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Corrective Action Plans

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Finding 26350 (2022-009)
Significant Deficiency 2022
Richmond County
NC
Eligibility
Finding 2022-009 Inadequate Request for Information Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on August 23, 2022. Electronic verifications and hierarchy of verifications was discussed with all ...
Finding 2022-009 Inadequate Request for Information Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on August 23, 2022. Electronic verifications and hierarchy of verifications was discussed with all Medicaid Staff. A follow up training will be scheduled for the first quarter of 2023. Agency will continue to complete second party reviews to monitor compliance with Medicaid policy. Agency will conduct quarterly trainings to address accuracy. Agency will send a monthly email reminder to address trending errors. Proposed Completion Date: By March 31, 2023 and ongoing
View Audit 25920
Finding 26349 (2022-008)
Significant Deficiency 2022
Richmond County
NC
Eligibility Reporting
Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on November 3, 2022. Policy MA-1000 and MA-1100 was discussed with all Adult Medicaid Workers. Jo...
Finding 2022-008 Untimely Review of SSI Termination Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training completed on November 3, 2022. Policy MA-1000 and MA-1100 was discussed with all Adult Medicaid Workers. Job aids and powerpoint from The Learning Gateway were reviewed and distributed to all Adult Medicaid workers. Proposed Completion Date: November 3, 2022 and ongoing
View Audit 25920
Finding 26348 (2022-007)
Significant Deficiency 2022
Richmond County
NC
Eligibility
Finding 2022-007 Inaccurate Resources Entry Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022 discussing manual MA-2230 and MA-3320 with all Medicaid staff. A documentation tem...
Finding 2022-007 Inaccurate Resources Entry Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022 discussing manual MA-2230 and MA-3320 with all Medicaid staff. A documentation template was created for applications and recerts to include a resource checklist reminder. Agency will continue to complete second party reviews to monitor compliance with Medicaid policy. Agency will conduct quarterly trainings to address accuracy. Agency will send a monthly email reminder to address trending errors. Proposed Completion Date: December 7, 2022 and ongoing
View Audit 25920
Finding 26347 (2022-006)
Significant Deficiency 2022
Richmond County
NC
Eligibility Internal Control / Segregation of Duties
Finding 2022-006 Inaccurate Information Entry Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022. A documentation template was created to remind workers of TWN and other informa...
Finding 2022-006 Inaccurate Information Entry Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022. A documentation template was created to remind workers of TWN and other informational resources available. Agency will continue to complete second party reviews to monitor compliance with Medicaid policy. Agency will conduct quarterly trainings to address accuracy. Agency will send a monthly email reminder to address trending errors. Proposed Completion Date: December 7, 2022 and ongoing
View Audit 25920
Finding 26346 (2022-005)
Significant Deficiency 2022
Richmond County
NC
Eligibility
Finding 2022-005 IV-D Cooperation with Child Support Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022. Will continue to complete second party reviews to monitor compliance with...
Finding 2022-005 IV-D Cooperation with Child Support Name of contact person: Theressa Smith, Deputy Social Services Director Corrective Action: Training was completed on December 7, 2022. Will continue to complete second party reviews to monitor compliance with Medicaid policy. Agency will conduct quarterly trainings to address IV-D child support cooperation. Agency will send a monthly email reminder to address trending errors. Proposed Completion Date: December 7, 2022 and ongoing
View Audit 25920
Finding 26345 (2022-004)
Significant Deficiency 2022
Richmond County
NC
Allowable Costs / Cost Principles Internal Control / Segregation of Duties Procurement, Suspension & Debarment
Finding: 2022-004 Name of contact person: Cary Garner, Finance Director Corrective Action: Upon further review, the county agrees that policies were not adopted in relation to the Coronavirus Funding. It was the opinion based on guidance from US Treasury th...
Finding: 2022-004 Name of contact person: Cary Garner, Finance Director Corrective Action: Upon further review, the county agrees that policies were not adopted in relation to the Coronavirus Funding. It was the opinion based on guidance from US Treasury that these would not be needed due to using the Revenue Replacement Category. These policies will be on the Board's April agenda for adoption. Proposed Completion Date: Next meeting of the Board of Commissioners, 04/04/23 and on-going as necessary
View Audit 25920
Lodi Board of Education
NJ
The District reviewed and revised it's procedures to ensure the food service funds does not exceed the average expenditure.
The District reviewed and revised it's procedures to ensure the food service funds does not exceed the average expenditure.
View Audit 24955
Finding 26337 (2022-002)
Significant Deficiency 2022
Lodi Board of Education
NJ
Internal control of ESEA and IDEA expenditure funds and federal grant program compliance were reviewed with appropriate staff.
Internal control of ESEA and IDEA expenditure funds and federal grant program compliance were reviewed with appropriate staff.
View Audit 24955
Leonia Board of Education
NJ
School Nutrition Programs
A plan will be developed by the District to eliminate the excess of net resources in the Food Service Fund.
A plan will be developed by the District to eliminate the excess of net resources in the Food Service Fund.
View Audit 24550
The Georgia Chapter of the American Academy of Pediatrics, Inc.
GA
Subrecipient Monitoring Cash Management Reporting
Corrective Plan Management should ensure CFDA numbers are included on all grants and file the report with the Federal Audit Clearinghouse in a timely manner.
Corrective Plan Management should ensure CFDA numbers are included on all grants and file the report with the Federal Audit Clearinghouse in a timely manner.
View Audit 23736
Finding 26331 (2022-001)
Significant Deficiency 2022
Oak Orchard Community Health Center, Inc.
NY
2022-001 - Health Centers Cluster Federal Agency ? U.S. Department of Health and Human Services Grant Period ? Year ended December 31, 2022 View of Responsible Official - Oak Orchard agrees that the existing sliding fee is complex and increases the error rate and will review for opportunities to si...
2022-001 - Health Centers Cluster Federal Agency ? U.S. Department of Health and Human Services Grant Period ? Year ended December 31, 2022 View of Responsible Official - Oak Orchard agrees that the existing sliding fee is complex and increases the error rate and will review for opportunities to simplify. The outsourced billing agency was provided the current policy and procedures on Oak Orchard?s sliding fee scale and has been re-trained on procedures. In August 2022, an individual was assigned to oversee the program and application process. This individual is following current policy and procedures. If there are any additional questions, please contact Emily Miller, CFO at 585.637.3905 or at eemiller@oochc.org.
View Audit 23640
Finding 26330 (2022-001)
Material Weakness 2022
Norton Healthcare, Inc. and Affiliates
KY
Allowable Costs / Cost Principles
Finding 2022-001 ? A. Activities Allowed or Unallowed, B. Allowable Costs/Cost Principles, L. Reporting Federal program information: Federal Program: 93.498 COVID-19 Provider Relief Fund (PRF) Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Adminis...
Finding 2022-001 ? A. Activities Allowed or Unallowed, B. Allowable Costs/Cost Principles, L. Reporting Federal program information: Federal Program: 93.498 COVID-19 Provider Relief Fund (PRF) Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Norton Healthcare, Inc. and Affiliates Locations: Various Award Numbers: Various Award Period: January 1, 2022 through December 31, 2022 Summary of finding: A material weakness in internal control over compliance was issued related to activities allowed or unallowed for the COVID-19 Provider Relief Fund program of Norton Healthcare, Inc. and Affiliates (the Corporation). While Management designed internal controls that required PRF expenditures to be reviewed by finance, the internal control was not implemented consistently and supporting documentation of the review process was not retained. Planned corrective action: Management will ensure that a comprehensive review, approval, and document retention process is implemented and applied consistently across all affected entities for any future PRF disbursements. Finance is responsible for this corrective action plan. It should be noted this repeat finding is a direct result of a newly acquired entity effective January 1, 2022. During the transition period, management has sought for consistent treatment for all affiliates. Anticipated completion date: December 31, 2023 Responsible contact person: Adam Kempf
View Audit 23639
Finding 26329 (2022-001)
Significant Deficiency 2022
Unleashing Potential
MO
Allowable Costs / Cost Principles Subrecipient Monitoring Cash Management
Finding 2022-001 Personnel Responsible for Corrective Action: President/CEO ? Darlene Sowell Anticipated Completion Date: November 1, 2023 Corrective Action Plan: The Organization has modified it?s internal control procedures to include a monthly review of actual hours incurred compared to the est...
Finding 2022-001 Personnel Responsible for Corrective Action: President/CEO ? Darlene Sowell Anticipated Completion Date: November 1, 2023 Corrective Action Plan: The Organization has modified it?s internal control procedures to include a monthly review of actual hours incurred compared to the estimated amounts by individuals assigned to federal grant projects prior to requesting reimbursement from the funding source. The review will be performed by an individual, other than the preparer of the reimbursement request, with knowledge of the federal grant program and will be formally documented.
View Audit 21561
Finding 26317 (2022-006)
Material Weakness 2022
Detroit Health Care for the Homeless Dba Advantage Health Centers
MI
Reporting
Advantage will adhere to written grant procedures to ensure adherence to applicable compliance requirements.
Advantage will adhere to written grant procedures to ensure adherence to applicable compliance requirements.
View Audit 19491
Finding 26316 (2022-005)
Significant Deficiency 2022
Detroit Health Care for the Homeless Dba Advantage Health Centers
MI
Cash Management
Due to administrative errors and staff turnover, the drawdowns were incorrectly performed. We will ensure that all the drawdowns support is reviewed and approved by the department head before any drawdowns are made.
Due to administrative errors and staff turnover, the drawdowns were incorrectly performed. We will ensure that all the drawdowns support is reviewed and approved by the department head before any drawdowns are made.
View Audit 19491
Finding 26315 (2022-004)
Significant Deficiency 2022
Detroit Health Care for the Homeless Dba Advantage Health Centers
MI
Reporting
Due to administrative issues, the Organization was unable to submit the reports in a timely manner. We will ensure that all the reports are timely submitted as per the grant requirements.
Due to administrative issues, the Organization was unable to submit the reports in a timely manner. We will ensure that all the reports are timely submitted as per the grant requirements.
View Audit 19491
Finding 26314 (2022-003)
Significant Deficiency 2022
Detroit Health Care for the Homeless Dba Advantage Health Centers
MI
The Organization will implement controls to ensure that the sliding fee is applied as per the schedule.
The Organization will implement controls to ensure that the sliding fee is applied as per the schedule.
View Audit 19491
Block Island Ecnmc Dev Fndtn Hsng CORP Dba E. Searles Ball Memorial
CT
CORRECTIVE ACTION PLAN July 31, 2023 Federal Audit Clearinghouse 1201 East 10th Street Jefferson, Indiana 47132 Block Island Economic Development Foundation Housing Corporation d/b/a E. Searles Ball Memorial Housing (the Project) respectfully submits the following Corrective Action Plan for the year...
CORRECTIVE ACTION PLAN July 31, 2023 Federal Audit Clearinghouse 1201 East 10th Street Jefferson, Indiana 47132 Block Island Economic Development Foundation Housing Corporation d/b/a E. Searles Ball Memorial Housing (the Project) respectfully submits the following Corrective Action Plan for the year ended December 31, 2022. Hoyt, Filippetti & Malaghan, LLC 1041 Poquonnock Road Groton, Connecticut 06340 Audit Period: Year ended December 31, 2022 The findings from the December 31, 2022 Schedule of Federal Findings and Questioned Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. 2022-001 RESERVE ACCOUNT FUNDING Grantor: U.S. Department of Agriculture Award Name: Rural Rental Housing Loans Award Year: 2021 Award Numbers: Various CFDA Number: 10.415 Criteria: The Project?s reserve account must be fully funded and maintained in a separate bank account. Condition: During our audit testing, we noted that while the Project maintained a separate bank account for reserves, it was not fully funded. Cause: Yearly budgeted transfers were not made to ensure the account is fully funded. Effect: Reserve bank account is underfunded. Questioned Costs: None noted. Recommendation: The Project should implement controls to ensure that the reserve bank account is fully funded. Management?s Views and Corrective Action Plan: Management will correct this when sufficient funds are able to be transferred into the reserve account If you have any questions regarding this plan, please contact Matthew Scibek at 860-398-5425, or matt@westfordmgt.com.
View Audit 22894
Tompkins Consolidated Area Transit, Inc.
NY
Procurement, Suspension & Debarment Equipment & Real Property Management
2022-001 The Organization will work with personnel to ensure that adequate supporting documentation is maintained for disbursements. Completion Date: September 30, 2023 Contact: Julie Ellis-Grove, Controller
2022-001 The Organization will work with personnel to ensure that adequate supporting documentation is maintained for disbursements. Completion Date: September 30, 2023 Contact: Julie Ellis-Grove, Controller
View Audit 22893
Finding 26300 (2022-002)
Significant Deficiency 2022
Annex Teen Clinic, Inc.
MN
Reporting Significant Deficiency Internal Control / Segregation of Duties
Finding 2022-002: Significant Deficiency - Separation of Duties Condition The origination and completion of single transactions should not be under the control of the same individual. Each transaction should pass through two or more individuals with the result that the work of one is under the rev...
Finding 2022-002: Significant Deficiency - Separation of Duties Condition The origination and completion of single transactions should not be under the control of the same individual. Each transaction should pass through two or more individuals with the result that the work of one is under the review of another. Corrective Action Plan Journal Entry transactions will be done by either Staff Account or GL Accountant at MACC and reviewed by Controller, all adjustments must be reviewed and approved by the controller. If ATC management request any adjustment controller must receive email with Brian Russ cc?d for approval. Names of Contact Persons Responsible for Corrective Action: Victoria Robinson, Brian Russ Anticipated Completion Date: October, 2023
View Audit 20929
Finding 26299 (2022-001)
Material Weakness 2022
Annex Teen Clinic, Inc.
MN
Material Weakness Reporting Internal Control / Segregation of Duties
Finding 2022-001: Material Weakness - Financial Reporting Condition There is a lack of controls over the year-end financial reporting process. During the course of the audit, material adjustments were made to the year-end financial statements and disclosures to ensure they met GAAP reporting requi...
Finding 2022-001: Material Weakness - Financial Reporting Condition There is a lack of controls over the year-end financial reporting process. During the course of the audit, material adjustments were made to the year-end financial statements and disclosures to ensure they met GAAP reporting requirements. It is important that management and the outsourced accounting team understand transactions recorded in the general ledger, timely reconciliation of accounts, review journal entries to ensure there is proper documentation to support the transaction and ensure that transactions are recorded in the correct year. Corrective Action Plan General Ledger Accountant will start reconciling account monthly to stay on track and follow up with discrepancies as timely as possible. ATC Management will review financials monthly and make sure expenses and revenue are on track for their programs and follow up with controller if any discrepancies are found so there are no big adjustments at yearend. Names of Contact Persons Responsible for Corrective Action: Victoria Robinson, Brian Russ Anticipated Completion Date: October, 2023
View Audit 20929
Finding 26298 (2022-002)
Significant Deficiency 2022
Timber Hills Housing of Alcorn County, INC
MS
Eligibility HUD Housing Programs Significant Deficiency
CORRECTIVE ACTION PLAN SEPTEMBER 30, 2022 U. S. Department of Housing and Urban Development Timber Hills Housing of Alcorn County, Inc. (the "Project") respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: Harper, Rains, Knight & Company, P.A. 1...
CORRECTIVE ACTION PLAN SEPTEMBER 30, 2022 U. S. Department of Housing and Urban Development Timber Hills Housing of Alcorn County, Inc. (the "Project") respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: Harper, Rains, Knight & Company, P.A. 1052 Highland Colony Parkway, Suite 100 Ridgeland, MS 39157 Audit Period: Year Ended September 30, 2022 Audit Finding Reference: 2022-002 Planned Corrective Action: Management will ensure that the Project has all required forms for each tenant. Name of Contact Person: If the U. S. Department of Housing and Urban Development for audit has questions regarding this plan, please call Scott Russell at 601-856-2362. Sincerely, Timber Hills Housing of Alcorn County, Inc.
View Audit 18247
Finding 26297 (2022-001)
Material Weakness 2022
Timber Hills Housing of Alcorn County, INC
MS
HUD Housing Programs Material Weakness
CORRECTIVE ACTION PLAN SEPTEMBER 30, 2022 U. S. Department of Housing and Urban Development Timber Hills Housing of Alcorn County, Inc. (the "Project") respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: Harper, Rains, Knight & Company, P.A. 1...
CORRECTIVE ACTION PLAN SEPTEMBER 30, 2022 U. S. Department of Housing and Urban Development Timber Hills Housing of Alcorn County, Inc. (the "Project") respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: Harper, Rains, Knight & Company, P.A. 1052 Highland Colony Parkway, Suite 100 Ridgeland, MS 39157 Audit Period: Year Ended September 30, 2022 Audit Finding Reference: 2022-001 Planned Corrective Action: Management will complete an updated housing assistance payment voucher and ensure that receivables are reconciled monthly to ensure that this is not duplicated in the future.
View Audit 18247
Finding 26292 (2022-002)
Significant Deficiency 2022
Housing Authority of the City of Muncie
IN
Questioned Costs HUD Housing Programs Significant Deficiency
Finding 2022-002 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly...
Finding 2022-002 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly) to ensure that staff members are following established procedures. Name of Responsible Person: Shannel Lampkins, HCV Manager Projected Completion Date: March 31, 2023
View Audit 23243 Questioned Costs: $1
Finding 26291 (2022-001)
Significant Deficiency 2022
Housing Authority of the City of Muncie
IN
HUD Housing Programs Reporting Significant Deficiency
Finding 2022-001 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly...
Finding 2022-001 Significant Deficiency in Internal Control over Financial Reporting; Significant Deficiency in Internal Control over Compliance Corrective Action Plan: HCV staff will be trained on established procedures. The HCV Manager will conduct quarterly file audits (selecting samples randomly) to ensure that staff members are following established procedures. Name of Responsible Person: Shannel Lampkins, HCV Manager Projected Completion Date: March 31, 2023
View Audit 23243
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