Corrective Action Plans

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Account reconciliations of balances Recommendation: The Center should reconcile all balance sheet accounts at the end of each month and evaluate the need for revisions in estimates such as the receivable allowances. This process should include a monthly update to the fixed asset and depreciation rec...
Account reconciliations of balances Recommendation: The Center should reconcile all balance sheet accounts at the end of each month and evaluate the need for revisions in estimates such as the receivable allowances. This process should include a monthly update to the fixed asset and depreciation records. Action Taken: We concur with the recommendation. The Center will reconcile balance sheet accounts monthly in partnership with the new third-party bookkeeping company.
HRSA Notice of Awards Recommendation: The Center should record (unconditional) grants in full at the time that they receive notice of the grant, rather than the time at which payment is received. Action Taken: We concur with the recommendation and the Center will continue to follow policy of recogni...
HRSA Notice of Awards Recommendation: The Center should record (unconditional) grants in full at the time that they receive notice of the grant, rather than the time at which payment is received. Action Taken: We concur with the recommendation and the Center will continue to follow policy of recognizing NOAs when received. There was one NOA that was not recognized during the year ended June 30, 2022 due an oversight by a former employee.
Reconcile cash at the end of the month Recommendation: The Center should timely resolve bank reconciliation differences on a monthly basis and should evaluate its payroll accrual at the end of each month. Action Taken: We concur with the recommendation and we are reconciling the bank statement to th...
Reconcile cash at the end of the month Recommendation: The Center should timely resolve bank reconciliation differences on a monthly basis and should evaluate its payroll accrual at the end of each month. Action Taken: We concur with the recommendation and we are reconciling the bank statement to the general ledger and evaluating the payroll accrual at the end of each month during FY23. We have hired a new third-party bookkeeping company to provide this reconciliation and assist with the evaluation of the payroll accrual each month.
Federal HRSA Grant Income Recommendation: Management should continue to recognize Federal HRSA grant income upon the Notice of Award and should continue to relieve the receivable in conjunction with funding; management should discontinue the second adjustment in conjunction with funding which serves...
Federal HRSA Grant Income Recommendation: Management should continue to recognize Federal HRSA grant income upon the Notice of Award and should continue to relieve the receivable in conjunction with funding; management should discontinue the second adjustment in conjunction with funding which serves to overstate grant income and decrease net assets. Action Taken: We concur with the recommendation. Starting in FY23 we are going to continue to recognize Federal HRSA grant income upon the Notice of Award and relieve the receivable each time a draw is taken. We will discontinue the adjustment which serves to overstate grant income and decrease net assets.
Finding 21554 (2022-001)
Significant Deficiency 2022
CORRECTIVE ACTION PLAN YEAR ENDED: JUNE 30, 2022 U.S. Department of Treasury Trilogy, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are d...
CORRECTIVE ACTION PLAN YEAR ENDED: JUNE 30, 2022 U.S. Department of Treasury Trilogy, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Treasury 2022-001 Allowable Costs (Allocation of payroll costs) ? Assistance Listing Number 21.027 Recommendation: Management should develop a process whereby payroll costs allocated to federal grants are supported by a system of internal controls which provides reasonable assurance that the charges are accurate, allowable and properly allocated, reasonably reflect the total activity for which the employee is compensated and support the distribution of the employee?s wages among specific activities or cost objectives if the employee works on more than one federal award. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Trilogy has an internal control process in place regarding the review of eligible grant related expenditures. This process has been led by the Grants Compliance Team (GCT), since FY2018. The GCT is the key control mechanism through which allowable salaries and wage expenses are identified. Staff enter hours into ADP with their immediate supervisor signing off on entries and ensuring that salaries/ wages are being distributed to correct cost centers that reflect their actual worked hours and effort reporting. All salary allocations are approved by higher level program staff, HR and Finance staff. As a regular part of the grant revenue analysis for the monthly financial close, the GCT communicates with programs to verify the accuracy and reasonableness of labor allocations that directly impact our grant reimbursable expenses. Trilogy does acknowledge that a further verification of this process can be added through the following points: 1. Have budget owners (ie. Program Managers and/or Clinical Directors) certify through electronic signature the accuracy and reasonableness of labor allocations, monthly as a requirement of the grant invoicing process. 2. Monthly reassessment by GCT of internal transfers, exits and new recruits to each grant program to ensure allocations are reasonable for labor cost and efforts to support each program. While this is part of the current process, this process can, once again, be bolstered through electronic certifications/ signatures. 3. GCT will reassess each program?s allocations as we enter the budget season for grant renewals with our funding sources. While this is part of the current process, this process can, once again, be bolstered through electronic certifications/ signatures. Name(s) of the contact person(s) responsible for corrective action: Rich Adelman, Chief Financial Officer, Katrina Wright, Chief Human Resources Officer, Kyu Yup Kim, Grants Compliance Manager Planned completion date for corrective action plan: Trilogy will implement these action plans by the onset of FY2023 Q4 (April 1, 2023) If there are any questions regarding this plan, please call Rich Adelman, CFO at (773) 382-4002.
Condition ? The Hospital?s Provider Relief Fund filing with HRSA for Reporting Period 4 did not consider COVID-19 costs that were potentially already reimbursed with a Paycheck Protection Program (PPP) loan. The PPP loan was subsequently forgiven. Recommendation ? We recommend that the Hospital impl...
Condition ? The Hospital?s Provider Relief Fund filing with HRSA for Reporting Period 4 did not consider COVID-19 costs that were potentially already reimbursed with a Paycheck Protection Program (PPP) loan. The PPP loan was subsequently forgiven. Recommendation ? We recommend that the Hospital implement review procedures for any future filings with HRSA that ensure consideration of all relevant rules and regulations. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with the finding and has taken steps to ensure any future filings consider all relevant rules and regulations. Anticipated Date of Completion ? Completed June 21, 2023. Action Taken ? We have reviewed the recommendation and have taken steps to ensure any future filings consider all relevant rules and regulations. Person Responsible for Corrective Action Plan ? Calvin Carey, Chief Financial Officer
Department of Health General Requirements Services Kewaunee County agrees with the finding. Policy and procedures, as well as related documentation, are being revised as necessary to ensure complia...
Department of Health General Requirements Services Kewaunee County agrees with the finding. Policy and procedures, as well as related documentation, are being revised as necessary to ensure compliance with the requirements.
2022-006 Epidemiology and Laboratory Capacity for Infectious Diseases and Support of Immunization Initiative-Focusing on Childhood Vaccination Programs ? Assistance Listing No. 93.323 and 93.268 ? Allowable Costs Recommendation: We recommend the County review time and effort records to ensure overti...
2022-006 Epidemiology and Laboratory Capacity for Infectious Diseases and Support of Immunization Initiative-Focusing on Childhood Vaccination Programs ? Assistance Listing No. 93.323 and 93.268 ? Allowable Costs Recommendation: We recommend the County review time and effort records to ensure overtime is not charged to Federal grants on days in which vacation and sick time is used. More detailed reporting of the days in which the vacation and sick days are used and the overtime days would assist with this process. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The public health department is in the process of training new employees that are responsible for payroll and grant allocations. The Finance Manager has begun conversations with the new employee and the public health administrator on documentation and review. It was discussed that no benefit time such as vacation or sick be charged to a grant. If there are allowances within a grant for benefit time to be charged, there must be proper documentation and detailed approval by the public health board. This will be implemented immediately. Name of the contact persons responsible for corrective action: Jill Johnson, Finance Manager, and Department Heads and Elected Officials Planned completion date for corrective action plan: Immediate implementation
View Audit 26346 Questioned Costs: $1
2022-005 Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 ? Reporting Recommendation: We recommend the County strengthen its review procedures over reports and ensure the review is documented. Explanation of disagreement with audit finding: There is no disagreement w...
2022-005 Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 ? Reporting Recommendation: We recommend the County strengthen its review procedures over reports and ensure the review is documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The American Rescue Plan Act annual report is completed by the Finance Manager. The annual report will then be taken to the finance committee for review and approval for submission. The fiscal year 2023 annual report will be requested for return in order to correct and will be implemented immediately. Name of the contact persons responsible for corrective action: Jill Johnson, Finance Manager, and Department Heads and Elected Officials Planned completion date for corrective action plan: March 31, 2024
View Audit 26346 Questioned Costs: $1
2022-004 Coronavirus State and Local Recovery Funds ? Assistance Listing No. 21.027 - Procurement Recommendation: We recommend the County carefully review federal procurement requirements for proper documentation needed. The County should consider use of a Federal procurement checklist. Explanation ...
2022-004 Coronavirus State and Local Recovery Funds ? Assistance Listing No. 21.027 - Procurement Recommendation: We recommend the County carefully review federal procurement requirements for proper documentation needed. The County should consider use of a Federal procurement checklist. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Finance Manager will implement a Federal Procurement Checklist. The Finance Manager will provide the checklist to the finance committee to complete and approve for federal spending. Name of the contact persons responsible for corrective action: Jill Johnson, Finance Manager, and Department Heads and Elected Officials Planned completion date for corrective action plan: December 1, 2023
Contact Person Responsible for the Corrective Action Plan: Mary W. Duncan, Finance Director Corrective Action Plan: We have discussed the finding and are currently implementing controls to ensure the timesheets are appropriately reviewed to match with daysheets. Anticipated Completion Date: June 30,...
Contact Person Responsible for the Corrective Action Plan: Mary W. Duncan, Finance Director Corrective Action Plan: We have discussed the finding and are currently implementing controls to ensure the timesheets are appropriately reviewed to match with daysheets. Anticipated Completion Date: June 30, 2023 179
Condition: The District did not include the necessary suspension and debarment language required for Child Nutrition Cluster related contractors with bids in excess of $25,000. Upon further review, it was determined that the vendors were not suspended or debarred. ...
Condition: The District did not include the necessary suspension and debarment language required for Child Nutrition Cluster related contractors with bids in excess of $25,000. Upon further review, it was determined that the vendors were not suspended or debarred. Plan: Procedures need to be implemented to ensure all vendors contracted with have the required suspension and debarment language will be included in the initial bidding documentation, prior to procuring their services. Anticipated Date of Completion: 6/30/2023 Name of Contact Person: Ron McCord, Superintendent Managements Response: There is no disagreement with this finding and procedures will be implemented to ensure all vendors contracted with have not been suspended or debarred or otherwise excluded from doing business, prior to procuring their services. Bidding documentation will include required suspension and debarment language.
FINDING 2022-002 Contact Person Responsible for Corrective Action: Food Service Director Billie Jo Russell Contact Phone Number: 812-755-4872 Views of Responsible Official: We concur with the finding Description of Corrective Action Plan: Procurement ? The School Corporation has established internal...
FINDING 2022-002 Contact Person Responsible for Corrective Action: Food Service Director Billie Jo Russell Contact Phone Number: 812-755-4872 Views of Responsible Official: We concur with the finding Description of Corrective Action Plan: Procurement ? The School Corporation has established internal controls to ensure compliance with the grant agreement and the Procurement and Suspension and Debarment requirement. The Food Service Director will obtain information from the Wilson Service Center for any necessary documentation pertaining to this requirement. The School Corporation has procured any food and supply purchases that exceed $150,000 and will maintain documentation for procurement procedures for purchases under $150,000. Suspension/Debarment ? Procedures will be implemented to ensure our procurement agent is an approved procurement agent. Anticipated Completion Date: Immediately
All first-tier subawards will be submitted to FFATA reporting requirements and will be reviewed by the Associate Vice President of Financial and Auxiliary Services, or designee. The corrective action plan will be implemented beginning with the FY23 ACFR preparation on June 30, 2023.
All first-tier subawards will be submitted to FFATA reporting requirements and will be reviewed by the Associate Vice President of Financial and Auxiliary Services, or designee. The corrective action plan will be implemented beginning with the FY23 ACFR preparation on June 30, 2023.
SIGNIFICANT DEFICIENCY IN INTERNAL CONTROL OVER COMPLIANCE AND REPORTABLE INCIDENCE OF NONCOMPLIANCE ? U.S. DEPARTMENT OF AGRICULTURE, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, CHILD NUTRITION CLUSTER ? ALN 10.553, 10.555, AND 10.559 2022-001 Internal Control Over Compliance and Noncomplianc...
SIGNIFICANT DEFICIENCY IN INTERNAL CONTROL OVER COMPLIANCE AND REPORTABLE INCIDENCE OF NONCOMPLIANCE ? U.S. DEPARTMENT OF AGRICULTURE, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, CHILD NUTRITION CLUSTER ? ALN 10.553, 10.555, AND 10.559 2022-001 Internal Control Over Compliance and Noncompliance With Federal Procurement Requirements Finding Summary 2 CFR ? 200.320 requires management to establish and maintain effective internal control over compliance with requirements applicable to federal program procurement requirements. Independent School District No. 885 (the District) did not have sufficient controls in place within its child nutrition cluster federal program to ensure compliance with federal procurement requirements related to the use of sealed bids and quotations. Corrective Action Plan Actions Planned ? The District will review policies and procedures relating to procurement for all federal programs to ensure that bids and/or quotations are obtained when required by the Uniform Guidance in the future. Official Responsible ? Kris Crocker, Director of Business Services. Planned Completion Date ? June 30, 2023. Disagreement With or Explanation of Finding ? The District agrees with this finding. Plan to Monitor ? Kris Crocker, Director of Business Services, will assure appropriate internal controls and procedures are updated and in place to ensure compliance for future federal awards expenditures.
View Audit 23666 Questioned Costs: $1
Statement of Condition 2022-001 (Assistance Listing No. 14.155): The Corporation did not make the required surplus cash deposit computed at March 31, 2021, in the amount of $12,264 within 90 days of fiscal year end. Recommendation: Management should implement a system to ensure the required deposi...
Statement of Condition 2022-001 (Assistance Listing No. 14.155): The Corporation did not make the required surplus cash deposit computed at March 31, 2021, in the amount of $12,264 within 90 days of fiscal year end. Recommendation: Management should implement a system to ensure the required deposit to the residual receipts is made within 90 days of fiscal year end. Action(s) taken or planned on the finding: Agreed. Management concurs with the finding and the auditor's recommendation. The Corporation made the required surplus cash deposit on August 3, 2022.
View Audit 20971 Questioned Costs: $1
Finding 21489 (2022-004)
Significant Deficiency 2022
Views of Responsible Officials: RFE/RL Finance has provided clarification and additional guidance to Department Directors and the Procurement team to reinforce the importance of documenting the steps and decisions that result in a Sole-Source justification in the requisition process. Management has ...
Views of Responsible Officials: RFE/RL Finance has provided clarification and additional guidance to Department Directors and the Procurement team to reinforce the importance of documenting the steps and decisions that result in a Sole-Source justification in the requisition process. Management has engaged Procurement consultants who have produced clear purchasing guidelines for the company including documentation requirements. RFE/RL has hired a new Procurement Director with the responsibility to improve management of the process and direction to the procurement team to ensure that support for sole source purchases is complete, maintained, and made available for review during the audit process and upon management request. Management believes that substantial progress has been made in either justifying sole source acquisitions within the limits of 2 CFR 200.320 or requiring competitive bids since the new Procurement Director has been appointed. It is Management?s intent to continue to operate in a way that removes this significant deficiency as a concern.
Finding 21488 (2022-003)
Significant Deficiency 2022
Views of Responsible Officials: RFE/RL Management fully agrees on the need to ensure our policies and procedures demonstrate adherence to the requirements of the Patriot Act. The process for new employee screening will be reviewed and modified to ensure documented compliance. New vendor and contract...
Views of Responsible Officials: RFE/RL Management fully agrees on the need to ensure our policies and procedures demonstrate adherence to the requirements of the Patriot Act. The process for new employee screening will be reviewed and modified to ensure documented compliance. New vendor and contractor screening is conducted and now fully documented during the initial procurement/contracting process in our Prague office. Additionally, RFE/RL has implemented a process for regular, automated Office of Foreign Asset Control (OFAC) screening of all vendors in FY23. A similar process for regular, automated System Award Management (SAM) screening is in process. Once implemented, these systems will ensure that all vendors on RFE/RL?s supplier list will be reviewed annually.
Finding 21487 (2022-002)
Significant Deficiency 2022
Views of Responsible Officials: Management recognizes the imperative of having strict controls over accounting for salary and related expenses and acknowledges that significant improvements have to occur. By the end of FY 2023, Management intends to have identified the root causes of these anomalies...
Views of Responsible Officials: Management recognizes the imperative of having strict controls over accounting for salary and related expenses and acknowledges that significant improvements have to occur. By the end of FY 2023, Management intends to have identified the root causes of these anomalies, including bringing in outside experts to examine systems, workflows, personnel capabilities, policies and practices, and training protocols. Based on that analysis, Management expects to implement stronger controls and practices in FY 2024.
Finding 21486 (2022-001)
Significant Deficiency 2022
Views of Responsible Officials: RFE/RL?s Finance management team understands the importance of accurate and timely account reconciliations. Asset and liability account reconciliations are prioritized, prepared, and reviewed on a schedule in line with the level of activity in the account and in accor...
Views of Responsible Officials: RFE/RL?s Finance management team understands the importance of accurate and timely account reconciliations. Asset and liability account reconciliations are prioritized, prepared, and reviewed on a schedule in line with the level of activity in the account and in accordance with the best use of limited staff resources. Accounts with a large quantity of monthly transactions or significant dollar amounts are reconciled monthly; those with little activity may be reviewed quarterly or annually. An accounting close and reconciliation management tool that will create more accountability and insight into account analysis across locations is being implemented in FY23. Staff will be trained to ensure their reconciliation provides clear information to any outside finance professional as to the items that make up the balance in the account and amounts are to be easily traceable to support documentation that they can provide upon request. Auditors will have access via the software to all account reconciliations upon demand.
Audit Finding Corrective Action Plan Persons Responsible Estimated Completion Date 2022-001 ? Reporting Internal reporting schedule for all awards has been updated. The schedule will be reviewed by both the CFO and the Grant Accounting Manager monthly to ensure accuracy and compliance. Karen Allen,...
Audit Finding Corrective Action Plan Persons Responsible Estimated Completion Date 2022-001 ? Reporting Internal reporting schedule for all awards has been updated. The schedule will be reviewed by both the CFO and the Grant Accounting Manager monthly to ensure accuracy and compliance. Karen Allen, CFO and April Backman, Grant Accounting Manager January 2023 and continuing
Auditee agrees with the finding. The finding for 2021 was corrected by signing the OMB Submission on 10/11/22. Additionally, the finding for 2022 will be corrected upon the receipt of the finalized audit.
Auditee agrees with the finding. The finding for 2021 was corrected by signing the OMB Submission on 10/11/22. Additionally, the finding for 2022 will be corrected upon the receipt of the finalized audit.
Finding 21481 (2022-001)
Material Weakness 2022
CORRECTIVE ACTION PLAN (Concerning Finding 2022-001) Contact Person Responsible for Corrective Action: Catrina Kemp, Business Manager/Assistant Superintendent Corrective Action: The Regional School Unit No. 70 will take the following actions to address finding 2022-001. Management will review standa...
CORRECTIVE ACTION PLAN (Concerning Finding 2022-001) Contact Person Responsible for Corrective Action: Catrina Kemp, Business Manager/Assistant Superintendent Corrective Action: The Regional School Unit No. 70 will take the following actions to address finding 2022-001. Management will review standards and requirements annually to ensure that all of our contracts are in compliance with federal guidelines. Management will also develop a guide/checklist to follow to ensure that all criteria and requirements are met for future federal grants. Anticipated Completion Date: April 1, 2023
Finding 21480 (2022-001)
Significant Deficiency 2022
2022-001 Methods of Procurement Recommendation: We recommend that the County review their policies and procedures to ensure that they are operating in a manner that follows federal procurement requirements and the County?s procurement policy. The creation and use of a standard procurement checklis...
2022-001 Methods of Procurement Recommendation: We recommend that the County review their policies and procedures to ensure that they are operating in a manner that follows federal procurement requirements and the County?s procurement policy. The creation and use of a standard procurement checklist would assist the County in documenting all requirements for each procurement that is entered into. Management Concurs with the Finding and Recommendation Action Plan Taken in Response to Finding: The Finance Department will work with County Management and Board Departments to ensure familiarity and understanding of the County?s procurement policies and procedures. Additionally, the County is working towards the implementation of a financial system which will improve the controls in place to help ensure compliance with procurement requirements. The Finance Department is also working on a financial policies document and will would with County Manager on a review of the County?s procurement policy. Name(s) of contract person(s) responsible for corrective action: Tasha Morgan, Finance Director Planned completion date for corrective action plan: We anticipate the finding will be address by September 30, 2023
Uniform Grant Guidance Implementation Kewaunee County agrees with the finding. An assessment of all grants, requirements, and related policy and procedures is in progress and will continue to: ? Evaluate existing policy and procedures for needed revisions ? Document revisions to policy and procedure...
Uniform Grant Guidance Implementation Kewaunee County agrees with the finding. An assessment of all grants, requirements, and related policy and procedures is in progress and will continue to: ? Evaluate existing policy and procedures for needed revisions ? Document revisions to policy and procedures as necessary ? Communicate any new policies to employees responsible for awards ? Identify awards covered by the Uniform Guidance ? Set and document a schedule for periodic review and revision Policy and procedures, as well as related documentation, are being revised as necessary to ensure compliance with the Uniform Guidance. Progress continues into 2021. The Finance Director will continue to coordinate and provide assistance and guidance to departments receiving grants subject to the Uniform Guidance.
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