Corrective Action Plans

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Finding Type: Material Weakness for CFDA 10.553 and 10.555. Name of Contact Person: Ryan Fritch, Superintendent. Recommendation: We recommend the District check the Excluded Parties List System or collect certifications from the entity for any vendor that the District expects to pay more than $...
Finding Type: Material Weakness for CFDA 10.553 and 10.555. Name of Contact Person: Ryan Fritch, Superintendent. Recommendation: We recommend the District check the Excluded Parties List System or collect certifications from the entity for any vendor that the District expects to pay more than $25,000 for the year. Corrective Action: We will ensure to review the Excluded Parties List System or receive a signed certification from any vendor we expect to pay more than $25,000. Proposed Completion Date: Immediately.
Finding Number: 2022-001 Condition: The Hospital's controls in place for reporting submissions did not identify that General and Targeted Distribution Post-Payment Notice of Reporting Requirements guidelines were not followed related to the lost revenue calculations. The Hospital's Period 1 and Pe...
Finding Number: 2022-001 Condition: The Hospital's controls in place for reporting submissions did not identify that General and Targeted Distribution Post-Payment Notice of Reporting Requirements guidelines were not followed related to the lost revenue calculations. The Hospital's Period 1 and Period 2 reporting submissions for lost revenue did not follow the acceptable options provided by HHS Planned Corrective Action: The Hospital will review its processes surrounding the methodologies used to report lost revenue and will implement additional levels of review to ensure that the proper lost revenue methodology is used in future reporting periods. Contact person responsible for corrective action: Andrew Poole, Chief Financial Officer Anticipated Completion Date: 3/31/2023
Views of Responsible Officials and Planned Corrective Actions: We agree with the findings and recommendations of the auditor. The cause of this omission is due to the change in accounting and management personnel. The Organization has brought in an outside consultant who has set up a calendar to ens...
Views of Responsible Officials and Planned Corrective Actions: We agree with the findings and recommendations of the auditor. The cause of this omission is due to the change in accounting and management personnel. The Organization has brought in an outside consultant who has set up a calendar to ensure these are not delayed going forward.
Oversight Agency for Audit, North Dade Senior Citizens Housing Development Corporation, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 20...
Oversight Agency for Audit, North Dade Senior Citizens Housing Development Corporation, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067. Audit period: July 1, 2021 through June 30, 2022 The finding from the June 30, 2022 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. SECTION III ? FINDINGS AND QUESTIONED COSTS ? MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2022-001: Section 207/223(f) Mortgage Insurance for the Refinancing of Existing Multifamily Housing Projects, CFDA 14.155 Recommendation: The Project should implement procedures to ensure all tenant documentation is properly completed and maintained. Action Taken: Training will be conducted with on-site staff on file requirements and procedures. Going forward Compliance will be reviewing random files for accuracy to prevent future file findings. If the audit Oversight Agency has questions regarding these plans, please call Christine Harris at 954-835-9200. Sincerely yours, Christine Harris Accounting Manager
Contact Person Kirk Geadelmann, Finance Corrective Action Plan We are in the process of updating the Center?s written policies and procedures to include the requirements of the Uniform Guidance. Completion Date Fiscal year end 2023
Contact Person Kirk Geadelmann, Finance Corrective Action Plan We are in the process of updating the Center?s written policies and procedures to include the requirements of the Uniform Guidance. Completion Date Fiscal year end 2023
Finding --- The reporting package was not made available to users timely. Corrective action --- The audit firm of Cullari Carrico LLC has provided information to the Organization that they will ensure that future reporting packages are initiated in a timely fashion. Management will ensure to follo...
Finding --- The reporting package was not made available to users timely. Corrective action --- The audit firm of Cullari Carrico LLC has provided information to the Organization that they will ensure that future reporting packages are initiated in a timely fashion. Management will ensure to follow up with the audit firm should the audit package not be initiated within the earlier of 15 days after receipt of the auditors? reports. Status --- Corrective action in progress. Completion date --- Before 3/31/2023 Contact --- Doug Goudsward, CFO Contact phone --- 732-918-9901, Ext 107 Contact address --- 3301 C Route 66, Neptune, New Jersey, 07754
Finding --- Internal controls over financial statement reporting lack segregation of duties. Corrective action --- During the year, internal controls have been enhanced for layers of review. However, the Organization understands that it is imperative that the assigned preparer and reviewer have th...
Finding --- Internal controls over financial statement reporting lack segregation of duties. Corrective action --- During the year, internal controls have been enhanced for layers of review. However, the Organization understands that it is imperative that the assigned preparer and reviewer have the suitable skill, knowledge and experience to perform preparation and oversight responsibilities, respectively. Management and the board are seeking both at the governance level and internally, additional personnel to assist with financial duties through active recruitment. Status --- Corrective action in progress. Completion date --- Before 9/30/2023 Contact --- Doug Goudsward, CFO Contact phone --- 732-918-9901, Ext 107 Contact address --- 3301 C Route 66, Neptune, New Jersey, 07754
Finding 37416 (2022-002)
Significant Deficiency 2022
Finding 2022-002 AL No. 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency U.S. Department of Treasury Pass-through Agency Not applicable Award Number / Year 1505-0271 Department McHenry County Department of Finance Criteria: The Uniform Guidance require...
Finding 2022-002 AL No. 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency U.S. Department of Treasury Pass-through Agency Not applicable Award Number / Year 1505-0271 Department McHenry County Department of Finance Criteria: The Uniform Guidance require that prior to entering into subawards and contracts with award funds, recipients must verify that such contractors and sub recipients are not suspended, debarred or otherwise excluded pursuant to 31 CFR section 19.300. Condition/Context: During testing, it was noted that the County did not perform this search for two of the four vendors tested. The sample was not statistically valid. Cause: The County did not have procedures in place to perform this search. Questioned Costs: None noted. Effect: The County could do business with a vendor who is suspended or barred. Recommendation: We recommend the County incorporate this search procedure into its procurement policy. Management's Response: Management has reviewed the finding and agrees with the Auditor's notes. The quarterly report to the US Treasury is prepared by our ARPA consultant. As part of the reporting requirements, they do confirm vendors and verify UEIs at SAM.gov but we agree that this process needs to be better defined and documented for all federal awards. Corrective Action Plan: All vendors that will be paid using awarded federal funds will be verified on SAM.gov by the County's Procurement Department before a contract is executed. All verification documents will be added as attachments to the vendor record in the County's financial software. Any exclusions reported at SAM.gov will be reported back to the Finance Department for action before the contract is signed. Target Implementation: FY2023 Responsible Parties: Procurement and Special Services Department, Finance Department
Finding 37415 (2022-006)
Significant Deficiency 2022
Finding: 2022-006 Name of contact person: Brittany Majors (Program Manager), Meredith Farmer (Leadworker) Corrective Action: In this instance, the work number was being ran manually on their website and this informaiton was housed in the County's former document managem...
Finding: 2022-006 Name of contact person: Brittany Majors (Program Manager), Meredith Farmer (Leadworker) Corrective Action: In this instance, the work number was being ran manually on their website and this informaiton was housed in the County's former document management system, Compass. This verification was lost and was unable to be recovered from the Cyber Incident in 2020. The State has since updated NCFAST functionality to include the running of work number through the NCFAST website. Therefore, moving forward all results will already be housed in that State supported system. The County would like to State that results returned recently support the action taken. Unit meeting was held to remind the workers to run work number in NCFAST. Proposed Completion Date: 9/30/2022
Finding 37414 (2022-005)
Significant Deficiency 2022
Finding: 2022-005 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson (Leadworker) Corrective Action: Due to a higher volume of vacancies and new hires with no previous Income Maintenance experience it has taken the A...
Finding: 2022-005 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson (Leadworker) Corrective Action: Due to a higher volume of vacancies and new hires with no previous Income Maintenance experience it has taken the Adult Medicaid unit some time to get all positions filled and staff trained adequately enough to assist with the processing of cases. During the time of extreme turnover the case workers in place prioritized cases which resulted in the client receiving a greater benefit as advised by the administrative letters issued by DHB given due to the PHE continuity of beneifts was in place. During this time frame the State only allowed specific reduction of benefits/terminiations. Therefore, these individuals would have continued to recieve the same benefit regardless of the SSI review being completed or not. The County has since filled all IMC II positions in that unit and hired a contracted trainer to assist with training in the Adult Medicaid unit. Workloads have been evaluated and specialized based off of program to reduce/eliminate processing errors moving forward. Proposed Completion Date: 9/23/2022
Finding 37413 (2022-004)
Significant Deficiency 2022
Finding: 2022-004 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson and Meredith Farmer (Leadworkers) Corrective Action: Adult Medicaid Supervisor updated the cover sheet/ checklist and documentation outline utilize...
Finding: 2022-004 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson and Meredith Farmer (Leadworkers) Corrective Action: Adult Medicaid Supervisor updated the cover sheet/ checklist and documentation outline utilized by all caseworkers when making their determination of eligibility in hopes of reducing/eliminating any oversight which occurred during the past evaluations. The County would like to state that although data entry data occured in regards to resource evidence there where no benefits granted in error. Proposed Completion Date: 10/20/2022
Finding 37412 (2022-003)
Significant Deficiency 2022
Finding: 2022-003 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson and Meredith Farmer (Leadworkers) Corrective Action: Some of the verifications missing were lost in the County 2020 Cyber Incident. The County cons...
Finding: 2022-003 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson and Meredith Farmer (Leadworkers) Corrective Action: Some of the verifications missing were lost in the County 2020 Cyber Incident. The County consulted with State Medicaid Reps who advised the County would be in error to request information previously used to make those determination of eligibility which were lost due to not being able to 100% recover from the Cyber Incident. Therefore, the County implemented a new procedural requirement regarding document management and retention of verification used to determine eligibility. Effective January 2022, all economic benefit programs at Person County DSS were required to upload all verifications used in determining eligiblity into NCFAST. In regards to incorrect data being entered as evidence the Management team conducted individual and unit meeting/trainings to inform parties of the errors discovered and how to reduce/eliminate in future processing. The County would like for it to be notated that eligibility would not have been affected due to the data entry level. Proposed Completion Date: 9/30/2022
Corrective action plan: HHSC ? Medicaid and CHIP Services - FRAC identified the missing requirements and updated the MLR report template and instructions in August 2022. Unfortunately, work was not completed in time for the Managed Care Organizations (MCO) to use the new template for reports subm...
Corrective action plan: HHSC ? Medicaid and CHIP Services - FRAC identified the missing requirements and updated the MLR report template and instructions in August 2022. Unfortunately, work was not completed in time for the Managed Care Organizations (MCO) to use the new template for reports submitted in August 2022. MCOs will use the new template with reports submitted in August 2023. Implementation date(s): Fully implemented August 2022. Responsible persons: Director, Medicaid and CHIP Services ? FRAC
Corrective action plan: In December 2021, HHSC implemented the Texas Medicaid & Healthcare Partnership (TMHP) Provider Enrollment Management System (PEMS), an automated system that is the single tool for provider enrollment, re-enrollment, revalidation, and maintenance requests (maintaining and up...
Corrective action plan: In December 2021, HHSC implemented the Texas Medicaid & Healthcare Partnership (TMHP) Provider Enrollment Management System (PEMS), an automated system that is the single tool for provider enrollment, re-enrollment, revalidation, and maintenance requests (maintaining and updating provider enrollment record information). HHSC is confident that as the LTC providers are enrolled and re-validated through PEMS, the errors for documentation will be corrected. The LTC process will mirror the sampled acute care providers which were found to be 100 percent compliant during this review, further supporting that the process is working. Implementation date(s): December 2021 Responsible persons: Deputy Associate Commissioner, Operations Management
Corrective action plan: TDA maintains an internal policy that requires SOC reports to be reviewed annually and document complementary user entity controls included in each SOC report. TDA?s contract with Colyar LLC requires the vendor to produce a SOC report annually. The vendor was late in provid...
Corrective action plan: TDA maintains an internal policy that requires SOC reports to be reviewed annually and document complementary user entity controls included in each SOC report. TDA?s contract with Colyar LLC requires the vendor to produce a SOC report annually. The vendor was late in providing the SOC report as a 2022 contract deliverable. TDA took actions to ensure vendor accountability for submitting the late contract deliverable and the vendor was required to complete a corrective action plan. TDA will review and assess the SOC report as soon as it is delivered by the vendor to ensure CLA?s recommendations can be followed and will consider additional procedures to ensure internal controls are assessed in the absence of a SOC report. Implementation date(s): June 2023 Responsible persons: Chief Information Officer and the Director for Food and Nutrition Program Support
Corrective action plan: The Federal Funds Instruction Guide will be revised to require that PCAs associated with closed grants are inactivated by the end of the approved close-out period. Budget and Planning management will discuss the revised guidance with staff to ensure proper implementation. TCE...
Corrective action plan: The Federal Funds Instruction Guide will be revised to require that PCAs associated with closed grants are inactivated by the end of the approved close-out period. Budget and Planning management will discuss the revised guidance with staff to ensure proper implementation. TCEQ will implement the Centralized Accounting and Payroll/Personnel System (CAPPS) in September of 2023; grant numbers will include beginning and ending dates at the time the grant is created and will not require inactivation. TCEQ will ensure thorough documentation of its internal controls and the associated staff roles and responsibilities and will conduct periodic reviews of its controls. Implementation date(s): April 11. 2023 for update of the Federal Funds Instruction Guide and training staff. CAPPS: September 1, 2023. Responsible Persons: TBD, Federal Funds Section Manager; Stephanie Robinson, Assistant Deputy Director of Budget and Planning Division; Jene Bearse, Deputy Director of Budget and Planning Division
Corrective action plan: TCEQ will provide refresher training to staff and supervisors and review its standard operating procedures to ensure that staff record time and charge to grants accurately, and that calculated allocations of staff time are accurate. The overall objective will be to ensure tha...
Corrective action plan: TCEQ will provide refresher training to staff and supervisors and review its standard operating procedures to ensure that staff record time and charge to grants accurately, and that calculated allocations of staff time are accurate. The overall objective will be to ensure that salaries and wages are based on records that correctly reflect the work performed. Implementation date(s): March 1,2023 Responsible persons: Yolanda Davis, Deputy Director of Financial Administration Division
View Audit 28519 Questioned Costs: $1
Corrective action plan: The four IDs referenced in this finding did not have access to the BAMS application; the BAMS application is only accessible to agency staff with Oracle database user accounts. The report listing these IDs was from the application?s record of roles. Access to BAMS was termina...
Corrective action plan: The four IDs referenced in this finding did not have access to the BAMS application; the BAMS application is only accessible to agency staff with Oracle database user accounts. The report listing these IDs was from the application?s record of roles. Access to BAMS was terminated when the users? database accounts were removed. Implementation date(s): March 28, 2023 for refresher training to staff. CAPPS: September 1, 2023. Responsible Persons: Lynn Varian, Deputy Director of Information Resources Division
Corrective action plan: FDCM/OI investigators will review PIRTS reports on a regularly scheduled basis to ensure that Boards are uploading all required documentation related to childcare improper payments and taking collection efforts. The PIRTS system is in the process of being updated and is curre...
Corrective action plan: FDCM/OI investigators will review PIRTS reports on a regularly scheduled basis to ensure that Boards are uploading all required documentation related to childcare improper payments and taking collection efforts. The PIRTS system is in the process of being updated and is currently undergoing User Acceptance Testing. The updated system should allow for more robust reporting and controls. Additionally, FDCM/OI will provide more robust training and retraining to Boards that fall out of compliance. FDCM/OI will also develop an escalation policy in cases where Boards are not responsive to investigators? requests for status updates or document uploads into PIRTS. FDCM/OI investigators will ensure that SRM monitors are fully briefed on childcare improper payment cases at a Board as part of SRM?s annual monitoring review of the Board. Finally, FDCM/OI will ensure that all relevant controlling documents, e.g. Workforce Development Letter 21-16, Change 3 and its attached Child Care Fact-Finder?s Desk Aid; and the TWC?s Child Care Services Guide are updated to incorporate these new procedures. Implementation date(s): June 1, 2023 Responsible Persons: Jason Stalinsky, Deputy Division Director, Division of Fraud Deterrence and Compliance Monitoring
Corrective action plan: The Texas Workforce Commission will initiate a formal and documented review procedure to ensure that FFATA reports are submitted timely. Implementation date(s): March 1, 2023 Responsible persons: Teri Goodwin, Financial Reporting Manager
Corrective action plan: The Texas Workforce Commission will initiate a formal and documented review procedure to ensure that FFATA reports are submitted timely. Implementation date(s): March 1, 2023 Responsible persons: Teri Goodwin, Financial Reporting Manager
Corrective action plan: DPS will ensure booking of year-end accruals for all outstanding expenses for the Homeland Security Grant Program according to the Financial Reporting Requirements established by the Comptroller of Public Accounts. Implementation date(s): September 1, 2023 Responsible persons...
Corrective action plan: DPS will ensure booking of year-end accruals for all outstanding expenses for the Homeland Security Grant Program according to the Financial Reporting Requirements established by the Comptroller of Public Accounts. Implementation date(s): September 1, 2023 Responsible persons: Grants Manager, Deputy Administrator, Financial Reporting
Corrective action plan: DPS will update the profile setup process in CAPPS to ensure the Service/Receipt Date Indicator box is checked in CAPPS on all profile setups relating to Grants. DPS Grants staff will receive training on how to fill out a Profile Setup Form to ensure the Service/Receipt Dat...
Corrective action plan: DPS will update the profile setup process in CAPPS to ensure the Service/Receipt Date Indicator box is checked in CAPPS on all profile setups relating to Grants. DPS Grants staff will receive training on how to fill out a Profile Setup Form to ensure the Service/Receipt Date Indicator Box is checked at the time the project is setup in CAPPS. The Grants staff will run a monthly report from CAPPS to see if all active projects have the service date indicator box checked. Implementation date(s): March 1, 2023 Responsible persons: Grants Manager, Deputy Administrator, Financial Reporting
View Audit 28519 Questioned Costs: $1
Corrective action plan: ? For FFATA, Community Affairs Division (CAD) is currently updating Standard Operating Procedure (SOP) to include two review and approval processes that will take place prior to the submission in the FSFR system. The two additional review and approval process will be perfor...
Corrective action plan: ? For FFATA, Community Affairs Division (CAD) is currently updating Standard Operating Procedure (SOP) to include two review and approval processes that will take place prior to the submission in the FSFR system. The two additional review and approval process will be performed by the Team Lead, Laura White in CAD and Elizabeth Yevich, Director of Housing Resource Center (HRC). The two additional reviews will strengthen the process to ensure accurate and timely submission of monthly FFATA reporting. ? For Annual Financial Report, CAD is currently working with the Information System Division (IS) to correct issues identified in the data pulls to the summary sheets used for the submission of the Annual Report. CAD has identified that these issues emerged when federal funding sources began requesting data by individual grants. In order to address the identified issues, CAD and IS will continue to correct and test the data queries and formulas to ensure accurate reporting is achieved. Implementation date(s): ? For FFATA, March 2023 ? For Annual Financial Report, August 2023 Responsible persons: ? For FFATA, Director of Housing Resource Center and Team Leader of Community Affairs. ? For Annual Financial Report, Manager of Fiscal & Reporting and Team Leader of Community Affairs.
Corrective action plan: TWC has already reviewed all ACF-196R and ACF-204 Report queries and made the appropriate criteria modifications to appropriately reflect and report Agency activities. The query review and modifications were completed in October 2022, and subsequent Federal Financial Reports,...
Corrective action plan: TWC has already reviewed all ACF-196R and ACF-204 Report queries and made the appropriate criteria modifications to appropriately reflect and report Agency activities. The query review and modifications were completed in October 2022, and subsequent Federal Financial Reports, for active TWC grants, were modified to reflect accurate cumulative activities. Implementation date(s): October 31, 2022 Responsible persons: Teri Goodwin, Financial Reporting Manager
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