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Corrective Action Plans

Browse how organizations respond to audit findings

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Finding 574453 (2024-004)
Material Weakness 2024
Clarion Goldfield Dows Csd
IA
SEE RESPONSES AND CORRECTIVE ACTION PLAN AT 2024-001
SEE RESPONSES AND CORRECTIVE ACTION PLAN AT 2024-001
View Audit 364786
Finding 574452 (2024-002)
Significant Deficiency 2024
Indiana University Health, Inc. and Subsidiaries
IN
Subrecipient Monitoring Allowable Costs / Cost Principles Cash Management
Finding 2024-02 Reporting (ALN 10.557) Indiana University Health analyzed the miscalculation to determine if the failed control resulted in a material misstatement as well as similar transactions to determine if the miscalculation was isolated. The risk was determined to be isolated to new employees...
Finding 2024-02 Reporting (ALN 10.557) Indiana University Health analyzed the miscalculation to determine if the failed control resulted in a material misstatement as well as similar transactions to determine if the miscalculation was isolated. The risk was determined to be isolated to new employees to the program who were transferred internally. A correction was made to the April 2025 claim to adjust for the amount overclaimed. Indiana University Health strengthened claim review controls to ensure such changes go through additional review before claim submission. Contact Person(s) Responsible for Corrective Action: Christine Smith Completion Date: July 31, 2025
View Audit 364785
Indiana University Health, Inc. and Subsidiaries
IN
Subrecipient Monitoring Eligibility Reporting
Finding 2024-01 Scope Limitation – Eligibility (ALN 10.557) Indiana University Health utilizes a paperless system in accordance with U.S. Department of Agriculture and State of Indiana guidelines. As such, no corrective action will be taken. Contact Person(s) Responsible for Corrective Action: Chri...
Finding 2024-01 Scope Limitation – Eligibility (ALN 10.557) Indiana University Health utilizes a paperless system in accordance with U.S. Department of Agriculture and State of Indiana guidelines. As such, no corrective action will be taken. Contact Person(s) Responsible for Corrective Action: Christine Smith Anticipated Completion Date: N/A
View Audit 364785
Finding 574447 (2024-002)
Significant Deficiency 2024
Shawano County Housing Authority
WI
Reporting
The Authority is aware that its staff does not have training to prepare the general ledger, more complex accrual adjustments and to prepare financial statements and related notes in accordance with generally accepted accounting principles. The Authority will rely on the assistance of the fee accoun...
The Authority is aware that its staff does not have training to prepare the general ledger, more complex accrual adjustments and to prepare financial statements and related notes in accordance with generally accepted accounting principles. The Authority will rely on the assistance of the fee accountants and auditors for preparation of these transactions, ledgers, financial statements and related notes.
View Audit 364779
Finding 574443 (2024-001)
Significant Deficiency 2024
Shawano County Housing Authority
WI
Internal Control / Segregation of Duties
The Authority is aware of the lack of segregation of duties caused by the limited size of its staff. Segregation of duties is enhanced whenever possible and the Board of Comissioners assumes an active roll through monthly review of receipt and disbursement transactions and monthly financial stateme...
The Authority is aware of the lack of segregation of duties caused by the limited size of its staff. Segregation of duties is enhanced whenever possible and the Board of Comissioners assumes an active roll through monthly review of receipt and disbursement transactions and monthly financial statements.
View Audit 364779
Finding 574442 (2024-001)
Significant Deficiency 2024
Iroquois Center for Human Development, Inc.
KS
Matching / Level of Effort / Earmarking
Management agrees with the finding and recommendation.
Management agrees with the finding and recommendation.
View Audit 364778
Finding 574438 (2024-002)
Material Weakness 2024
Central Columbia School District
PA
Cash Management Reporting School Nutrition Programs
Contact Person: Steven Dolak, Business Administrator. Recommendation: The District should revise procedures to ensure the data entered into the claim for reimbursement is reviewed for accuracy prior to the report being submitted. Evidence of the approval of submission should be documented in writi...
Contact Person: Steven Dolak, Business Administrator. Recommendation: The District should revise procedures to ensure the data entered into the claim for reimbursement is reviewed for accuracy prior to the report being submitted. Evidence of the approval of submission should be documented in writing, such as with an initial, to demonstrate the review of the information has been performed. Action: The Business Administrator will prepare the reports for submission. Prior to submitting the report through the reimbursement system, a second individual will review the information entered. Upon satisfactory completion of the review, the second individual will acknowledge review by initialing and dating the document(s). Date of Completion: This procedure will be implemented at the beginnign of the 2025-26 school year.
View Audit 364777
Finding 574428 (2024-003)
Material Weakness 2024
Family & Childcare Resources of Northeast Wisconsin, Inc.
WI
Reporting
The Organization is able to manage the daily compliance requirements for all grants but due to the benefit/cost relationship, the Organization relies upon the auditor for assistance with preparing the schedule.
The Organization is able to manage the daily compliance requirements for all grants but due to the benefit/cost relationship, the Organization relies upon the auditor for assistance with preparing the schedule.
View Audit 364769
Finding 574418 (2024-002)
Material Weakness 2024
Family & Childcare Resources of Northeast Wisconsin, Inc.
WI
Reporting
This finding will not be completely resolved given the cost/benefit basis the Organization continues to make.
This finding will not be completely resolved given the cost/benefit basis the Organization continues to make.
View Audit 364769
Finding 574408 (2024-001)
Material Weakness 2024
Family & Childcare Resources of Northeast Wisconsin, Inc.
WI
Internal Control / Segregation of Duties
This finding will not be completely resolved given the limited amount of financial staff and limited financial resources of the Organization. The Organization will rely on Board oversight and review of the financial records.
This finding will not be completely resolved given the limited amount of financial staff and limited financial resources of the Organization. The Organization will rely on Board oversight and review of the financial records.
View Audit 364769
Finding 574383 (2024-002)
Significant Deficiency 2024
Childcaring, Inc.
WI
Internal Control / Segregation of Duties
This finding will not completely resolve itself given the cost/benefits basis the Organization continues to base this decision on.
This finding will not completely resolve itself given the cost/benefits basis the Organization continues to base this decision on.
View Audit 364767
Finding 574359 (2024-001)
Significant Deficiency 2024
Childcaring, Inc.
WI
Reporting
This finding will not completely resolve itself given the cost/benefit basis the Organization continues to make.
This finding will not completely resolve itself given the cost/benefit basis the Organization continues to make.
View Audit 364767
Finding 574191 (2024-002)
Significant Deficiency 2024
Wisconsin Rural Water Association, Inc.
WI
Reporting
The Organization is aware that their staff does not have a process to prepare financial statements, schedule of expenditures of federal awards, and related notes in accordance with GAAP. The Organization will continue to make this decision on a cost/benefit basis and have auditors assist in prepari...
The Organization is aware that their staff does not have a process to prepare financial statements, schedule of expenditures of federal awards, and related notes in accordance with GAAP. The Organization will continue to make this decision on a cost/benefit basis and have auditors assist in preparing the financial statements and related notes. Management does review the financial statements and the schedule of expenditures of federal awards and compares to the Organization’s financial records for completeness and accuracy and accepts responsibility for those financial statements and schedule of expenditures of federal awards.
View Audit 364760
Finding 574183 (2024-001)
Significant Deficiency 2024
Wisconsin Rural Water Association, Inc.
WI
Internal Control / Segregation of Duties
The Organization is aware of the lack of segregation of duties caused by the limited size of its staff, and will continue to use other controls, where practical to compensate for this limitation.
The Organization is aware of the lack of segregation of duties caused by the limited size of its staff, and will continue to use other controls, where practical to compensate for this limitation.
View Audit 364760
Finding 574175 (2024-001)
Significant Deficiency 2024
East Texas Crisis Center, Inc.
TX
Internal Control / Segregation of Duties Subrecipient Monitoring Procurement, Suspension & Debarment § 200.112 § 200.303 § 200.331 § 200.333 § 200.338
Management agrees with the finding. The Center is currently in the process of updating its fiscal policies and procedures to align with the requirements of 2 CFR Part 200. The Finance Committee is leading this effort and is reviewing each policy area identified, including conflict of interest, allow...
Management agrees with the finding. The Center is currently in the process of updating its fiscal policies and procedures to align with the requirements of 2 CFR Part 200. The Finance Committee is leading this effort and is reviewing each policy area identified, including conflict of interest, allowable costs, subrecipient monitoring, and record retention. Updated policies and procedures will be finalized and presented for Board approval by August 30, 2025. Once approved, the Center will ensure implementation across all departments and provide internal guidance to promote consistent application. Anticipated Completion Date: August 30, 2025 Responsible Party: Finance Committee, with support from Executive Director, Nichole Henry.
View Audit 364753
Finding 574174 (2024-001)
Significant Deficiency 2024
College of the Ozarks
MO
Reporting Internal Control / Segregation of Duties § 200.303 § 200.502 § 200.510
Views of responsible personnel and planned corrective actions: Management concurs with this finding. The College has implemented immediate corrective actions including development of a comprehensive grant tracking spreadsheet and establishment of regular meetings between program and finance staff. A...
Views of responsible personnel and planned corrective actions: Management concurs with this finding. The College has implemented immediate corrective actions including development of a comprehensive grant tracking spreadsheet and establishment of regular meetings between program and finance staff. Additionally, effective immediately, all grant applications must be reviewed and approved by the Controller prior to submission to ensure proper identification of funding sources and compliance requirements. The College will also implement cutoff procedures to ensure federal expenditures are reported in the correct period based on when eligible costs are incurred. The Controller will review all G5 drawdowns near year-end to verify proper period reporting. Formal written procedures for SEFA preparation will be implemented by October 15, 2025. The Controller will maintain the master grant listing and review all grant agreements to determine federal funding sources. Beginning with fiscal year 2026 SEFA preparation, the CFO will perform an independent review for completeness and accuracy, including verification of proper period reporting for all federal expenditures.
View Audit 364751
Finding 574173 (2024-005)
Material Weakness 2024
Crawford County
IL
Procurement, Suspension & Debarment
U.S. DEPARTMENT OF THE TREASURY COVID-19 – Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) – Federal Assistance Listing Number 21.027 Corrective Action Plan – Internal Control over Compliance Finding Finding No.: 2024-005 Condition: The County has not implemented controls over verifying...
U.S. DEPARTMENT OF THE TREASURY COVID-19 – Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) – Federal Assistance Listing Number 21.027 Corrective Action Plan – Internal Control over Compliance Finding Finding No.: 2024-005 Condition: The County has not implemented controls over verifying the debarment and suspension status of vendors for covered transactions for the Coronavirus State and Local Fiscal Recovery Funds program. Plan: The County will verify the debarment and suspension status of all vendors for which grant fund disbursements exceed $25,000 on SAM.gov prior to the disbursement of grant funds. Anticipated Date of Completion: 11/30/2025
View Audit 364748
Finding 574172 (2024-001)
Significant Deficiency 2024
Barron County Housing Authority
WI
HUD Housing Programs Significant Deficiency Internal Control / Segregation of Duties
Rent Reasonableness Calculations Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent reasonableness calculations are completed and maintained in the files. Explanation of disagreement with audit finding: There is no disagreement with the audit...
Rent Reasonableness Calculations Corrective Action Plan (CAP): Recommendation: We recommend, the entity develop a process to verify that rent reasonableness calculations are completed and maintained in the files. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: The Authority will train individuals doing the calculations to ensure calculations are done and maintained in the files and implement processes to verify rent reasonableness calculations are done. Name of the contact person responsible for corrective action: Bob Kazmierski Planned completion date for corrective action plan: December 31, 2024
View Audit 364743
Laketran
OH
Reporting § 200.512
The audit for the year ended December 31, 2023, was late due to the merger with Geauga County. Laketran needed data from Geauga County to complete the audit, and this inofrmation was provided arfter the end of the audit period. Going forward, the 2024 audit data has been obtained, compiled, and co...
The audit for the year ended December 31, 2023, was late due to the merger with Geauga County. Laketran needed data from Geauga County to complete the audit, and this inofrmation was provided arfter the end of the audit period. Going forward, the 2024 audit data has been obtained, compiled, and completed on time. Additionally, as we go forward from this point, we are no longer dependent on Geauga County information to complete our requirements and, therefore, there will be no delays.
View Audit 364734
Finding 574153 (2024-003)
Significant Deficiency 2024
Young Men's Christian Association of Montgomery, Inc.
AL
Allowable Costs / Cost Principles Eligibility § 200.303
Program: Summer Food Service Program CFDA: 10.559 Finding Type: Noncompliance / Significant Deficiency Issue: Two closed enrolled sites lacked documentation to support eligibility based on child enrollment. Management's Response: Response: Management recognizes the critical role of eligibility docum...
Program: Summer Food Service Program CFDA: 10.559 Finding Type: Noncompliance / Significant Deficiency Issue: Two closed enrolled sites lacked documentation to support eligibility based on child enrollment. Management's Response: Response: Management recognizes the critical role of eligibility documentation in maintaining compliance with SFSP regulations and ensuring program integrity. Corrective Action Taken: • The YMCA has implemented a formal monitoring protocol for all SFSP operating sites, including a pre-operational review checklist to verify eligibility documentation. • Site agreements now explicitly require submission of enrollment records and eligibility documentation prior to participation. Ongoing site monitoring includes periodic reviews to ensure continued compliance with eligibility requirements. Staff have been trained on 7 CER 225.6(c) and 2 CFR 200.303 to reinforce sponsor responsibilities. Responsible Individuals: Jeff Reynolds and Rachel Dumas Completion Date: Plan has been implemented as of the date of audit submission.
View Audit 364728
Finding 574152 (2024-002)
Significant Deficiency 2024
Young Men's Christian Association of Montgomery, Inc.
AL
Procurement, Suspension & Debarment § 200.318 § 200.326
Program: Summer Food Service Program CFDA: 10.559 Finding Type: Noncompliance / Significant Deficiency Issue: Purchases from two food vendors exceeded the micro-purchase threshold without documented price comparisons or quotations. Management's Response: Response: Management acknowledges the importa...
Program: Summer Food Service Program CFDA: 10.559 Finding Type: Noncompliance / Significant Deficiency Issue: Purchases from two food vendors exceeded the micro-purchase threshold without documented price comparisons or quotations. Management's Response: Response: Management acknowledges the importance of adhering to federal procurement standards, including the requirement for competitive pricing and documentation for purchases exceeding the micro-purchase threshold. Corrective Action Taken: Staff involved in procurement have been trained on 2 CFR 200.318-200.326 to ensure understanding of federal procurement requirements. A procurement forecast is now developed at the beginning of each grant cycle to identify vendors likely to exceed the micro-purchase threshold. . For all vendors expected to exceed $10,000 in purchases, the YMCA will obtain and retain at least three price comparisons or quotations. A procurement checklist and documentation log have been implemented to ensure compliance and audit readiness. Responsible Individuals: Karrie Stanford and Gina Franklin Completion Date: Plan has been implemented as of the date of audit submission.
View Audit 364728
Medical Debt Resolution, Inc.
NY
Subrecipient Monitoring Reporting
Finding Number: 2024-001 Compliance Requirement: Reporting Programs: United States Department of the Treasury • ALN Number: 21.027 • ALN Name: Coronavirus State and Local Fiscal Recovery Funds • Contract Periods: June 16, 2023 – December 31, 2025 (City of New Orleans, Louisiana); April 1, 2022 - Dec...
Finding Number: 2024-001 Compliance Requirement: Reporting Programs: United States Department of the Treasury • ALN Number: 21.027 • ALN Name: Coronavirus State and Local Fiscal Recovery Funds • Contract Periods: June 16, 2023 – December 31, 2025 (City of New Orleans, Louisiana); April 1, 2022 - December 31, 2026 (City of Toledo, Ohio); August 1, 2024 - September 30, 2026 (County of Orange, Florida) Management’s Corrective Action Plan: The Organization recognizes the importance of timely reporting to its government partners, and has developed a plan to improve the timeliness of progress reporting, which includes: • Establishing a Government Initiatives department to oversee all government projects, as well as enhance operational efficiency and planning to meet the increased reporting demands from the growing number of grants. • Further expanding internal capacity by hiring additional team members - Vice President of Government Affairs (January 2025), Grant Accountant (June 2025), and Grant Initiatives Program Manager (September 2025), as well as other departments that are integral for programmatic delivery - most importantly, debt acquisition and analysis (Associate Vice President of Analytics) to accelerate and optimize the preparation of data for reporting. • Standardizing the various reporting pertaining to government funders. • Preparing, monitoring, and updating the reporting schedule for government funders. • Utilizing new software to facilitate and track fiscal and progress reporting. • Extending standardized timeframe for progress reporting from 45 days to 60 days on government contracts where available. Person(s) Responsible: Chief Operating Officer (performance reporting) and Vice President, Finance & Administration (fiscal reporting) Expected Completion Date: September 30, 2025
View Audit 364723
Finding 574147 (2024-005)
Significant Deficiency 2024
New Mexico Rural Water Association
NM
Internal Control / Segregation of Duties
It is management’s policy that all disbursements are documented and receipts and invoices retained. In an effort to ensure that receipts do not get misplaced or misfiled, management will look at employing scanning technology to make this process more secure.
It is management’s policy that all disbursements are documented and receipts and invoices retained. In an effort to ensure that receipts do not get misplaced or misfiled, management will look at employing scanning technology to make this process more secure.
View Audit 364720
Finding 574146 (2024-004)
Significant Deficiency 2024
New Mexico Rural Water Association
NM
Cash Management Internal Control / Segregation of Duties
It is management’s policy to update and distribute travel reimbursement forms with new mileage and per diem rates at the beginning of each year, and any other time the rates may change. Travel and per diem rates are reviewed periodically to ensure current rates are used. A staff person was utilized ...
It is management’s policy to update and distribute travel reimbursement forms with new mileage and per diem rates at the beginning of each year, and any other time the rates may change. Travel and per diem rates are reviewed periodically to ensure current rates are used. A staff person was utilized for a period of time over the past year, but that process was not continued through the full year. Utilization of a staff person to review vouchers prior to payment will begin again, and will be used continuously in the future.
View Audit 364720
Finding 574145 (2024-002)
Significant Deficiency 2024
Connected Lane County
OR
Reporting Significant Deficiency Internal Control / Segregation of Duties § 200.212 § 200.512
Finding 2024-002: Significant deficiency in internal controls over compliance and immaterial non- compliance. Corrective Action Planned: Connected Lane County has updated internal control processes to ensure timely reporting and closing of the books and records are stored both electronically and in ...
Finding 2024-002: Significant deficiency in internal controls over compliance and immaterial non- compliance. Corrective Action Planned: Connected Lane County has updated internal control processes to ensure timely reporting and closing of the books and records are stored both electronically and in paper files in the finance department for easy access during the course of the audit. Person(s) Responsible: Mary Bell, Finance Manager Anticipated Completion Date: September 1, 2025
View Audit 364714
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