? One recertification displayed a tenant utility allowance that did not match the value listed in HUD Form-52667 effective for the period tested. Recommendation: The Commission should review the procedures taken by Section 8 Cluster employees to ensure that they correctly add utility allowance values from HUD Form-52667 to newly processed certifications. All Section 8 cluster employees should be trained on any changes made to these procedures. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? HRD will hire an internal trainer to address systemic errors, reinforce program rules and introduce new regulatory requirements. The trainer will meet with staff monthly to reinforce program requirements and provide individual coaching as needed. Moreover, HOC will continue to archive recorded trainings in a resource library so the materials are accessible to staff at all times ? The HOC Compliance Team will conduct quality control reviews of completed files. Staff from the Property Management Team will meet with the HOC Compliance Team following each review period to discuss systemic findings and schedule staff trainings in areas requiring improvement. ? HOC will procure a professional consulting company to provide a comprehensive refresher training on the HCV eligibility requirements Name(s) of the contact person(s) responsible for corrective action: Lynn Hayes, Director of Housing Resources/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30, 2023
2022-005 Section 8 Project Based Cluster-PBRA/MOD Housing Quality Standards ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 HCVP tenant files for annual inspection standards revealed the following: ? 22 files did not have an annual inspection completed during or subsequent to the fis...
2022-005 Section 8 Project Based Cluster-PBRA/MOD Housing Quality Standards ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 HCVP tenant files for annual inspection standards revealed the following: ? 22 files did not have an annual inspection completed during or subsequent to the fiscal year. ? 15 files did not have an annual inspection that was completed within the 12-month fiscal period. Recommendation: The Commission should implement processes to ensure that all proper documentation is being maintained for inspections of tenant residences. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? Property Management staff will be retrained on the unit inspection requirements to ensure that all inspections are documented and the that the completed executed signed inspection forms are scanned into the resident?s record in HOC?s Yardi system. ? Managers will review these actions and provide greater oversight to ensure that move-in and move-out inspections are performed for every unit upon lease signing and when residents vacate a unit. ? The Property Management and Maintenance Divisions will develop an annual inspection schedule ? The HOC Compliance Team will review inspections as part of the quality control review. Name(s) of the contact person(s) responsible for corrective action: Ellen Goff, Acting Director of Property Management/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30, 2023
2022-004 Section 8 Project Based Cluster-PBRA/MOD Eligibility ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 tenant files for eligibility standards revealed that 34 files had the following exceptions: ? Nine files missing documentation needed to support and recalculate total income ...
2022-004 Section 8 Project Based Cluster-PBRA/MOD Eligibility ? Assistance Listing No. 14.195 / 14.856 Context: Testing of 40 tenant files for eligibility standards revealed that 34 files had the following exceptions: ? Nine files missing documentation needed to support and recalculate total income per HUD-50059. ? Eight files that were missing support needed to substantiate the asset total per HUD-50059. ? Seven files that were missing support needed to substantiate the expense total per HUD-50059. ? 25 files missing documentation supporting that the tenant was selected from the waitlist in accordance with the Commission?s Administration Plan. ? 28 files did not have a certification checklist, or an alternative document, reflecting an HCVP Employee?s signoff on the application or file being completed to document an internal control. Recommendation: The Commission should implement processes to ensure that all proper documentation is being maintained during the recertification process for every tenant. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? HOC will procure a third party reviewing to complete a 100% audit of the Project Based Rental Assistance program across all properties. ? Property Management will implement new procedures to ensure that all resident documents are properly maintained. The updated procedures will require that all staff completing recertifications utilize a checklist to ensure that all required documents are obtained and that each document is scanned as attachments directly into HOC?s Yardi system. ? Managers will perform quality control reviews to ensure that procedures are followed and that documents are scanned into the system for all recertifications completed. ? The Regional Manager will review reports monthly to enable confirmation of scanned documents for proper file maintenance. ? The HOC Compliance Team will conduct quality control reviews of completed files. Staff from the Property Management Team will meet with the HOC Compliance Team following each review period to discuss systemic findings and schedule staff trainings in areas requiring improvement. ? The HOC Compliance Team will offer a refresher Housing Path Waitlist training to existing staff and perform monthly quality control reviews to ensure that procedures are followed. ? HOC will procure a professional consulting company to provide a comprehensive refresher training on the Project Based Rental Assistance eligibility requirements. Name(s) of the contact person(s) responsible for corrective action: Ellen Goff, Acting Director of Property Management/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30, 2023
2022-003 Housing Voucher Cluster-HCVP Housing Quality Standards and Enforcement ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for failed inspection standards revealed the following: ? Three files where abatement ought to have been implemented, but records could no...
2022-003 Housing Voucher Cluster-HCVP Housing Quality Standards and Enforcement ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for failed inspection standards revealed the following: ? Three files where abatement ought to have been implemented, but records could not be located. Context: Testing of 40 HCVP tenant files for annual inspection standards revealed the following: ? Three files where the inspection was not completed annually or within HUD?s granted extension for COVID 19. Recommendation: The Commission should implement processes to ensure that all proper documentation is being maintained for inspections of tenant residences. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? HOC procured Inspection Experts Inc. (?IEI?) on July 1, 2022, to conduct all initial, annual, special and quality control inspections ? HOC meets with IEI monthly to provide the report of annual inspections, and discuss progress and the alignment of expectations. ? HOC staff receives a report of units requiring abatement daily from IEI & immediately place the units in abatement. ? An HOC Senior Manager reviews the abatement report weekly to conduct quality control reviews of all records, ensuring that all units are placed in abatement ? The HOC Compliance Team will conduct quality control reviews of completed files. Staff from the Housing Resources Management Team will meet with the HOC Compliance Team following each review period to discuss systemic findings and schedule staff trainings in areas requiring improvement. Name(s) of the contact person(s) responsible for corrective action: Lynn Hayes, Director of Housing Resources/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30, 2023
2022-002 Housing Voucher Cluster-HCVP Rent Reasonableness Test ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for rent reasonableness standards revealed the following: ? One file that was missing the rent reasonableness comparison report to substantiate the contrac...
2022-002 Housing Voucher Cluster-HCVP Rent Reasonableness Test ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for rent reasonableness standards revealed the following: ? One file that was missing the rent reasonableness comparison report to substantiate the contract rent. ? One file that was missing the lease amendment letter effective for the sampled contract rent change. Recommendation: The Commission should implement processes to ensure that all proper documentation is being maintained during the rent approval process for every tenant. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? HOC will continue to work with the software developer to identify and resolve software glitches. ? The HOC Compliance Team will conduct quality control reviews of completed files. Staff from the Housing Resources Management Team will meet with the HOC Compliance Team following each review period to discuss systemic findings and schedule staff trainings in areas requiring improvement. ? HOC implemented Rent Cafe, Yardi?s software module to process electronic recertifications. The Lease Amendment Letter is automatically uploaded into Yardi when a customer completes the recertification online. Name(s) of the contact person(s) responsible for corrective action: Lynn Hayes, Director of Housing Resources/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30, 2023
2022-001 Housing Voucher Cluster-HCVP Eligibility ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for eligibility standards revealed the following: ? One file where the tenant received an allowance without proper verification or support. Recommendation: The Commissi...
2022-001 Housing Voucher Cluster-HCVP Eligibility ? Assistance Listing No. 14.871 / 14.879 Context: Testing of 40 HCVP tenant files for eligibility standards revealed the following: ? One file where the tenant received an allowance without proper verification or support. Recommendation: The Commission should implement processes to ensure that all proper documentation is being maintained during the recertification process for every tenant. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? The Housing Resources Division(HRD) will hire an internal trainer to address systemic errors, reinforce program rules and introduce new regulatory requirements. The trainer will meet with staff monthly to reinforce program requirements and provide individual coaching as needed. Moreover, HOC will continue to archive recorded trainings in a resource library so the materials are accessible to staff at all times ? The HOC Compliance Team will conduct quality control reviews of completed files. Staff from the Housing Resources Management Team will meet with the HOC Compliance Team following each review period to discuss systemic findings and schedule staff trainings in areas requiring improvement. ? HOC will procure a professional consulting company to provide a comprehensive refresher training on the Housing Choice Voucher (HCV) eligibility requirements. ? The Housing Resources Management Team will continue to meet with staff regularly to provide staff development trainings, including reiteration of the Quality Control Checklist, the HUD verification hierarchy and uploading all documents into AO Docs, HOCs electronic filing system. Name(s) of the contact person(s) responsible for corrective action: Lynn Hayes, Director of Housing Resources/Darcel Cox, Chief Compliance Officer Planned completion date for corrective action plan: June 30,, 2023
Asbury Theological Seminary respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Blue & Company, LLC; 250 West Main Street, Suite 2900; Lexington, Kentucky 40507. The finding from the schedule of findings ...
Asbury Theological Seminary respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Blue & Company, LLC; 250 West Main Street, Suite 2900; Lexington, Kentucky 40507. The finding from the schedule of findings and questioned costs for the year ended June 30, 2022 is discussed below. The finding is numbered consistently with the numbers assigned in the schedule. 2022-001 Finding: Asbury Theological Seminary (ATS) failed to collect entrance counseling on a student before Title IV funds were disbursed to the institutional student account. Summary: The Seminary did not have a control in place to ensure timely completion of the entrance counseling. Institution Response: ATS uses an import tool through ED Connect to identify students who have completed entrance counseling. When the import is received, the financial aid staff manually enters the information into the Student Information System (Nexus) for each individual student. The student record in Nexus is then checked prior to the first Title IV loan disbursement for the student. The Department of Education introduced a new counseling item, Financial Awareness Counseling. While available, this form was imported and treated in the same manner as the other counseling forms (entrance/exit). Financial Awareness Counseling was completed for the student noted in the exception. The staff member reviewing the record mistakenly released loans, confusing the Financial Awareness Counseling as entrance counseling. ATS agrees with the audit finding. With the Department of Education terminating Financial Awareness Counseling, this helps avoid confusing the two documents. To prevent disbursing future Title IV loan funds to student accounts without the proper entrance counseling on file, a new process has been implemented. The Associate Director of Financial Aid, Mariah Shumate, will now cross check each new disbursement record prior to requesting funds from the Department of Education. Estimated Completion Date: September 22, 2022; Responsible manager: Mariah Shumate, Associate Director of Financial Aid
Finding 2022-001: Accuracy of sliding fee scale application On a sliding fee scale application monthly income was entered by personnel as annual income. As a result, the application was inaccurate as to the applicant?s eligibility. Plan: Management has implemented follow up summary reports that ...
Finding 2022-001: Accuracy of sliding fee scale application On a sliding fee scale application monthly income was entered by personnel as annual income. As a result, the application was inaccurate as to the applicant?s eligibility. Plan: Management has implemented follow up summary reports that are reviewed for the reasonableness of an applicant?s annual income. Management continues to conduct audits of the application process where information is reviewed for accuracy and completeness. Management is reviewing the workflows of the application process as a new EHR system is being implemented. Management will be re-training the appropriate personnel as is required for the implementation. Expected Completion Date: May 1, 2023 (go-live date for new EHR) Contact: Jeffrey Dykens, CFO Duffy Health Center 94 MainStreet Hyannis, Ma. 02601 (508) 771-7517 X 102
Lakewood Public Schools respectfully submits the following corrective action plan for the year ended June 30, 2022. Auditor: Maner Costerisan 2425 E. Grand River Avenue, Suite 1 Lansing, MI 48912 Audit Period: Year ended June 30, 2022 District Contact Person: Pam Behling, Director of Finance The fin...
Lakewood Public Schools respectfully submits the following corrective action plan for the year ended June 30, 2022. Auditor: Maner Costerisan 2425 E. Grand River Avenue, Suite 1 Lansing, MI 48912 Audit Period: Year ended June 30, 2022 District Contact Person: Pam Behling, Director of Finance The finding from the June 30, 2022 schedule of findings and responses are discussed below. The findings are numbered consistently with the number assigned in the schedule. Finding - Federal Award Findings and Question Costs Finding 2022-001 Considered a significant deficiency Recommendation: The District should implement a budget, as well as the required corrective action plan, for the 2022-2023 school year that will adequately reduce the food service fund balance. Action to be taken: Management agrees with the finding and we are in the process of developing a plan to spend down the food service fund balance. Items being considered is improving outdated equipment and enhancing/expanding health food options. Date of Completion: The District?s spend down plan is anticipated to be completed by June 30, 2024. Kitchen equipment availability is severely limited due to national supply chain delays. The installation of this equipment is also limited based on times when school is not in session. These are the two primary factors why the District anticipates it will take multiple years in-order to complete its spend down plan.
2022-001 NSLDS Reporting Planned Corrective Action: All withdrawals will be updated in NSLDS at the time the withdrawal is processed, and notification is made to the appropriate offices by the registrar. This has not been the case, and it has resulted in withdrawn students being overlooked when pr...
2022-001 NSLDS Reporting Planned Corrective Action: All withdrawals will be updated in NSLDS at the time the withdrawal is processed, and notification is made to the appropriate offices by the registrar. This has not been the case, and it has resulted in withdrawn students being overlooked when preparing the enrollment spreadsheet for uploading into NSLDS. Including the NSLDS reporting as part of the withdrawal process will ensure that all withdrawn students are reported in a timely manner to NSLDS. At the beginning of each term, the registrar will ensure that all returning students are correctly reported to NSLDS. We have seen an increase in students who return, and a more deliberate effort to report these students will ensure that they students are correctly reported to NSLDS. In the near future, the registrar plans to partner with the National Clearinghouse for enrollment reporting. This partnership will involve the use of a report generated from CAMS for reporting rather than a spreadsheet that is manually updated by the registrar. Person Responsible for Corrective Action Plan: Tracey Spires- Registrar Anticipated Date of Completion: June 2023
Finding Number: 2022-001 Program Name/Assistance Listing Title: Indian School Equalization Assistance Listing Number: 15.042 Contact Person: Manuel Watchman, Director of Finance Anticipated Completion Date: June 30, 2023 Planned Corrective Action: The new Director of Human Resources has received tra...
Finding Number: 2022-001 Program Name/Assistance Listing Title: Indian School Equalization Assistance Listing Number: 15.042 Contact Person: Manuel Watchman, Director of Finance Anticipated Completion Date: June 30, 2023 Planned Corrective Action: The new Director of Human Resources has received training and completed the adjudication certification. Moving forward, all new employees will have their background checks completed in a reasonable and timely manner to ensure compliance with the Indian Child Protection and Family Violence Prevention Act.
FINANCIAL STATEMENT & FEDERAL AWARD FINDINGS 2022-001 Recommend continued evaluation and enhancements to limited segregation of duties over financial reporting Auditor?s recommendations: While the implementation of these additional procedures is of significant importance and an improvement, we woul...
FINANCIAL STATEMENT & FEDERAL AWARD FINDINGS 2022-001 Recommend continued evaluation and enhancements to limited segregation of duties over financial reporting Auditor?s recommendations: While the implementation of these additional procedures is of significant importance and an improvement, we would continue to recommend management evaluate additional enhancements and review of established policies and procedures to ensure risks are minimized as best possible (cost benefit) and to levels acceptable by the Board of Trustees. We would recommend management and the Board?s continued evaluation include, but not be limited to the following: ? Organizational and operational structure of the Foundation and the in relationship to the School. (Business Manager lack of segregation of duties). ? Evaluate more formalized budget and actual reporting directly from the computerized financial management system; limiting the use of decentralized creation of summaries and reports, which will allow for more streamlined reporting of activity. ? Recommend posting of payroll activity processed through the third-party payroll provider to the financial management system on a weekly basis, rather than monthly basis. We recommend further streamlining the documentation for each posting thereof into one source document. Additionally, we recommend payroll activity between the third-party payroll provider and the ledger be reconciled and reviewed on a routine basis. ? We recommend evaluation of check signing authority and adopted thresholds for dual signatures ($5,000). Based upon the current year audit, excluding the renovation project costs, the majority of the School?s non-salary expenditures are below the dual signature threshold. ? We recommend evaluation of use of debit card linked to School?s account. While utilized to a limited extent, management should evaluate risks/benefits (debit card direct access to account funds) against other methodologies (i.e., credit card). Management should evaluate with financial institution. ? We recommend procedures addressing reimbursement of expenditures to individuals for credit card purchases (require additional proof of actual payment (i.e., of statement) and be made only after the transaction/event has taken place and proof of attendance). ? We recommend management review adopted policies and procedures surrounding federal award programs and compliance thereto, be enhanced by additional review to OMB Uniform Guidance and the Compliance Supplement to further delineate procedures directly with OMB guidance and the applicable requirements associated with each federal award program the School receives annually. Based upon our conversation with the Business Manager during the current audit, the Board of Trustees is continuing the process of evaluating additional procedure enhancements, and assessments of overall financial operations, inclusive of those involving the Foundation. It is important that this continue as an annual process and be documented accordingly. Management should refer to the federal ?Green Book? and Internal control- Integrated Framework published by COSO in updating and assessments of established internal controls over financial reporting and compliance. Action Taken: The Global Learning Charter Public School Administration and Board of Trustees acknowledge that the limitations present with the segregation of financial duties are the direct result of the size of the school?s financial operation. We have worked diligently to create responsible oversight measures, and while the Board of Trustees remains confident in the increased oversight that was implemented in the previous fiscal year, we will continue to seek ways to enhance our procedures. To this end, GLCPS has already put into place many of the recommendations outlined in the finding including source document reports from Infinite Visions provided to the Board of Trustees, weekly payroll posting, and an enhanced process for reimbursement documentation. Moving forward, GLCPS will also be revising its policies and procedures guide for both federal awards and general operations to review areas where additional checks and balances can be implemented. The Global Learning Charter Public School Foundation will also be reviewing the composition of its Board of Directors with the goal of creating a clear separation in oversight between the School and Foundation.
Condition: Amounts reported for lost revenue were not in accordance with the terms and conditions of the Provider Relief Reporting Portal User Guide and Reporting and Auditing Questions. Planned Corrective Action: Management will incorporate procedures to review terms and conditions of gr...
Condition: Amounts reported for lost revenue were not in accordance with the terms and conditions of the Provider Relief Reporting Portal User Guide and Reporting and Auditing Questions. Planned Corrective Action: Management will incorporate procedures to review terms and conditions of grant awards to ensure the Hospital is in compliance. It is our intent to contact HRSA regarding the misreported lost revenue to see if a reissuance of the information in the reporting portal can be completed. Contact Person: Alicia Aldridge, CFO Anticipated Completion Date: February 28, 2023
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