Corrective Action Plans

Finding 20511 (2022-001)

Significant Deficiency 2022

IL

Subrecipient Monitoring Procurement, Suspension & Debarment § 200.303 § 200.332

Corrective Action Plan: Carle to proceed with publishing and implementing its Sub-Recipient Monitoring Policy. The Grants Administration Office has already created Sub-Recipient Orientation training session for Carle departments and prospective subrecipients and will work with Compliance to active...

Corrective Action Plan: Carle to proceed with publishing and implementing its Sub-Recipient Monitoring Policy. The Grants Administration Office has already created Sub-Recipient Orientation training session for Carle departments and prospective subrecipients and will work with Compliance to actively train stakeholders. Contact Person(s): Kathy Dams, Director, Grants Administration and Research Operations Anticipated Completion: 12/31/2023

View Audit 20202

Finding 20510 (2022-002)

Significant Deficiency 2022

City of Grand Forks

ND

Procurement, Suspension & Debarment § 200.212 § 200.318

Contact Person ? Maureen Storstad ? Finance Director Corrective Action Plan ? The City is in the process of updating its procurement policy to include verbiage related to the suspension and debarment requirement. Completion Date - Immediately

View Audit 20163

Finding 20509 (2022-002)

Significant Deficiency 2022

Carolinaeast Health System

NC

Questioned Costs Significant Deficiency Internal Control / Segregation of Duties

Finding 2022-002 ? Allowable Costs, Activities Allowed and Reporting Corrective Action: In future reporting periods, we will ensure that PRF distributions are only used used for expenses to prevent, prepare for, and respond to the coronavirus that have not been reimbursed from other sources or that...

Finding 2022-002 ? Allowable Costs, Activities Allowed and Reporting Corrective Action: In future reporting periods, we will ensure that PRF distributions are only used used for expenses to prevent, prepare for, and respond to the coronavirus that have not been reimbursed from other sources or that other sources are not obligated to reimburse and calculate lost revenues as outlined in the terms and conditions. To make sure this error does not happen again in the future, we will have added additional layers of review to make sure expenses are not reimbursed from other sources. Completion date: Issue Date

View Audit 19062 Questioned Costs: $1

Finding 20508 (2022-001)

Significant Deficiency 2022

Carolinaeast Health System

NC

Significant Deficiency Internal Control / Segregation of Duties

Finding 2022-001 - Reporting Name of Contact Person: Tammy Sherron, Vice President, Finance/CFO Corrective Action: In future reporting periods, CarolinaEast will calculate lost revenue based on the basis of accounting which the System reports and lacked related controls over compliance. To make su...

Finding 2022-001 - Reporting Name of Contact Person: Tammy Sherron, Vice President, Finance/CFO Corrective Action: In future reporting periods, CarolinaEast will calculate lost revenue based on the basis of accounting which the System reports and lacked related controls over compliance. To make sure this error does not happen again in the future, we will have added additional layers of review for the calculations and data entry. Completion date: Issue Date

View Audit 19062

Finding 20480 (2022-001)

Significant Deficiency 2022

City of Eveleth

MN

Subrecipient Monitoring Significant Deficiency Internal Control / Segregation of Duties

REPRESENTATION OF THE CITY OF EVELETH, MINNESOTA CORRECTIVE ACTION PLAN Year Ended December 31, 2022 Finding Number: 2022-001 Finding Title: SEGREGATION OF DUTIES Name of Contact Person Responsible for Corrective Action Jackie Monahan-Junek, City Administrator Corrective Action Planned The City Admi...

REPRESENTATION OF THE CITY OF EVELETH, MINNESOTA CORRECTIVE ACTION PLAN Year Ended December 31, 2022 Finding Number: 2022-001 Finding Title: SEGREGATION OF DUTIES Name of Contact Person Responsible for Corrective Action Jackie Monahan-Junek, City Administrator Corrective Action Planned The City Administrator will attempt to monitor transactions and structure the duties of office personnel to help ensure as much segregation of duties as possible within the City's staffing limitations and funding constraints. Anticipated Completion Date Ongoing. Finding Number: 2022.002 Finding Title: LACK OF CONTROL OVER FINANCIAL REPORTING PROCESS Name of Contact Person Responsible for Corrective Action Jackie Monahan-Junek, City Administrator Corrective Action Planned Management has determined that the cost and training involved to review or prepare the City's financial statements exceeds the benefit that would result. Anticipated Completion Date Ongoing. Jackie Monahan.Junek, City Administrator

View Audit 28327

Finding 20479 (2022-002)

Material Weakness 2022

Mercy Neighborhood Ministries, Inc.

PA

Internal Control / Segregation of Duties HUD Housing Programs Material Weakness

Views of Responsible Officials Management will implement procedures to ensure that timely and accurate financial information is prepared in accordance with generally accepted accounting principles.

View Audit 27495

Finding 20478 (2022-001)

Material Weakness 2022

Mercy Neighborhood Ministries, Inc.

PA

Internal Control / Segregation of Duties Material Weakness Reporting

Views of Responsible Officials The Organization has developed written procedures and incorporated the following controls surrounding cash receipts and disbursements. ? Maintenance of a daily log of cash receipts and disbursements. ? Restrict access to cash and checks to authorized individuals ? M...

Views of Responsible Officials The Organization has developed written procedures and incorporated the following controls surrounding cash receipts and disbursements. ? Maintenance of a daily log of cash receipts and disbursements. ? Restrict access to cash and checks to authorized individuals ? Maintain adequate supporting documentation for all cash receipts and disbursements ? Recount of daily cash receipts by more than one individual for accuracy ? Make deposits and post to accounts receivable on a regular basis at a minimum weekly ? Safeguard cash and checks for deposits in a secure location (i.e. safe or lockbox) ? Cash receipts are verified to daily log and supporting documentation as part of bank reconciliation process ? Cash receipt and disbursement detail to be reviewed by Executive Director

View Audit 27495

Finding 20477 (2022-003)

Material Weakness 2022

South Arkansas Developmental Center for Children and Families, Inc.

AR

Procurement, Suspension & Debarment § 200.214 § 200.318

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Starting in August 2023, SADC...

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Starting in August 2023, SADCCF will notify potential bidders of the opportunity to bid on the USDA meal program by radio announcement.

View Audit 26769

Finding 20476 (2022-002)

Material Weakness 2022

South Arkansas Developmental Center for Children and Families, Inc.

AR

Cash Management Eligibility Internal Control / Segregation of Duties

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Management concurs with findi...

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Management concurs with findings and plans to implement the recommendations above. Starting in July 2023, SADCCF's Quality Assurance will conduct a review of every eligibility form completed during the year to ensure that it was completed correctly. The form will then be traced to the USDA attendance sheet to make sure that the status (free, reduced or paid) is recorded correctly on the sheet to ensure that the billing for each child is correct.

View Audit 26769

Finding 20475 (2022-001)

Material Weakness 2022

South Arkansas Developmental Center for Children and Families, Inc.

AR

Eligibility Internal Control / Segregation of Duties

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Management concurs with findi...

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Child and Adult Food Care Program, Assistance Listing No. 10.558 Federal Agency: U.S. Department of Health and Human Services Management concurs with findings and plans to implement the recommendations above. Starting in July 2023, the SADCCF Training Department will schedule Mandatory New hire and Refresher Trainings and document completion with a certificate, sign in sheet and agenda detailing the material covered during the training. The Training Department along with HR will also add USDA as a required training in the training database for each employee working for SADCCF's children and adult programs. This will enable HR to print a list by employee of needed trainings and this list will be reviewed quarterly to make sure all employees required to have the USDA training have received it.

View Audit 26769

Finding 20474 (2022-004)

Material Weakness 2022

South Arkansas Developmental Center for Children and Families, Inc.

AR

Allowable Costs / Cost Principles Reporting Internal Control / Segregation of Duties

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498 Federal Agency: U.S. Department of Health and H...

Contact Name: Barbara Staggs, CFO Contact Phone Number: 870-863-8194 Audit Period Ending: June 30, 2022 Audit Firm: FORVIS, LLP Federal Program: Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498 Federal Agency: U.S. Department of Health and Human Services Management concurs with finding and in future will get clarification from FORVIS regarding this type reporting to make sure it is done correctly.

View Audit 26769

Finding 20473 (2022-003)

None 2022

Morning Calm Apt

WA

Questioned Costs HUD Housing Programs Subrecipient Monitoring

Department of Housing and Urban Development Auditee identification number: 127-EE017 Name of audit firm: Squires Maddux & Company, PLLC Period covered by the audit: Year Ended June 30, 2022 Prepared by: S3800-160: Contact Person First Name: Marc S3800-170: Contact Person Middle Initial: ...

Department of Housing and Urban Development Auditee identification number: 127-EE017 Name of audit firm: Squires Maddux & Company, PLLC Period covered by the audit: Year Ended June 30, 2022 Prepared by: S3800-160: Contact Person First Name: Marc S3800-170: Contact Person Middle Initial: S3800-180: Contact Person Last Name: Busch Contact Email Address: marc.busch@coastmgt.com The finding from the June 30, 2022 schedule of findings and question costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDING NO. 2022-003 Recommendation: Management should institute a monitoring process to review approved HUD 9250?s ensuring that all withdrawals are made from the proper account. S3800-130: Response Indicator: Agree. S3800-140: Completion Date: March 24, 2023 S3800-150: Action Taken: Management agrees with the finding and plans to take corrective actions which include communication with the Project Accountant and Regional Manager about withdrawals, and will transfer $4,400 from the replacement reserve account to the residual receipts account..

View Audit 26498 Questioned Costs: $1

Finding 20472 (2022-002)

None 2022

Morning Calm Apt

WA

Questioned Costs Subrecipient Monitoring HUD Housing Programs

Department of Housing and Urban Development Auditee identification number: 127-EE017 Name of audit firm: Squires Maddux & Company, PLLC Period covered by the audit: Year Ended June 30, 2022 Prepared by: S3800-160: Contact Person First Name: Marc S3800-170: Contact Person Middle Initial: ...

Department of Housing and Urban Development Auditee identification number: 127-EE017 Name of audit firm: Squires Maddux & Company, PLLC Period covered by the audit: Year Ended June 30, 2022 Prepared by: S3800-160: Contact Person First Name: Marc S3800-170: Contact Person Middle Initial: S3800-180: Contact Person Last Name: Busch Contact Email Address: marc.busch@coastmgt.com The finding from the June 30, 2022 schedule of findings and question costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDING NO. 2022-002 Recommendation: Management should institute a monitoring process to ensure all required monthly deposits to the replacement reserve are made. Such process could include initiating automatic recurring monthly transfers with the financial institution that maintains the replacement reserve account. S3800-130: Response Indicator: Agree. S3800-140: Completion Date: March 24, 2023 S3800-150: Action Taken: Senior management has discussed the deficiency with the Project Accountant and Regional Manager. All future deposits the replacement reserve will be made as required in the regulatory agreement.

View Audit 26498 Questioned Costs: $1

Finding 20471 (2022-002)

Material Weakness 2022

Town of Windsor Locks, Connecticut

CT

Questioned Costs Procurement, Suspension & Debarment § 200.318 § 200.326

Material Noncompliance Material Weakness in Internal Control over Compliance 2022-002 Procurement and Suspension and Debarment Recommendation: Recommend the Town review its formal procurement policies and revise with the criteria in 2 CFR sections 200.318 and 200.326. Action taken in response to f...

Material Noncompliance Material Weakness in Internal Control over Compliance 2022-002 Procurement and Suspension and Debarment Recommendation: Recommend the Town review its formal procurement policies and revise with the criteria in 2 CFR sections 200.318 and 200.326. Action taken in response to finding: 1. Review and update existing Purchasing Guidelines to conform with Uniform Guidance. 2. Revise procedures for adding new vendors, implement a check for Suspension and Debarment. 3. Recommend to Board of Selectmen a revised Procurement Policy. 4. After acceptance and approval of revised procurement policy provide training to staff on new policies and procedures surrounding procurement. Name(s) of the contact person(s) responsible for corrective action: Mandi Moore, Finance Director Planned completion date for corrective action plan: 6/30/23 If anyone has questions regarding this plan, please call Mandi Moore at 860.627.1449 option 4

View Audit 26268 Questioned Costs: $1

Finding 20470 (2022-002)

Significant Deficiency 2022

City of Santa Barbara

CA

Reporting

2022-002 Corona Virus State and Local Recovery Funds? Assistance Listing No. 21.027 Recommendation: We recommend the City implement procedures to ensure compliance with all reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action...

2022-002 Corona Virus State and Local Recovery Funds? Assistance Listing No. 21.027 Recommendation: We recommend the City implement procedures to ensure compliance with all reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: SLRF reporting was a new requirement for the City in 2021. Despite review, preparers missed the expenditure line item on the report. Due to timing, this is still outstanding from the prior fiscal year. The City has since implemented more robust review processes to assure each line item is properly addressed before submittal. Name(s) of the contact person(s) responsible for corrective action: Jessica Yates, Accounting Supervisor. Planned completion date for corrective action plan: June 2023

View Audit 26059

Finding 20469 (2022-001)

Significant Deficiency 2022

City of Santa Barbara

CA

Procurement, Suspension & Debarment Allowable Costs / Cost Principles

2022-001 Corona Virus State and Local Recovery Funds? Assistance Listing No. 21.027 Recommendation: We recommend the City implement procedures to ensure that verification documentation for suspension and debarment is maintained to support the City's internal control over compliance. Explanation of d...

2022-001 Corona Virus State and Local Recovery Funds? Assistance Listing No. 21.027 Recommendation: We recommend the City implement procedures to ensure that verification documentation for suspension and debarment is maintained to support the City's internal control over compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Despite understanding of these requirements, the City failed to document verification of suspension and debarment findings. We have taken immediate action to incorporate standards to ensure that these measures are documented and maintained appropriately moving forward. Name(s) of the contact person(s) responsible for corrective action: Jessica Yates, Accounting Supervisor Planned completion date for corrective action plan: June 2023

View Audit 26059

Finding 20465 (2022-001)

Significant Deficiency 2022

Dc Volunteer Lawyers Project

DC

Procurement, Suspension & Debarment

Views of Responsible Officials: Beginning immediately, DCVLP is documenting and retaining evidence of the screening process for all payments made with Federal funds to ensure that DCVLP is not conducting business with excluded parties (as defined by the U.S. Government). The screening process is con...

Views of Responsible Officials: Beginning immediately, DCVLP is documenting and retaining evidence of the screening process for all payments made with Federal funds to ensure that DCVLP is not conducting business with excluded parties (as defined by the U.S. Government). The screening process is conducted via searches on the System for Award Management (SAM): https:sam.gov/search. Documentation of the screening process is being saved in DCVLP?s secure, cloud-based file storage system and on the documents tab for each vendor in DCVLP?s secure, cloudbased bill payment system. The Director of Operations will also maintain a spreadsheet of all DCVLP vendors with a column noting the date of the most recent SAM check. DCVLP management will also be working with The Ijaz Group accounting firm and DCVLP?s Finance Committee to update DCVLP?s Accounting Manual to ensure that policies are in place and DCVLP is screening all vendors going forward.

View Audit 24726

Finding 20464 (2022-002)

Material Weakness 2022

Town of Edinburgh

IN

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Subrecipient Monitoring § 200.303

FINDING 2022-002 Contact Person Responsible for Corrective Action: Scott Finley Contact Phone Number: 812-526-3511 Contact E-mail: sfinley@edinburgh.in.us View of responsible official: The town concurs with the Section III finding identified. Description of Corrective Action Plan: For SRF disburseme...

FINDING 2022-002 Contact Person Responsible for Corrective Action: Scott Finley Contact Phone Number: 812-526-3511 Contact E-mail: sfinley@edinburgh.in.us View of responsible official: The town concurs with the Section III finding identified. Description of Corrective Action Plan: For SRF disbursements related to construction, the town?s engineers review the pay applications and are sent to the town for review. The pay app is submitted to the council for review and approval. Upon approval, the Clerk-Treasurer signs the pay app and submits it to SRF for disbursement. Moving forward, the town council president will sign the pay app rather than the Clerk-Treasurer. For SRF Disbursements related to engineering, the invoice is reviewed by the Town Manager and Clerk- Treasurer and then submitted to SRF for disbursement. Moving forward, these invoices will be processed similarly to the construction pay apps. These invoices will be reviewed by the Town Manager and Clerk- Treasurer and then submitted to the council for approval. After council approval they will be submitted to SRF for disbursement. The town will also request that the engineers add a signature page to their invoices so they can be signed off on. Anticipated Completion Date: Process will be implemented immediately.

View Audit 24560

Finding 20462 (2022-001)

None 2022

The Seneca Apartments (a Restricted Project of Lake Area Development)

NY

Special Tests & Provisions HUD Housing Programs

Name of auditee: The Seneca Apartments (A Restricted Project of Lake Area Development Corporation). Project No.: 014-35190 TIN: 16-1492087 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: December 31, 2022 CAP prepared by: Robert Doeblin Chief Executive Officer, Geneva Housing Aut...

Name of auditee: The Seneca Apartments (A Restricted Project of Lake Area Development Corporation). Project No.: 014-35190 TIN: 16-1492087 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: December 31, 2022 CAP prepared by: Robert Doeblin Chief Executive Officer, Geneva Housing Authority (315) 789-8010 Finding 2022-001 Management is aware of the terms of the regulatory agreement between the Corporation and HUD dated December 22, 2004. Management also considers its role of protecting the health and safety of the residents as well as protecting the building from further damage to be of the upmost importance. That being said, management assessed the overall roof conditions and considered the safety of the residents, the continued damage being done to the building, and the lack of response from HUD. Management then proceeded to temporarily relocate various residents and authorized the roof replacement, deeming it an emergency. It should be noted that the roof replacement work item was on the HUD approved Capital Improvement Schedule. Management will continue to work with HUD to obtain the necessary approvals and expects to have this situation resolved by December 31, 2023. Additionally, management will strive to obtain all future required approvals from HUD for eligible capital improvements items while at the same time protecting the integrity of the building and safeguarding health and safety of the residents.

View Audit 23757

Finding 20460 (2022-005)

Material Weakness 2022

Jefferson County Government

CO

Matching / Level of Effort / Earmarking Subrecipient Monitoring Allowable Costs / Cost Principles

FISCAL YEAR OF FINDING: 2022 AUDITOR FINDING: 2022-005 Eligibility. We noted the following issues in the 40 cases tested: 1. Four instances in which income was incorrectly calculated based on information maintained in case file. 2. One instance in which there was inadequate documentation to support ...

FISCAL YEAR OF FINDING: 2022 AUDITOR FINDING: 2022-005 Eligibility. We noted the following issues in the 40 cases tested: 1. Four instances in which income was incorrectly calculated based on information maintained in case file. 2. One instance in which there was inadequate documentation to support eligibility determination within the case file. 3. One instance in which the Colorado Works Referral form was not processed timely. 4. Two instances in which the County' eligibility authorization notes for the period selected did not agree to CHATS. Recommendation: We recommend that the County continue to strengthen the internal controls surrounding the eligibility process, specifically continuing the use and monitoring of case reviews to help identify potential areas for additional training. CLIENT PLANNED ACTION: Jefferson County agrees with the findings. There continues to be improvement each year in the overall findings, which demonstrates that the strategies previously implemented had the desired impact. However, the continued findings require additional action steps. Jefferson County will continue and implement the following actions to address and prevent future errors. ? The CCAP supervisor will continue reviewing available reports in CHATS to target untimely closures and follow up on potential erroneous case closures. Reports include the RE301, RE224, and RE115. Any case needing action will be assigned for completion within 5 business days and reviewed to ensure corrections were completed. ? Monthly case reviews will continue, at three levels, to assess case and payment accuracy. o The Jeffco Human Services Internal Quality Assurance (IQA) team will review 1% of the caseload monthly, utilizing the state mandated list. o The State Program Integrity Office will review cases monthly to monitor case and payment accuracy. o CCAP Supervisor and/or Lead Worker will review cases as follows: - The CCAP Supervisor will complete a minimum of two case reviews per worker per month. The number and type of review may be adjusted based on individual staff performance. Income and parent fee calculations will be targeted using the primary activity report in CHATS. The Lead Worker will fulfill this function if the Supervisor is out of the office. - 5% of all applications and redeterminations will be reviewed by the CCAP Supervisor or Lead Worker prior to approval. Jefferson County?s Internal Auditor has also been trained on the eligibility process and may review cases prior to approval to support the team. Eligibility Specialists will utilize a pre-authorization checklist when submitting the selected cases for review. The checklist was developed and implemented to assist workers in accurately entering and checking their data entry and eligibility determination. New CCAP Eligibility Specialists will have 100% of cases reviewed prior to approval until accuracy rates reach 95%, at which point preauthorization reviews will be reduced incrementally based on performance. o All responses to IQA or State Program Integrity regarding corrections or resolutions to cases will be documented and provided to the CCAP Supervisor/Program Manager within 2-5 business days, depending on the identified deadline, and will include screen shots verifying corrections prior to submittal. o Monthly meetings between the Division Director, Program Integrity Manager, Program Integrity Supervisor, Quality Assurance Supervisor, CCAP Program Manager, and CCAP Supervisor will continue in order to discuss performance and progress related to quality assurance and program integrity. Prior to the meeting, the Internal Quality Assurance (IQA) team will provide monthly reports for review and analysis. During the meetings, data and trends will be reviewed utilizing the aforementioned reports, which include error type, accuracy, and error increase/reduction over the year. In addition, training needs for staff will be discussed based on the supervisory, Internal Quality Assurance (IQA), and State level review findings and monitoring strategies will be developed to address areas of concern. ? Monthly review data is incorporated into all individual and leadership performance milestones. Milestones are the county?s employee performance management system. Continued errors or lack of progress and improvement will be addressed via the county Employee Relations coaching and disciplinary framework. ? Effective January 1, 2023, Jefferson County launched an updated model for service delivery and workload management utilizing an internal system, GenApp. The utilization of GenApp: o Improved document storage, o Increased oversight related to workload and timeliness as all pending actions can be viewed by type, date received and due date, o Simplified workload coverage due to employee leave or vacancies, o Removed inconsistencies in customer service, o Improved available reports. ? The Colorado Works Referral inbox has been prioritized by the CCAP Supervisor/Lead Worker for review and timely completion. ? Supplementary income training will be developed and delivered starting in October 2023 and continue on a quarterly basis to provide a review of income rules, calculation, common errors, and answer questions. CLIENT RESPONSIBLE PARTY: Tara Noble (Program Manager) and Monie Salgado (CCAP Supervisor) COMPLETION DATE: October 2023

View Audit 22844

Finding 20459 (2022-006)

Significant Deficiency 2022

Jefferson County Government

CO

Eligibility Subrecipient Monitoring

AUDITOR FINDING: 2022-006 Eligibility. We noted the following issues in the 25 cases tested: 1. One instance in which JCHS could not provide copy of the participant's Colorado Works Individualized Plan (IP), however case comments indicated an IP was completed. 2. One instance in which the Initial As...

AUDITOR FINDING: 2022-006 Eligibility. We noted the following issues in the 25 cases tested: 1. One instance in which JCHS could not provide copy of the participant's Colorado Works Individualized Plan (IP), however case comments indicated an IP was completed. 2. One instance in which the Initial Assessment was not completed timely. 3. One instance in which JCHS did not properly cure the sanction after the client began complying with Colorado Works eligibility requirements. 4. One instance in which case comments were missing to support action of JCHS eligibility technician. CLIENT PLANNED ACTION: Jefferson County agrees with the findings and has taken or plans to take the following steps to address the errors. The findings were caused by workers on both the eligibility and workforce teams so varying measures will be implemented based on the finding and responsible team. Jefferson County will continue and implement the following actions to address and prevent future findings. ? Eligibility Team Actions o Beginning in August 2023, new processes were implemented for Colorado Works, which will improve timeliness, customer service, and increase staff program knowledge: - Prioritizing Colorado Works applications for interview scheduling within 3 business days, - Restructuring teams to create an intake and ongoing team to better meet timeliness measures, - Offering Colorado Works training in the fall of 2023, - Completed hiring for all vacant positions. o Additional training will be provided by the end of October 2023 to include: - Continue to emphasize the importance of clearing the compliance screen in CBMS when processing new applications during new worker training, - Providing a training alert requiring that all staff who process Colorado Works cases check the compliance screen as part of the intake process, - Provide coaching to the eligibility worker who processed the case. o The sanction that was improperly advanced was reversed and appropriate case note entered on August 31, 2023. ? Workforce Development Team Actions o In addition to the State and Internal Quality Assurance reviews, Colorado Works Supervisors and/or Lead Workers will review cases as follows: - Complete a minimum of two case reviews per worker per month. The number and type of review may be adjusted based on individual staff performance. The Lead Worker will fulfill this function if the Supervisor is out of the office or as needed to the team. Areas of focus will include but are not limited to timely case comments, active Individual Plans, and CBMS data entry. o Updated standards implemented in July 2022 requiring documents be uploaded into the document storage system, GenApp, within 7 days. o Training delivered during new employee onboarding and starting in May 2023, offered on a quarterly basis for document uploading and best practices. o Finding related to missing case note was corrected on August 23, 2023. CLIENT RESPONSIBLE PARTY: CW Eligibility Team: Amy Brown (Program Manager), Stephanie Reese (Program Manager) and Jennifer Martinez (Quality Assurance & Systems Administrator) CW Workforce Development Team: Tara Noble (Program Manager), Kathryn Boyd-Cordova (CW Supervisor), and Erin Encinias (CW Supervisor) COMPLETION DATE: September 2023

View Audit 22844

Finding 20458 (2022-002)

Significant Deficiency 2022

Buena Vista County

IA

Reporting

We will review the extent of additional procedures which should be implemented as part of fulfilling our responsibility.

View Audit 20944

Finding 20457 (2022-001)

Material Weakness 2022

Buena Vista County

IA

Internal Control / Segregation of Duties

We will consider a review of our procedures, with consideration of limited staff

View Audit 20944

Finding 20456 (2022-001)

Material Weakness 2022

Florida Health Sciences Center, INC

FL

Questioned Costs Allowable Costs / Cost Principles § 200.303

Existing processes were revised to ensure all billings to the HRSA uninsured program were in compliance with federal guidelines and regulations. Additionally, management established a work group to review inpatient accounts incorrectly billed to HRSA to ensure the amounts are properly refunded.

View Audit 22522 Questioned Costs: $1

Finding 20455 (2022-001)

None 2022

City of Gonzales, Texas

TX

Questioned Costs Reporting

City of Gonzales, Texas Summary Schedule of Audit Findings Year ended September 30, 2022 2022-001 ? Reporting Type of Finding ? Other ALN No. 21.027 Coronavirus State and Local Fiscal Recovery Funds (CSLFR) Questioned Costs - $89,150 Criteria: Federal program expenditures incurred from March 3, 2021...

City of Gonzales, Texas Summary Schedule of Audit Findings Year ended September 30, 2022 2022-001 ? Reporting Type of Finding ? Other ALN No. 21.027 Coronavirus State and Local Fiscal Recovery Funds (CSLFR) Questioned Costs - $89,150 Criteria: Federal program expenditures incurred from March 3, 2021 through March 31, 2022 must be reported through the Project and Expenditure Report as outlined in the federal program?s grant agreement. Condition: Expenditures totaling $89,150 were incurred during the period March 3, 2021 through March 31, 2022 were not reported in the Project and Expenditure Report submission. Cause: Expenditure invoices were incurred with CSLFR funds were not properly identified by management and subject to the reporting compliance requirement. Recommendation: We recommend that the City implement procedures to identify invoices to be funded by CSLFR funds and report them in the Project and Expenditure Report submission. Planned Correction Action Response: The City of Gonzales recognizes and agrees with the recommendation to implement procedures. Our Finance Director will review invoices funded by CSLFR funds and ensure the Project and Expenditure Report includes all expenditures incurred in the appropriate reporting period. Responsible Persons: Laura Zella, Finance Director

View Audit 20625 Questioned Costs: $1

Corrective Action Plans

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