Corrective Action Plans

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Finding 2022-002 ? Allowable Cost/ Cost Principles Planned Corrective Action: In November 2022, the University removed all unallowable salary and related fringe benefits costs off the affected grants, returned funds to USDA through the ASAP drawdown process, and corrected the SEFA. Additionally, the...
Finding 2022-002 ? Allowable Cost/ Cost Principles Planned Corrective Action: In November 2022, the University removed all unallowable salary and related fringe benefits costs off the affected grants, returned funds to USDA through the ASAP drawdown process, and corrected the SEFA. Additionally, the Office of Human Resources (HR) and Office of Grants and Contracts (OGCA) have implemented and strengthen monthly review procedures for Personnel Action Forms. In January 2023, Human Resources granted the OGCA query and view access to the Person?s Pay Distribution Module for employees working on grants and contracts. This will allow the OGCA staff to compare the PAFs to HR and Payroll data and identify errors, if any, for correction. Upon receipt of PAFs in the OGCA, the following steps will occur: A. (1) Verify that the faculty and or staff can be specifically identified with the sponsored project; (2) Verified the position in the budget and/or have the prior written approval of the funding agency; (3) Compare the grant period to the personnel action form (PAF) start and end date; and (4) ensure that required approved signatures (Principal Investigator, Department Head and/or Dean) are present. C. Once the above conditions have been met, the Financial Analyst signs the PAF, forward to the Budget Officer and the VP for Business Affairs/CFO, for approval. The approved document is then submitted to the Office of the President and finally, Human Resources for review, approval, and compliance with university employment guidelines and policies. Once approved, HR enters the PAF into the Colleague System. An employment contract is generated as applicable. D. Monthly Review of the Grants General Ledger Summary Report (GLSA) and the General Ledger Trial Balance (GLTB) and or General Ledger Budget Status (GLBS) are completed by the Grants Financial Analysts. This monthly review is to verify that amounts charged are allowable and accurately posted to the correct departmental account and object codes. Payroll charges are compared to the PAFs. E. The OGCA, HR, and Payroll Offices collaborate on any discrepancies or errors and resolve immediately. Anticipated Date of Completion: Corrective action completed as of the date of this report. Person Responsible for Corrective Action Plan: Mr. Dexter Odom, Chief Financial Officer
View Audit 20254 Questioned Costs: $1
Finding 2022-001 Special Tests and Provisions Information on the federal program: Grantor: Department of Education Program Name: Federal Direct Student Loans Assistance Listing No.: 84.268 Views of responsible officials and planned corrective actions: Management agrees with the finding described ab...
Finding 2022-001 Special Tests and Provisions Information on the federal program: Grantor: Department of Education Program Name: Federal Direct Student Loans Assistance Listing No.: 84.268 Views of responsible officials and planned corrective actions: Management agrees with the finding described above. The ISMMS Office of Student Financial Services has implemented a combined monthly reconciliation and drawdown process that identifies and resolves discrepancies, as required by the U.S. Department of Education?s Direct Loan reconciliation guidelines under 34 CFR 685.300(b)(5). The process will be detailed in the School?s procedure manual and staff will be trained accordingly. With this new process in place, we will be compliant with the U.S. Department of Education regulations. Name of responsible official: LaVerne Walker Director of Student Financial Services laverne.walker@mssm.edu Projected completion date: ? September 26, 2023: Completed implementation of combined monthly reconciliation and drawdown process ? December 31, 2023: Completed staff training sessions and revision to procedure manual
Reportable Views of Responsible Officials: We agree that the Corporation overpaid the management fees, resulting in a receivable from HRC as of December 31, 2022. Management agrees that the fees were paid in excess of the amount allowed by the HUD approved management certification. Context: Not appl...
Reportable Views of Responsible Officials: We agree that the Corporation overpaid the management fees, resulting in a receivable from HRC as of December 31, 2022. Management agrees that the fees were paid in excess of the amount allowed by the HUD approved management certification. Context: Not applicable Recommendation: Management fee calculations should be consistent with terms agreed upon. Auditors? Summary of the Auditee?s Comments on the Findings and Recommendations: Agree with management's assessment. Response Indicator: Agree Completion Date: 12/31/2023
View Audit 28353 Questioned Costs: $1
Corrective Action Plan for Finding 2022-001 We are in receipt of the Findings Required to be Reported by Uniform Guidance, regarding questioned costs and material instance of noncompliance with respect to Activities Allowed/Unallowed and Allowable Costs/Cost Principles. Decatur Hospital Authority?s...
Corrective Action Plan for Finding 2022-001 We are in receipt of the Findings Required to be Reported by Uniform Guidance, regarding questioned costs and material instance of noncompliance with respect to Activities Allowed/Unallowed and Allowable Costs/Cost Principles. Decatur Hospital Authority?s Chief Financial Officer, Todd Scroggins, is responsible to oversee and implement the corrective action plan. In its Provider Relief period three and period four reporting submissions for the year ended December 31, 2022, the Authority?s reports included the activity of the Authority and their Nursing Home Facilities (Nursing Homes). The reported activity included other PRF expenses, nursing home infection control expenses and lost revenues. There are four separate nursing home management companies that provide services to the Authority?s seven Nursing Homes. There were approximately $358,571 in nursing home infection control expenses that were unable to be reconciled to eligible expenses for one of the Nursing Homes. The Authority provided the Nursing Homes with templates to use to provide the Authority with the necessary information for the reporting as the reporting was complete on the TIN of the Authority. The Authority relied on the accuracy of the information provided by the Nursing Homes. The Authority was not aware of the findings in the audit of period 1 and period 2 at the time the Authority submitted period 3 reporting. Therefore, the inaccurate reconciliation of eligible infection control expenses from period 2 was also used for reporting in period 3, which caused a recurrence in audit findings due to timing of audits and findings reported to the Authority. The Authority?s CFO will judgmentally perform detailed testing of reported costs and lost revenue from the Nursing homes in future reporting periods. In addition, the Authority?s CFO and management team will perform a detailed analysis of the reporting requirements in accordance with the final guidelines set by HRSA for future reporting periods. As deemed necessary, the Authority will modify the policies and procedures over federal grant reporting. The Authority?s CFO will oversee this to ensure that it is accomplished for future unreported periods as of this date. The corrective action plan will be implemented by December 31, 2023.
View Audit 27070 Questioned Costs: $1
2022-002 Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all proper reporting is completed per the grant requirements. Action Taken: Management will implement policies and procedures to ensure compliance with all reporting r...
2022-002 Housing Choice Vouchers ? CFDA 14.871 Recommendation: The Commission should implement policies and procedures to ensure all proper reporting is completed per the grant requirements. Action Taken: Management will implement policies and procedures to ensure compliance with all reporting requirements of the Housing Choice Voucher Grant. Anticipated Completion Date of Action: September 30, 2023
2022-003 Public and Indian Housing ? CFDA 14.850 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to Procurement, Suspension and Debarment. Action Taken: Management will implement policies and procedures to ensure the...
2022-003 Public and Indian Housing ? CFDA 14.850 Recommendation: The Commission should implement policies and procedures to ensure all federal compliances are followed pertaining to Procurement, Suspension and Debarment. Action Taken: Management will implement policies and procedures to ensure the Commission is in compliance with all grant requirements pertaining to the Public and Indian Housing Grant. Anticipated Completion Date of Action: September 30, 2023
Compliance with Laws and Regulations (Material Weakness) 2022-001 Public and Indian Housing ? CFDA 14.850 Recommendation: The Commission should require its financial institutions to provide documentation of collateral at a minimum on a quarterly basis. The Commission should also adopt policies a...
Compliance with Laws and Regulations (Material Weakness) 2022-001 Public and Indian Housing ? CFDA 14.850 Recommendation: The Commission should require its financial institutions to provide documentation of collateral at a minimum on a quarterly basis. The Commission should also adopt policies and procedures to monitor its cash and investments continuously to verify that the collateral provided by the financial institutions is adequate throughout the year. Action Taken: Management will implement a new process that will require the banks to provide proof of insurance coverage on a quarterly basis, at minimum. Anticipated Completion Date of Action: September 30, 2023
View Audit 26661 Questioned Costs: $1
Current Year Audit Findings and Corrective Action Plan For the Year Ended December 31, 2022 Finding 2022-001 ? Eligibility Internal control deficiency over the reassessment requirement to determine eligibility Identification of the federal program: Assistance Listing Number 93.914 ? Program ...
Current Year Audit Findings and Corrective Action Plan For the Year Ended December 31, 2022 Finding 2022-001 ? Eligibility Internal control deficiency over the reassessment requirement to determine eligibility Identification of the federal program: Assistance Listing Number 93.914 ? Program Name: HIV Emergency Relief Project Grants ? Grantor: Department of Health and Human Services (HHS) ? Federal award identification number: Not Applicable Views of responsible officials and planned corrective actions: Management agrees with the finding. Management will develop internal controls to implement effective internal controls regarding 1) Review and retention of income and residency verification at program Intakes, and 2) Real time documentation of participants? income and residency eligibility at the required frequency (typically during 6 month Reassessments) with accepted supporting documentation for each participant. 3) This documentation will be entered into our EMR (EPIC) for each patient, outlining our eligibility verifications done at Intakes, Reassessments or Reassessment Attempts, along with screen shots from ePACES and/or other eligibility documents used. This will enable our program team and our funders and auditors to be able to more easily review our documented ongoing program eligibility for each patient. This will also improve our quality controls and will enable program staff to more effectively monitor annual eligibility checks. Contact person: Diane Tider Expected Completion Date: Implementing immediately 10/2/23
Name of Auditee: Albany Leadership Charter School for Girls Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended June 30, 2022 CAP Prepared by: Carina Cook, Superintendent Phone: 518-694-5300 Current Finding on the Schedule of Findings and Responses 3) Finding 2022-003...
Name of Auditee: Albany Leadership Charter School for Girls Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended June 30, 2022 CAP Prepared by: Carina Cook, Superintendent Phone: 518-694-5300 Current Finding on the Schedule of Findings and Responses 3) Finding 2022-003 - The Data Collection Form for the year ended June 30, 2022 was not filed with the Federal Audit Clearinghouse within nine months after year end. a. Implementation of Plan of Action - Management will work with the auditors for timely completion of the audit and filing of the Data Collection Form. b. Implementation Date - Management expects to have this completed March 31, 2024. c. Persons Responsible for the Implementation - The Board of Trustees and the Superintendent.
Name of Auditee: Albany Leadership Charter School for Girls Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended June 30, 2022 CAP Prepared by: Carina Cook, Superintendent Phone: 518-694-5300 Current Finding on the Schedule of Findings and Responses 2) Finding 2022-002...
Name of Auditee: Albany Leadership Charter School for Girls Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended June 30, 2022 CAP Prepared by: Carina Cook, Superintendent Phone: 518-694-5300 Current Finding on the Schedule of Findings and Responses 2) Finding 2022-002 - Salary contracts for two employees could not be obtained and reviewed for approval. a. Implementation of Plan of Action - Management will begin keeping signed copies of employee salary contracts in the employee?s personnel file. b. Implementation Date - The School expects to have this completed by June 30, 2024. c. Persons Responsible for the Implementation - The Board of Trustees and the Superintendent.
The County?s Procurement Policy is being updated to include a Federal Procurement Checklist to be used for purchases using Federal funds.
The County?s Procurement Policy is being updated to include a Federal Procurement Checklist to be used for purchases using Federal funds.
2022-001: Material Weakness - Application of Sliding Fee Schedule Discount Contact Person: Shelly Davis, CFO Criteria: The Community Health Center is required to have a schedule of fees or payments for the provision of their health services consistent with locally prevailing rates or charges and d...
2022-001: Material Weakness - Application of Sliding Fee Schedule Discount Contact Person: Shelly Davis, CFO Criteria: The Community Health Center is required to have a schedule of fees or payments for the provision of their health services consistent with locally prevailing rates or charges and designed to cover the reasonable costs of operation. The corresponding sliding fee schedule of discounts applied and adjusted should be based on the patient?s ability to pay. The patient?s ability to pay is determined based on the official poverty guidelines, as revised annually by the U.S. Department of Health and Human Services. Condition: During our testing of the sliding fee schedule, we noted the Community Health Center has a sliding fee schedule, whereby the basis of the patient?s ability to pay is based upon the patient?s income, using the federal poverty guidelines as a basis for the percentage of the sliding fee schedule discount. However, in three of the forty patient files tested, the sliding fee schedule discount was calculated incorrectly causing the sliding fee schedule discount to be improperly applied. Cause: The Community Health Center is not following policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect: The sliding fee discount applied is incorrect. Indication of Repeat Finding: This is a repeat finding. The finding in the prior audit was 2021-001. Recommendation We recommend the Community Health Center?s sliding fee schedule discount be correctly applied by following established policies and procedures regarding the sliding fee schedule calculation. Views of Responsible Officials and Planned Corrective Actions: The Community Health Center has been focused on continuous improvement and ongoing focused training for the past two years. The Clinic has continued to implement new workflows and procedures. In January 2022, we started to internally review 100% of the sliding fee documents and correct any errors as soon as they are discovered. Additionally, our Billing department does a review of a random sample to ensure our internal audit is performing as planned. Our organization?s leadership and Board of Directors understand the importance of the requirement to apply our policies and procedures accurately and appropriately regarding the sliding fee discount calculations. The Community Health Center has taken swift and direct actions to improve our adherence to our policies and procedures related to the sliding fee discounts. Corrective Action Plan 1. Stakeholders and supervisors meet weekly to report errors made, confirm corrections completed, note trainings performed, and identify potential weaknesses and plan for improved workflows. 2. Internally review 100% of the sliding fee calculations in a prompt manner. 3. Make corrections to all identified errors immediately. 4. Billing supervisor will review monthly, a sampling of all sliding fee calculations from the prior month, as an additional measure to identify any miscalculations. 5. Hourly wage rates of patient support staff have been increased to improve the hiring and retaining of qualified staff in these vital roles that work with the patient and the sliding fee discount. 6. Focused individual and group trainings with patient support staff is scheduled monthly or more often if needed. 7. Intense training of new employees is completed promptly upon hiring. 8. Establish staff reward system for reduction of sliding fee discount calculation errors. 9. Outstanding performance by patient support staff, reflected as no errors, will see increased wages at annual reviews.
Finding 20550 (2022-002)
Significant Deficiency 2022
Recommendation: Out auditors recommended the Corporation take measures to ensure that appropriate sliding fee rates/categories are used for each sliding fee encounter. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding...
Recommendation: Out auditors recommended the Corporation take measures to ensure that appropriate sliding fee rates/categories are used for each sliding fee encounter. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Corporation utilizes an external billing company. The external billing company has implemented an automated revision using robotics to ensure that sliding fee adjustments are made accurately according to the patients' sliding fee scale. Also, as required by HRSA, the Corporation records household income in our EMR for both sliding fee and non-sliding fee patients. Enrollment specialists process and record household income based on documentation supplied within a sliding fee application. Customer Service Associates record household income based on verbal representations for non-sliding fee patients. The issue involving not having a sliding fee application on file was caused by a Customer Service Associate incorrectly recording a verbal representation as a renewal of a sliding fee application. The Corporation will reinforce to all Customer Service Associates that renewal of sliding fee discounts must be performed by Enrollment Staff so that the income can be verified by documentation. Name(s) of the contact person(s) responsible for corrective action: Dave Madsen, CFO Planned completion date for corrective action plan: Has been implemented.
FINDING 2022-004 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, if there was not a problem with the finances of this grant could this not have been a comment. There is not any one of u...
FINDING 2022-004 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, if there was not a problem with the finances of this grant could this not have been a comment. There is not any one of us involved with this grant that would have known about the prevailing wages part of it. Description of Corrective Action Plan: Projects requiring prevailing wage are complete, so we can't change this one, but will review grant agreements and try to remember to ask grantor if prevailing wage applies if any new grants are received, so we can develop controls and monitor compliance. Anticipated Completion Date: 02/27/2023
FINDING 2022-003 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, we were not aware that these funds participated in the public transfer. We know Title I does and we communicate with the...
FINDING 2022-003 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, we were not aware that these funds participated in the public transfer. We know Title I does and we communicate with the other schools but we were not informed about ESSER I following these guidelines. Again, we will probably not receive these grants again and I feel they could have been comments instead of findings. Description of Corrective Action Plan: I can?t do anything about this but if we receive money like this again I will make sure and ask about the public transfer. Anticipated Completion Date: 02/27/2023
FINDING 2022-002 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, these documents were reported by more than one person I just forgot or didn?t think about having someone sign off on it....
FINDING 2022-002 Contact Person Responsible for Corrective Action: Trina Huff Contact Phone Number:812-689-4114 Views of Responsible Official: We concur with the finding; however, these documents were reported by more than one person I just forgot or didn?t think about having someone sign off on it. Again, we will probably not receive these kinds of grants again and something this simple could be a comment and not a finding. I feel that if there are no issues with the actual funding and finances that it could be a comment. Description of Corrective Action Plan: I will document who helped with their portion of the report and have them sign off on it. Anticipated Completion Date: 02/27/2023
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See Corrective Plan
The City has established an Audit Review Certification form that will be completed by employees to formally document the review of subrecipient agencies? audit reports.
The City has established an Audit Review Certification form that will be completed by employees to formally document the review of subrecipient agencies? audit reports.
The City has established an Audit Review Certification form that will be completed by employees to formally document review of subrecipient agencies? audit reports.
The City has established an Audit Review Certification form that will be completed by employees to formally document review of subrecipient agencies? audit reports.
The City will establish the following procedures to ensure payment requests received from subrecipients are paid within 30 days of receipt of a complete request for reimbursement: 1. Department of Human Service Programs (DHSP) Contract Manager reviews invoices within 5 business days of receipt of re...
The City will establish the following procedures to ensure payment requests received from subrecipients are paid within 30 days of receipt of a complete request for reimbursement: 1. Department of Human Service Programs (DHSP) Contract Manager reviews invoices within 5 business days of receipt of request for reimbursement from subrecipient. a. If invoice is complete, original date of receipt is recorded. b. If invoice is incomplete, subrecipient is notified of items or documentation that is missing and receipt date is updated to reflect date of receipt of complete invoice. 2. Contract Manager approves payment request and submits to DHSP Fiscal staff for processing. 3. Fiscal staff processes and submits to Auditing Department as Priority payment.
The City will update the subrecipient contract template to ensure the required language is included in all newly executed contracts certifying that the agency, its officers, and employees are not suspended or debarred from doing business with the federal government. Prior to entering into contracts ...
The City will update the subrecipient contract template to ensure the required language is included in all newly executed contracts certifying that the agency, its officers, and employees are not suspended or debarred from doing business with the federal government. Prior to entering into contracts with subrecipients, the City will check that each subrecipient is not included on the SAM.gov Exclusion List and will include a dated screenshot from the SAM.gov website documenting the review in each project file.
Department of Health and Human Services FINDING ? FEDERAL AWARD PROGRAMS AUDITS 2022-002 Policies and Procedures Material Weakness Recommendation: The Organization should adopt a formal written procurement policy in the format and with the elements required by 2 CFR Sections 200.318 to 200.326. ...
Department of Health and Human Services FINDING ? FEDERAL AWARD PROGRAMS AUDITS 2022-002 Policies and Procedures Material Weakness Recommendation: The Organization should adopt a formal written procurement policy in the format and with the elements required by 2 CFR Sections 200.318 to 200.326. Action Taken: The Organization adopted a ?Fiscal Policies and Procedures Manual? on October 1, 2022.
Department of Health and Human Services FINDING ? FEDERAL AWARD PROGRAMS AUDITS 2022-001 Documentation of Personnel Expenses (Timesheets) Material Weakness Recommendation: Require all employees to complete a contemporaneous timesheet which includes all required Uniform Guidance requirements. A...
Department of Health and Human Services FINDING ? FEDERAL AWARD PROGRAMS AUDITS 2022-001 Documentation of Personnel Expenses (Timesheets) Material Weakness Recommendation: Require all employees to complete a contemporaneous timesheet which includes all required Uniform Guidance requirements. Action Taken: On January 1, 2023, an electronic time reporting function was put into effect through ADP (?Automatic Data Processing?), the company?s payroll processing system. This improvement allows employees to enter their time and select a cost center (?department code?) at the time of entry. It then routes the timesheet for approval by the supervisor before reaching the accounting department for payment initiation, resulting in an automated review and approval.
Section III ? Major Federal Award Findings and Questioned Costs 2022-001 ? Allowable Costs/Activities Allowed The Organization agrees that turnover within program administration (2 separate principals in two years amidst the Covid pandemic) resulted in a lack of site visits and therefore reduced fid...
Section III ? Major Federal Award Findings and Questioned Costs 2022-001 ? Allowable Costs/Activities Allowed The Organization agrees that turnover within program administration (2 separate principals in two years amidst the Covid pandemic) resulted in a lack of site visits and therefore reduced fidelity between system data and actual headcounts of meals administered. Site visits resumed in fourth quarter of 2022. Further, an additional Grants Administrator was hired and added to the food program as a second principal, which will also provide an additional level of review. Going forward, meals will not be submitted for reimbursement if they cannot be properly documented and accounted for. Responsible Official: Chief Development Officer Anticipated Completion Date: 6/30/2023
The Authority has multiple staff with access to MINC to ensure timely entry. The Authority implemented a series of checks and balances with respect to the process of entering information, including internal checklists and additional staff that review checklists to meet compliance.
The Authority has multiple staff with access to MINC to ensure timely entry. The Authority implemented a series of checks and balances with respect to the process of entering information, including internal checklists and additional staff that review checklists to meet compliance.
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