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Corrective Action Plans

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State of Rhode Island
RI
Questioned Costs Allowable Costs / Cost Principles
2022-037a ? The Department disagrees with the classification that these costs are questionable. Prior to the issuance of this single audit, the Department began conversations with our federal cognizant agency to amend the 2022 and 2023 SWCAP budget submissions to reflect these costs. Our federal p...
2022-037a ? The Department disagrees with the classification that these costs are questionable. Prior to the issuance of this single audit, the Department began conversations with our federal cognizant agency to amend the 2022 and 2023 SWCAP budget submissions to reflect these costs. Our federal partner agreed with this methodology and agreed that these costs are allowable and this was simply an administrative error. Anticipated Completion Date: June 1, 2023 (subject to federal partner timeline) 2022-037b ? The Department began conversations with our federal cognizant agency to amend the 2022 and 2023 SWCAP budget submissions to reflect these costs prior to the issuance of this audit report. Anticipated Completion Date: May 15, 2023 (subject to federal partner timeline) Contact Person: Alex Herald, Administrator of Financial Management Department of Administration, Office of Accounts & Control alexander.herald@doa.ri.gov
View Audit 23102 Questioned Costs: $1
Finding 23424 (2022-040)
Significant Deficiency 2022
State of Rhode Island
RI
Subrecipient Monitoring Internal Control / Segregation of Duties Eligibility
2022-040a ? The State will expand its formalized risk assessment procedures for the MMIS and RIBridges by enhancing its documentation of the responsibilities of the various State agencies that utilize and manage the systems. 2022-040b ? The MARSE-2.2 Security Framework implemented for RIBridges, in...
2022-040a ? The State will expand its formalized risk assessment procedures for the MMIS and RIBridges by enhancing its documentation of the responsibilities of the various State agencies that utilize and manage the systems. 2022-040b ? The MARSE-2.2 Security Framework implemented for RIBridges, including a formal Risk Assessment performed on RIBridges at startup that determined the System Security and Privacy Control Plan (SSP) that has been implemented. All new system changes are assessed and the SSP controls are updated to remain compliant as needed. The SSP is assessed annual by a third party auditor and defects in the controls are tracked on the system POAM for these as well as other defects that are identified through continuous monitoring and other audits. A General Attestation (in lieu of SOC2 Type2) is in progress for next fiscal year and this will be one of the corrective actions. Anticipated Completion Date: Ongoing Contact Person: Deb Merrill, Information Security Officer Department of Administration, Division of Information Technology deb.merrill@doit.ri.gov
View Audit 23102
Finding 23423 (2022-001)
Significant Deficiency 2022
Montgomery County Housing Authority
PA
Questioned Costs HUD Housing Programs Significant Deficiency
Views of Responsible Officials and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers program to ensure that established internal control policies are being followed on a timely basis. Joe...
Views of Responsible Officials and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers program to ensure that established internal control policies are being followed on a timely basis. Joel Johnson, Executive Director, is responsible for implementing this corrective action by December 31, 2023.
View Audit 19795 Questioned Costs: $1
Finding 23422 (2022-001)
Material Weakness 2022
Firelands Regional Health System
OH
Material Weakness Reporting Matching / Level of Effort / Earmarking
Finding Number: 2022-001 Condition: The System does not have a formal review process to ensure the revenue reported within the PRF reporting submissions properly reconciles to the underlying financial statements. The System selected Option i for reporting lost revenues, however the actual revenue...
Finding Number: 2022-001 Condition: The System does not have a formal review process to ensure the revenue reported within the PRF reporting submissions properly reconciles to the underlying financial statements. The System selected Option i for reporting lost revenues, however the actual revenue reported for each quarter of 2022 did not reconcile to the underlying accounting records. Planned Corrective Action: Management will implement a process to ensure an independent review of the reporting submission is completed prior to submission. The lost revenue reported in the period four portal submission was overstated by approximately $360,000 as a result of the error identified. The System had excess lost revenue that did not have to be utilized to justify recognition of the funding received, therefore this error had no impact on meeting the conditions of the funding received. Contact person responsible for corrective action: Kevin Riley, CFO Anticipated Completion Date: 9/30/2023
View Audit 18951
Territory of American Samoa
AS
Internal Control / Segregation of Duties Reporting
This finding has subsequently been resolved. The ASG department of commerce DOC had technical issues with the treasury portal and could not submit their reports in a timely manner. The issue has been resolved and will not be a repeated finding in the next single audit. Key individual responsible: DO...
This finding has subsequently been resolved. The ASG department of commerce DOC had technical issues with the treasury portal and could not submit their reports in a timely manner. The issue has been resolved and will not be a repeated finding in the next single audit. Key individual responsible: DOC Assistant Director Victor Tuiasosopo. Will be completed and closed in FY 2023
View Audit 18950
Finding 23420 (2022-004)
Significant Deficiency 2022
Territory of American Samoa
AS
Special Tests & Provisions Subrecipient Monitoring Significant Deficiency
The department of public works updated and put into effect its SOPs for electronic project billing in January 2021. DPW's action plan is to continue adhering to its updated process and procedures. Key individuals responsible: DPW Deputy Director Laupele Tilei, Civil Engineer Uaealesi Doris Faumuina...
The department of public works updated and put into effect its SOPs for electronic project billing in January 2021. DPW's action plan is to continue adhering to its updated process and procedures. Key individuals responsible: DPW Deputy Director Laupele Tilei, Civil Engineer Uaealesi Doris Faumuina-Sipelii; to be completed by September 30 2023
View Audit 18950
Territory of American Samoa
AS
Internal Control / Segregation of Duties Procurement, Suspension & Debarment Allowable Costs / Cost Principles
This finding has been addressed in fiscal year 2023. ASGDOE school lunch Is working with a representative who oversees civil rights for the USDA wester region. Civil rights training for all SLP staff continues yearly with sign-in sheets and agendas for documentation purposes. Reports are submitted t...
This finding has been addressed in fiscal year 2023. ASGDOE school lunch Is working with a representative who oversees civil rights for the USDA wester region. Civil rights training for all SLP staff continues yearly with sign-in sheets and agendas for documentation purposes. Reports are submitted to USDA for inventory and mean counts on the 15th of each month. Special dietary accomodations have since been rolled out and schools have been notified of the process should a student require accomodation. USDA has an on-site visit scheduled not that borders are open. Key individuals responsible: SLP Assistant Director Christina Fualaau. Will be completed and closed in 2023.
View Audit 18950
The Avalon Center, Inc.
TN
Questioned Costs
THE CENTER WILL TAKE STEPS TO ENSURE ALL EMKPLOYEES TIME SHEETS ACCURATELY REFLECT THE MATCH REQUIREMENTS SET FORTH BY OJCP.
THE CENTER WILL TAKE STEPS TO ENSURE ALL EMKPLOYEES TIME SHEETS ACCURATELY REFLECT THE MATCH REQUIREMENTS SET FORTH BY OJCP.
View Audit 26236 Questioned Costs: $1
Finding 23390 (2022-001)
Significant Deficiency 2022
City of Camarillo
CA
Subrecipient Monitoring
City of Camarillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: CliftonLarsonAllen LLP 2875 Michelle Drive, Suite 300 Irvine, CA 92606 Audit Period: July 1, 2021 ? June 30, 2022 Significant Defi...
City of Camarillo respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: CliftonLarsonAllen LLP 2875 Michelle Drive, Suite 300 Irvine, CA 92606 Audit Period: July 1, 2021 ? June 30, 2022 Significant Deficiency in Internal Control over Compliance and Other Matter: 2022-001 Recommendation: We recommend that the City implement policies and procedures to ensure that FFATA reporting occurs for all subawards of $30,000 or more for all federal awards. Action Taken: The City works with a consultant that provides the FFATA reporting for all Department of Housing and Urban Development grants. The City is updating its grant procedures to include a new process to file the FFATA report for all federal grants that have subawards of $30,000 or greater. For any questions regarding this plan, please contact me at (805) 388-5320 or email muribe@cityofcamarillo.org.
View Audit 24983
Finding 23387 (2022-003)
Significant Deficiency 2022
Family Guidance Center of Alabama, Inc.
AL
Reporting
Corrective Action Plan: Individuals tasked with preparing and submitting the reports will familiarize themselves with all reporting requirements under the grant. Individual(s) Responsible: Allison Hayes and Jessi Walters Completion Date: Plan has been implemented as of date of audit submission.
Corrective Action Plan: Individuals tasked with preparing and submitting the reports will familiarize themselves with all reporting requirements under the grant. Individual(s) Responsible: Allison Hayes and Jessi Walters Completion Date: Plan has been implemented as of date of audit submission.
View Audit 24687
Finding 23383 (2022-002)
Significant Deficiency 2022
Family Guidance Center of Alabama, Inc.
AL
Reporting Internal Control / Segregation of Duties
Corrective Action Plan: Individuals tasked with preparing and submitting the reports will familiarize themselves with all reporting requirements under the grant. Individual(s) Responsible: Allison Hayes Completion Date: Plan has been implemented as of date of audit submission.
Corrective Action Plan: Individuals tasked with preparing and submitting the reports will familiarize themselves with all reporting requirements under the grant. Individual(s) Responsible: Allison Hayes Completion Date: Plan has been implemented as of date of audit submission.
View Audit 24687
Finding 23382 (2022-001)
Significant Deficiency 2022
Family Guidance Center of Alabama, Inc.
AL
Reporting
Corrective Action Plan: The 2021 Single Audit reporting package and Data Collection Form will be filed with the Federal Audit Clearinghouse as required. Individual(s) Responsible: Allison Hayes Completion Date: Plan has been implemented as of date of audit sub...
Corrective Action Plan: The 2021 Single Audit reporting package and Data Collection Form will be filed with the Federal Audit Clearinghouse as required. Individual(s) Responsible: Allison Hayes Completion Date: Plan has been implemented as of date of audit submission.
View Audit 24687
Hollis-Brookline Cooperative School District
NH
Allowable Costs / Cost Principles Cash Management School Nutrition Programs
Finding Summary: The Hollis Brookline Cooperative School District?s Food Service Fund net cash resources were in excess of the maximum allowable amount by $395,282. Responsible Individual: Kelly Seeley, Business Administrator Corrective Action Plan: The School District has developed a spend-down pla...
Finding Summary: The Hollis Brookline Cooperative School District?s Food Service Fund net cash resources were in excess of the maximum allowable amount by $395,282. Responsible Individual: Kelly Seeley, Business Administrator Corrective Action Plan: The School District has developed a spend-down plan for reducing the Food Service Fund Balance to compliance level during the 2022-23 fiscal year, and has submitted the plan to the State of New Hampshire Department of Education for approval. Anticipated Completion Date: June 30, 2023
View Audit 23711
Finding 23372 (2022-001)
Material Weakness 2022
Thruston Regional Planning Council
WA
Procurement, Suspension & Debarment Subrecipient Monitoring
Thurston Regional Planning Council January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Council for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost...
Thurston Regional Planning Council January 1, 2022 through December 31, 2022 This schedule presents the corrective action planned by the Council for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The Council lacked adequate internal controls for ensuring compliance with suspension and debarment requirements. Name, address, and telephone of Council contact person: Tyson Justis 2411 Chandler Court S.W. Olympia, WA 98502 360-741-2515 Corrective action the auditee plans to take in response to the finding: The Council plans on implementing a formalized suspension/debarment verification process in our contracting and procurement procedures for goods and services. In addition, a debarment certification section will be included in our federally funded professional service contracts. Anticipated date to complete the corrective action: 9/1/2023
View Audit 21766
Finding 23370 (2022-002)
Significant Deficiency 2022
Siena/francis House and Subsidiaries
NE
Procurement, Suspension & Debarment Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking § 200.318
Condition: The Organization?s procurement policy is not consistent with the general procurement standards as defined in Title 2, CFR Part 200. Certain provisions of the Organization?s policies were lacking or not consistent with the policies outlined in the general procurement standards. Pla...
Condition: The Organization?s procurement policy is not consistent with the general procurement standards as defined in Title 2, CFR Part 200. Certain provisions of the Organization?s policies were lacking or not consistent with the policies outlined in the general procurement standards. Planned Corrective Action: The Organization is in the process of reviewing amending its financial control policy manual to be more consistent with the requirements of 2 CFR 200. The revised policy manual is scheduled to be submitted to the Board of Directors for approval at the September board meeting. Contact Person: John Bendon, Director of Finance / Controller Anticipated Completion Date: September 30, 2023
View Audit 22997
Finding 23369 (2022-002)
Significant Deficiency 2022
Fdny Foundation, Inc.
NY
Cash Management Eligibility Reporting § 200.512
The Foundation agrees with and has implemented the recommendation. The Foundation already has a reporting calendar to ensure timely filings and will add dates to review total federal expenditures to the calendar.
The Foundation agrees with and has implemented the recommendation. The Foundation already has a reporting calendar to ensure timely filings and will add dates to review total federal expenditures to the calendar.
View Audit 18766
Finding 23368 (2022-001)
Significant Deficiency 2022
Fdny Foundation, Inc.
NY
Allowable Costs / Cost Principles Cash Management Eligibility
The Foundation agrees with the recommendation. An internal review is currently in process to evaluate and update policies as needed to address the use of federal funds.
The Foundation agrees with the recommendation. An internal review is currently in process to evaluate and update policies as needed to address the use of federal funds.
View Audit 18766
Finding 23361 (2022-006)
Significant Deficiency 2022
Wadena County
MN
Reporting Significant Deficiency Internal Control / Segregation of Duties
United States Department of Health and Human Services 2022-006 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over the LCTS Annual Collaborative Report. Explanation of disagreement with audit finding: There is no disagreement with the ...
United States Department of Health and Human Services 2022-006 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over the LCTS Annual Collaborative Report. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will enact a process to ensure the review of the annual collaborative report is documented. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
View Audit 18610
Finding 23360 (2022-005)
Significant Deficiency 2022
Wadena County
MN
Significant Deficiency Internal Control / Segregation of Duties Special Tests & Provisions
2022-005 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement procedures to ensure collaborative members submit reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to find...
2022-005 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement procedures to ensure collaborative members submit reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will enact a process to ensure all reports are received prior to the reporting deadline. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
View Audit 18610
Finding 23359 (2022-004)
Material Weakness 2022
Wadena County
MN
Eligibility Material Weakness
United States Department of Health and Human Services 2022-004 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over medical assistance case files. A sample of cases should be reviewed by someone knowledgeable of the program requirements...
United States Department of Health and Human Services 2022-004 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over medical assistance case files. A sample of cases should be reviewed by someone knowledgeable of the program requirements on a periodic basis and documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will add a case file documentation process for the casefiles being reviewed. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
View Audit 18610
Finding 23356 (2022-006)
Significant Deficiency 2022
Countryside Public Health
MN
Reporting Internal Control / Segregation of Duties Cash Management
2022-006 CONTROLS OVER REPORTING AND CASH MANAGEMENT (PREVIOUSLY 2021-004) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-T...
2022-006 CONTROLS OVER REPORTING AND CASH MANAGEMENT (PREVIOUSLY 2021-004) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: NH23IP922628 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance Recommendation: We recommend Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all reports prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place to verify accuracy of all reports prior to submission. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
View Audit 18609
Finding 23355 (2022-005)
Significant Deficiency 2022
Countryside Public Health
MN
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Significant Deficiency
2022-005 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agenc...
2022-005 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: NH23IP922628 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: We recommend Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all journal entries. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place prior to submission, as well as ensure all support is maintained for disbursements. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
View Audit 18609
Finding 23354 (2022-004)
Significant Deficiency 2022
Countryside Public Health
MN
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Significant Deficiency
2022-004 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Agriculture Federal Program Name: WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Federal Award Identification Number and Year: 22MN004W10...
2022-004 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Agriculture Federal Program Name: WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Federal Award Identification Number and Year: 22MN004W1003, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: 22MN004W1003 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all journal entries. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place prior to submission. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
View Audit 18609
Finding 23352 (2022-001)
Significant Deficiency 2022
Manteca Unified School District
CA
Manteca Unified School District will direct all sites be mandated to complete and retain (within the digital cume file) the "Student Release and Transfer form" or the "Q Withdrawal Checklist" which will provide written documentation to support the removal of a student from the regulatory adjusted co...
Manteca Unified School District will direct all sites be mandated to complete and retain (within the digital cume file) the "Student Release and Transfer form" or the "Q Withdrawal Checklist" which will provide written documentation to support the removal of a student from the regulatory adjusted cohort. As a method of compliance, sites should run the "Enrollment Status Change" report in Q on a quarterly basis to confirm students removed from the cohort have been correctly identified based on the written documentation. Any discrepancies will be reported to the Student Information Team for correction in the CALPADS data system. The corrective action plan is effective upon acceptance by the Board of Trustees of the annual audit report.
View Audit 19030
Finding 23347 (2022-004)
Significant Deficiency 2022
Brown County
MN
Internal Control / Segregation of Duties Significant Deficiency Special Tests & Provisions
2022-004 CONTROLS OVER SPECIAL PROVISIONS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Age...
2022-004 CONTROLS OVER SPECIAL PROVISIONS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2205MN5ADM and 2205MN5MAP Award Period: Year-Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended the County ensure that someone is disbursing the money received to the collaborative in a timely fashion. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County has implemented procedures and policies to have a person ensure payments are made to the Collaborative in a timely manner. Name of the contact person responsible for corrective action plan: Barb Dietz, Human Services Director Planned completion date for corrective action plan: December 31, 2023
View Audit 18608
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