Corrective Action Plans

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Housing and Urban Development Colony Square Cooperative respectfully submits the following corrective action plan for the year ended October 31, 2022. Westberg Eischens, PLLP 2630 1 st Street South P.O. Box 362 Willmar, MN 56201 Audit Period: October 31, 2022 The findings from the October 31,...
Housing and Urban Development Colony Square Cooperative respectfully submits the following corrective action plan for the year ended October 31, 2022. Westberg Eischens, PLLP 2630 1 st Street South P.O. Box 362 Willmar, MN 56201 Audit Period: October 31, 2022 The findings from the October 31, 2022 schedule of findings and questioned costs and the summary schedule of prior audit findings are discussed below. The findings are numbered consistently with the numbers assigned in the schedules. Summary of audit results does not include findings and is not addressed. Finding 2022-001 Recommendation: We recommend that the Cooperative continue to segregate incompatible duties as best it can within the limits of what the Cooperative considers to be cost beneficial. Action Taken: The Cooperative reviews and makes improvements to its internal controls on an ongoing basis and attempts to maximize the segregation of duties in all areas within the limits of the staff available. Planned Completion Date: Not Applicable.
The School will utilize the grant reporting schedule to ensure that all reporting deadlines are met. VLS will also help ensure reporting requirements are understood upon signing the grant agreement. Responsible Party: Angela Carpenter, Controller (802) 831-1209 Estimated Completion Date: June 30, 2...
The School will utilize the grant reporting schedule to ensure that all reporting deadlines are met. VLS will also help ensure reporting requirements are understood upon signing the grant agreement. Responsible Party: Angela Carpenter, Controller (802) 831-1209 Estimated Completion Date: June 30, 2023
In Finding 2022-004, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021 contained incorrect data for contained incorrect data for expenses and charges. The expenses were overstated on Table 8A of the UDS report by approximately $682,000. The ch...
In Finding 2022-004, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021 contained incorrect data for contained incorrect data for expenses and charges. The expenses were overstated on Table 8A of the UDS report by approximately $682,000. The charges were understated on Table 9D of the UDS report by approximately $680,000. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2022-004, efforts will be made to ensure that that expenses and charges are reconciled from the financial reporting system to expenses on the UDS report. This will be implemented by the Chief Financial Officer by January 31, 2023.
In Finding 2022-003, a condition was noted in which the Organization was not in compliance with its Credit Card Disbursements Policy. The policy requires employees that use the company credit card to submit all related invoices and receipts in a timely manner. Management recognizes the importance ...
In Finding 2022-003, a condition was noted in which the Organization was not in compliance with its Credit Card Disbursements Policy. The policy requires employees that use the company credit card to submit all related invoices and receipts in a timely manner. Management recognizes the importance obtaining invoices or receipts to support several company credit card transactions as required by the Organization?s Credit Card Disbursements Policy. In response to Finding 2022-003, Policies will be established to ensure that controls within the Credit Card Disbursements Policy are implemented and consistently applied. This will be implemented by the Chief Financial Officer by January 31, 2023.
Steps have been taken to avoid filing of late expenditure reports with ISBE. See full Corrective Action Plan on the district letterhead.
Steps have been taken to avoid filing of late expenditure reports with ISBE. See full Corrective Action Plan on the district letterhead.
The ESSER III Grant was not approved by ISBE until 9-28-22, so the expenditure reports for the grant were not even available to be submitted until that date. As soon as they became available, the district submitted the expenditure report. This was only because the grant was not approved so expenditu...
The ESSER III Grant was not approved by ISBE until 9-28-22, so the expenditure reports for the grant were not even available to be submitted until that date. As soon as they became available, the district submitted the expenditure report. This was only because the grant was not approved so expenditure reports were not even available until it was approved. See full Corrective Action Plan on the district letterhead.
The district filed the report as soon as they became aware that it was not filed. The district set up reminders to repeat each month in the bookkeeper's calendar. See full Corrective Action Plan on the district letterhead.
The district filed the report as soon as they became aware that it was not filed. The district set up reminders to repeat each month in the bookkeeper's calendar. See full Corrective Action Plan on the district letterhead.
CORRECTIVE ACTON PLAN December 31, 2022 Finding No. 2022-001; Name of Responsible Official James Haislip, VP System Office Finance; Management?s Response to Findings - Management agrees with the finding. The issue results from BayCare tracking contract labor time in its timekeeping system and then...
CORRECTIVE ACTON PLAN December 31, 2022 Finding No. 2022-001; Name of Responsible Official James Haislip, VP System Office Finance; Management?s Response to Findings - Management agrees with the finding. The issue results from BayCare tracking contract labor time in its timekeeping system and then submitting the hours worked to the contract labor firms to pay the individual. BayCare?s timekeeping system also included hourly rates for each contracted position. Due to fluctuating market conditions, pay rates for contract labor were changing frequently but not updated timely in our timekeeping system. Allowable costs submitted for Provider Relief Funds were based on information from our timekeeping system. Description of Corrective Action - Allowable cost submitted for Provider Relief Funds were based on information from our timekeeping system. The finding was first identified in Reporting Period 2 (RP2) and communicated to management after RP3 was prepared. RP3 included PRF expenses through Q2 of 2022. RP4 included PRF expenses through Q4 2022. Management implemented the prior year Corrective Action Plan (CAP) and as a result the error rate on contract labor incurred in Q3 of 2022 decreased compared to prior year with minimal errors identified. There were no errors identified for Q4 2022. Anticipated Completion Date - CAP was completed in RP5.
View Audit 25335 Questioned Costs: $1
Finding 28715 (2022-003)
Significant Deficiency 2022
3. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation c. Finding 2022-002 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Allocation of Administration Expenses Condition: Administration expenses, relating to the Lead Mainten...
3. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation c. Finding 2022-002 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Allocation of Administration Expenses Condition: Administration expenses, relating to the Lead Maintenance Technician; Inspector and Director of Senior Housing were allocated to the Project, as frontline expenses, recorded to Office Salaries; Payroll Taxes; 401K Contributions and Group Insurance, during the 2022 calendar year. (1) Comments on the Finding and Each Recommendation. Management concurs with the finding and the auditor?s recommendation that Terra Quest, Inc., record Administration expense as part of the management fee for the Project. (2) Actions Taken on the Finding. Allocations have stopped.
Finding 28714 (2022-002)
Significant Deficiency 2022
2. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation b. Finding 2022-002 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Payroll Expense Condition: Payroll expense for the Resident Manager and Maintenance, was based on an es...
2. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation b. Finding 2022-002 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Payroll Expense Condition: Payroll expense for the Resident Manager and Maintenance, was based on an estimated percentage. There was no timesheets or time study prepared, during the 2022 calendar year. (1) Comments on the Finding and Each Recommendation. Management concurs with the finding and the auditor?s recommendation that Terra Quest, Inc., prepare timesheets or perform a time study, in order to properly report payroll expense for the Resident Manager and the Maintenance staff. (2) Actions Taken on the Finding. Moving to new system.
Finding 28713 (2022-001)
Significant Deficiency 2022
1. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation a. Finding 2022-001 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Tenant Files Condition: Move-ins: 1. In one (1) instance out of three (3) tenant files tested, the ins...
1. Current Findings on the Schedule of Finding, Questioned Cost and Recommendation a. Finding 2022-001 (14.181 ? Supportive Housing for Persons with Disabilities ? Section 811 Capital Advance) Tenant Files Condition: Move-ins: 1. In one (1) instance out of three (3) tenant files tested, the inspection form was not dated. 2. In two (2) instances out of three (3) tenant files tested, ?Verification of handicapped/disabled status? form was not maintained in the tenant?s file. 3. In one (1) instance out of three (3) tenant files tested, the Security Deposit Agreement was not maintained in the tenant?s file. Recertification: 1. In one (1) instance out of six (6) tenant files tested, the Quality Assurance Information form was not initialed by the tenant, indicating acceptance. 2. In one (1) instance out of six (6) tenant files tested, the Non-Smoking lease addendum was not signed by the tenant. 3. In six (6) instances out of six (6) tenant files tested, the Notification of rent increase resulting from recertification processing ? Section 811 PRAC?s form, was not maintained in the tenant file. 4. In two (2) instances out of six (6) tenant files tested, the tenant?s income was based on the net benefits as opposed to the gross benefits. 5. In one (1) instance out of six (6) tenant files tested, the HUD Form 50059 was not signed by the tenant. Move-outs: 1. The tenant file selected for testing could not be located. (1) Comments on the Finding and Each Recommendation. Management concurs with the finding and the auditor?s recommendation that Terra Quest, Inc. process applicants and tenants, including recertification of tenants in accordance with guidelines established by the Department of Housing and Urban Development prior to the tenant occupying the unit. (2) Actions Taken on the Finding. New manager hired and upgraded review process. All files corrected.
Finding 28712 (2022-001)
Significant Deficiency 2022
Finding 2022-001 Condition Out of the three executed subrecipient agreements selected for testing, none of them included the subaward information required by the Uniform Guidance. Corrective Action Plan Corrective Action Planned: Lake County acknowledges that subaward information required by t...
Finding 2022-001 Condition Out of the three executed subrecipient agreements selected for testing, none of them included the subaward information required by the Uniform Guidance. Corrective Action Plan Corrective Action Planned: Lake County acknowledges that subaward information required by the Uniform Guidance was not provided to subrecipients in a separate notice. The County had previously incorporated the information in various clauses of the contracts/agreements with each subrecipient. The County has since developed a single notification form with the required subaward information which it includes with the initial contract and upon any modifications or change orders. Name(s) of Contact Person(s) Responsible for Corrective Action: Melissa Gallagher, Deputy Finance Director Anticipated Completion Date: August 31, 2023
Finding 2022-004: Cash Disbursements (Significant Deficiency) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management is in the process of implementing Bill.com, which will require review and approval by a direct supervisor or higher, to...
Finding 2022-004: Cash Disbursements (Significant Deficiency) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management is in the process of implementing Bill.com, which will require review and approval by a direct supervisor or higher, to ensure proper segregation of duties for approval of expenditures. Management will also reinforce the importance of employees providing the appropriate invoices or supporting documentation for all expenditures submitted for payment. Expenditures will not be paid without the appropriate supporting documentation. All approvals will be tracked through an online system. In addition, management will reinforce the importance of reviewing the timing of when expenditures are incurred, to ensure they are recorded in the appropriate fiscal year. Anticipated completion date: November 2023
Finding 2022-003: Cash Management - Cash Requisitions (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Prior to any cost reimbursement invoices submitted, the invoices will be reviewed and approved by the State Manager or...
Finding 2022-003: Cash Management - Cash Requisitions (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Prior to any cost reimbursement invoices submitted, the invoices will be reviewed and approved by the State Manager or a Director of State Engagement to ensure amounts requested for reimbursement were incurred prior to the reimbursement request and are related to costs that were properly allocated to the federal program. Anticipated completion date: October 2023
Finding 2022-002: Allowable Costs/Cost Principles - Federally Approved Indirect Cost Rate (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management is in the process of amending contracts in place and will elect to util...
Finding 2022-002: Allowable Costs/Cost Principles - Federally Approved Indirect Cost Rate (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management is in the process of amending contracts in place and will elect to utilize the 10% de minimis indirect cost rate, or a lesser rate based upon the contract terms for future periods. In addition, management is amending indirect costs billed to current contracts to reduce the annual indirect costs charged to the contracts to ensure that the indirect costs do not exceed the 10% de minimis indirect cost rate on an annual basis. Anticipated completion date: December 2023
View Audit 29327 Questioned Costs: $1
Corrective Action Plan: Finding 2022-001: Allowable Costs/Cost Principles - Time and Effort Reporting (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management has implemented additional time tracking on a weekly basis ...
Corrective Action Plan: Finding 2022-001: Allowable Costs/Cost Principles - Time and Effort Reporting (Material Weakness) Name of Auditee?s Contact Person Responsible for Corrective Action: Gary Mendell Corrective Action Planned: Management has implemented additional time tracking on a weekly basis for all employees who work on federal contracts. Employees must track and allocate their time based on actual time spent. The timesheets are then reviewed and approved by the program director or a direct supervisor. Anticipated completion date: October 2023
View Audit 29327 Questioned Costs: $1
The District has a limited amount of resources although our employees have separate responsibilities as listed below: 1) Cash: We have three secretaries who initiate cash receipts. The SBO reconciles and posts any cash receipts. Disbursement transactions are created with a PO system, approved by th...
The District has a limited amount of resources although our employees have separate responsibilities as listed below: 1) Cash: We have three secretaries who initiate cash receipts. The SBO reconciles and posts any cash receipts. Disbursement transactions are created with a PO system, approved by the Supervisor, Principals, Superintendent or the Board of Education. 2) Investments: Any deposits into the ISJIT lunch accounts are recorded by the Secretaries into the student?s JMC account. Any transfers between accounts including savings, checking and ISJIT are initiated the SBO and approved by the Superintendent. 3) Receipts: Any deposits are prepared and reconciled to the deposit slip and accounting software by the secretaries before taken to the bank. Any State deposits made directly to the bank accounts are posted by the SBO. Once deposits are reconciled by the secretaries, the SBO reconciles the bank deposit to the bank statement and posts the transactions. 4) Capital Assets: Capital Assets are approved by the Board of Education initially, then purchased through the PO process and paid through the accounting software. Reconciling of Assets are reconciled the SBO. 5) Wire Transfers: Wire transfers are initiated by creating a payable check to a vendor, and then the Superintendent approves the wire transfer. 6) Computer Systems: The District utilizes one accounting system, Software Unlimited. This system controls all data input and output for the General Ledger, Payroll, Accounts Payable and Fixed Assets. 7) School lunch program: We have three secretaries receive payments, process and reconcile lunch receipts for the lunch program. These receipts are posted by the SBO. The lunch secretary prepares the State reimbursement for student lunches and the SBO posts the State payments. 8) Journal Entries: Journal entries are prepared and posted by the SBO. In the future, the Superintendent or one of Board members may approve for audit purposes.
CORRECTIVE ACTION PLAN U.S. Department of Health and Human Services St. Ann?s Home for the Aged respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Bonadio & Co., LLP 171 Sully's Trail Pittsford, N...
CORRECTIVE ACTION PLAN U.S. Department of Health and Human Services St. Ann?s Home for the Aged respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Bonadio & Co., LLP 171 Sully's Trail Pittsford, New York 14534 Audit period: January 1, 2022 - December 31, 2022 The findings from the 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Kevin Brown, CFO is responsible for implementing the corrective action plans noted below, which are anticipated to be complete by June 30, 2024. FINDINGS - MAJOR FEDERAL AWARDS PROGRAM MATERIAL WEAKNESS Finding 2022-002 Recommendation: We recommend that the Home maintain documentation that details they incurred enough lost revenue to continue to qualify for the full amount of the funding, even though reporting elements in the Period 4 indicated the funding was used to cover expenses. Action Taken: St. Ann?s will clearly reflect the purposes of funding on any further required reporting. All relevant records will be maintained to reflect lost revenue.
Funding Summary: The district needed to create, update, and/or implement procedures for Inventory & Procurement of Equipment purchased with federal funds. Responsible Individual: Teresa Taylor, Business Manager Corrective Action Plan: The district made every attempt to follow the federal requirement...
Funding Summary: The district needed to create, update, and/or implement procedures for Inventory & Procurement of Equipment purchased with federal funds. Responsible Individual: Teresa Taylor, Business Manager Corrective Action Plan: The district made every attempt to follow the federal requirements for 2 CFR 200.317-327 related to procurement, 2 CFR 200.3613 (d) related to Inventory tracking, while the actual written procedures were either created or updated as required and implemented. The Superintendent and/or Business Manager review all requisitions to ensure they meet federal compliance. Anticipated Completion Date: January 26th, 2023
Funding Summary: The district was missing Time & Effort documentation details, and documents were signed and dated before the work period end date. Responsible Individual: Teresa Taylor, Business Manager Corrective Action Plan: Per our audit requirement, the current forms we were using for the Semi-...
Funding Summary: The district was missing Time & Effort documentation details, and documents were signed and dated before the work period end date. Responsible Individual: Teresa Taylor, Business Manager Corrective Action Plan: Per our audit requirement, the current forms we were using for the Semi-Annual Certification and Time & Effort (PAR) have been updated to reflect the required information and proper signatures and date. In the past Time & Effort was not tracked for those paid a stipend for Mentoring, but as of this school year we are requiring that this time is tracked monthly as required per 2 CFR 200.430. Per the grant audit, we have retroactively completed forms for both FY21 & FY22. These records are filed with the respective grants. Anticipated Completion Date: January 20th, 2023
Re: Government Auditing Standards Findings - Year Ending June 30, 2022 - This construction project was posted o the Bid4Michigan site. The bid posting is very specific outlining the components each bidder must follow, including prevailing wages. Unfortunately, the prevailing wage requirement was no...
Re: Government Auditing Standards Findings - Year Ending June 30, 2022 - This construction project was posted o the Bid4Michigan site. The bid posting is very specific outlining the components each bidder must follow, including prevailing wages. Unfortunately, the prevailing wage requirement was not checked as a requirement for this particular job. Requirements normally specific to public school districts carries forward to the specifications issued by our architects, which did not happen this time. We will not miss this requirement in the future, as it is very standard. Completion date: immediate
View Audit 28808 Questioned Costs: $1
Finding 28700 (2022-002)
Significant Deficiency 2022
Rs Eden
MN
Finding 2022-002 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Award Number and Year: Period 4 TIN #411948604 CFDA #93.498 Finding Summary: The Organization?s calculation of...
Finding 2022-002 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Award Number and Year: Period 4 TIN #411948604 CFDA #93.498 Finding Summary: The Organization?s calculation of lost revenue claimed under the federal program as an allowable cost was not subjected to formal review or approval by a separate individual outside of the preparer. Responsible Individuals: Caroline Hood, President & CEO Paul Puerzer, Chief Financial Officer Corrective Action Plan: When summarizing lost revenue for submission, a secondary review of the summary spreadsheet prepared from the underlying supporting spreadsheets will be documented. Anticipated Completion Date: 12/31/23
Finding 28699 (2022-001)
Material Weakness 2022
Rs Eden
MN
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Award Number and Year: Period 4 TIN #411948604 CFDA #93.498 Finding Summary: The Organization erroneously repo...
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Award Number and Year: Period 4 TIN #411948604 CFDA #93.498 Finding Summary: The Organization erroneously reported $226,571 in expenses on the Period 4 Department of Health and Human Services special report. Responsible Individuals: Caroline Hood, President & CEO Paul Puerzer, Chief Financial Officer Corrective Action Plan: A policy will be developed outlining the controls to be followed for filing reports with Federal Agencies. This policy will reflect the procedures needed for proper internal controls to provide assurance that the Organization is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Anticipated Completion Date: 12/31/23
Finding 28690 (2022-004)
Significant Deficiency 2022
Rs Eden
MN
Finding 2022-004 Federal Agency Name: Department of Housing and Urban Development Program Name: Continuum of Care Program CFDA #14.267 Finding Summary: The Organization claimed a portion of expenses that benefited the period outside of the period of performance which was November 1, 2021 to Octob...
Finding 2022-004 Federal Agency Name: Department of Housing and Urban Development Program Name: Continuum of Care Program CFDA #14.267 Finding Summary: The Organization claimed a portion of expenses that benefited the period outside of the period of performance which was November 1, 2021 to October 31, 2023. During our testing, there was no documentation of review and approval of expenses for a portion of the sample selected. Responsible Individuals: Caroline Hood, President & CEO Paul Puerzer, Chief Financial Officer Jessica Johnson, VP of Assets & Operations Corrective Action Plan: Management will review the current active review process and implement a formal documentation of the review including the appropriate level of management sign off and date of review on the supporting documentation. Anticipated Completion Date: 12/31/2023
Finding 28689 (2022-003)
Significant Deficiency 2022
Rs Eden
MN
Finding 2022-003 Federal Agency Name: Department of Housing and Urban Development Program Name: Continuum of Care Program CFDA #14.267 Federal Agency name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution C...
Finding 2022-003 Federal Agency Name: Department of Housing and Urban Development Program Name: Continuum of Care Program CFDA #14.267 Federal Agency name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution CFDA #93.498 Federal Award Number and Year: Period 4 TIN #411948604 Finding Summary: The Organization does not have an internal control system designed to provide for a complete and accurate consolidated schedule of expenditures of federal awards being audited. Responsible Individuals: Caroline Hood, President & CEO Paul Puerzer, Chief Financial Officer Jessica Johnson, VP of Assets & Operations Corrective Action Plan: Management will continue to review the financial reporting requirements relating to the Organization?s Schedule and the internal controls that impact this reporting. Anticipated Completion Date: 9/30/2023
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