Corrective Action Plans

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Finding Reference Number: 2022-002 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 5, 2022
Finding Reference Number: 2022-002 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 5, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The replacement reserve deficiency was funded on July 21, 2022, in the amount of $7,121. Management ...
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The replacement reserve deficiency was funded on July 21, 2022, in the amount of $7,121. Management will ensure that the replacement reserve deposits are made on a timely basis in the future Completion Date: July 21, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, 20...
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 9, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to submit to HUD. Completion Date: August 9, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, 20...
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, 2022
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, ...
Finding Reference Number: 2022-001 Concur or Do Not Concur: Concur Agree or Disagree with Auditor Recommendations: Agree Actions Taken or Planned on the Finding: Management agrees with the finding. The excess funds were accrued to offset future Section 8 HAP requests. Completion Date: August 12, 2022
U.S. Department of Housing and Urban Development Program Name: Section 223(F) Mortgage Insurance for the Purchase or Refinancing of Exiting Multifamily Housing Projects Federal Assistance Listing Number: 14.155 Grant Number: 065-11078-PM Gabriel Manor Housing, Inc. (the ?Project?) respectfully subm...
U.S. Department of Housing and Urban Development Program Name: Section 223(F) Mortgage Insurance for the Purchase or Refinancing of Exiting Multifamily Housing Projects Federal Assistance Listing Number: 14.155 Grant Number: 065-11078-PM Gabriel Manor Housing, Inc. (the ?Project?) respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ishee & Jones, PC 3662 Dauphin St., Ste. E Mobile, AL 36608 Audit period: For the year ended September 30, 2022 Finding 2022-001: Other Findings Statement of Condition: The project has not filed their prior year annual single audit reporting package in the Federal Audit Clearinghouse website. Corrective Action: Management will ensure that they submit the project?s annual single audit reporting package in the Federal Audit Clearinghouse website. If the U.S. Department of Housing and Urban Development should have any questions or comments regarding this plan, please contact Craig Bounds at (228) 435-1642.
Finding 52111 (2022-001)
Material Weakness 2022
The City is aware of the lack of segregation of duties and will consider alternatives to improve this situation.
The City is aware of the lack of segregation of duties and will consider alternatives to improve this situation.
Finding 52110 (2022-001)
Significant Deficiency 2022
U.S. Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Carlow Manor, Inc. HUD Project No. 065-EE008-NP, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ish...
U.S. Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Carlow Manor, Inc. HUD Project No. 065-EE008-NP, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ishee & Jones, PC 3662 Dauphin St., Ste. E Mobile, AL 36608 Audit period: September 30, 2022 Finding 2022-001: Other Findings State of Condition The project has not filed their prior year annual single audit reporting package in the Federal Audit Clearinghouse website. Corrective Action: Management will ensure that they submit the project?s annual single audit reporting package in the Federal Audit Clearinghouse website. If the Department of Housing and Urban Development should have any questions or comments regarding this plan, please contact Craig Bounds at (228) 435-1642.
Finding 52104 (2022-002)
Significant Deficiency 2022
Corrective Action Plan February 1, 2023 Contact Person: Micki Gilfry, Dodge County Clerk clerk@dodgecountyne.gov 402-727-2767 FINDING 2022-001: Lack of Segregation of Duties With Dodge County departments being relatively small in employee numbers, it is extremely difficult or nea...
Corrective Action Plan February 1, 2023 Contact Person: Micki Gilfry, Dodge County Clerk clerk@dodgecountyne.gov 402-727-2767 FINDING 2022-001: Lack of Segregation of Duties With Dodge County departments being relatively small in employee numbers, it is extremely difficult or nearly impossible to provide appropriate segregation of duties within all departments, except for County Clerk and County Treasurer offices. Dodge County will continue to work on ideas to correct this situation or at least reduce the exposure. Reasonable completion date: May 31, 2023 Responsible Party: Micki Gilfry, Dodge County Clerk and Dodge County Finance Committee FINDING 2022-001: Grant costs not reconciled to detail general ledger The flooding of 2019 created destruction like none seen before, and Federal awards began flowing into the County before they had time to understand the requirements on how to adequately document these federal expenditures from non-federal expenditure. The County over the last couple of years has been working on ideas within its accounts payable system to add fields to track expenditures on a grant by grant basis to ensure there is appropriate tracking and monitoring of these federal expenditures in our accounting system going forward. This tracking and monitoring will assist in complying with the single audit procedures required for Federal awards. Reasonable completion date: May 31, 2023 Responsible Party: Micki Gilfry, Dodge County Clerk and Dodge County Finance Committee
Finding 52103 (2022-002)
Significant Deficiency 2022
U.S Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Caritas Manor, Inc. HUD Project No. 065-EE003-CA, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ish...
U.S Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Caritas Manor, Inc. HUD Project No. 065-EE003-CA, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ishee & Jones, PC 3662 Dauphin St., Ste. E Mobile, AL 36608 Audit period: September 30, 2022 Finding 2022-002: Special Tests and Provisions ? Residual Receipts Account State of Condition: The required residual receipts deposit was not made timely. Corrective Action: The project made the required residual receipts deposit on December 10, 2022. Management will ensure that the required residual receipts deposits are made timely. If the Department of Housing and Urban Development should have any questions or comments regarding this plan, please contact Craig Bounds at (228) 435-1642.
View Audit 43417 Questioned Costs: $1
Finding 52102 (2022-001)
Significant Deficiency 2022
U.S Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Caritas Manor, Inc. HUD Project No. 065-EE003-CA, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ish...
U.S Department of Housing and Urban Development - Supportive Housing for the Elderly, Federal Assistance Listing Number 14.157 Caritas Manor, Inc. HUD Project No. 065-EE003-CA, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ishee & Jones, PC 3662 Dauphin St., Ste. E Mobile, AL 36608 Audit period: September 30, 2022 Finding 2022-001: Other Finding State of Condition: The project has not filed their prior year annual single audit reporting package in the Federal Audit Clearinghouse website. Corrective Action: Management will ensure that they submit the project?s annual single audit reporting package in the Federal Audit Clearinghouse website. If the Department of Housing and Urban Development should have any questions or comments regarding this plan, please contact Craig Bounds at (228) 435-1642.
Finding 52100 (2022-002)
Significant Deficiency 2022
2022-002 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) - 93.323 Condition During testing, it was discovered that food and beverage expenditures were reimbursed under the program. Context Three sample items tested were for the purchase of food and beverages, and the known questio...
2022-002 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) - 93.323 Condition During testing, it was discovered that food and beverage expenditures were reimbursed under the program. Context Three sample items tested were for the purchase of food and beverages, and the known questioned costs are $88. Total estimated questioned costs are $176. Recommendation We recommend that the County review its procedures and implement controls to ensure that expenditure allowability is properly determined. Action Taken We take our responsibilities very seriously to ensure eligibility of costs charged to grants and we do have processes to ensure eligibility of claimed expenses. We have good communication with our granting agencies as we fulfill the grant responsibilities. For food and beverage costs we had corresponded with the granting agency on allowability of certain types of food or beverage and were informed of such items being eligible. Although we believed at the time that the $88 of food and beverage cited as a deficiency in the major program sample would therefore be eligible to charge to the grant, we agree now that our interpretation was in error, and we had not really obtained clarity on that specific matter. Based on discussions with our audit firm and further correspondence with the granting agency, as of the date of this notice, we will not be charging to the grant such food and beverage costs as were cited as a deficiency and we will exercise additional diligence when there might be differences of interpretation of the guidance.
Finding 52099 (2022-001)
Significant Deficiency 2022
2022-001 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) - 93.323 and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)- 10.557 Condition During testing, it was discovered that errors were made while allocating expenditures between grants. In addition, ...
2022-001 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) - 93.323 and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)- 10.557 Condition During testing, it was discovered that errors were made while allocating expenditures between grants. In addition, errors were made when summarizing mileage data that was then used in the allocation process. Context Payroll in the amount of $144 was improperly allocated amongst budget items within the WIC grant, and estimated total allocation errors are $4,995. Due to a data entry error during the allocation process, ELC payroll was understated in the amount of $13, and estimated total errors are $25. Actual mileage logs for December were less than the total calculated by 6 miles. Actual mileage logs for November were higher than the total calculated by 138 total miles. Actual mileage logs for October were higher than the total calculated by 114 total miles, and no logs were scanned for two vehicles for the month. Actual mileage logs for September were higher than the total calculated by 61 total miles. Actual mileage logs for July were higher than the allocation calculation by 114 total miles. Due to these errors, WIC expenses allocated according to these amounts were overstated by $2, and estimated total allocation errors are $57. An invoice that included the purchase of items for multiple grant programs did not allocate the shipping costs accordingly - the full $5 cost was charged to the ELC grant. The estimated total allocation errors are $9. Recommendation We recommend that the County review its procedures and implement controls to ensure that expenditures are properly calculated and booked. Action Taken Regarding the $5 shipping that was inadvertently all charged to the ELC grant on an invoice for which there were items that were for the ELC grant, but also other grants, we are reminding all accounting staff to be additionally diligent about the shipping allocations. We believe this was an isolated instance and because it was so small in dollar amount, it was not caught as we reviewed expenditures. Regarding Payroll errors, we do have an ongoing process employed each time period for employees to track their hours per grant program and for non-grant purposes, which has a robust review by supervisors before their hours are entered into the payroll system to produce that time period's paycheck. Grant managers and the department's accountant, in preparing monthly or quarterly financial reports for granting agencies, are also performing reasonableness reviews as well as spot checks of payroll charged to the various grants. In the case of the ELC grant sample in which ELC payroll was understated by $13, with an estimated total error of $25, our ongoing processes did not find this error since it was roughly one hour mischarged over the course of the year. For the WIC payroll sample errors of $144 which were mis-reported to the various categories within WIC, this again was of a small enough dollar amount and had an offsetting effect within the components of the WIC grant (net zero dollar impact), that it was not caught in our regular review work. Our WIC program manager performs a detailed internal audit four times per year, or one full month every quarter, of payroll charges to the WIC program, and submits that to the funding agency. We will continue efforts to be as accurate as possible in all clerical processes surrounding payroll charges, and we will remind employees and supervisors of the importance of the accuracy of the detail logs and of compiling the results of the time logs to be entered into the pay system. Regarding the mileage calculation errors that impacted the WIC grants, the dollar impact was estimated to be extremely low (from $2 to an estimated $57). The small dollar impact of the clerical errors led to our review processes not finding the error. Beginning in June of 2023, we have implemented a more robust use of Excel in calculating the total number of miles each month for each of our grant programs. In addition, we have created a new odometer tracking sheet that is kept in the vehicle and completed by any driver, and we believe that this new report will improve readability, simplify the process, and will remove any math component previously required of the drivers. We have also created a new fleet tracking sheet for mileage, which has an individual page for mileage tracking over time. Lastly, we are working on a process for all mileage logs and additional paperwork to be documented and scanned in the same way and in the same order, in order to ensure that all logs are properly included and documented. We believe this will ensure uniformity of including all departmental vehicle usage in a standardized way in charging allowable mileage to the various grants.
Finding 2022-003 ? Special Tests and Provisions ? Enrollment Reporting Previously, some withdrawals were delayed as the result of electronic forms stalling within the workflow process. The Office of Records and Registration has met with the consultants and revised the process so that Records and Re...
Finding 2022-003 ? Special Tests and Provisions ? Enrollment Reporting Previously, some withdrawals were delayed as the result of electronic forms stalling within the workflow process. The Office of Records and Registration has met with the consultants and revised the process so that Records and Registration and Financial Aid is alerted immediately when a Term Withdrawal is submitted. Withdrawals are processed within 24 hours of receipt. Faculty will be trained to ensure the timeliness of them reporting students who have not been attendance so the student?s status will be updated expeditiously so they will be reported correctly. The Office of Records and Registration is working with Academic Affairs to hire staff who will be responsible for Enrollment Reporting and NSLDS. We will also report monthly to the National Student Clearinghouse in an effort to capture any changes in students? enrollment status. Anticipated Date of Completion: Corrective action completed as of the date of this report. Contact: Marie McNear Director Records and Registration mmcnear@alasu.edu 334.229-4312 The Office of Financial Aid works closely with the Office of the Registrar to ensure that all withdrawn students from the University are reported to the Clearinghouse on a monthly basis. Once the students are withdrawn and the report is generated to the Clearinghouse, the Registrar?s Office will submit a copy of those monthly reports to the Office of Financial Aid. Anticipated Date of Completion: September 30, 2023 Contact: K. Michael Francois Associate Vice President for Student Affairs/Financial Aid kfrancois@alasu.edu 334.229.4826
Finding 2022-002 ? Internal Controls over Student Financial Aid The University has a new policy and procedure in place regarding Risk Assessment within the Financial Aid Office. The University has also hired seasoned financial aid administrators to oversee all its internal control procedures. Anti...
Finding 2022-002 ? Internal Controls over Student Financial Aid The University has a new policy and procedure in place regarding Risk Assessment within the Financial Aid Office. The University has also hired seasoned financial aid administrators to oversee all its internal control procedures. Anticipated Date of Completion: September 30, 2023 Contact: K. Michael Francois Associate Vice President for Student Affairs/Financial Aid kfrancois@alasu.edu 334.229.4826
Finding 2022-001 ? Special Tests and Provisions ? Individual Program Compliance ? Federal Work Study Programs The Office of Student Financial Aid has hired a Federal Work Study Coordinator. The responsibilities of the coordinator are as follows: ? Determine eligibility ? Award the student for the...
Finding 2022-001 ? Special Tests and Provisions ? Individual Program Compliance ? Federal Work Study Programs The Office of Student Financial Aid has hired a Federal Work Study Coordinator. The responsibilities of the coordinator are as follows: ? Determine eligibility ? Award the student for the year ? Ensure that the student has a federal work-study contract prior to starting work ? Student and supervisor must sign a work-study responsibility contract ? Student is assigned a work-study job placement ? Student enters their time into TimeClock Plus (TCP) ? Ensures the student time is correct by doing a monthly audit o Audit to ensure that the student doesn?t work more than 20 hours nor that the student works during the class schedule ? Submit information to payroll for processing Anticipated Date of Completion: Corrective action completed as of the date of this report. Contact: K. Michael Francois Associate Vice President for Student Affairs/Financial Aid kfrancois@alasu.edu 334.229.4826
Agree with the finding. Management will plan accordingly to allow submittal of all required reports by the deadline, regardless of final audit reports. All required reports have been submitted through MINC.
Agree with the finding. Management will plan accordingly to allow submittal of all required reports by the deadline, regardless of final audit reports. All required reports have been submitted through MINC.
Management agrees with the finding. Additional education has been budgeted in fiscal 2023 for the project manager. We have not been able to cross train another person due to the limited number of available staff.
Management agrees with the finding. Additional education has been budgeted in fiscal 2023 for the project manager. We have not been able to cross train another person due to the limited number of available staff.
CFO instituted a month end close process for revenue cycle to ensure that all patient encounters are completed and billed timely to the appropriate payor. Biller Coder was hired in Sept 2022. Since her hire all outstanding encounters were billed. Developing and instituting daily protocols for all...
CFO instituted a month end close process for revenue cycle to ensure that all patient encounters are completed and billed timely to the appropriate payor. Biller Coder was hired in Sept 2022. Since her hire all outstanding encounters were billed. Developing and instituting daily protocols for all aspects of the revenue cycle process. All staff involved in the process will be trained accordingly in regards to their responsibility in the process.
CFO instituted a month end close process for revenue cycle to ensure that all patient encounters are completed and billed timely to the appropriate payor. Biller Coder was hired in Sept 2022. Since her hire all outstanding encounters were billed. Developing and instituting daily protocols for all...
CFO instituted a month end close process for revenue cycle to ensure that all patient encounters are completed and billed timely to the appropriate payor. Biller Coder was hired in Sept 2022. Since her hire all outstanding encounters were billed. Developing and instituting daily protocols for all aspects of the revenue cycle process. All staff involved in the process will be trained accordingly in regards to their responsibility in the process.
Finding 2022-003 Suspension and Debarment Description of Finding The Town does not have a policy for which verification that an entity with which the Town plans to enter into a covered transaction is not debarred, suspended, or otherwise excluded. Statement of Concurrence or Nonconcurrence Manageme...
Finding 2022-003 Suspension and Debarment Description of Finding The Town does not have a policy for which verification that an entity with which the Town plans to enter into a covered transaction is not debarred, suspended, or otherwise excluded. Statement of Concurrence or Nonconcurrence Management agrees with this finding. Corrective Action: Corrective action will be taken to ensure the policy is updated and the correct procurement procedures are followed. Name of Contact Person: Edward B. St. John (475) 473-3352 Projected Completion Date: June 30, 2023
Finding 2022-002 Procurement Description of Finding The Town?s procurement standards do not include the essential elements as outlined in 2 CFR sections 200.318 through 200.326 and purchases were made that did not follow these requirements. Statement of Concurrence or Nonconcurrence Management a...
Finding 2022-002 Procurement Description of Finding The Town?s procurement standards do not include the essential elements as outlined in 2 CFR sections 200.318 through 200.326 and purchases were made that did not follow these requirements. Statement of Concurrence or Nonconcurrence Management agrees with this finding. Corrective Action: Corrective action will be taken to ensure the policy is updated and the correct procurement procedures are followed. Name of Contact Person: Edward B. St. John (475) 473-3352 Projected Completion Date: June 30, 2023
Finding 2022-003: Grant Program/ALN #: Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease/ALN # 93.918 Federal Agency/Pass-Through Entity: U.S. Department of Health and Human Services Federal Award ID#: 5H76HA00151-31-00; 6H76HA00151-31-01; 2H76HA00151-32-00; 6H76H...
Finding 2022-003: Grant Program/ALN #: Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease/ALN # 93.918 Federal Agency/Pass-Through Entity: U.S. Department of Health and Human Services Federal Award ID#: 5H76HA00151-31-00; 6H76HA00151-31-01; 2H76HA00151-32-00; 6H76HA00151-32-01 Name of Contract Person: Lito Landas, Controller, Paul Dereadt, VP Supply Chain Management Response: Valleywise Health management will develop and implement additional layer of review regarding vendor selection and pricing quote for supplies and services to ensure compliance with federal guidelines on expenditures. Proposed Completion Date: March 31, 2023
Finding 2022-002: Grant Program/ALN #: Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease/ALN # 93.918 Federal Agency/Pass-Through Entity: U.S. Department of Health and Human Services Federal Award ID#: 5H76HA00151-31-00; 6H76HA00151-31-01; 2H76HA00151-32-00; 6H76H...
Finding 2022-002: Grant Program/ALN #: Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease/ALN # 93.918 Federal Agency/Pass-Through Entity: U.S. Department of Health and Human Services Federal Award ID#: 5H76HA00151-31-00; 6H76HA00151-31-01; 2H76HA00151-32-00; 6H76HA00151-32-01 Name of Contract Person: Lito Landas, Controller Management Response: The Ryan White Part C program project period ended December 31, 2021 and a new project period started January 1, 2022 with the first federal financial report due in April 2023. Starting with the new program year, Valleywise Health management will develop and implement internal controls to ensure that program income is accurately calculated and reported in the federal financial report. Proposed Completion Date: March 31, 2023
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