Corrective Action Plans

Finding 45707 (2022-001)

Significant Deficiency 2022

OR

Church at the Park has created formal, written policies relating to our procurements. This includes details on the dollar thresholds that determine when the procurement process is necessary, as well as the appropriate steps that need to be taken at those thresholds. It also details how vendors are t...

Church at the Park has created formal, written policies relating to our procurements. This includes details on the dollar thresholds that determine when the procurement process is necessary, as well as the appropriate steps that need to be taken at those thresholds. It also details how vendors are to be selected, how conflicts of interest are to be resolved, and how conflicts are to be administered. Andrew Squires, Finance Director, is responsible for the implementation of these procedures. The procedures were implemented in July of 2023 and have been followed since then. If the Department of the Treasury has questions regarding this plan, please contact Andrew at Andy@church-at-the-park.org.

View Audit 40681

Finding 45690 (2022-006)

None 2022

Blackburn University Dba Blackburn College

IL

Questioned Costs Special Tests & Provisions Student Financial Aid

Condition: One out of three (33.3%) students selected for testing in the Spring, was disbursed a post-withdrawal disbursement without a notification being sent to authorize the loan disbursement. This was a result of the withdrawal for this student being completed late. We consider this finding to b...

Condition: One out of three (33.3%) students selected for testing in the Spring, was disbursed a post-withdrawal disbursement without a notification being sent to authorize the loan disbursement. This was a result of the withdrawal for this student being completed late. We consider this finding to be an instance of noncompliance in relation to Special Tests and Provisions. Statistical sampling was not used in making sample selections. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid Office has increased controls over post-withdrawals disbursements in several ways: Establishing updated policies and procedures for disbursing funds after a student withdraws. The policy includes guidelines for determining how much aid a student is eligible for based on their withdrawal date and the specific requirements for disbursing funds; Regularly reviewing and analyzing post withdrawal disbursement data to identify any patterns or discrepancies that may indicate fraud or abuse. This includes a review of the financial records and transactions associated with each disbursement, as well as a review of the documentation that supports these transactions; Working closely with other departments within the College, including Registrar?s Office and the Business Office, to ensure that any changes in a student?s enrollment status are properly communicated and documented. By taking these steps, the Financial Aid Office will ensure that post-withdrawal disbursements are made in accordance with federal regulations and institution policies, and that these funds are used only for their intended purposes. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: Fall 2022

View Audit 40629 Questioned Costs: $1

Finding 45689 (2022-005)

Material Weakness 2022

Blackburn University Dba Blackburn College

IL

Questioned Costs Student Financial Aid Special Tests & Provisions

Condition: The College did not timely and accurately complete refund calculations in the Fall. In review of the Fall 2021 calculations the number of days in the break were not calculated correctly, resulting in the incorrect days in all Fall 2021 return of Title IV funds calculations. As a result of...

Condition: The College did not timely and accurately complete refund calculations in the Fall. In review of the Fall 2021 calculations the number of days in the break were not calculated correctly, resulting in the incorrect days in all Fall 2021 return of Title IV funds calculations. As a result of the incorrect number of days, the amounts of Title IV amounts returned for all withdrawn students were incorrectly calculated for 6 out of the population of 11 (54.5%) Fall withdrawal calculations. A sample of Spring withdrawal calculations identified no errors. We consider this finding to be a material weakness in relation to Special Tests and Provisions and is a repeat finding shown in Section IV of this report as prior year finding 2021-004. Statistical sampling was not used in making sample selections. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid staff at Blackburn Colleges understands that when calculating Return of Title IV funds, it is important to carefully review and accurately count the number of calendar days in the payment period. Currently, we review the College Academic Calendar for all vacations periods and ensure that any periods that are 5 or more days in length are added when setting up the School Calendar Profile in the R2T4 screen each academic year. This will help to make certain that all relevant dates are properly documented and that we are using the correct formula for calculating R2T4. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: Fall 2022

View Audit 40629 Questioned Costs: $1

Finding 45688 (2022-004)

Material Weakness 2022

Blackburn University Dba Blackburn College

IL

Student Financial Aid Eligibility Material Weakness

Condition: The College did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 23 of the 40 students in the sample (57.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility complianc...

Condition: The College did not report actual loan disbursement dates to the Common Origination and Disbursement (COD) system for 23 of the 40 students in the sample (57.5%). We consider this condition to be a material weakness in internal control over compliance relating to the Eligibility compliance requirement and is a repeat finding shown in Section IV of this report as prior year finding 2021-003. Statistical sampling was not used in making sample selections. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid Office must emphasize the importance of accurate record-keeping in financial transactions. As a department we will continue to work closely with the Business office to ensure that every drawdown is properly documented and matches the corresponding dates and amounts. Additionally, we will continue to perform monthly reconciliations to ensure that any discrepancies are identified and addressed promptly. This process helps to minimize errors and maintain transparency in our overall financial aid operations. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: Fall 2022

View Audit 40629

Finding 45687 (2022-003)

Significant Deficiency 2022

Blackburn University Dba Blackburn College

IL

Questioned Costs Student Financial Aid Cash Management

Condition: Two of the 40 student files (5%) we examined, we noted the students were not properly awarded Direct loans. Further, we noted two of the 40 students (5%) were not properly awarded Pell. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3...

Condition: Two of the 40 student files (5%) we examined, we noted the students were not properly awarded Direct loans. Further, we noted two of the 40 students (5%) were not properly awarded Pell. Corrective Action Plan: It is important to note that the entire 2021/2022 award year was processed by 3rd party servicer, Fully Disbursed. The current Financial Aid staff at Blackburn College started in October of 2021 but the processing was conducted by Fully Disbursed as they were under contract with Blackburn College for all 2021-2022 processing and packaging until August 2022 at the completion of the summer semester. The Financial Aid Office at Blackburn has evaluated and revised policies and procedures to ensure students receive the proper amount of Title IV Aid. Reconciling each month is necessary to ensure we catch any and all discrepancies that may occur. We will continue to utilize all available software to assist with packaging and that will allow all financial aid, including Title IV funds, to be reviewed frequently by both the Director of Financial Aid and the Assistant Director of Financial Aid. Responsible Person for Correction Action Plan: Alexis Brown, Director of Financial Aid Implementation Date for Corrective Action Plan: April 2023

View Audit 40629 Questioned Costs: $1

Finding 45686 (2022-006)

Material Weakness 2022

Community College of Beaver County

PA

Student Financial Aid Subrecipient Monitoring Material Weakness

Finding 2022-006: Direct Loan Reconciliation ? Material Weakness and Noncompliance Condition: Documentation that the required monthly School Account Statement (SAS) reconciliations were not completed for any of the three monthly tested for the year ended June 30, 2022. Responsible for the Plan: Jane...

Finding 2022-006: Direct Loan Reconciliation ? Material Weakness and Noncompliance Condition: Documentation that the required monthly School Account Statement (SAS) reconciliations were not completed for any of the three monthly tested for the year ended June 30, 2022. Responsible for the Plan: Janet Davidson, Director of Financial Aid Dennis Zeh, Director of Financial Operations Planned completion date: June 30, 2023 Corrective Action Plan: To ensure compliance with the Direct Loan Reconciliation requirements the college will adopt the following procedure. ? On a regular basis the Financial Aid Assistant/Loan Officer will process disbursements of direct loans using Powerfaids. This process will include sending files back and forth through CPS to update the Common Origination and Disbursement (COD) site as well as processing files to Jenzabar to make awards to student accounts. The Financial Aid Assistant/Loan Officer will be responsible for resolving any rejects that are returned through CPS into Powerfaids to ensure that all disbursements are approved and accepted in COD. ? At the beginning of the month the Financial Aid Assistant/Loan Officer will send the Director of Financial Aid the SAS report from CPS. ? The Director will pull the FA transactions from Jenzabar for the previous month and compare it to the COD disbursements to ensure the records match. The Director will prepare the reconciliations detailing the disbursements and drawdowns from COD as well as the disbursements and drawdowns reflected in Jenzabar. The Director will identify any discrepancies. ? Upon completion of the Reconciliation the Director of Financial Aid will review with Financial Aid Assistant/Loan Officer and the Director of Financial Operations ? Additionally, the DFO will ensure that independent reconciliations are performed from the General ledger back to AR Student accounts, this adds an essential third component on the FA review process to enable our identification of funds that are in scope for return but have been incorrectly posted or otherwise not available to the FA reconcilers under the proper AR accounts.

View Audit 52943

Finding 45683 (2022-009)

Significant Deficiency 2022

Community College of Beaver County

PA

Student Financial Aid Eligibility Significant Deficiency

Finding 2022-009: Eligibility-Significant Deficiency and Noncompliance Condition: For three of the twenty-five students selected for testing, the Pell Award calculation was not correctly performed, and the students did not receive an adequate amount of Pell Award for the period under audit. Responsi...

Finding 2022-009: Eligibility-Significant Deficiency and Noncompliance Condition: For three of the twenty-five students selected for testing, the Pell Award calculation was not correctly performed, and the students did not receive an adequate amount of Pell Award for the period under audit. Responsible for the Plan: Janet Davidson, Director of Financial Aid Planned completion date: June 30, 2023 Corrective Action Plan: To ensure compliance with eligibility requirements the college will adopt the following procedure: ? The Financial Aid Assistant/Loan Officer will review the daily registration changes report to determine the students enrollment status for each term and then set the appropriate class load in Powerfaids in the POE screen. ? Powerfaids uses that class load screen and the Pell payment schedules to determine the students pell grant award. ? The Director of Financial Aid will work with IT/IR to create a report that details the pell load in Powerfaids to match it against current credit load in Jenzabar to ensure that the student has the appropriate credit load in Powerfaids and the appropriate Pell awards are disbursed.

View Audit 52943

Finding 45681 (2022-004)

Material Weakness 2022

Community College of Beaver County

PA

Student Financial Aid Cash Management Material Weakness

Finding 2022-004: Disbursements to or on Behalf of Students ? Material Weakness and Noncompliance Condition: For 13 of the 25 students selected for testing, a credit balance was late being paid back to the student, a waiver was not obtained, and the College is on the reimbursement payment method. Fo...

Finding 2022-004: Disbursements to or on Behalf of Students ? Material Weakness and Noncompliance Condition: For 13 of the 25 students selected for testing, a credit balance was late being paid back to the student, a waiver was not obtained, and the College is on the reimbursement payment method. For one of the 25 students selected for testing, disbursement was made to the first time student prior to 30 days after the first day of classes. Responsible for the Plan: Janet Davidson, Director of Financial Aid Dennis Zeh, Director of Financial Operations Planned completion date: June 30, 2023 Corrective Action Plan: To ensure compliance with the disbursement to or on behalf of student the college will adopt the following procedures: ? The Financial Aid office will create disbursements transactions through Powerfaids and transmit those to Jenzabar creating FA and LO transactions. ? To ensure that first time borrower disbursements are delayed until after 30 days from the first day of classes the college will adjust our disbursement dates for all students to be after the 30 th day of the term. ? The Business Office will review and post the FA and LO transactions on a daily basis. ? The Business Office will review all FA and LO transactions for any disbursements that might be for a prior term that could potentially result in a Title IV credit balance. ? The Business Office will prepare a refund list weekly (that will be generated by the weekly posting of FA, LO transactions as well as CG, MS and any payments received) to ensure that credit balance are distributed to students in a timely manner. ? Monthly General Ledger reconciliations on student AR accounts are implemented and will facilitate our capture of issues timelier and assist with the identification of adjustments when needed.

View Audit 52943

Finding 45679 (2022-005)

Material Weakness 2022

Community College of Beaver County

PA

Student Financial Aid Material Weakness Reporting

Finding 2022-005: Return of Title IV Funds ? Material Weakness and Noncompliance Condition: For two out of two students selected for testing, their return was not submitted within the required 45-day window. Responsible for the Plan: Janet Davidson, Director of Financial Aid Dennis Zeh, Director of ...

Finding 2022-005: Return of Title IV Funds ? Material Weakness and Noncompliance Condition: For two out of two students selected for testing, their return was not submitted within the required 45-day window. Responsible for the Plan: Janet Davidson, Director of Financial Aid Dennis Zeh, Director of Financial Operations Planned completion date: June 30, 2023 Corrective Action Plan: To ensure compliance for the Return of Title IV Funds requirements the college will adopt the following procedure: ? The Director of Financial Aid will review the Registration Changes Made by Date Report for the appropriate term on a daily basis to find any students who dropped to zero credits. ? These students will be reviewed to determine if they have any Title IV grants or loans that have been disbursed or could have been disbursed for the payment period. ? For students who have Title IV aid that was disbursed or could have been disbursed for the payment period the Director will complete the R2T4 calculation and determine the amount of aid if any that needs to be returned to the appropriate grant or loan program. ? The Director of Financial Aid will notify the Financial Aid Assistant/Loan Officer of the amounts that need to be returned. The Financial Aid Assistant/Loan Officer will make adjustments to the student aid and process FA transactions to the Business Office. In addition, the Financial Aid Assistant/Loan Officer will process adjustments to the loan or grant program through Powerfaids to the COD system. ? The Director of Financial Aid will ensure that this process is completed within 30 days of the date the student dropped to zero credits. ? The Business Office will process return requests within 48 hours of submission ? Monthly General Ledger reconciliations on student AR accounts are implemented and will facilitate our capture of issues timely and assist with the identification of adjustments when needed.

View Audit 52943

Finding 45678 (2022-001)

None 2022

Bethel School District No. 403

WA

Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). F...

This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with federal wage rate requirements. Name, address, and telephone of District contact person: Joanne Klein 516 176th Street E. Spanaway, WA 98387-8399 Corrective action the auditee plans to take in response to the finding: District will include federal prevailing wage rate clauses in all federal contracts. We will also obtain the weekly certified payroll reports. Anticipated date to complete the corrective action: 9/1/2023

View Audit 53745

Finding 45672 (2022-003)

Significant Deficiency 2022

Iris, INC

IA

Reporting

Management will improve and formalize a year-end accounting close-out process to ensure all accrual adjustments are made for grants to improve the accuracy of the SEFA preparation to ensure it is in accordance with 2 CFR Part ?200.502.

View Audit 52971

Finding 45670 (2022-003)

None 2022

Twin Cities Area Transportation Authority

MI

Reporting § 200.512

The Executive Director at the time of the audit last year was new in their role and was managing many tasks and organizational updates. They are no longer employed at TCATA and the current Interim Director and contracted accounting firm are working with the auditor to ensure timely filing.

View Audit 52938

Finding 45669 (2022-002)

Significant Deficiency 2022

Summit County Colorado

CO

Reporting

Finding 2022-002 Federal Agency Name: U.S. Department of Treasury Program Name: Local Assistance and Tribal Consistency Fund CFDA # 21.032 Finding Summary: The County failed to submit the annual report to the Treasury by the Required submission deadline. Responsible Individuals: David Reyn...

Finding 2022-002 Federal Agency Name: U.S. Department of Treasury Program Name: Local Assistance and Tribal Consistency Fund CFDA # 21.032 Finding Summary: The County failed to submit the annual report to the Treasury by the Required submission deadline. Responsible Individuals: David Reynolds, Finance Director Corrective Action Plan: The County has implemented a full grants team including director and compliance specialist to administer all grant reporting. The grants team was still getting up to speed when the reporting oversight occurred and was not aware of the filing deadline. All grants, filing requirements and reporting dates now go through the grants department and are recorded in a central database. All reporting dates are recorded at the time of the grant award, and the grants team is notified well in advance of any filing deadlines.

View Audit 52963

Finding 45668 (2022-001)

Significant Deficiency 2022

River Partners

CA

Reporting Internal Control / Segregation of Duties

June 9, 2023 Aldrich CPAs + Advisors LLP 7676 Hazard Center Drive, Suite 1300 San Diego, CA 92108 RE: Corrective Action Plan Dear Aldrich, The following are responses to the finding identified in River Partners and Subsidiary audit for the year ended June 30, 2022. 1) Finding 2022-01 a. Program...

June 9, 2023 Aldrich CPAs + Advisors LLP 7676 Hazard Center Drive, Suite 1300 San Diego, CA 92108 RE: Corrective Action Plan Dear Aldrich, The following are responses to the finding identified in River Partners and Subsidiary audit for the year ended June 30, 2022. 1) Finding 2022-01 a. Program Information: N/A b. Criteria: The Organization should develop and adopt formal procedures to ensure proper retention of payroll timesheets. c. Condition: During our audit, we observed that the Organization was unable to provide timesheets for two individuals. Response: Prior to October 4, 2021 timesheets were entered and approved in a timesheet database through a third party provider ? REPLICON. Access to this database was maintained until Dec 2022, but due to costs access was not renewed. Starting October 4, 2021, time sheets are maintained in our accounting system Deltek Vantagepoint. All timesheets are electronically input, approved by supervisors and reviewed by Deborah McLaughlin before released to the accounting system and to ADP. We can access and review any timesheet submitted within Vantagepoint. Contact person(s) responsible for corrective action: 1) Aron Stern, CFO 2) Deborah McLaughlin, Senior Administrator Completion date: Internal control procedure noted above have been in effect since October 4, 2021. Sincerely, Aron Stern Chief Financial Officer River Partners and Subsidiary

View Audit 52245

Finding 45667 (2022-001)

None 2022

Haverford Property Holdings LLC

MI

Reporting

Haverford Property Holdings LLC CORRECTIVE ACTION PLAN Name of Auditee: Haverford Property Holdings LLC FHA Contract Number: 034-22124 Name of Audit Firm: Phillip M. Stern and Company LLP Period Covered by the Audit: 01/01/22 ? 12/31/22 CAP Prepared by: Name: Matt Weisz Position: Chief F...

Haverford Property Holdings LLC CORRECTIVE ACTION PLAN Name of Auditee: Haverford Property Holdings LLC FHA Contract Number: 034-22124 Name of Audit Firm: Phillip M. Stern and Company LLP Period Covered by the Audit: 01/01/22 ? 12/31/22 CAP Prepared by: Name: Matt Weisz Position: Chief Financial Officer Telephone Number: (347) 631-4068 A. Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations 1. Finding 2022-1 a. Comments on the Finding and Recommendation We concur with the finding. We agree with the auditor?s recommendation. b. Actions Taken or Planned on the Finding The Company plans to use an operating account by December 31, 2023 and have the Tenant make payments directly to this account. The Company will then make the necessary payments directly from this operating account.

View Audit 52244

Finding 45666 (2022-001)

Significant Deficiency 2022

Fort Healthcare, Inc.

WI

Subrecipient Monitoring Internal Control / Segregation of Duties Reporting

Finding # 2022-01 Response: Management will file subawards reports timely based on the requirements of the Federal Funding Accountability and Transparency Act. Responsible Party: Roberta Farnham, Controller Estimated Completion: September 30, 2023

View Audit 52242

Finding 45661 (2022-003)

Significant Deficiency 2022

The Maritime Aquarium at Norwalk, Inc.

CT

Reporting § 200.303 § 200.508 § 200.510

Views of Responsible Officials: As noted previously, management notes that expenditures of ongoing state and federal programs are internally reviewed and reconciled monthly, and required reporting to funding entities has been completed and submitted consistent with relevant reporting deadlines. Howe...

Views of Responsible Officials: As noted previously, management notes that expenditures of ongoing state and federal programs are internally reviewed and reconciled monthly, and required reporting to funding entities has been completed and submitted consistent with relevant reporting deadlines. However, transitions in systems and personnel as well as several large programs unique to the recent pandemic period challenged management to gather these details in the SEFA format early in the audit. In addition to continued monthly reconciliations, management will establish an additional more formal reconciliation quarterly during fiscal year 2023, and the more formalized grants reporting infrastructure we?re developing as well as upcoming additional staffing in finance and development will also strengthen our capacity for the timely preparations of the SEFA going forward.

View Audit 52241

Finding 45658 (2022-002)

Significant Deficiency 2022

America's Poison Centers

VA

Matching / Level of Effort / Earmarking § 200.302

Views of Responsible Officials: One of the three entries posted related to the salary allocation addressed in comment 1. The remaining two entries netted to $9,000. While we believe these adjustments are not material, we continue to strive to have no adjustments as part of the audit. Effective for t...

Views of Responsible Officials: One of the three entries posted related to the salary allocation addressed in comment 1. The remaining two entries netted to $9,000. While we believe these adjustments are not material, we continue to strive to have no adjustments as part of the audit. Effective for the 2023 audit, all items sent to the auditors will be reviewed by both the outsourced CFO and the principal in charge of the engagement prior to being submitted. The CEO is responsible for overseeing the outsourced accounting team.

View Audit 51318

Finding 45657 (2022-001)

Significant Deficiency 2022

America's Poison Centers

VA

Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Views of Responsible Officials: America's Poison Centers has shifted its outsourced HR service provider effective September 15, 2023. The new firm has clearly been directed to proportionately allocate time based on the time sheet. The allocations will be reviewed by the outsourced accounting team to...

Views of Responsible Officials: America's Poison Centers has shifted its outsourced HR service provider effective September 15, 2023. The new firm has clearly been directed to proportionately allocate time based on the time sheet. The allocations will be reviewed by the outsourced accounting team to ensure that this has been executed upon. The CEO is responsible for overseeing both the new HR service provider and the outsourced accounting team and will ensure that this does not recur.

View Audit 51318

Finding 45650 (2022-004)

Material Weakness 2022

Susanna Wesley Family Learning Center, Inc.

MO

Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: All disbursements of the organization should have proper approval and support before the disbursement is made. Corrective Action: All disbursements will be reviewed and initial for approval before the disbursement....

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: All disbursements of the organization should have proper approval and support before the disbursement is made. Corrective Action: All disbursements will be reviewed and initial for approval before the disbursement. Invoices, timesheet or other supporting documentation will be included in the review process to decrease the likelihood of reoccurring. Proposed Completion Date: Immediately

View Audit 51317

Finding 45649 (2022-003)

None 2022

Susanna Wesley Family Learning Center, Inc.

MO

§ 200.512

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: We recommend that all required fillings be submitted timely according to the Single Audit Act of 1984 and Title 2, U.S. Code of Federal Regulations guidelines. Corrective Action: An independent auditor has been r...

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: We recommend that all required fillings be submitted timely according to the Single Audit Act of 1984 and Title 2, U.S. Code of Federal Regulations guidelines. Corrective Action: An independent auditor has been retained and going forward the data collection form will be submitted timely. Proposed Completion Date: Immediately

View Audit 51317

Finding 45648 (2022-002)

Material Weakness 2022

Susanna Wesley Family Learning Center, Inc.

MO

Procurement, Suspension & Debarment Subrecipient Monitoring

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: We recommend the Organization verify a vendor?s status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Correc...

Name of Contact Person: Marsha Keene-Frye, Chief Executive Officer Recommendation: We recommend the Organization verify a vendor?s status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Corrective Action: We will verify all vendors? status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000. Proposed Completion Date: Immediately

View Audit 51317

Finding 45647 (2022-002)

Material Weakness 2022

Pleasant View Home, Inc.

KS

Questioned Costs Allowable Costs / Cost Principles

Pleasant View Home, Inc. Year Ended December 31, 2022 Corrective Action Plan Criteria or Specific Requirement ? During the testing of compliance for Federal Assistance Listing No. 93.498, U.S. Department of Health and Human Services Direct Program: COVID-19 Provider Relief Fund and American Rescue P...

Pleasant View Home, Inc. Year Ended December 31, 2022 Corrective Action Plan Criteria or Specific Requirement ? During the testing of compliance for Federal Assistance Listing No. 93.498, U.S. Department of Health and Human Services Direct Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution, it was determined that the Corporation had incorrectly re-reported $249,380 in Period 2 expenses in the Period 4 submission, which resulted in overstating expenses claimed against PRF funds of $249,380. This resulted in a total of $249,380 of COVID-19 expenses that were charged and reported which were duplicative and/or unsupported (Reference number 2022-002) Views of Responsible Officials and Corrective Action Plan ? The Corporation continues to improve its understanding of the nuances within the guidance as it relates to charging and reporting direct expenses. Additionally, the Corporation continues to implement additional controls over future reporting periods to help ensure guidance is followed, which is being achieved through educational sessions and additional layers of review over future reporting periods to help ensure guidance is properly followed. It should be noted that while certain expenses were erroneously double counted, the Corporation had sufficient unused Lost Revenues to cover the use of these funds. Personnel Responsible ? Tod Ritcha, CFO Anticipated Completion Date ? Change is in process and full adoption is anticipated by September 30, 2023

View Audit 51315 Questioned Costs: $1

Finding 45646 (2022-002)

Significant Deficiency 2022

Leino Park Water District

MA

Subrecipient Monitoring Procurement, Suspension & Debarment Allowable Costs / Cost Principles

Finding 2022-002 Significant Deficiency in Internal Controls Over Compliance Condition: The District has not formalized written policies and procedures related to federal awards. Corrective Action Planned: The District has historically not received federal grant funds and had no previous requirement...

Finding 2022-002 Significant Deficiency in Internal Controls Over Compliance Condition: The District has not formalized written policies and procedures related to federal awards. Corrective Action Planned: The District has historically not received federal grant funds and had no previous requirements to implement this compliance item. Additionally, at this time, the District does not anticipate receiving any federal grant funds in the foreseeable future. In the future, if the District were to pursue requesting more federal grant funds, it will look to establish formalized, written policies relative to grant management. Anticipated Completion Date: November 1, 2028 Contact: Derek Knerr, Treasurer, Leino Park Water District

View Audit 51314

Finding 45645 (2022-001)

Significant Deficiency 2022

The Carmelite System, Inc.

NY

Internal Control / Segregation of Duties Procurement, Suspension & Debarment Eligibility

Management agrees that they submitted the same invoice twice. The amount of the invoice was $700. They also believe that there were many expenses incurred of which they could have submitted and therefore have not used the grant monies inappropriately. We agree that a more in-depth review could be do...

Management agrees that they submitted the same invoice twice. The amount of the invoice was $700. They also believe that there were many expenses incurred of which they could have submitted and therefore have not used the grant monies inappropriately. We agree that a more in-depth review could be done for future submissions.

View Audit 51311

Corrective Action Plans

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