Corrective Action Plans

Finding 42625 (2022-006)

Significant Deficiency 2022

PR

Subrecipient Monitoring Allowable Costs / Cost Principles Reporting

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-006: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (ALN 21.027) PASS-THROUGH P.R. FISCAL AGENCY AND FINANCIAL ADVISORY AUT...

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-006: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (ALN 21.027) PASS-THROUGH P.R. FISCAL AGENCY AND FINANCIAL ADVISORY AUTHORITY REPORTING - SPECIAL REPORTING (L) SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: The Finance Director is aware of the compliance requirement. We gave instructions to the accounting staff to maintain a dateline control sheet to ascertain that required reports were submitted within the due date. Statement of Concurrence and Responsible Persons: We concur with the auditors' finding. Kristian Rivera Santiago, Finance Director Implementation Date: April 30, 2023. See Corrective Action Plan for chart/table

View Audit 48461

Finding 42623 (2022-007)

Significant Deficiency 2022

Municipality of Toa Alta

PR

Procurement, Suspension & Debarment Subrecipient Monitoring § 200.327

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-007: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (ALN 21.027) PASS-THROUGH P.R. FISCAL AGENCY AND FINANCIAL ADVISORY AUTHORIT...

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-007: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (ALN 21.027) PASS-THROUGH P.R. FISCAL AGENCY AND FINANCIAL ADVISORY AUTHORITY PROCUREMENT SUSPENSION & DEBARMENT (I) SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: We are going to prepare written policies and procedures in accordance with Uniform Guidance. Statement of Concurrence and Responsible Persons:We concur with the auditors' finding. Kristian Rivera Santiago, Finance Director Implementation Date: May 31, 2023. See Corrective Action Plan for chart/table

View Audit 48461

Finding 42620 (2022-005)

Significant Deficiency 2022

Municipality of Toa Alta

PR

Subrecipient Monitoring Reporting Significant Deficiency

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-005: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS RELIEF FUND (ALN 21.019) PASS-THROUGH P.R. DEPARTMENT OF TREASURY REPORTING - SPECIAL REPORTING...

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-005: U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS RELIEF FUND (ALN 21.019) PASS-THROUGH P.R. DEPARTMENT OF TREASURY REPORTING - SPECIAL REPORTING (L) SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: The Finance Director is aware of the compliance requirement. We gave instructions to the accounting staff to maintain a dateline control sheet to ascertain that required reports for all grants were submitted within the due date. Statement of Concurrence and Responsible Persons: We concur with the auditors' finding. Kristian Rivera Santiago, Finance Director Implementation Date: April 30, 2023. See Corrective Action Plan for chart/table

View Audit 48461

Finding 42618 (2022-008)

Significant Deficiency 2022

Municipality of Toa Alta

PR

Reporting Significant Deficiency

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-008: SINGLE AUDIT ACT SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: The fiscal year 2021-2022 Single Audit submission for Municipality of...

MUNICIPALITY OF TOA ALTA CORRECTIVE ACTION PLAN SINGLE AUDIT REQUIREMENTS AS OF JUNE 30, 2022 FINDING 2022-008: SINGLE AUDIT ACT SIGNIFICANT DEFICIENCY AND NONCOMPLIANCE Corrective Action: The fiscal year 2021-2022 Single Audit submission for Municipality of Toa Alta will be submitted through the Federal Audit Clearinghouse (FAC) no later than April 30, 2023. About the subsequent year Single Audit, we engaged the audit services on March 31, 2023, and we are going to engage the financial statements preparation consulting services on July 2023, in order to comply with fiscal year 2022-2023 Single Audit submission dateline. Statement of Concurrence and Responsible Persons: We concur with the auditors' finding. Kristian Rivera Santiago, Finance Director Implementation Date: April 30, 2023. See Corrective Action Plan for chart/table

View Audit 48461

Finding 42617 (2022-001)

Significant Deficiency 2022

Rosamond Hills, Inc.

CA

Reporting Internal Control / Segregation of Duties

Name of Auditee: Rosamond Hills, Inc RD Case No. 04-015-647929361 Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Gretchen Winfrey Position: Treasurer Email: winfrey3314@yahoo.com Finding 2022-001 Commen...

Name of Auditee: Rosamond Hills, Inc RD Case No. 04-015-647929361 Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: January 1, 2022 through December 31, 2022 CAP prepared by: Name: Gretchen Winfrey Position: Treasurer Email: winfrey3314@yahoo.com Finding 2022-001 Comments: Management agrees with the finding. Actions: Management will implement internal controls and monitor the reserve for replacement account to ensure the reserve for replacement is funded each year in accordance with USDA-RD regulations.

View Audit 46004

Finding 42616 (2022-002)

Material Weakness 2022

Unlv Medicine

NV

Questioned Costs Reporting

Finding Item 2022-002 ? Duplication of Expenditures in Provider Relief Fund Reporting Portal (COVID) UNLV Health agrees with this finding. UNLV Health will work with HRSA to remediate the portal reporting error. Although the report previously filed reflected duplicated expenses as noted in the fi...

Finding Item 2022-002 ? Duplication of Expenditures in Provider Relief Fund Reporting Portal (COVID) UNLV Health agrees with this finding. UNLV Health will work with HRSA to remediate the portal reporting error. Although the report previously filed reflected duplicated expenses as noted in the finding, UNLV Health incurred additional eligible expenses during the allowable time period. By April 30, UNLV Health?s assistant controller will contact HRSA to determine the appropriate method for providing a corrected report reflecting the additional allowable expenses for the reporting period or otherwise follow direction from HRSA to resolve the reporting error.

View Audit 45720 Questioned Costs: $1

Finding 42615 (2022-001)

Significant Deficiency 2022

Elizabeth James Senior Housing

WA

HUD Housing Programs Special Tests & Provisions Cash Management

Contact Person(s): Hilary Prinz, Accounting Manager, 206-687-4080 Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): Due to turnover of staff the residual receipt payment in the amount of $83,818 for 2021 audit was not ...

Contact Person(s): Hilary Prinz, Accounting Manager, 206-687-4080 Explanation and specific reasons for disagreement with the audit finding or that corrective action is not required (if applicable): Due to turnover of staff the residual receipt payment in the amount of $83,818 for 2021 audit was not made in 2022. Corrective action planned: The entire finance team has been familiarized with Elizabeth James residual receipt requirement. If there is staff turnover in the future everyone on the team is aware of the requirement. A repeating event reminder has been entered into the property accountant?s calendar, the property asset manager?s calendar, and the finance calendar causing multiple alerts to multiple people within the organization going forward. Anticipated completion date: The 2021 residual receipt deposit requirement in the amount of $83,818.00 was paid via check on March 20, 2023. Repeating calendar events have been completed as of March 29, 2023.

View Audit 44080

Finding 42614 (2022-001)

None 2022

Maricopa-Stanfield Irrigation and Drainage District

AZ

Procurement, Suspension & Debarment Significant Deficiency

Maricopa Stanfield Irrigation and Drainage District respectfully submits the following corrective action plan for the year ended December 31, 2022. Baker Tilly, US, LLP 1115 E. Cottonwood Lane, Suite 100 Casa Grande, AZ 85122 Audit period: December 31, 2022 The findings from the December 31, 2022...

Maricopa Stanfield Irrigation and Drainage District respectfully submits the following corrective action plan for the year ended December 31, 2022. Baker Tilly, US, LLP 1115 E. Cottonwood Lane, Suite 100 Casa Grande, AZ 85122 Audit period: December 31, 2022 The findings from the December 31, 2022 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS RELATED TO FINANCIAL STATEMENTS REPORTED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS SIGNIFICANT DEFICIENCY FINDING 2022-001 LEASE CONTRACT DOCUMENTATION RECOMMENDATION: We recommend the District maintain all contracts that are currently in force by both parties and properly track/maintain these contracts. VIEWS OF RESPONSIBLE OFFICIALS AND PLANNED CORRECTIVE ACTION Management concurs with the finding. Management will put in place a formal policy and procedure to track and maintain contracts in force. FINDINGS AND QUESTIONED COSTS RELATED TO FEDERAL AWARDS SIGNIFICANT DEFICIENCY FINDING 2022-002 PROCUREMENT PROCESSES AND PROCEDURES RECOMMENDATION: We recommend that management formally adopt amendments to their existing procurement policies to conform with U.S. Code of Federal Regulations Title 2, Part 200, Uniform Administrative Guidance CFR Section 318 (a). Additionally, we recommend management perform competitive procurement on all purchases made with federal funds and pay all vendors awarded directly from the District and not through a third-party conduit grant manager. VIEWS OF RESPONSIBLE OFFICIALS AND PLANNED CORRECTIVE ACTION Management concurs with the finding. The District?s policies will be updated and approved to conform to federal guidance. Additionally, management will begin paying all vendors awarded through competitive procurement, on projects paid with federal funds, directly from the District?s bank accounts and not through a third part grant administrator. Lastly, Management of MSIDD has since obtained express authorization from the pass-through entity to use ED3 as a sole source vendor. If there are questions regarding this plan, please call Brian Yerges, General Manager or Kenneth Bodle, Director of Financial Services at 520-424-9311.

View Audit 44074

Finding 42613 (2022-003)

Material Weakness 2022

National League of Cities

DC

Subrecipient Monitoring

NATIONAL LEAGUE OF CITIES CORRECTIVE ACTION PLAN For the Year Ended September 30, 2022 U.S. DEPARTMENT OF COMMERCE National League of Cities submits the following corrective action plan for the year ended September 30, 2022. Independent Public Accounting Firm: MARCUM LLP 1899 L Street NW, Suite...

NATIONAL LEAGUE OF CITIES CORRECTIVE ACTION PLAN For the Year Ended September 30, 2022 U.S. DEPARTMENT OF COMMERCE National League of Cities submits the following corrective action plan for the year ended September 30, 2022. Independent Public Accounting Firm: MARCUM LLP 1899 L Street NW, Suite 850 Washington, DC 20036 Audit Period: The findings from the September 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FEDERAL AWARD FINDINGS AND QUESTIONED COSTS Finding No. 2022-003: Reporting ? Compliance Finding and Material Weakness in Internal Control Over Compliance ALN 11.307 ? Economic Adjustment Assistance, Grant Period: January 1, 2022 to September 30, 2022, Grant Number ED22HDQ3070070 Criteria Under the requirements of the Federal Funding Accountability and Transparency Act (FFATA), prime recipients of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). The prime recipient is required to file a FFATA subaward report by the end of the month following the month in which the prime recipient awards any sub-grant greater than or equal to $30,000. Condition and Context The League did not file a FFATA subaward report for its three subrecipients timely. All FFATA sub-award reports were filed after September 30, 2022, which was more than a month after the League awarded its subrecipients with grants more than $30,000. Recommendation It was recommended that the League implement procedures and enhance internal controls to ensure appropriate and timely compliance with all applicable federal regulations. Action Taken: NLC took the following corrective actions that addressed the noncompliance within the performance period of the subject cooperative agreement: (1) Uploaded all the required subaward data on FSRS.gov on November 13, 2022; (2) Institute a standard checklist procedure associated with issuance or modification of subaward agreements to determine possible applicability of the subaward reporting requirement. _______________ Contact Person Responsible for Corrective Action: Michael Terseck, Chief Financial Officer If the US Department of Commerce has questions regarding this plan, please call Michael Terseck, Chief Financial Officer, (202)329-6358. Sincerely, Michael Terseck Chief Financial Officer National League of Cities

View Audit 38790

Finding 42612 (2022-001)

Material Weakness 2022

Scripps Health and Affiliates

CA

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

Finding 2022-001: Additional internal controls to ensure payroll expenditures are reviewed were implemented in late FY22 by adopting a new approach to ensure compliant timekeeping. The new approach includes the following steps: ? Revised the current timekeeping policy to clarify employee and mana...

Finding 2022-001: Additional internal controls to ensure payroll expenditures are reviewed were implemented in late FY22 by adopting a new approach to ensure compliant timekeeping. The new approach includes the following steps: ? Revised the current timekeeping policy to clarify employee and manager responsibilities ? Modified failure to comply provisions ? Deployed educational programs for both management and staff ? Reviewed/improved Kronos Time and Attendance system automated notifications ? Made training resources available to management and staff via our Scripps intranet site Leadership monitors policy compliance by individual employee and manager via systemwide reporting on a biweekly basis. Contact person: Eric Cole Expected Completion Date: Completed ? September 2022

View Audit 40148

Finding 42611 (2022-002)

Material Weakness 2022

Scripps Health and Affiliates

CA

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

Finding 2022-002: Additional internal controls to ensure payroll expenditures are reviewed were implemented in late FY22 by adopting a new approach to ensure compliant timekeeping. The new approach includes the following steps: ? Revised the current timekeeping policy to clarify employee and mana...

Finding 2022-002: Additional internal controls to ensure payroll expenditures are reviewed were implemented in late FY22 by adopting a new approach to ensure compliant timekeeping. The new approach includes the following steps: ? Revised the current timekeeping policy to clarify employee and manager responsibilities ? Modified failure to comply provisions ? Deployed educational programs for both management and staff ? Reviewed/improved Kronos Time and Attendance system automated notifications ? Made training resources available to management and staff via our Scripps intranet site Leadership monitors policy compliance by individual employee and manager via systemwide reporting on a biweekly basis. Contact person: Eric Cole Expected Completion Date: Completed ? September 2022

View Audit 40148

Finding 42610 (2022-001)

Material Weakness 2022

North Mason School District No. 403

WA

Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles

Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, procurement and restricted purpose requirements. Name, address, and telephone of District contact person: Dan King 250 E Campus ...

Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with allowable activities and costs, equipment, procurement and restricted purpose requirements. Name, address, and telephone of District contact person: Dan King 250 E Campus Dr. Belfair, WA 98528 (360) 277-2107 Corrective action the auditee plans to take in response to the finding: The following corrective actions are being implemented in response to the finding: 1. Implement a Resource Manager The District has purchased an asset management software to use as a tool to ensure compliance regarding tracking district assets, including laptop computers and other technology devices purchased using ECF funds. The software will provide the District with a centralized tracking system for our technology inventory. When laptops are distributed to school buildings for distribution, the software will be used when checking them out to students and staff using a unique asset tag number. With this software, the district will be able to match laptops and devices to individual students and the historical checkout, maintenance, and assigned location data will be available on all devices in our system and can be available at any time. A student will be issued only one device at a time. 2. Improve Use of Asset Tags The District already places asset tags on high value assets such as equipment and technology devices. Improvements being made include using a unique tag color of asset tag, and using ?ECF? as the first three digits in the asset tag number for technology devices purchased using ECF funds. 3. Procurement and Piggybacking The District is putting the following action steps in place to ensure compliance when entering an interlocal agreement and piggybacking: a. Review of all related board policies and procedures and follow them when procuring goods and services. b. Evaluate all procurement options to determine of piggybacking is the best option, c. Follow the SAO Guide: Piggybacking Under Washington State Law and follow all state law when procuring goods and services. d. Use the piggybacking checklist found in the SAO Guide. e. Pay particular attention to special guidelines and compliance rules for piggybacking when using federal funds. f. Consult with our legal representatives for additional guidance when needed g. Maintain all documentation supporting method of procurement of goods and services. Anticipated date to complete the corrective action: 1. An asset management software has already been purchased and will be implemented with all new technology assets starting with technology devices being distributed to schools this summer. School Library Technicians will be provided training at the start of the new school year in September 2023. 2. An order has already been placed for a new set of asset tags with the series of tag numbers beginning with ?ECF.? 3. The Assistant Superintendent of Finance and Operations, the IT Director, and Maintenance Director, will meet together in July 2023 to review district?s procurement policies and procedures, review the SAO?s Piggybacking Guide and checklist, and review the other procurement guides and resources found in the Resource Library on the SAO website.

View Audit 39523 Questioned Costs: $1

Finding 42608 (2022-004)

Significant Deficiency 2022

Saint Mary's College of California

CA

Questioned Costs Student Financial Aid Reporting

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-004: Significant Deficiency - Non-compliance with Reporting Requirements for Disbursements Condition/Context: For 2 of 25 students selected for testing, the disbursement dates did not agree between the student?s institutional acc...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-004: Significant Deficiency - Non-compliance with Reporting Requirements for Disbursements Condition/Context: For 2 of 25 students selected for testing, the disbursement dates did not agree between the student?s institutional account and the data reported to COD. The students had disbursements that were later refunded. It was noted that the students were disbursed without a valid MPN on file, resulting in students being disbursement that were not eligible at the time of disbursement. The College ultimately obtained the signed valid MPNs and then re- disbursed the funds, as a result the student account original disbursement date and the COD disbursement date differ. Actions Taken: To ensure that this problem does not recur for 2022-2023, disbursement rules have been instituted in Colleague that would prevent funds disbursing if a student hasn?t completed an MPN. The frequency of exports from Colleague to COD has been increased. In addition, Direct Loan and Pell rejects are being corrected each week so that if funds are disbursed and a Colleague or COD error is received, the disbursement is corrected and re- exported before the 15-day time limit. Name(s) of Contact Person Responsible for Corrective Action: Joseph Gilchrist, Interim Financial Aid Director Anticipated Completion date: June 30, 2023

View Audit 38194 Questioned Costs: $1

Finding 42606 (2022-002)

Significant Deficiency 2022

Saint Mary's College of California

CA

Questioned Costs Student Financial Aid Cash Management

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-002: Significant Deficiency ? Direct Loan Reconciliation Condition/Context: The College was not able to provide the three monthly reconciliations for November 2021, February 2022, or April 2022 when requested for the audit in the ...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-002: Significant Deficiency ? Direct Loan Reconciliation Condition/Context: The College was not able to provide the three monthly reconciliations for November 2021, February 2022, or April 2022 when requested for the audit in the summer of 2022. The Institution noted that the reconciliations had not been performed timely, and subsequently the Institution had a consultant complete these reconciliations. The auditors were unable to obtain evidence of or confirmation from the Institution on if review of the reconciliations occurred. The sample was not a statistically valid sample. Additionally, the College discovered that Direct Loan reconciliation hadn't been done correctly in the past due to staff turnover. A consultant was given the task of doing a complete 21-22 reconciliation in June 2022. This consultant discovered 16 students had been awarded $177,816 in error. The cause of this was that rules had not been setup correctly in Colleague, and consistent reconciliation by correcting Colleague and COD errors wasn't completed in a timely manner. The auditors obtained the listing of students awarded incorrectly. Actions Taken: For the $177,816in direct loans incorrectly disbursed that was identified, SMC returned the loans and replaced with institutional aid for the impacted students. Beginning with July 2022, the Assistant Director/Systems Specialist reconciles direct loans every month. The Executive Director of Financial Aid and the VP of Enrollment Management review these reports at the end of each month. In addition, a system adjustment has been implemented for 2022-2023 to ensure reconciliation is done monthly. The Assistant Director/Systems Specialist utilizes Colleague variance reports that tract Direct Loans disbursed year to date, the number that COD (Servicer for U.S. Department of Education) has approved, and the students that make up the variance, if any. In addition, COD and Colleague errors that occur during the import/export of Direct Loans to and from COD are corrected on a consistent basis. Reconciliation documentation is then forwarded to the Executive Director for review. Name(s) of Contact Person Responsible for Corrective Action: Joseph Gilchrist, Interim Financial Aid Director Anticipated Completion date: June 30, 2023

View Audit 38194 Questioned Costs: $1

Finding 42599 (2022-005)

Significant Deficiency 2022

Saint Mary's College of California

CA

Reporting Student Financial Aid Cash Management

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-005: Significant Deficiency - Education Stabilization Fund ? Higher Education Emergency Relief Fund - Reporting Condition/Context: For three of the four quarterly reports selected for testing, two for the student portion and one ...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-005: Significant Deficiency - Education Stabilization Fund ? Higher Education Emergency Relief Fund - Reporting Condition/Context: For three of the four quarterly reports selected for testing, two for the student portion and one containing both institutional and student portion reporting, the auditors noted that some of the information reported did not agree to the support provided, two of those reports also did not agree to the drawdowns from G5, two of those reports had required information missing, and two of those reports were posted late. ? Student portion report - for quarter three of calendar year 2021 the amount of emergency grants to students of $1,133,392 did not agree to the underlying support of $1,078,437 or drawdowns from G5 of $954,932. The number of eligible students and the number of students who received an emergency financial aid grant were missing from the report. ? Student portion report - for quarter four of calendar year 2021 the amount of emergency grants to students of $1,745,664 did not agree to the underlying support of $1,735,664 or drawdowns from G5 of $1,902,140. The number of eligible students was missing from the report. The report was posted to the Institution's website on January 24, 2022 after the required deadline of January 10, 2022. ? Combined report - for quarter one of calendar year 2022 the amount of emergency grants to students of $405,000 was reported for the institutional portion of HEERF but should have been for the student portion, the same amount was also reported for the institutional portion as covering student outstanding account balances and lost revenue. The report was posted to the Institution's website on July 8, 2022 after the required deadline of April 10, 2022. The report for quarter two of calendar year 2022 report was not submitted timely and was in process during the audit and therefore, was not selected for testing. The annual report had several items that did not agree to the underlying support. How many students received HEERF emergency financial aid grants, amount disbursed directly to students for emergency financial aid grants, amount of grants disbursed to students from all HEERF funds, total institutional funds used did not include amounts for room and board refunds that were reported in quarterly reporting during calendar 2021. Action Taken: The staffing changes in the Business Office and the Financial Aid office resulted in learning curves for the new employees regarding how to report expenses for HEERF. Saint Mary?s reached out to the Department of Education and alerted them to the late filing of the reports and received acknowledgment of the late filings. SMC has since filed reports which have properly accounted for all funds spent that were awarded through the HEERF program. The only report still needed is the annual report for 2022 which will be filed in a timely manner. This has been noted on our calendar with enough time to be properly filed. Name(s) of Contact Person Responsible for Corrective Action: Susan Collins, VP for Finance and Administration Anticipated Completion date: March 2023

View Audit 38194

Finding 42592 (2022-006)

Significant Deficiency 2022

Saint Mary's College of California

CA

Internal Control / Segregation of Duties Student Financial Aid Reporting § 200.303

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-006: Significant Deficiency ? Control Environment Condition/Context: It was noted during the audit, that there were gaps in the internal control structure of the College, that was no longer adequate to ensure compliance with fede...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-006: Significant Deficiency ? Control Environment Condition/Context: It was noted during the audit, that there were gaps in the internal control structure of the College, that was no longer adequate to ensure compliance with federal regulations and compliance requirements. Action Taken: The staffing changes in the Business Office and the Financial Aid office resulted in learning curves for the new employees. Both offices have started projects to document procedures so that when turnover occurs, there is a blueprint in place to assist the new employees. SMC will also review the internal controls in place for federal reporting to determine how they can be strengthened. Name(s) of Contact Person Responsible for Corrective Action: Nicole Yu, AVP/Controller and Joseph Gilchrist, Interim Financial Aid Director Anticipated Completion dates: Documenting procedures is on ongoing project. Revised internal controls for federal reporting will be in place by June 30, 2023.

View Audit 38194

Finding 42591 (2022-003)

Significant Deficiency 2022

Saint Mary's College of California

CA

Student Financial Aid Matching / Level of Effort / Earmarking Reporting

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-003: Significant Deficiency - Enrollment Reporting Condition/Context: Of 25 students tested, the status date for one student selected was not reported accurately on the campus level reporting in National Student Loan Data System ...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-003: Significant Deficiency - Enrollment Reporting Condition/Context: Of 25 students tested, the status date for one student selected was not reported accurately on the campus level reporting in National Student Loan Data System (NSLDS). The College used the degree conferral date of 8/20/2021 rather than the end of the term/last date of attendance of July 4, 2021 that was used for reporting program level information for this student, and consistent with how other students were reported. Additionally, for two students, reporting at the program level was late, not within 30 days or included in a response to a roster file or within 60 days. The students were reported as graduated effective August 20, 2021 with the earliest certification date of October 31, 2021 at the campus level and December 3, 2021 at the program level. Action taken: In order to ensure compliance in 2022-2023, the Office of the Registrar has increased the degree of reporting frequency to National Student Clearinghouse (NSC), so as to meet the 60-day requirement in NSLDS. It has also have gained access to the National Student Loan Data System to monitor alignment with information submitted by SMC to NSC. Name(s) of Contact Person Responsible for Corrective Action: Tracey Donaldson, AVP and Registrar Anticipated Completion date: June 30, 2023

View Audit 38194

Finding 42590 (2022-001)

Significant Deficiency 2022

Saint Mary's College of California

CA

Questioned Costs Student Financial Aid Matching / Level of Effort / Earmarking

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-001: Significant Deficiency- Return of Title IV Funds Condition/Context: During the audit it was noted that the College provided a list of students that withdrew during the fiscal year and this differed from data that was reporte...

Corrective Action Plan for the Year Ended June 30, 2022 Finding 2022-001: Significant Deficiency- Return of Title IV Funds Condition/Context: During the audit it was noted that the College provided a list of students that withdrew during the fiscal year and this differed from data that was reported internally to the Audit Committee on the number of students that withdrew in Fall 2021 and Spring 2022 (through April). The number of students that withdrew, the number of student?s that required an R2T4 calculation and the amount of the return all varied. The auditors discussed this with management who confirmed that the list provided to the auditors was complete and that the information reported to the Audit Committee was incorrect. From the withdrawal population the College did provide, a sample of 9 students were selected for testing for return of Title IV funds, of which 5 students did not require Title IV refunds and 4 students did require Title IV refunds. For the population of students with Title IV refunds, the calculations and refunds for 3 students were performed late, and for 1 of those students the calculation was also incorrect (excluded SEOG funds from the calculation). For the 3 students with refunds that were late, 100% of their Title IV funds were returned and then later re- disbursed before the R2T4 calculation and return occurred. Actions Taken: Subsequent to the 2021-2022 single audit fieldwork, SMC had a Financial Aid Services consultant review all R2T4 cases and 1 additional error was identified requiring the return of an additional $17.00. In the future, all R2T4 refund calculations will be performed by the Assistant Director/Systems Specialist who has received substantial training. In addition, the Assistant Director?s refund calculations will be reviewed by the Executive Director of Financial Aid for accuracy. System adjustments have also been made so that if funds are reversed they are re-disbursed at the amount the student is eligible for after the R2T4 calculation is completed. Name(s) of Contact Person Responsible for Corrective Action: Joseph Gilchrist, Interim Financial Aid Director Anticipated Completion date: June 30, 2023

View Audit 38194 Questioned Costs: $1

Finding 42589 (2022-002)

Significant Deficiency 2022

Memorial Regional Health

CO

Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking § 200.303

2022-002 United States Department of Agriculture CFDA 10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Controls Over Compliance Finding Summary: There was no evidence retained that the Hospital?s recalculates debt covenants as requi...

2022-002 United States Department of Agriculture CFDA 10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Controls Over Compliance Finding Summary: There was no evidence retained that the Hospital?s recalculates debt covenants as required or performs any review of one of the two financial debt covenant calculations. Responsible Individuals: Brittany Johnson, CFO Corrective Action Plan: Management will implement a control process which includes periodic calulation and review of all financial debt covenants. Anticipated Completion Date: Action taken and completed on 5/31/23

View Audit 39522

Finding 42583 (2022-001)

Material Weakness 2022

United Way of Greater Charlottesville

VA

Allowable Costs / Cost Principles Internal Control / Segregation of Duties

PAYROLL DOCUMENTATION: The Organization concurs with the finding. The Organization has determined it is now staffed appropriately given the resources available and will continue to look for new opportunities to address these findings.

View Audit 39313

Finding 42581 (2022-001)

Significant Deficiency 2022

Mineral Springs School District

AR

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

Implemented proper controls where the Title I Coordinator,Wendy, Reed, the General Business Manager, Frankie Tollett, and Bookkeeper, Myra Brand review all program expenditures to ensure they are allowable expenditures. We have contacted DESE for assistance on correcting this. When: July 1, 2023

View Audit 38287 Questioned Costs: $1

Finding 42578 (2022-004)

Significant Deficiency 2022

Owen-Withee School District

WI

Equipment & Real Property Management Internal Control / Segregation of Duties Procurement, Suspension & Debarment § 200.313

2022-004 Equipment & Property Management - ESSER Recommendation: We recommend the District should consider having another individual, besides the one Performing the data entry, perform a review after the data is entered into the software. Explanation of disagreement with audit finding: There is no d...

2022-004 Equipment & Property Management - ESSER Recommendation: We recommend the District should consider having another individual, besides the one Performing the data entry, perform a review after the data is entered into the software. Explanation of disagreement with audit finding: There is no disagreement with this finding. Action planned/taken in response to finding: The district will have either the superintendent or district bookkeeper look over the entries that were performed during the school year for the fixed assets. Name(s) of the contact person(s) responsible for corrective action: Stacy Rasmussen Planned completion date for corrective action plan: Ongoing.

View Audit 39681

Finding 42574 (2022-001)

Significant Deficiency 2022

Harlem United Community Aids Center, Inc. and Affiliates

NY

Eligibility

U.S. Department of Health and Human Services Harlem United Community AIDS Center, Inc. and Affiliates respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2022 The findin...

U.S. Department of Health and Human Services Harlem United Community AIDS Center, Inc. and Affiliates respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs is discussed below. The findings are numbered consistently with the number in the schedule. FINDING - FEDERAL AWARDS PROGRAM AUDIT U.S. Department of Health and Human Services, Temporary Assistance For Needy Families (TANF): Assistance Listing Number 93.558 SIGNIFICANT DEFICIENCIES Finding 2022-001 - Eligibility Recommendation: We recommend that management implement controls to maintain all the documentation required for determining eligibility of supportive housing clients. These documents should, at a minimum, include the referral letter from Human Resource Administration or Department of Homeless Services, completed intake assessment package that show client's income, status as to whether they are veteran or not, medically eligible, homeless or at risk of being homeless, or families with children, and an independent living plan. Action Taken Harlem United has ensured that under the new management team at the New Broadway shelter, all required documentation is being maintained and filed on-site, including referral letters, completed intake assessments, and independent living plans. To ensure compliance, Harlem United is conducting regular self-audits, to occur at least quarterly, to verify that these documents have been completed and are readily available for all active clients. In addition, management is scanning these required documents and saving them to an internal shared drive for easy access. Completion Date July 1, 2022 If the U.S Department of Health and Human Services has questions regarding this plan, please call Laura Grund at 646-462-8298.

View Audit 39680

Finding 42570 (2022-001)

Significant Deficiency 2022

Willow Creek Community Church, Inc.

IL

Internal Control / Segregation of Duties Reporting

2022-001. The Church does not maintain dual control over certain funds and the duties of certain employees are incompatible. Repeat Finding: This finding was a component of number 2021-001 in the prior year Schedule of Findings and Questions Costs ? Federal Programs. Condition: 1) The storage of f...

2022-001. The Church does not maintain dual control over certain funds and the duties of certain employees are incompatible. Repeat Finding: This finding was a component of number 2021-001 in the prior year Schedule of Findings and Questions Costs ? Federal Programs. Condition: 1) The storage of funds in the safes located in the accounts receivable office at the South Barrington campus are not under dual control (we noted that multiple individuals have individual access to the safes). These safes hold unprocessed funds received in the mail and other funds received during the week. 2) The accounts receivable manager, accounts receivable specialist, and the donations coordinator at the South Barrington campus are responsible for handling incoming cash receipts, can individually access funds stored in the safes in the accounts receivable office, and are responsible for modifying donor records. Recommendation: 1) We recommend that the Church take additional steps to implement appropriate dual control procedures, such as by modifying the safes located in the accounts receivable office at the South Barrington campus to require two individuals to access their contents. It is our understanding that subsequent to December 31, 2022, the Church began utilizing a dual control safe to hold mail and other funds received during the week at the South Barrington campus. 2) We recommend the Church take steps to address the incompatibility of the duties assigned to the accounts receivable manager, the accounts receivable specialist, and the donations coordinator at the South Barrington campus in order to reduce the risk of undetected misappropriation. Views of Responsible Officials and Planned Corrective Action: 1) A dual control drop safe requiring two separate keys was installed to accept mail deliveries (to safeguard mail that may contain checks) and other funds received during the week at the South Barrington campus. 2) Church processes around the handling of donations and cash require two people at all times and include several mitigating controls. The count room is also closely monitored by several security cameras. The installation of a dual control safe (per above) adds an additional level of security and resolves concerns about misappropriations going undetected. Installation of the safe is complete and is fully functional. It is our understanding that the accompanying processes have been found to be acceptable but will be further reviewed during the 2023 audit.

View Audit 40157

Finding 42569 (2022-001)

None 2022

City of Watsonville

CA

Subrecipient Monitoring Reporting

FEDERAL AWARD FINDINGS - CURRENT YEAR ?Finding reference number: 2022-001?Assistance Listing Number: 14.218?Assistance Listing Title: Community Block Development Grant Coronavirus (COVID19)?Name of Federal Agency: Department of Housing and Urban Development.?Fiscal Year of Initial Finding: 2022?Name...

FEDERAL AWARD FINDINGS - CURRENT YEAR ?Finding reference number: 2022-001?Assistance Listing Number: 14.218?Assistance Listing Title: Community Block Development Grant Coronavirus (COVID19)?Name of Federal Agency: Department of Housing and Urban Development.?Fiscal Year of Initial Finding: 2022?Name(s) of the contact person: Marissa Duran?Corrective Action Plan: The City is going to send the monitoring letter to the subrecipient as soon as possible. Also going forward, we have notified the program manager and her supervisor of this requirement for both continuous and one-time subrecipients. ?Anticipated Completion Date: June 30, 2023

View Audit 39729

Corrective Action Plans

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