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Corrective Action Plans

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Finding 59908 (2022-004)
Significant Deficiency 2022
Akron Community Service Center & Urban League, Inc.
OH
Reporting Internal Control / Segregation of Duties
While this is important to the segregation and performance of internal control duties, the Urban League currently does not have the depth in personnel. Currently the Urban League is planning to expand the Finance Department to include an additional position that will have this responsibility assign...
While this is important to the segregation and performance of internal control duties, the Urban League currently does not have the depth in personnel. Currently the Urban League is planning to expand the Finance Department to include an additional position that will have this responsibility assigned. In the meantime, the Urban League will identify other staff members to participate in this function. The Urban League is currently searching for a Director of Accounting who would have the initial responsibility of providing this service.
View Audit 55329
Finding 59907 (2022-003)
Significant Deficiency 2022
Akron Community Service Center & Urban League, Inc.
OH
Allowable Costs / Cost Principles Cash Management
Personnel Activity Reports are vital support documents for the billing process for all Federal grant dollars received. There were times when there was no review supervisor available for approval of the individual document. Since the Urban League has expanded staff to include a Quality Assurance an...
Personnel Activity Reports are vital support documents for the billing process for all Federal grant dollars received. There were times when there was no review supervisor available for approval of the individual document. Since the Urban League has expanded staff to include a Quality Assurance and Data Compliance position, this person will be added to the list of individuals who can approve this document for all programs. Additionally, Vice Presidents, program supervisors and the Quality Assurance and Data Compliance position will now have the authority to approve these forms should the review supervisor be unavailable.
View Audit 55329
Oakton Community College District Number 535
IL
Student Financial Aid Eligibility Internal Control / Segregation of Duties
2022-001 Incorrect Pell Disbursement - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2022 Condition Found: During ou...
2022-001 Incorrect Pell Disbursement - Student Financial Aid Cluster Assistance Listing Number 84.007, 84.033, 84.063, 84.268, Grant Period - Year Ended June 30, 2022 Condition Found: During our student file testing we noted one student out of forty had was not disbursed the correct Pell Grant award. Based on the student?s enrollment status and need, the College under awarded the student by $680. We consider this to be an instance of noncompliance relating to the Eligibility Compliance Requirement. Corrective Action Plan: In response to this finding, Oakton Community College had already updated the student's federal Pell grant award, disbursed the additional Pell to the student, and reported the subsequent adjustment to COD on May 4, 2022. The Financial Aid Manager also met with the financial aid advisors to share the finding. Responsible Person for Corrective Action Plan: Jamie Peterson, Manager of Student Financial Assistance Dr. Cheryl Warmann, Registrar/Director of Student Financial Support Implementation Date of Corrective Action Plan: May 4, 2022- Student Record Adjustment June 14, 2022 - Internal training with financial aid advisors
View Audit 55252
Rural Health Resources of Jackson County, Inc.
KS
Questioned Costs Cash Management Reporting
During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Finan...
During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Financial Officer Anticipated Completion Date: Change is in process and full adoption is anticipated by September 30, 2022 Corrective Action Plan: The Hospital is going to continue and improve its understanding of the guidance related to this type of reporting and work with their external advisors to ensure future portal submissions are compliant with said guidance.
View Audit 55266 Questioned Costs: $1
Finding 59904 (2022-001)
Material Weakness 2022
Rural Health Resources of Jackson County, Inc.
KS
Reporting Matching / Level of Effort / Earmarking
In determining whether the Hospital submitted to the United States Department of Agriculture (USDA) the RD 442-2, Statement of Budget, Income, and Equity, as well as the RD 442-3, Balance Sheet reports, as required under the Hospital?s Community Facilities loan with the USDA, it was noted that these...
In determining whether the Hospital submitted to the United States Department of Agriculture (USDA) the RD 442-2, Statement of Budget, Income, and Equity, as well as the RD 442-3, Balance Sheet reports, as required under the Hospital?s Community Facilities loan with the USDA, it was noted that these submissions did not occur during fiscal year 2022. Personnel Responsible for Corrective Action: Bart Kenton, Chief Financial Officer Anticipated Completion Date: Change is in process and full adoption is anticipated by July 20, 2022 Corrective Action Plan: The Hospital discussed the ongoing reporting requirements with their USDA representative and have begun compiling the information requested starting with Quarter 1 of Fiscal Year 2023.
View Audit 55266
Finding 59890 (2022-004)
Significant Deficiency 2022
Plainfield Community School Corporation
IN
Questioned Costs Allowable Costs / Cost Principles § 200.303 § 200.403
2022-004 Allowable Costs/Costs Principles Recommendation: We recommend the organization charge compensation for personnel services to the federal grant based on approved hours worked in the program. Explanation of disagreement with audit finding: There is no disagreement with the audit find...
2022-004 Allowable Costs/Costs Principles Recommendation: We recommend the organization charge compensation for personnel services to the federal grant based on approved hours worked in the program. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: Plainfield Community School Corporation will implement practices to ensure compensation for personnel services to the federal grant is based on approved hours worked in the program. Temporary employees will document hours worked by signing in and out each day worked. Name(s) of the contact person(s) responsible for corrective action: Elizabeth Shepperd Planned completion date for corrective action plan: April 2023
View Audit 55736 Questioned Costs: $1
Finding 59880 (2022-005)
Significant Deficiency 2022
Plainfield Community School Corporation
IN
Reporting School Nutrition Programs Significant Deficiency § 200.303
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria rel...
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria related to recordkeeping. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Plainfield Community School Corporation will implement a policy that mitigates the risk of noncompliance with the required recordkeeping for the Child Nutrition Cluster. Name(s) of the contact person(s) responsible for corrective action: Kelly Collins Planned completion date for corrective action plan: April 2023
View Audit 55736
Plan Homes, Inc. Dba Iris Place Apts. 112-Hd007
TX
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
CORRECTIVE ACTION PLAN Name and Number of the Project: Plan Homes, Inc No. 112-HD007 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2022 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regarding our non...
CORRECTIVE ACTION PLAN Name and Number of the Project: Plan Homes, Inc No. 112-HD007 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2022 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regarding our noncompliance as cited in the accompanying Schedule of Findings and Questioned Costs. ACTIONS TAKEN FINDING 1: Section 202 Capital Advance, CFDA 14:157 CORRECTIVE ACTION COMPLETED: On March 27, 2023 the Company deposited $1,414 into the security deposit account. Finding 2022-001 Cleared. We have prepared the corrective action plan as required by the standards applicable to financial statements contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principals, and Audit Requirements for Federal Awards. Any questions regarding the above corrective action plan should be directed to Ms. Connie Quillen, Vice President, Asset Living.
View Audit 55441 Questioned Costs: $1
Finding 59878 (2022-002)
Significant Deficiency 2022
Northbay Healthcare Corporation
CA
Eligibility Reporting Significant Deficiency
As required by OMB Uniform Guidance, we have provided below our response and corrective action plan addressing the findings in the ?Report on Federal Awards in Accordance with the OMB Uniform Guidance? for the year ended December 31, 2022. Management?s Views and Corrective Action Plan Finding 2022...
As required by OMB Uniform Guidance, we have provided below our response and corrective action plan addressing the findings in the ?Report on Federal Awards in Accordance with the OMB Uniform Guidance? for the year ended December 31, 2022. Management?s Views and Corrective Action Plan Finding 2022-002 ? Reporting ? Significant Deficiency in Internal Control Over Compliance NorthBay Healthcare Corporation and its Affiliates dba NorthBay Health agree with the finding and management has implemented a corrective action plan. Management has implemented a more precise review control over future federal award reporting submissions to ensure all reported expenditures comply with the terms and conditions of the federal award. Further, NorthBay Healthcare Corporation and its Affiliates dba NorthBay Health had sufficient unused lost revenues of approximately $114,915,000 and $133,021,000 from the Periods 3 and 4 Provider Relief Fund reporting to fully cover the Provider Relief Fund distributions for Periods 3 and 4, respectively. Date of Corrective Action: September 15, 2023 Party Responsible for Corrective Action: Theo Rallis, Assistant Vice President of Finance
View Audit 55328
St. Mary's Episcopal Retirement Homes, Inc. Canterbury Apts
CA
Reporting
Finding Reference Number: 2022-001 Statement of Condition: Required monthly deposits to the replacement reserve are over funded in the amount of $31,838. Status: Management agrees with the finding. The replacement reserve over funding was returned to the operating account on October 6, 2022 in the ...
Finding Reference Number: 2022-001 Statement of Condition: Required monthly deposits to the replacement reserve are over funded in the amount of $31,838. Status: Management agrees with the finding. The replacement reserve over funding was returned to the operating account on October 6, 2022 in the amount of $31,838.
View Audit 55979
Finding 59874 (2022-001)
Material Weakness 2022
Lana'i Community Health Center and Subsidiary
HI
Reporting Internal Control / Segregation of Duties Subrecipient Monitoring
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. ...
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. Corrective Action Plan: Management has converted internal accounting software to a more robust system that provides a platform to assist in tracking federal assistance listing numbers. t a process that will require a quarterly reconciliation of the Schedule of Expenditures of Federal Awards to underlying accounting records.
View Audit 55542
Finding 59857 (2022-001)
Material Weakness 2022
City of Fort Worth
TX
Subrecipient Monitoring Special Tests & Provisions Matching / Level of Effort / Earmarking § 200.303 § 200.326
Concur: Departments are responsible for the operational compliance of their grant awards. The Aviation Department is in the process of reclassifying a position to a contract compliance specialist which will help ensure future compliance. Financial Management Services (FMS) will establish a process t...
Concur: Departments are responsible for the operational compliance of their grant awards. The Aviation Department is in the process of reclassifying a position to a contract compliance specialist which will help ensure future compliance. Financial Management Services (FMS) will establish a process to assist departments in meeting compliance requirements. A contract review checklist will be implemented by FMS to assist with the identification of all compliance requirements for each award. FMS currently holds grant kickoff meetings with departments, and additional focus on contract compliance will be emphasized at that time. Departments will be required to provide FMS additional compliance documentation. FMS will review the documentation for reasonableness and load the records to the PeopleSoft Project Definition page as evidence of timely compliance. As an additional measure, system reminders will be emailed to departments and FMS providing notification of upcoming deadlines. FMS will continue to provide training for grant management personnel to reinforce key concepts of grant compliance. This action plan will be completed by September 30, 2023. Contact Person: Reginald Zeno, Chief Financial Officer, FMS 817-392-8517 Contact Person: Tony Rousseau, Assistant Finance Director, FMS 817-392-8338
View Audit 55529
Finding 59856 (2022-020)
Material Weakness 2022
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles
Program: AL 21.027 ? COVID-19 ? Coronavirus State and Local Fiscal Recovery Funds ? Allowability Corrective Action Plan: No corrective action plan is necessary Contact: Robin Spindler Anticipated Completion Date:
Program: AL 21.027 ? COVID-19 ? Coronavirus State and Local Fiscal Recovery Funds ? Allowability Corrective Action Plan: No corrective action plan is necessary Contact: Robin Spindler Anticipated Completion Date:
View Audit 55212 Questioned Costs: $1
Finding 59855 (2022-055)
Material Weakness 2022
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring § 200.1 § 200.201 § 200.332 § 200.333 § 200.414
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Subrecipient Monitoring Corrective Action Plan: N/A Contact: Major General Daryl Bohac Anticipated Completion Date: N/A
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Subrecipient Monitoring Corrective Action Plan: N/A Contact: Major General Daryl Bohac Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Eligibility § 200.303
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Allowability & Eligibility Corrective Action Plan: Coaching has been provided to the appropriate review staff. Contact: Major General Bohac Anticipated Completion Date: Completed
Program: AL 21.026 ? COVID-19 Homeowner Assistance Fund ? Allowability & Eligibility Corrective Action Plan: Coaching has been provided to the appropriate review staff. Contact: Major General Bohac Anticipated Completion Date: Completed
View Audit 55212 Questioned Costs: $1
State of Nebraska
NE
Allowable Costs / Cost Principles Internal Control / Segregation of Duties Reporting § 200.302
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
View Audit 55212
State of Nebraska
NE
Questioned Costs Allowable Costs / Cost Principles Subrecipient Monitoring § 200.303 § 200.403 § 200.516
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Finding 59851 (2022-051)
Material Weakness 2022
State of Nebraska
NE
Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles § 200.317 § 200.327 § 200.403 § 200.404 § 200.459
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Earmarking Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Earmarking Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Finding 59850 (2022-058)
Significant Deficiency 2022
State of Nebraska
NE
Subrecipient Monitoring Reporting Allowable Costs / Cost Principles § 200.302
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khali...
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khalil Jaber Anticipated Completion Date: June 2023
View Audit 55212
Finding 59849 (2022-057)
Material Weakness 2022
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.332 § 200.403 § 200.405 § 200.430
Program: AL 20.509 ? Formula Grants for Rural Areas ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Controller Division, Audit Section, will provide support through continued engagement and work collaboratively as an additional resource to the NDOT Transit staff and transit rec...
Program: AL 20.509 ? Formula Grants for Rural Areas ? Allowability & Subrecipient Monitoring Corrective Action Plan: The Controller Division, Audit Section, will provide support through continued engagement and work collaboratively as an additional resource to the NDOT Transit staff and transit recipients. NDOT Transit staff in collaboration with the Controller Division will be improving the standard operating Procedures which will be utilized for the in-depth review of monthly invoices moving forward. Contact: Khalil Jaber Anticipated Completion Date: Ongoing
View Audit 55212 Questioned Costs: $1
State of Nebraska
NE
Questioned Costs Subrecipient Monitoring § 200.1 § 200.332
Program: AL 20.205 ? Highway Planning & Construction ? Subrecipient Monitoring Corrective Action Plan: NDOT will review all current active subaward agreements and verify federal subaward identification information is included. If information was not previously included in the original agreement or ...
Program: AL 20.205 ? Highway Planning & Construction ? Subrecipient Monitoring Corrective Action Plan: NDOT will review all current active subaward agreements and verify federal subaward identification information is included. If information was not previously included in the original agreement or a supplement agreement, NDOT will provide a supplemental award notice to notify the subrecipient of the subaward identification information as required by 2 CFR ? 200.332. Contact: Khalil Jaber Anticipated Completion Date: September 2023
View Audit 55212 Questioned Costs: $1
State of Nebraska
NE
Special Tests & Provisions Reporting Matching / Level of Effort / Earmarking § 200.303
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
View Audit 55212
State of Nebraska
NE
Reporting Special Tests & Provisions Allowable Costs / Cost Principles § 200.514
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
View Audit 55212
Finding 59844 (2022-046)
Material Weakness 2022
State of Nebraska
NE
Questioned Costs Eligibility
Program: AL 17.225 ? COVID-19 ? Unemployment Insurance ? Federal; AL 17.225 ? Unemployment Insurance ? State ? Allowability & Eligibility Corrective Action Plan: NDOL will work to ensure that investigations are appropriately set and timely resolved. Contact: Andi Bridgmon, UI Director Anticipated...
Program: AL 17.225 ? COVID-19 ? Unemployment Insurance ? Federal; AL 17.225 ? Unemployment Insurance ? State ? Allowability & Eligibility Corrective Action Plan: NDOL will work to ensure that investigations are appropriately set and timely resolved. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: June 30, 2023
View Audit 55212 Questioned Costs: $1
Finding 59840 (2022-045)
Significant Deficiency 2022
State of Nebraska
NE
Questioned Costs Internal Control / Segregation of Duties Special Tests & Provisions
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in the findings has been opened. In addition, during monthly one on one meetings with staff, the administrator will review cases to determine if the appropriate steps are being taken and narrated in the case file. Contact: Anne Harvey Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
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