Corrective Action Plans

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Finding 8164 (2022-003)
Material Weakness 2022
FINDING 2022-003 Craig Wright (765)747-4828 Views of Responsible Official: We concur with the findings. Description of Corrective Action Plan: Correcting the audit findings is ongoing. The city has implemented monitoring procedures to review and prevent reoccurring errors and have updated our polici...
FINDING 2022-003 Craig Wright (765)747-4828 Views of Responsible Official: We concur with the findings. Description of Corrective Action Plan: Correcting the audit findings is ongoing. The city has implemented monitoring procedures to review and prevent reoccurring errors and have updated our policies and procedures. Anticipated Completion Date: The internal control monitoring and checks and balances will be implemented immediately and continue going forward.
Finding 8133 (2022-001)
Material Weakness 2022
1. Deficiency #1 a. Material Weakness: SA2022 - 001 - MATERIAL WEAKNESS FEDERAL PROGRAM: 93.323 - Epidemiology and Laboratory Capacity for Infectious Diseases SPECIFIC REOUREMENT: All federal expenditures related to the program should be reported in the fiscal year they are expended. CONDITION: Adeq...
1. Deficiency #1 a. Material Weakness: SA2022 - 001 - MATERIAL WEAKNESS FEDERAL PROGRAM: 93.323 - Epidemiology and Laboratory Capacity for Infectious Diseases SPECIFIC REOUREMENT: All federal expenditures related to the program should be reported in the fiscal year they are expended. CONDITION: Adequate controls were not in place to ensure the schedule of expenditures of federal awards was accurate at year-end. QUESTIONED COST: None noted. CONTEXT: This finding is limited to this major program and the context noted in the condition. EFFECT: Without adequate controls or procedures in place to ensure accuracy of the schedule of expenditures of federal awards there exists the risk of material misstatement. CAUSE: The County did not have adequate procedures and policies in place for individual departments reporting their federal award expenditures for compilation and reporting. RECOMMENDATION: We recommend the County implement policies and procedures to ensure accuracy of the schedule of expenditures of federal awards.b. Linn County, Oregon - PLAN OF ACTION: LINN COUNTY management agrees with the finding and has implemented procedures to ensure that all federal expenditures are included on the schedule of federal expenditures of federal awards. Departments receiving federal awards now report all of these grants to the accounting department. c. Timeframe: Linn County management implemented the changes discussed in b. above on February 14, 2023.
Finding 2022-005: Sliding Fee Condition Wipfli reviewed 40 sliding fee charges to test if the amount charged, was calculated properly based on the patients’ income level and in compliance with Outreach Community Health Center's’ sliding fee policy. Wipfli noted that 7 of the charges were not properl...
Finding 2022-005: Sliding Fee Condition Wipfli reviewed 40 sliding fee charges to test if the amount charged, was calculated properly based on the patients’ income level and in compliance with Outreach Community Health Center's’ sliding fee policy. Wipfli noted that 7 of the charges were not properly determined based on patients family size and income level, in addition Wipfli noted that 6 files did not contain approval of the sliding fee calculation. Corrective Action Plan Re-education on proper completion of FPL fields provided to entire PSR staff 8/23/2023. Implementation of automated income calculation module within OCHIN Epic added 8/2023 OCHC created and filled Patient Financial Counselor position 11/27/2023 to monitor and update incomplete Sliding Fee Applications and audit quarterly for compliance. Person(s) Responsible PSR Manager – Lisa Mullins Director Revenue Cycle – Jennifer Leino Chief Financial Officer – Julia Harris Robinson Timing for Implementation 12/1/2023
Finding 8080 (2022-001)
Significant Deficiency 2022
Federal Agency: U.S. Department of Agriculture, U.S. Department of Justice, U.S. Department of the Treasury and U.S. Department of Homeland Security Program Name: Emergency Watershed Protection Program; Drug Court Discretionary Grant Program; COVID-19 Coronavirus State and Local Fiscal Recovery Fund...
Federal Agency: U.S. Department of Agriculture, U.S. Department of Justice, U.S. Department of the Treasury and U.S. Department of Homeland Security Program Name: Emergency Watershed Protection Program; Drug Court Discretionary Grant Program; COVID-19 Coronavirus State and Local Fiscal Recovery Funds; Emergency Management Performance grants Assistance Listing Number: 10.923, 16.738, 21.027 and 97.042 Responsible Official: Courtney Campbell, County Clerk Views of Responsible Individuals: The SEFA monies had been reported wrong in the past. With this being my first year as County Clerk and my first experience with the budget I also went by what was reported in the past. I am working toward correcting this mistake and tracking the money better so it can be reported correctly.
Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and will file the single audit reporting package as soon as possible.
Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and will file the single audit reporting package as soon as possible.
Finding 8053 (2022-001)
Material Weakness 2022
Corrective Action Plan 2023: Alvis, Inc. recognizes that significant turnover in accounting operations and financial reporting teams resulted in a material number of adjustments, proposed by our accounting firm, in order to complete the 2022 audit. To properly address this matter, Jacqueline Neal ha...
Corrective Action Plan 2023: Alvis, Inc. recognizes that significant turnover in accounting operations and financial reporting teams resulted in a material number of adjustments, proposed by our accounting firm, in order to complete the 2022 audit. To properly address this matter, Jacqueline Neal has been tasked with improving upon the corrective actions which began in 2023 in order to comprehensively address this gap: 1) Fill vacant positions and redefine job responsibilities; 2) Implement an accounting workflow automation solution; 3} Hold internal trainings to increase our Finance Team's technical accounting knowledge and operational efficiencies. Fill vacancies and redefine job responsibilities: 1. The first order of business was to hire a seasoned payroll employee to handle all functions of payroll processing and recording related journal entries. This role was hired in September 2023. This was followed with an Accounting Manager and accounts payable coordinator hires in April 2023, which has resulted in critical accrual accounts being recorded and reconciled accurately and timely. 2. The team then redefined jobs and responsibilities of each team member, resulting in much greater communication and understanding around required job functions. This has resulted in substantial growth in our teamwork and collaboration. 3. The entire month-end close process was redefined with new expectations and tracking. This has resulted in the closing of the monthly books within 15 days after month end. Automation of month-end close workflows and centralization of reconciliations: 4. The Finance team implemented an automated accounting workflow software (FloQast or FQ) in April 2023. FQ allows the Team to streamline recurring tasks, checklists, and centralized documentation to increase the accuracy of our Close Data. For example, the system provides the team with a centralized view of the reconciliation status of each account with balance comparisons to the general ledger, preparers, reviewer, and signoff dates. Additionally, FQ sends automatic notifications when reconciliations are due, items are ready for review, or if the platform detects an unexpected out of balance condition. Internal accounting trainings 5. The team is in the process of creating an ongoing monthly hindsight meeting to review the previous month end process. This will be used to identify opportunities and training needs of the team. 6. The team plans to continue our quarterly lunch and learns which began in July 2023. •
There is a myriad of activities and timing issues that can impact awards and ultimate disbursements. In some cases, the dependency status can change as FAFSA and corresponding loan forms are revised. The Financial Aid department is committed to review internal processes and system rules to ensure ...
There is a myriad of activities and timing issues that can impact awards and ultimate disbursements. In some cases, the dependency status can change as FAFSA and corresponding loan forms are revised. The Financial Aid department is committed to review internal processes and system rules to ensure that the Banner packaging process is set up to catch changes in dependency status and awards accordingly. Responsible Person: Director of Financial Aid (Mitch Dedor) Completion Date: December 2023
View Audit 10523 Questioned Costs: $1
Views of responsible officials: Curtis Pettis Completion Date: Finding Challenged The University concurs with the finding. The University will put procedures in place within the Accounts Payable department to identify invoice payments which impact expenses beyond the current Fiscal Year. The Uni...
Views of responsible officials: Curtis Pettis Completion Date: Finding Challenged The University concurs with the finding. The University will put procedures in place within the Accounts Payable department to identify invoice payments which impact expenses beyond the current Fiscal Year. The University Controller will use this information to ensure the prepaid entries are completed as part of the monthly closing process. Responsible Person: Controller (Trasenna Gray) Completion Date: January 2024
View Audit 10523 Questioned Costs: $1
We agree with the intent of this finding but not the dollar amounts. The contribution of $100,000 was received via Title III and Central State matched the $100,000. The total of both amounts is $200,000. Central State matches with $100,000. We did have a time lag for execution of the check an...
We agree with the intent of this finding but not the dollar amounts. The contribution of $100,000 was received via Title III and Central State matched the $100,000. The total of both amounts is $200,000. Central State matches with $100,000. We did have a time lag for execution of the check and transfer to the endowment. The controller’s office will establish the protocol of being timely in matching the payment and in depositing the funds in the appropriate investment account. Responsible Person: Controller (Trasenna Gray) Completion Date: January 2024 and ongoing
Due to high turnover within multiple departments tasked with administering Financial Aid and the time required for the training of new staff on the aid disbursement process, errors were made due to lack of knowledge of the rules. Training and verification of information at every level is a top prior...
Due to high turnover within multiple departments tasked with administering Financial Aid and the time required for the training of new staff on the aid disbursement process, errors were made due to lack of knowledge of the rules. Training and verification of information at every level is a top priority. The staff now has a much better understanding of the process and rules concerning awards. In addition, the director’s are actively working on improvements to the ERP system, “Banner”, so that errors that were due to human activities are reduced or eliminated. Already several processes, such as confirming attendance for aid posting is automatic. Now, more than one staff member is trained and responsible for processes and the team has consistent scheduled follow-up meetings on key actions in this area. Responsible Person: Director of Financial Aid (Mitch Dedor) & Registrar (Amanda Koci) Completion Date: December 2023
The Authority continues to monitor and fine-tune financial processes to ensure program ledgers are correctly maintained and updated to ensure compliance with submission of all required data collection form and audit by the required deadline.
The Authority continues to monitor and fine-tune financial processes to ensure program ledgers are correctly maintained and updated to ensure compliance with submission of all required data collection form and audit by the required deadline.
The Authority has integrated EP Harrisonburg Owner, L.L.C into the financial operations of the Authority. The Authority has added additional internal controls to ensure the finance department is adequately informed of all development activities for correct classification and inclusion for financial ...
The Authority has integrated EP Harrisonburg Owner, L.L.C into the financial operations of the Authority. The Authority has added additional internal controls to ensure the finance department is adequately informed of all development activities for correct classification and inclusion for financial reporting.
FA 2022-001 Strengthen Budgetary Controls over Expenditures Compliance Requirement: Activities Allowed or Unallowed Allowable Costs/Cost Principle Internal Control Impact: Material Weakness Compliance Impact: Material Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Throug...
FA 2022-001 Strengthen Budgetary Controls over Expenditures Compliance Requirement: Activities Allowed or Unallowed Allowable Costs/Cost Principle Internal Control Impact: Material Weakness Compliance Impact: Material Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of Education Assistance Listing Number and Title: COVID-19 - 84.425D - Elementary and Secondary School Emergency Relief Fund COVID-19 - 84.425U - American Rescue Plan Elementary and Secondary School Emergency Relief Fund Federal Award Number: S425D200012 (Year: 2020), S425D210012 (Year: 2021) S425U2120012 (Year: 2021) Questioned Costs: $31,131 Prior Year Finding: N/A Description: A review of expenditures charged to the Elementary and Secondary School Emergency Relief Fund program revealed instances in which expenditures had not be properly approved by the pass-through entity. Corrective Action Plans: The Calhoun County School System will ensure that all expenditures charged to the Elementary and Secondary School Emergency Relief Fund are properly approved by the pass-through entity. The Federal Programs Director will verify that all expenditures are reflected in the approved budget or subsequent amendments within the Consolidated Application as required. The Calhoun County School System will follow the procedures listed below to ensure that expenditures are reflected in the approved budget and/or subsequent amendments: The Federal Programs Director and the Finance Director will monitor all original budgets and subsequent amendments to ensure that expenditures have been approved. During monthly leadership meetings, the Federal Programs Director and the Finance Director will verify that all budgets and subsequent amendments have been properly signed off on by the Program Coordinator and the Superintendent in the Consolidated Application. In the event budgets and subsequent amendments are not found to be properly signed off on by the Program Coordinator and the Superintendent, the Federal Programs Director will take steps to ensure that proper sign off is initiated and completed. Estimated Completion Date: September 30, 2024 Contact Person: Pamela Quimbley Telephone: 229-545-7231 ext. 2005 Email: pamquimbley@calhoun.k12.ga.us
View Audit 10491 Questioned Costs: $1
The Organization has started reviewing its current system of internal controls and moving responsibilities to ensure timely reporting.
The Organization has started reviewing its current system of internal controls and moving responsibilities to ensure timely reporting.
Corrective action plan The Organization is currently implementing a procedure to strengthen written policies and procedures to evidence its compliance with Federal Programs. Name (s) of person (s) responsible for corrective action Ms. Mabel Román, YMCA Executive Director YMCA Finance Director Antici...
Corrective action plan The Organization is currently implementing a procedure to strengthen written policies and procedures to evidence its compliance with Federal Programs. Name (s) of person (s) responsible for corrective action Ms. Mabel Román, YMCA Executive Director YMCA Finance Director Anticipated completion date January 2024
YMCA of San Juan Response The Organization agrees with the finding. YMCA maintains a detailed accounting system subject to periodical reviews by the grantee in each individual grant. The system includes separate bank accounts, job ledgers, individual transactions are registered and in the CDBG-DR pr...
YMCA of San Juan Response The Organization agrees with the finding. YMCA maintains a detailed accounting system subject to periodical reviews by the grantee in each individual grant. The system includes separate bank accounts, job ledgers, individual transactions are registered and in the CDBG-DR program a live platform exists with written procedures adopted by the subgrantee to be eligible to have access to the reimbursement expenses. In order to improve the supervision and reporting the organization is in the active recruitment process and review of individual requirements of the grants such as the CFDA among others. Corrective action plan The Organization is currently implementing a procedure to review the information presented in the SEFA, to segregate from schedule the nonfederal funding expenditures. Name (s) of person (s) responsible for corrective action Ms. Mabel Román, YMCA Executive Director YMCA Finance Director Anticipated completion date December 2023
Corrective action plan The Organization put a procedure in place to adjust the various types of contributions and grants agreements for proper accounting recognition, develop a plan to increase the human resources supervision in all operational areas of the entity, increase the outsourcing support a...
Corrective action plan The Organization put a procedure in place to adjust the various types of contributions and grants agreements for proper accounting recognition, develop a plan to increase the human resources supervision in all operational areas of the entity, increase the outsourcing support and management recruitment is in process to increase internal control measures and supervision in the financial and accounting areas. Name (s) of person (s) responsible for corrective action Ms. Mabel Román, YMCA Executive Director YMCA Finance Director Keyla Montañez, Accountant, YMCA Accounting Department Anticipated completion date December 2023
Corrective action plan The accounting department obtained access to the billing system and share folder used by the program manager to bill the Department of Housing and Urban Development agency. YMCA develop a plan to increase the human resources supervision in all operational areas of the entity, ...
Corrective action plan The accounting department obtained access to the billing system and share folder used by the program manager to bill the Department of Housing and Urban Development agency. YMCA develop a plan to increase the human resources supervision in all operational areas of the entity, increase the outsourcing support and management recruitment is in process to increase internal control measures and supervision in the financial and accounting areas. Name (s) of person (s) responsible for corrective action Ms. Mabel Román, YMCA Executive Director YMCA Finance Director Anticipated completion date December 2023
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Federal Way January 1, 2022 through December 31, 2022 This schedule presents the corrective action the City is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Regulations...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE City of Federal Way January 1, 2022 through December 31, 2022 This schedule presents the corrective action the City is planning to take for findings included 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 City’s internal controls were inadequate for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Steve Groom, Finance Director 33325 8th Avenue South, Federal Way, WA 98003-6325 (253) 835-2520 Corrective action the auditee plans to take in response to the finding: The City concurs that maintaining strong internal controls is appropriate. Management is committed to taking immediate corrective action to ensure compliance with federal requirements. Since the enactment of the SLFRF, city staff has made significant efforts to keep up with the multiple and evolving guidelines rules and FAQs issued by Treasury, and attended numerous trainings. Lack of guideline clarity produced information-sharing webinars hosted by reputable state-wide and nation-wide associations such as AWC and GFOA. City staff, management and governing body exercised initial restraint in approving projects for spending of SLFRF funding in order to avoid inadvertently violating a rule issued subsequently. One example is that exemption from Federal supplanting rules came out in later guidance and the City then proceeded relying on that explicit clarification. Our position on this finding is that the rule in question seems to have been clarified after the City’s opportunity to comply had passed. The City remains dedicated to ensuring Federal funds are spent in compliance with all governing laws and regulations. The City’s immediate change being implemented is to eliminate recipients that cannot 1) register on SAM.gov, 2) contractually attest compliance or 3) provide self-attestation. The City believes that adequate controls and procedures are in place and that internal training and communication are the appropriate corrective steps. Anticipated date to complete the corrective action: Oct. 10, 2023
Finding 7972 (2022-003)
Material Weakness 2022
Finding Number: 2022-003 Finding Title: Suspension and Debarment Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (AL No. 21.027) Name of Contact Person Responsible for Corrective Action: Lori Johnson, Auditor-Treasurer and Mike Clark, Deputy Auditor-Accounts Payable Corrective Ac...
Finding Number: 2022-003 Finding Title: Suspension and Debarment Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (AL No. 21.027) Name of Contact Person Responsible for Corrective Action: Lori Johnson, Auditor-Treasurer and Mike Clark, Deputy Auditor-Accounts Payable Corrective Action Planned: For vendor payments using federal funds: if payment is over $25,000 the deputy auditor - accounts payable will complete an individual "Entity" search at the Federal SAM-System for Awards Management to verify vendor is not debarred, suspended, or otherwise excluded from conducting business with the County. The results of each search will be saved in a separate folder maintained by the deputy auditor - accounts payable. Each payment, using federal funds, will be coded with report code "A" and at the end of each quarter a report will be ran and if a vendor is approaching or has reached $25,000, and entity search will be conducted in the same manner as noted above. Verification will be done on an annual basis. Anticipated Completion Date: Prior to the December 5, 2023 board run, a report will be ran to determine vendors paid with federal funds and those vendors will be verified in the Federal SAM-System for Awards Management if total of payments exceed $25,000 for 2023. Going forward, the process will be as described above.
Finding 7971 (2022-002)
Significant Deficiency 2022
Finding Number: 2022-002 Finding Title: Eligibility Program: Temporary Assistance for Needy Families (AL No. 93.558) Name of Contact Person Responsible for Corrective Action: Rhonda Porter, Director and Karen Syverson, Supervisor Corrective Action Planned: All five cases found to have errors are bei...
Finding Number: 2022-002 Finding Title: Eligibility Program: Temporary Assistance for Needy Families (AL No. 93.558) Name of Contact Person Responsible for Corrective Action: Rhonda Porter, Director and Karen Syverson, Supervisor Corrective Action Planned: All five cases found to have errors are being reviewed and will be corrected as appropriate. All case errors will be reviewed with staff who are involved in administering this program. Case file reviews will continue to occur, and any errors found will continue to be reviewed with staff and training provided. Anticipated Completion Date: The five cases found in error will be corrected by December 31, 2023. Family Team will review these errors on Dec. 14, 2023. Case file reviews will continue monthly.
Management will deposit the $54,705 into the residual receipts account.
Management will deposit the $54,705 into the residual receipts account.
View Audit 10380 Questioned Costs: $1
Management will request the bank statements to record cash activity.
Management will request the bank statements to record cash activity.
View Audit 10380 Questioned Costs: $1
The Town of Clinton/School Department will follow grants closeout procedures, consequently, the district will monitor closely all grants spending throughout each grant cycle. For both state-administered and direct grants, regardless of the period of availability, the District must liquidate all obl...
The Town of Clinton/School Department will follow grants closeout procedures, consequently, the district will monitor closely all grants spending throughout each grant cycle. For both state-administered and direct grants, regardless of the period of availability, the District must liquidate all obligations incurred under the award not later than 90 days after the end of the funding period unless an extension is authorized. These procedures have been updated in the Financial Procedures Manual (pages 226-230 under Section G - Timely Obligation of Funds)
Finding 7959 (2022-001)
Significant Deficiency 2022
The Town of Clinton/School Department will maintain proper procurement procedures in compliance with Local, State and Federal laws and regulations. State procurement laws (MGL Chapter 30B for Goods and Services and MGL Chapter 149 Construction) are followed however the district is aware of the fede...
The Town of Clinton/School Department will maintain proper procurement procedures in compliance with Local, State and Federal laws and regulations. State procurement laws (MGL Chapter 30B for Goods and Services and MGL Chapter 149 Construction) are followed however the district is aware of the federal requirements. When there are exemptions from state procurement laws, of when federal regulations are stricter the district will use the strictest rules, under 2 CFR 200.318-327. These procedures have been updated in the Financial Procedures Manual (pages 231-240, under Section II Procurement System). The Town of Clinton/School Department will utilize two methods to determine if a potential vendor has been suspended or disbarred. Prior to approving a requisition for a contracted service in excess of $25,000 funded by a Federal grant, district will check Sam.gov and will require the vendor to sign an affidavit. The Town of Clinton/School Department will expend membership with French River Education Center - Purchasing Cooperative to include several school lunch food products.
View Audit 10379 Questioned Costs: $1
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