Corrective Action Plans

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Finding 2022-002 (50000) Program: Child Nutrition Cluster CFDA Number: 10.555, 10.553 Federal Agency: U.S. Department of Agriculture Pass-through: California Department of Education Award Year: 2021-2022 Compliance Requirement: Procurement, Suspension, and Debarment Type of Finding: Significa...
Finding 2022-002 (50000) Program: Child Nutrition Cluster CFDA Number: 10.555, 10.553 Federal Agency: U.S. Department of Agriculture Pass-through: California Department of Education Award Year: 2021-2022 Compliance Requirement: Procurement, Suspension, and Debarment Type of Finding: Significant Deficiency, Instance of Noncompliance Management?s or Department?s Response We concur. View of Responsible Officials and Corrective Action: Name of Responsible Person: Dr. John Pappalardo, Chief Financial Officer Correction Action Plan: We will perform revision of procurement procedures to incorporate the applicable requirements identified in sections 200.318 through 200.327 of the Uniform Guidance. Implementation Date: Fiscal Year 2022-2023
Finding 28417 (2022-002)
Significant Deficiency 2022
Action taken in response to finding: At this time, the City checks Sam.gov for the set-up of new vendors. The City also provides training to departments on an annual basis regarding new vendor set-up procedures, which includes the verification that a vendor is not suspended or debarred in accordance...
Action taken in response to finding: At this time, the City checks Sam.gov for the set-up of new vendors. The City also provides training to departments on an annual basis regarding new vendor set-up procedures, which includes the verification that a vendor is not suspended or debarred in accordance with the City's Purchasing Policies and Procedures. Name(s) of the contact person(s) responsible for corrective action: Erika Estrada, Purchasing Administrator. Planned completion date for corrective action plan: June 30, 2023.
Finding 28415 (2022-001)
Significant Deficiency 2022
Action taken in response to finding: The City will review its procedures to ensure that the Consolidated Annual Performance and Evaluation Report is completed no later than 90 days after the close of the program. Name(s) of the contact person(s) responsible for corrective action: Randy Mabson, CDBG...
Action taken in response to finding: The City will review its procedures to ensure that the Consolidated Annual Performance and Evaluation Report is completed no later than 90 days after the close of the program. Name(s) of the contact person(s) responsible for corrective action: Randy Mabson, CDBG Program Manager Planned completion date for corrective action plan: June 30, 2023
City of Warren, Michigan June 30, 2022 Corrective Action Plan Finding Number: 2022-001 Condition: The City did not perform a risk assessment of the subrecipient during the year, and did not maintain documentation of subrecipient monitoring, as evidence to support subrecipient monitoring performed. ...
City of Warren, Michigan June 30, 2022 Corrective Action Plan Finding Number: 2022-001 Condition: The City did not perform a risk assessment of the subrecipient during the year, and did not maintain documentation of subrecipient monitoring, as evidence to support subrecipient monitoring performed. Planned Corrective Action: The City agrees with the finding and will put procedures in place to ensure appropriate documentation is retained related to subrecipient monitoring and comply with the relevant internal policies. Contact person responsible for corrective action: Controller Anticipated Completion Date: 06/30/2023
2022-003 Federal Assistance Listing Number ? All State ID Number - All Recommendation: We recommend that the District continue to evaluate the financial, compliance, and reporting requirements specific to federal and state awards administered by the District. The District should incorporate identifi...
2022-003 Federal Assistance Listing Number ? All State ID Number - All Recommendation: We recommend that the District continue to evaluate the financial, compliance, and reporting requirements specific to federal and state awards administered by the District. The District should incorporate identified opportunities to improve segregation of duties in written policies and procedures. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The District recently realigned responsibilities within the administrative team which included the appointment of a Curriculum Director. The new alignment now allows for the Curriculum Director to provide proper oversight of Title funds, and the Pupil Services Director will provide oversight of IDEA funding. The Director of Finance will continue to collaborate with the respective directors as a fiscal contact for federal awards, but grant coordination will be delegated to the respective department heads. Name of the contact person responsible for corrective action: Deborah Kerr, District Superintendent Planned completion date for corrective action plan: On-going
Corrective Action The District will work to establish procedures to include the Davis-Bacon prevailing wage requirement clauses in construction contracts that use federal funding. The District will also work on establishing procedures to verify that these contractors and subcontractors submit certi...
Corrective Action The District will work to establish procedures to include the Davis-Bacon prevailing wage requirement clauses in construction contracts that use federal funding. The District will also work on establishing procedures to verify that these contractors and subcontractors submit certified payrolls prior to approval of the invoices from the contractors and subcontractors for payment. Person Responsible Barry Cain Anticipated Completion Date November 2022
Finding 28404 (2022-093)
Significant Deficiency 2022
Department: Administrative and Financial Services Title: Internal control over expenditure processing needs improvement Questioned Costs: Known: 59,759 Likely: Undeterminable Status: Corrective action complete Corrective Action: The Department will reverse the unallowable charge to the HSGP grant. ...
Department: Administrative and Financial Services Title: Internal control over expenditure processing needs improvement Questioned Costs: Known: 59,759 Likely: Undeterminable Status: Corrective action complete Corrective Action: The Department will reverse the unallowable charge to the HSGP grant. The Department will provide additional training for data entry and invoice approval processes. Completion Date: March 1, 2023 and March 31, 2023 respectively Agency Contact: Marilyn Leimbach, Director, Service and Employment Service Center, DFPS, DAFS, 207-248-2556
View Audit 32781 Questioned Costs: $1
Finding 28400 (2022-092)
Significant Deficiency 2022
Department: Defense, Veterans and Emergency Management Administrative and Financial Services Title: Internal control over the submission and review of DG ? PA Schedule of Expenditures of Federal Awards information needs improvement Questioned Costs: None Status: Corrective action in progress Correct...
Department: Defense, Veterans and Emergency Management Administrative and Financial Services Title: Internal control over the submission and review of DG ? PA Schedule of Expenditures of Federal Awards information needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Maine Emergency Management Agency (MEMA) will develop and implement a procedure for the review of the following sources to ensure the accuracy of the ALN: award documents, the OMB Compliance Supplement, and other authoritative resources. Where written resources do not clearly identify the ALN, MEMA will seek technical assistance from awarding agency staff, the Office of State Controller, and the Office of State Auditor. MEMA will develop and implement a procedure for the review of Assistance Listing Numbers (ALN) coding in the Advantage financial system. MEMA will develop and implement a procedure for the review of SEFA data before submission to the Office of State Controller. MEMA's procedures will provide for staff training. The training will be documented. MEMA's procedures will provide for the review and approval by a second staff person. The review and approval will be documented. The Office of the State Controller will update or clarify guidance as necessary and will consult with service center and agency financial personnel to help ensure their compilation/review systems are designed to provide accurate information for the SEFA. Completion Date: June 30, 2023 (first through fifth items), and September 1, 2023 (sixth item) Agency Contact: Joe Legee, Deputy Director, MEMA, 207-624-4400 Sandra Royce, Director of Financial Reporting, OSC, 207-626-8451
Finding 28399 (2022-091)
Material Weakness 2022
Department: Defense, Veterans and Emergency Management Title: Internal control over DG ? PA program special reporting needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department will develop an estimate of the number of FY23 subawards. The Depart...
Department: Defense, Veterans and Emergency Management Title: Internal control over DG ? PA program special reporting needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department will develop an estimate of the number of FY23 subawards. The Department will identify staff to input entries to FFATA. Completion Date: March 15, 2023 and October 31, 2023 respectively Agency Contact: Joe Legee, Deputy Director, MEMA, 207-624-4400
Finding 2022-002 Federal Agency Name: U.S. Department of Agriculture Program Name: Community Facilities Loans and Grants CFDA #10.766 Finding Summary: The Center does not have an internal control system designed to provide for review and approval of the quarterly form RD 442-2, Statem...
Finding 2022-002 Federal Agency Name: U.S. Department of Agriculture Program Name: Community Facilities Loans and Grants CFDA #10.766 Finding Summary: The Center does not have an internal control system designed to provide for review and approval of the quarterly form RD 442-2, Statement of Budget, Income, and Equity (OMB No. 0575-0015) reports submitted. Responsible Individuals: Will Grant, Interim Chief Financial Officer Corrective Action Plan: The center is in the process of revising internal controls to ensure the Center?s quarterly reporting is reviewed and approved prior to submission. Anticipated Completion Date: Ongoing
Finding 2022-001 Reporting ? Internal Control Finding 93.498 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution (the ?Provider Relief Fund?) Condition and Effect: Management populated the quarterly expense amounts used in the calculation of lost revenues based on its under...
Finding 2022-001 Reporting ? Internal Control Finding 93.498 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution (the ?Provider Relief Fund?) Condition and Effect: Management populated the quarterly expense amounts used in the calculation of lost revenues based on its understanding of the guidance in effect at the time of preparation. Management has updated their approach and will correct the expenses reported during the phase 4 reporting period and will check for updates to the Provider Relief Fund guidance to make necessary changes as appropriate. View of Responsible Officials and Planned Corrective Action: Management has updated their process to populate the HHS reporting portal to include an additional reconciliation of the lost revenue calculation. Management will correct the expenses reported in previous submissions during the phase 4 reporting period.
In returning to full district operations in the 2021-2022 school year, revenues significantly increased in response to district operations. While spending increased by more than 36%, revenues increased more than 90%. The significant increases to revenue can be correlated back to federal reimbursemen...
In returning to full district operations in the 2021-2022 school year, revenues significantly increased in response to district operations. While spending increased by more than 36%, revenues increased more than 90%. The significant increases to revenue can be correlated back to federal reimbursements for breakfast, lunch and snack. Pandemic reimbursement rates were used through 6/30/2022, resulting in an average increase of .55/lunch reimbursement. Coinciding with the return of in-person instruction, the district overall has seen a decrease in enrollment. The last full year we can compare is 2018-2019 where 715,000 lunches were served, in contrast, 2021-2022 had a total of 576,000 lunches served. In January of 2022, the district implemented an all staff mid year wage increase. Cafeteria wages were brought to $15/hour for all entry level positions, with additional increases on accelerated steps where appropriate. This had an overall impact of roughly 10% increase in spending in the area of payroll and benefits compared to the 2020-2021 school year. Given the current fiscal environment, the district will continue to see increases to operating costs. The 2022-23 milk bid alone came in 11.6% higher than the 2021-2022 school year. Along with an increase to operating costs and routine equipment replacements, additional planning has taken place for future spending. Initial steps in the re-design of serving line pieces at the high school have begun to take place for the next year. Plus to re-do the serving lines in grades 3-6 were put on hold during COVID. Those projects will begin to be resurrected within the 2022-2023 school year.
Finding 28393 (2022-090)
Material Weakness 2022
Department: Defense, Veterans and Emergency Management Title: Internal control over DG ? PA program cash management needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Maine Emergency Management Agency (MEMA) and the Security and Employment Service C...
Department: Defense, Veterans and Emergency Management Title: Internal control over DG ? PA program cash management needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Maine Emergency Management Agency (MEMA) and the Security and Employment Service Center (SESC) will work jointly to develop and implement a cash management procedure that meets the Federal and State requirements. MEMA and SESC will seek technical assistance as appropriate. Completion Date: June 30, 2023 Agency Contact: Joe Legee, Deputy Director, MEMA, 207-624-4400
Finding Number: 2022-01 Condition: The Corporation?s controls in place for reporting submissions did not identify that guidelines were not followed related to the reporting of expenses. Planned Corrective Action: Reviews of the PRF allowable expenditures and stats are reviewed by the Chief Financi...
Finding Number: 2022-01 Condition: The Corporation?s controls in place for reporting submissions did not identify that guidelines were not followed related to the reporting of expenses. Planned Corrective Action: Reviews of the PRF allowable expenditures and stats are reviewed by the Chief Financial Officer, as prepared by the Accounting Manager and Reimbursement Manager. The PRF portal Excel template is populated by the Reimbursement Manager and manually keyed into the portal. The Chief Financial Officer reviews the Excel template, tracing back to source documents, and reviews the portal print out for consistency given manual keying. The finding was due to a misunderstanding of the portal not wanting cumulative data from prior submissions with having prior period fields still open for input (like the stat reporting section). This was found by management with the final Phase 4 PRF submission where expenses were not allowed to be input due to reaching the total PRF funds, but expenses tracked never fully reached that level. Management made a request to HRSA to reopen Phase 3 reporting to correct the error and was told they would not reopen for correction (see attached file). Management has and will continue to follow up if a correction can be made; however, per discussion with the agent, they likely would not given PHC?s lost revenues more than cover the error in reporting. Management will continue to thoroughly review this and any other grant reporting submissions and ensure a full understanding of such requirements as well as check totals provided by the reporting mechanism. Related to the PRF grant compliance, final Phase 4 filing was completed and no further compliance or reporting needs remain in the future for PRF at this time. Contact person responsible for corrective action: Andy Gutierrez, Chief Financial Officer Anticipated Completion Date: 03/31/2023 coinciding with PHC?s final Phase 4 PRF submission
Response and Corrective Action Plan: The District will review current processes and realign duties and system access levels to improve internal controls within the design of the receipt system. Sherri Ruzek.
Response and Corrective Action Plan: The District will review current processes and realign duties and system access levels to improve internal controls within the design of the receipt system. Sherri Ruzek.
Response and Corrective Action Plan: The District will ensure charges to federal programs are properly documented by maintaining supporting documentation such as invoices or other source documents. Sherri Ruzek.
Response and Corrective Action Plan: The District will ensure charges to federal programs are properly documented by maintaining supporting documentation such as invoices or other source documents. Sherri Ruzek.
FMCS concurs with the finding. Part of the issue is related to staffing shortages, which increases the demands on the providers---resulting in staff burnout. We have already developed policies and procedures for locking notes as well as attempting to hire an auditor. In addition, we send out monthly...
FMCS concurs with the finding. Part of the issue is related to staffing shortages, which increases the demands on the providers---resulting in staff burnout. We have already developed policies and procedures for locking notes as well as attempting to hire an auditor. In addition, we send out monthly reminders to lock notes. We have refrained from taking punitive actions for fear that the provider will leave and that our patients will be impacted. We will increase the frequency of the reminders to bi-monthly and continue our efforts to recruit an auditor.
CORRECTIVE ACTION PLAN 7/7/2023 U.S Department of the Treasury ...
CORRECTIVE ACTION PLAN 7/7/2023 U.S Department of the Treasury The City of Columbia Heights respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Redpath and Company 55 5th Street E #1400 St. Paul, MN 55101 The findings from the December 31, 2022, schedule of findings and questioned costs are discussed below. FINDINGS_FINANCIAL STATEMENT AUDIT 2022-001 Financial Statement Corrections MATERIAL WEAKNESS Criteria: A material audit adjustment is considered to be a deficiency in internal control as defined by auditing standards. Condition: Audit procedures identified one material adjustment to the financial statements related to an overstatement of construction in progress and retainage payable in the Sewer Utility fund for approximately $84,000. Cause: The City's year-end closing processes did not identify the misstatement prior to the audit. We understand that staff turn-over within the finance department may have been a contributing factor. Effect: There is an increased risk that financial statement misstatements may occur and not be detected and corrected in a timely manner. Recommendation: We recommend the City continue efforts to assure that all adjustments are identified during the year-end closing process. Corrective Action Plan: The City concurs with the finding and the recommendation; and adds the following additional context: The initial error was a vendor payment misclassified as an expense rather than as a release of contract retainage. The internal control that will be improved to detect such misclassifications is a timely review of outstanding contract retainage payable, construction escrows, etc. The City notes that the related internal control to limit vendor payments to the total amount of the contract was carried out timely, effectively limiting the misclassification to a timing difference. FINDINGS-FEDERAL AWARD PROGRAMS AUDITS US Department of the Treasury 2022-002 Significant Deficiency in Internal Controls over Compliance and Noncompliance with Reporting Requirements; U.S. Department of Treasury; COVID-19 Coronavirus State and Local Fiscal Recovery Funds-Assistance Listing No. 27.027; Grant period-Year ended December 31, 2022 SIGNIFICANT DEFICIENCY Criteria: The major program requires the City of Columbia Heights, Minnesota to provide a Project and Expenditure Report on an annual basis, reporting on financial data, projects funded, expenditures, and other information. Condition: During our audit, we noted that the City did not have sufficient controls in place to ensure proper reporting of total expenditures incurred by project through December 31, 2022. Questioned Costs: $0 Context: One of the projects using ARPA funding (Manhole Replacement, Pipe Repairs; pipe upsizing on TH 65) was overstated by approximately $84,000 and the other project using ARPA funding (Structural lining of 4,000 lineal feet of water main) was understated by the same amount. Repeat Finding: No Cause: This reporting error was caused by the significant deficiency in financial reporting described in Finding 2022-001 above. Effect: The amounts reported by project were incorrect for the year ending December 31, 2022. Recommendation: Refer to the recommendation in Finding No. 2022-001 above. Additionally, we recommend that the City continue efforts to thoroughly review the ARPA reporting before submission. Corrective Action Plan: The City concurs with the finding and the recommendation. The City notes that the misclassification between water project costs and sewer project costs in the interim grant progress report referred to above will be corrected in the next interim grant progress report filed by the City. Refer also to the City's related response in 2022-001 above. If the Department of the Treasury has questions regarding this plan, please call Joseph Kloiber at 763-706-3627. Sincerely yours, Joseph Kloiber, Finance Director
Dr. Lucy Lang-Chappell Housing Complex respectfully submits the following Corrective Action Plan for the year ended June 30, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 20...
Dr. Lucy Lang-Chappell Housing Complex respectfully submits the following Corrective Action Plan for the year ended June 30, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 200 Indianapolis, Indiana 46256 Finding 2022-001 Corrective Action Planned ? Management will provide the auditors with all audit documentation in a matter timely enough to complete the audit fieldwork and file the audit in the REAC system within 90 days of year-end. Contact Person(s) Responsible ? Jim Beemster, Controller Anticipated Completion Date ? January 17, 2023 Auditee Disagreements ? Management maintains the request for documentation was not received with enough time to turn around the documents. This corrective action plan was prepared by Evergreen Real Estate Services, the management company, on behalf of Dr. Lucy Lang-Chappell Housing Complex. __________________________ _____________________ Jim Beemster, Controller Date Evergreen Real Estate Services 566 West Lake Street, Suite 400 Chicago, IL 60661 312-234-9400
Item 2022-001 ? Eligibility Contact person: Jeanne Garrett Management?s Response ? Management has provided an additional group training for County Coordinators, Assistants, and Contractors for determining eligibility criteria and calculating the awards for the LW-010-CONS grant on June 30, 2023. C...
Item 2022-001 ? Eligibility Contact person: Jeanne Garrett Management?s Response ? Management has provided an additional group training for County Coordinators, Assistants, and Contractors for determining eligibility criteria and calculating the awards for the LW-010-CONS grant on June 30, 2023. County Coordinators and Assistants will take more time and verify that the preset awards are correct prior to sending them to the central office for processing. Contractors will verify award accuracy when received from the counties and initial these awards. The Service Manager will also double check applications during the batching process.
View Audit 27754 Questioned Costs: $1
Item 2022-002 ? Reporting Contact person: Jeanne Garrett Management?s Response ? The SF-429 Real Property is filed annually on the Grant Solutions Website. The report was filed as a ?no change in property? status report without the attachments. Training provided by a fellow Fiscal Officer on Jul...
Item 2022-002 ? Reporting Contact person: Jeanne Garrett Management?s Response ? The SF-429 Real Property is filed annually on the Grant Solutions Website. The report was filed as a ?no change in property? status report without the attachments. Training provided by a fellow Fiscal Officer on July 31, 2023 showed Attachment A for each property with Federal Interest had to be attached to the report annually even with no changes. The Grants Solution help desk added the current years so the information can be properly released and manually added to the reports. The reports are electronically signed with the preset signature of the Fiscal Officer. The report will in the future be printed and signed by the Executive Director to ensure the report is filed timely and accurately.
Finding 28316 (2022-087)
Significant Deficiency 2022
Department: Health and Human Services Title: Internal control over the outsourced medical claims coding process needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department obtained and provided the RISSNET files to the vendor. The Department compl...
Department: Health and Human Services Title: Internal control over the outsourced medical claims coding process needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department obtained and provided the RISSNET files to the vendor. The Department completed the processing of RISSNET data in the MIHMS system with the vendor. The Department will validate the RISSNET data was processed correctly. The UAT team will validate all steps are complete to ensure compliance. Completion Date: September 30, 2022 (first and second items), June 15, 2023 (third item) and June 30, 2023 (fourth item) Agency Contact: Michelle Probert, Director, Office of MaineCare Services, DHHS, 207-287-2093
Finding 28315 (2022-086)
Significant Deficiency 2022
Department: Health and Human Services Title: Internal control over deceased client cases and claims analysis needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department will complete a review of claims identified by OSA and if that analysis sugges...
Department: Health and Human Services Title: Internal control over deceased client cases and claims analysis needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Department will complete a review of claims identified by OSA and if that analysis suggests that procedures need to be enhanced, the Department will do so. Completion Date: May 31, 2023 Agency Contact: Anthony Pelotte, Director, Office for Family Independence, DHHS, 207-624-4104
Finding 28314 (2022-085)
Significant Deficiency 2022
Department: Health and Human Services Title: Internal control over cost of care assessments needs improvement Questioned Costs: Undeterminable Status: Management?s opinion is that corrective action is not required Corrective Action: The Department agrees with the two exceptions found by the Office o...
Department: Health and Human Services Title: Internal control over cost of care assessments needs improvement Questioned Costs: Undeterminable Status: Management?s opinion is that corrective action is not required Corrective Action: The Department agrees with the two exceptions found by the Office of the State Auditor. However, we believe that the Department has reasonable assurance with the controls in place that results in a 97% compliance rate with the COC calculations, which is a 2% increase from last year. In the prior year's finding the Department committed to continuing to achieve a 95% compliance rate and CMS agreed with the Department and closed the prior finding. No corrective action is necessary as a result of an error rate of only 3%. The Department will continue to actively manage and monitor the Cost of Care system in compliance with federal regulations. Completion Date: N/A Agency Contact: Anthony Pelotte, Director, Office for Family Independence, DHHS, 207-624-4104
View Audit 32781 Questioned Costs: $1
Finding 28313 (2022-084)
Significant Deficiency 2022
Department: Health and Human Services Administrative and Financial Services Title: Internal control over Medicare Part B premium payments needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Office for Family Independence (OFI) will incorporate the CM...
Department: Health and Human Services Administrative and Financial Services Title: Internal control over Medicare Part B premium payments needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: The Office for Family Independence (OFI) will incorporate the CMS business change processes (ELMO portal) into the Buy-In Reconciliation standard operating procedures. OFI will implement technology improvements in support of reducing manual data entry and increased regulatory compliance. Completion Date: September 30, 2023 and June 1, 2024 respectively Agency Contact: Anthony Pelotte, Director, Office for Family Independence, DHHS, 207-624-4104
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