Corrective Action Plans

Finding 36811 (2022-004)

Material Weakness 2022

National Trust for Historic Preservation in the United States

DC

Procurement, Suspension & Debarment Subrecipient Monitoring § 200.213 § 200.318 § 200.319 § 200.320

2022-004 INTERNAL CONTROL OVER COMPLIANCE AND COMPLIANCE WITH PROCUREMENT, SUSPENSION AND DEBARMENT The National Trust has a Procurement SOP that is fully responsive to CFR ?200.318, and the sampled expense complied with that policy when procured in April 2022. Federal funds were awarded in July 202...

2022-004 INTERNAL CONTROL OVER COMPLIANCE AND COMPLIANCE WITH PROCUREMENT, SUSPENSION AND DEBARMENT The National Trust has a Procurement SOP that is fully responsive to CFR ?200.318, and the sampled expense complied with that policy when procured in April 2022. Federal funds were awarded in July 2022 permitting reimbursement of costs incurred as early as March 2021. At the direction of pass-through entity Westchester County, these one-time coronavirus relief funds were applied to reimburse the National Trust for expenses selected by that entity even though the vendors were contracted prior to the award of relief funds. To remedy any gaps in our process, the National Trust will modify the Procurement SOP to clarify that multiple contracts with a single vendor must be treated as a single contract for purposes of the small purchase threshold and will ensure that all expenses are subject to the more stringent requirements under CFR ?200.318. Additionally, the National Trust will modify the procurement procedures to ensure that suspension and debarment screening occurs prior to entering contracts. Individual(s) Responsible for Corrective Action Plan: Thompson Mayes Chief Legal Officer and General Counsel 202-588-6182 Anticipated Completion Date: June 30, 2023

View Audit 32413

Finding 36810 (2022-003)

Significant Deficiency 2022

National Trust for Historic Preservation in the United States

DC

Subrecipient Monitoring

2022-003 INTERNAL CONTROL OVER COMPLIANCE AND COMPLIANCE WITH SUBRECIPIENT MONITORING In June 2022, the National Trust hired a Grants & Compliance Specialist to develop and implement formal, written subrecipient monitoring policies and procedures for National Main Street Center (NMSC), the entity re...

2022-003 INTERNAL CONTROL OVER COMPLIANCE AND COMPLIANCE WITH SUBRECIPIENT MONITORING In June 2022, the National Trust hired a Grants & Compliance Specialist to develop and implement formal, written subrecipient monitoring policies and procedures for National Main Street Center (NMSC), the entity responsible for this federal program. All National Trust and NMSC pass-through programs in effect during fiscal year 2023 are subject to these procedures to ensure compliance. Individual(s) Responsible for Corrective Action Plan: John Chomiak Chief Financial & Administration Officer, NMSC 202-372-5617 Anticipated Completion Date: June 30, 2023

View Audit 32413

Finding 36809 (2022-001)

Significant Deficiency 2022

North Fourth Art Center

NM

Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303

Corrective Action Plan: North Fourth Art Center will incorporate and communicate to Board President changes to our policy and procedures to ensure additional controls are established in regards to grant requirements. These internal controls will require that Board President reviewed and approve time...

Corrective Action Plan: North Fourth Art Center will incorporate and communicate to Board President changes to our policy and procedures to ensure additional controls are established in regards to grant requirements. These internal controls will require that Board President reviewed and approve timesheets of Executive Director or Associate Director (when Executive Director is not in the Office Associate Director is in charge) in timelier manner. Board President will sign Executive Director?s timesheets every two months. When Associate Director is Acting Director, Acting Director?s timesheets will be signed within two weeks of her time as acting Executive Director. Responsible Official: Executive Director, Marjerie Neset Timeline for Implementation: Effective January 2023

View Audit 30709

Finding 36770 (2022-002)

Significant Deficiency 2022

Community Action Pioneer Valley, Inc. and Subsidiaries

MA

Subrecipient Monitoring § 200.331

Recommendation: The Organization should strengthen and organize the policies and procedures for administering the CoC program and work with the Department of Housing and Urban Development to draft a Subrecipient Manual that includes all regulatory requirements and citations. View of Responsible Offi...

Recommendation: The Organization should strengthen and organize the policies and procedures for administering the CoC program and work with the Department of Housing and Urban Development to draft a Subrecipient Manual that includes all regulatory requirements and citations. View of Responsible Officials: Responsible officials agree with the recommendation and will organize all policies and procedures and work with the Department of Housing and Urban Development to draft a Subrecipient Manual.

View Audit 30708

Finding 36769 (2022-001)

Significant Deficiency 2022

Community Action Pioneer Valley, Inc. and Subsidiaries

MA

Allowable Costs / Cost Principles Subrecipient Monitoring

Recommendation: The Organization should consistently allocate the indirect cost rate to all CoC grants. View of Responsible Officials: Responsible officials agree with the recommendation and will implement controls to allocate the indirect cost rate consistently.

View Audit 30708

Finding 36768 (2022-004)

Material Weakness 2022

Housing Authority of the City of Imperial, Nebraska

NE

Internal Control / Segregation of Duties Special Tests & Provisions Allowable Costs / Cost Principles

Finding 2022-004 The Authority agrees with the finding and responds stating that our project is relatively small with only one administrative staff. The board has reviewed this issue and determined there are no additional procedures which can reasonably be done to eliminate these deficiencies and a...

Finding 2022-004 The Authority agrees with the finding and responds stating that our project is relatively small with only one administrative staff. The board has reviewed this issue and determined there are no additional procedures which can reasonably be done to eliminate these deficiencies and accepts them.

View Audit 30476

Finding 36767 (2022-001)

Significant Deficiency 2022

Spirit Lake Housing Corporation

ND

Contact Person Anthony Longie, Executive Director Corrective Action Plan Collection Officer will be adhering to and enforcing the collection policy. Planned Completion Date for CAP Immediately

View Audit 36059

Finding 36766 (2022-002)

Material Weakness 2022

Spirit Lake Housing Corporation

ND

Internal Control / Segregation of Duties Eligibility

Contact Person Anthony Longie, Executive Director Corrective Action Plan Has been implemented with checklist in each file. Planned Completion Date for CAP Immediately

View Audit 36059

Finding 36765 (2022-002)

Material Weakness 2022

Gering Elderly Housing Corporation

NE

Allowable Costs / Cost Principles HUD Housing Programs Material Weakness

Finding 2022-002: Allowable Costs Section 202 Capital Advance, 14.157 Material Weakness I agree with the finding. The previous management did not submit budget for the year 2021-2022. Although I submitted a budget for the year, HUD only renewed the previous budget on file as they needed to compl...

Finding 2022-002: Allowable Costs Section 202 Capital Advance, 14.157 Material Weakness I agree with the finding. The previous management did not submit budget for the year 2021-2022. Although I submitted a budget for the year, HUD only renewed the previous budget on file as they needed to complete approval by 5-1-2022 of the New Management Agent. HUD approval effectively locked in the budget for the period 7/1/2022 -6/30/23. A revised budget has been submitted and approved by the Board of Directors for the period 7/1/2022 ? 6/30/2023. A budget will be prepared and submitted to both the Board and HUD for the period 7/1/2023 ? 6/30/2024.

View Audit 36057

Finding 36764 (2022-002)

Material Weakness 2022

Asi - Jackson County, Inc.

MN

Questioned Costs HUD Housing Programs Reporting

ASI - JACKSON COUNTY, INC. HUD PROJECT NO. 126-HD028 CORRECTIVE ACTION PLAN Department of Housing and Urban Development ASI-Jackson County, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of Independent Public Accounting Fir...

ASI - JACKSON COUNTY, INC. HUD PROJECT NO. 126-HD028 CORRECTIVE ACTION PLAN Department of Housing and Urban Development ASI-Jackson County, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of Independent Public Accounting Firm: Bjorklund & Montplaisir 1 Lincoln Center, Suite 470 10300 SW Greenburg Road Portland, Oregon 97223 Audit period: January 1, 2022 through December 31, 2022 The findings from the December 31, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Finding No. 2022-002 - Section 811, CFDA 14.181 Recommendation: The Project should deposit the reserve for replacement shortage of $3,271. Planned Corrective Action: Once the Project starts receiving the subsidy payments, the reserve for replacement deposits will be caught up and made monthly thereafter. Anticipated Date of Completion: June 30, 2023 If the Department of Housing and Urban Development has questions regarding this plan, please call Chuck Reuter at (651) 645-7271. Sincerely, 04/26/23 Chuck Reuter Date

View Audit 35137 Questioned Costs: $1

Finding 36763 (2022-001)

Material Weakness 2022

Asi - Jackson County, Inc.

MN

Questioned Costs HUD Housing Programs Eligibility

ASI - JACKSON COUNTY, INC. HUD PROJECT NO. 126-HD028 CORRECTIVE ACTION PLAN Department of Housing and Urban Development ASI-Jackson County, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of Independent Public Accounting Fir...

ASI - JACKSON COUNTY, INC. HUD PROJECT NO. 126-HD028 CORRECTIVE ACTION PLAN Department of Housing and Urban Development ASI-Jackson County, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of Independent Public Accounting Firm: Bjorklund & Montplaisir 1 Lincoln Center, Suite 470 10300 SW Greenburg Road Portland, Oregon 97223 Audit period: January 1, 2022 through December 31, 2022 The findings from the December 31, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. FINDINGS ? FINANCIAL STATEMENT AND FEDERAL AWARD FINDING Department of Housing and Urban Development Finding No. 2022-001 - Section 811, CFDA 14.181 Recommendation: The Project should complete the recertification process for the remaining tenants. Planned Corrective Action: The tenant recertifications will be monitored by the owner to ensure they are being completed in a timely manner. Anticipated Date of Completion: June 30, 2023 If the Department of Housing and Urban Development has questions regarding this plan, please call Chuck Reuter at (651) 645-7271. Sincerely, 04/26/23 Chuck Reuter Date

View Audit 35137 Questioned Costs: $1

Finding 36762 (2022-001)

Significant Deficiency 2022

Communities in Schools of the Dallas Region, Inc.

TX

Allowable Costs / Cost Principles Reporting Significant Deficiency

Finding No. 2022-001: Allowable costs ? Significant deficiency in internal control over compliance. The 21st Century grant director was provided a PEX card (prepaid credit card) to make purchases for the program. The purchases were approved per the budgeted line items by the grantor. The CFO met wit...

Finding No. 2022-001: Allowable costs ? Significant deficiency in internal control over compliance. The 21st Century grant director was provided a PEX card (prepaid credit card) to make purchases for the program. The purchases were approved per the budgeted line items by the grantor. The CFO met with the program director on a bi-weekly basis and the program director outlined all anticipated expenses for the program. They were discussed and approved during the meeting but were not physically documented. The purchases were made and receipts were uploaded into the PEX system, however there was no signature on the receipts to document the approval. These expenses were later reviewed and summarized by the CFO in an Excel spreadsheet prior to billing the grantor. We have incorporated and communicated changes to our policy and standard procedure to ensure the documentation of manager?s approval of invoices are kept on file. Employees under the 21st Century program have been trained and approval of purchases are now physically documented electronically as of January of 2023. Given CISDR's expanded workload and doubling the number of schools from two years prior, the Finance team was functioning with one full time CFO and one part time accountant. In March 2023 we hired a full-time senior accountant to manage the internal controls compliance over expenditures. The plan has already been implemented.

View Audit 35133

Finding 36759 (2022-003)

Significant Deficiency 2022

Portland Va Research Foundation

OR

Questioned Costs Internal Control / Segregation of Duties Subrecipient Monitoring

Allowable Costs Recommendation: We recommend that the organization implement procedures to ensure that indirect costs are charged in accordance with its approved indirect cost rate proposal. Explanation of disagreement with audit findings: There is no disagreement with the audit findings. Action tak...

Allowable Costs Recommendation: We recommend that the organization implement procedures to ensure that indirect costs are charged in accordance with its approved indirect cost rate proposal. Explanation of disagreement with audit findings: There is no disagreement with the audit findings. Action taken in response to finding: Once the issue was identified as a result of the audit, PVARF staff worked diligently to return the excess funds to the funding source, as well as determining an effective resolution to ensure there is no reoccurrence of inappropriate billing of the foundation?s indirect cost rate. Action Plan: In addition to implementing a project management platform that accurately identify the correct indirect cost rate to be charged, PVARF is also working to ensure cross training is occurring between administrative positions, improving information sharing, and standardizing training. Name(s) of the contact people responsible for correction action: J. Rowland, H. Tyre, S. Dolan Plan completion date for corrective action plan: July 31, 2023

View Audit 35130 Questioned Costs: $1

Finding 36758 (2022-002)

Significant Deficiency 2022

Portland Va Research Foundation

OR

Questioned Costs Allowable Costs / Cost Principles Cash Management

Memorandum of Understanding Billing Recommendation: We recommend that the organization implement procedures to ensure that reimbursement requests are based on actual invoices. Explanation of disagreement with audit findings: there is no disagreement with the audit findings. Action taken in response...

Memorandum of Understanding Billing Recommendation: We recommend that the organization implement procedures to ensure that reimbursement requests are based on actual invoices. Explanation of disagreement with audit findings: there is no disagreement with the audit findings. Action taken in response to finding: Once this deficiency was identified, PVARF immediately contacted VA Portland Health Care System to determine if invoicing would the forthcoming. When it was made clear that there was no forthcoming invoicing, the sponsor was contacted to determine refund steps. Ultimately, the funds were returned to the agency that was inappropriately billed. Action Plan: In addition to ensuring effective communication between the stakeholders, PVARF implemented standard follow-up protocols to make certain VAPORHCS is invoicing PVARF timely, PVARF is in the process of implementing a project management platform that will effectively and efficiently manage major milestones such as invoicing for grants, contracts, and clinical trials. It was also made clear to PVARF administrative staff that there will be no billing ahead of receipt of invoices on any agreements, and that doing so is a breach of the executed contract. Name(s) of the contact people responsible for correction action: Admin Staff Team Plan completion date for corrective action plan: July 31, 2023

View Audit 35130 Questioned Costs: $1

Finding 36757 (2022-003)

Significant Deficiency 2022

Vetter Senior Living

NE

Reporting Internal Control / Segregation of Duties

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that the recipient will not use funds to reimburse expenses that have been reimbursed from other sources. Conditio...

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that the recipient will not use funds to reimburse expenses that have been reimbursed from other sources. Condition: During the process of testing the amounts reported, it was noted that expenses were not reduced by certain other funds received by the Company. Planned Corrective Action: Management will continue to monitor and enhance its internal controls over federal award compliance to ensure that expenses are reduced by amounts reimbursed from other sources. Planned Completion Date: Ongoing Person Responsible: Brian Stuhr, CFO

View Audit 34216

Finding 36756 (2022-002)

Significant Deficiency 2022

Vetter Senior Living

NE

Reporting Internal Control / Segregation of Duties

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that general funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the co...

Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that general funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the coronavirus. Funds received for infection control were more restrictive in nature and could only be used for testing and reporting costs, additional patient care personnel, or expense incurred to improve infection control. Condition: During the process of testing claimed pandemic related healthcare expenses, it was noted that employee benefits were incorrectly assigned to contract labor.. Planned Corrective Action: Management will continue to monitor and enhance its internal controls over federal award compliance to ensure that only eligible costs are included in amounts expended. Planned Completion Date: Ongoing Person Responsible: Brian Stuhr, CFO

View Audit 34216

Finding 36752 (2022-001)

Material Weakness 2022

Ncr Permanent Supportive Housing Services

OH

Reporting Internal Control / Segregation of Duties

CORRECTIVE ACTION PLAN December 21, 2022 U.S. Department of Housing and Urban Development: NCR Permanent Supportive Housing Services (PSHS) respectively submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: HW&Co. 4...

CORRECTIVE ACTION PLAN December 21, 2022 U.S. Department of Housing and Urban Development: NCR Permanent Supportive Housing Services (PSHS) respectively submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: HW&Co. 460 Polaris Pkwy., Suite 300 Westerville, OH 43082-8213 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. FINDING?FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2022-001 ? Account reconciliations, audit journal entries, and overall audit readiness Recommendation: We recommend timely reconciliation and review of account balances/transactions, including performing such reconciliations for each funding source, in order to verify accounting records are complete, accurate, and in accordance with accounting principles generally accepted in the United States of America. Action Taken: A new accounting system implemented in the prior year significantly changed processes and reporting for PSHS grant reporting. While we have made good progress over the past year, the timeliness of reconciliations is not yet at an acceptable level. We recently hired additional staff to focus on these reconciliations in order to ensure timely, monthly reconciliations. In addition, we recently replaced an open position for a finance lead with expertise in our financial software. With the additional internal staffing resources, combined with consulting with our software vendor, we anticipate much improved reporting and timeliness for PSHS. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ? CONTINUUM OF CARE PROGRAM ? ASSISTANCE LISTING No. 14.267 Material Weakness: See Finding 2022-001

View Audit 31767

Finding 36747 (2022-001)

None 2022

Weedsport Central School District

NY

Internal Control / Segregation of Duties

Corrective Action Plan October 25, 2022 Weedsport Central School District respectfully submits the following corrective action plan for the year ended June 30, 2022. OVERSIGHT AGENCY: New York State Education Department INDEPENDENT PUBLIC ACCOUNTING FIRM: D?Arcangelo & Co., LLP PO Box 4300...

Corrective Action Plan October 25, 2022 Weedsport Central School District respectfully submits the following corrective action plan for the year ended June 30, 2022. OVERSIGHT AGENCY: New York State Education Department INDEPENDENT PUBLIC ACCOUNTING FIRM: D?Arcangelo & Co., LLP PO Box 4300 Rome, NY 13440 FINDING: 2021-001 Federal Uniform Guidance Policies and Procedures PLANNED ACTION: Weedsport Central School District will develop required written policies and procedures as required by the OMB?s Uniform Guidance. CONTACT RESPONSIBLE: Stacie McNabb, Business Manager ANTICIPATED DATE OF COMPLETION: June 30, 2023

View Audit 27446

Finding 36744 (2022-002)

Significant Deficiency 2022

Northland Pines School District

WI

Internal Control / Segregation of Duties Allowable Costs / Cost Principles HUD Housing Programs

2022-002 Journal Entry Approval Recommendation: We recommend the District review its written procedures to ensure there are adequate controls over journal entry reviews. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Action Taken in Response to Fi...

2022-002 Journal Entry Approval Recommendation: We recommend the District review its written procedures to ensure there are adequate controls over journal entry reviews. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Action Taken in Response to Finding: The Business Manager will review and approve all journal entries submitted via Skyward by the Accounting Coordinator and ensure proper supporting documentation is attached to each entry. In turn, the Accounting Coordinator will do the same for all journal entries submitted by the Business Manager. Name of Responsible Official: Tera Fritz, Business Manager Expected Completion Date: July 1, 2022

View Audit 25955

Finding 36742 (2022-022)

Material Weakness 2022

Government of the District of Columbia

DC

Allowable Costs / Cost Principles § 200.303 § 200.430

The District Department of Health (DC Health) concurs with the finding, causes and recommendations cited in the fiscal year 2022 single audit for the HIV Emergency Relief Project Grants (HIVER) program. Corrective action plan objectives are to have the following completed in fiscal year 2023: (1) a...

The District Department of Health (DC Health) concurs with the finding, causes and recommendations cited in the fiscal year 2022 single audit for the HIV Emergency Relief Project Grants (HIVER) program. Corrective action plan objectives are to have the following completed in fiscal year 2023: (1) a regular schedule of payroll data runs and reports of budget-to-actual time migrated to a certification platform managed by the Office of Grants Management, (2) full utilization of a uniform navigable tool and one-stop document for supervisors to certify time and effort and to request next actions if actual costs do not align with personnel budgets, (3) to create an IT solution or mechanism to route and track submissions between supervisors, the Office of Grants Management and the Office of the Chief Financial Officer (OCFO), and (4) the SOP will also be updated to integrate any procedural changes resulting from full implementation. See Corrective Action Plan for chart/table

View Audit 31369

Finding 36724 (2022-021)

Significant Deficiency 2022

Government of the District of Columbia

DC

Internal Control / Segregation of Duties Special Tests & Provisions Matching / Level of Effort / Earmarking § 200.303

DHCF concurs with these findings. At issue in this finding is a pricing discrepancy of .36 cents less per item than indicated in the applicable contract for the subject services between DHCF and its QIO, Comagine Health, LLC (Comagine). Effective June 2023, DHCF confirms that it is paying the appro...

DHCF concurs with these findings. At issue in this finding is a pricing discrepancy of .36 cents less per item than indicated in the applicable contract for the subject services between DHCF and its QIO, Comagine Health, LLC (Comagine). Effective June 2023, DHCF confirms that it is paying the appropriate contracted rate for all services rendered under its contract and has confirmed that Comagine has corrected its invoice billing rate to match the contracted amount. To ensure that DHCF continues to reimburse its QIO at the applicable contracted rate, it will draft and implement a QIO invoice reimbursement checklist containing the contracted rate(s) for applicable items, and a check box to confirm that the amount billed in the invoice corresponds to the contracted rate. This checklist will be completed by the Division of Clinician, Pharmacy, and Acute Provider Services within the Health Care Delivery Management Administration, which is responsible for payment of invoices submitted by Comagine. See Corrective Action Plan for chart/table

View Audit 31369

Finding 36723 (2022-020)

Significant Deficiency 2022

Government of the District of Columbia

DC

Internal Control / Segregation of Duties Eligibility Reporting § 200.303

DHCF and DHS concur with the findings. For bullet point #1 of the findings noted: Fourteen (14) of the cases were delayed because of caseworker inaction within 45 days. However, of those (14) cases, all were sent notices. There were system tickets created for multiple cases listed however they wer...

DHCF and DHS concur with the findings. For bullet point #1 of the findings noted: Fourteen (14) of the cases were delayed because of caseworker inaction within 45 days. However, of those (14) cases, all were sent notices. There were system tickets created for multiple cases listed however they were created well after the 45 days. As a corrective action DHS will provide refresher training and reinforce oversight controls to ensure caseworkers and supervisors are processing applications within federally required timeframes. DHCF is working on enhancing the medical application in the District Direct resident portal to ensure a user-friendly experience for residents to submit applications online. As a result, we expect to see a decrease in delays to application processing as well as a decrease in caseworkers having to trigger notices as the online forum will automate the mailing of notices. For bullet point #2 of the findings noted: One (1) of the cases sighted for lack of verification of SSN was an improper caseworker application of the death process. On 12/09/22 the agency received a death certificate for the beneficiary confirming the decease date of 11/26/22. An application was later received on 12/22/23 with no indication of need for retro- services. The application was improperly processed due to the death notification date. As a corrective action refresher training will be provided to caseworker to ensure the proper application of the death process. For bullet point #3 of the findings noted: One (1) of the cases sighted for lack of verification of SSN was an improper caseworker application of the death process. On 12/09/22 the agency received a death certificate for the beneficiary confirming the decease date of 11/26/22. An application was later received on 12/22/23 with no indication of need for retro- services. The application was improperly processed due to the death notification date. As a corrective action refresher training will be provided to caseworker to ensure the proper application of the death process. One (1) of the cases sighted for lack of verification was a result of improper application of COVID procedures. A request was made to the hub to match SSN and citizenship information attested to by the beneficiary. No match was returned by the hub; RFI /General communication was issued to request citizenship verification; no response was received however COVID PHE rules prohibited closure of case; eligibility was extended on the back end. Although the RFI /General communication was issued correctly, the COVID process to clear the verification to prevent termination was not. The process to clear verifications was not applicable to SSN and Citizenship and this case should have been denied for failure to verify. Although COVID processes are no longer in place as a corrective action the district will incorporate the manual citizenship process into the refresher training related to beneficiaries whose hub ping returns as null. See Corrective Action Plan for chart/table

View Audit 31369

Finding 36722 (2022-019)

Significant Deficiency 2022

Government of the District of Columbia

DC

Allowable Costs / Cost Principles § 200.303 § 200.430

DHS agrees with the finding. DHS will institute a policy and procedure to support payroll expenditures. This will include pulling a sample on a quarterly basis to perform a reconciliation of employees? pay per the Personnel Action Form to the payroll amount posted in the PeopleSoft payroll system. ...

DHS agrees with the finding. DHS will institute a policy and procedure to support payroll expenditures. This will include pulling a sample on a quarterly basis to perform a reconciliation of employees? pay per the Personnel Action Form to the payroll amount posted in the PeopleSoft payroll system. See Corrective Action Plan for chart/table

View Audit 31369

Finding 36720 (2022-018)

Significant Deficiency 2022

Government of the District of Columbia

DC

Reporting § 200.303

CFSA concurs with the finding as stated. The $32,325 in questioned costs were paid in fiscal year 2022, but for services that occurred prior to the grant period. This included $17,360 for legal supports for families undergoing guardianship or adoption court proceedings that began prior to fiscal ye...

CFSA concurs with the finding as stated. The $32,325 in questioned costs were paid in fiscal year 2022, but for services that occurred prior to the grant period. This included $17,360 for legal supports for families undergoing guardianship or adoption court proceedings that began prior to fiscal year 2020, but that culminated within the Funding Certainty Grant period. Because CFSA is unable to prorate the cost that fell within the grant period, CFSA?s corrective action will be to make a negative adjustment for the entire amount of questioned costs to the fiscal year 2023 Funding Certainty Grant report (SF-425) within the December 31, 2023 submission to the HHS Administration for Children and Families (ACF). See Corrective Action Plan for chart/table

View Audit 31369

Finding 36719 (2022-017)

Material Weakness 2022

Government of the District of Columbia

DC

Questioned Costs Student Financial Aid Eligibility § 200.303

CFSA concurs with the findings as stated. For bullet point #1 of the findings noted: This appears to be a data entry error that occurred during the eligibility team?s preparation for the single audit. The room & board costs that occurred during the erroneous ?Eligible Not Reimbursable? period on t...

CFSA concurs with the findings as stated. For bullet point #1 of the findings noted: This appears to be a data entry error that occurred during the eligibility team?s preparation for the single audit. The room & board costs that occurred during the erroneous ?Eligible Not Reimbursable? period on the redetermination form were claimed to title IV-E in real time during CFSA?s quarterly claiming process. The Supervisory Eligibility Specialist has already begun a 10% quarterly quality review process of all eligibility determinations. For bullet point #2 of the findings noted: The youths in question were enrolled in high school at the start of the school year (and reflected as such in the FACES system) but were actually chronically truant. CFSA?s Business Services Administration and the Office of Youth Empowerment have implemented a joint quarterly review of the educational/employment/incapacity status of 18-to-21-year-old youth who are IV-E eligible to ensure that they meet federal requirements to support IV-E claims on their behalf. For bullet point #3 of the findings noted: The issues with background checks pertained to ?other adults residing in the home? who were not the licensed foster parents. The corrective action going forward is to produce source documentation during the audit that identifies the household composition of the foster family home so that the auditors have a clear picture of those who are adults and therefore require evidence that background checks were completed satisfactorily for IV-E eligibility purposes. CFSA will include the sections of the applications/re-applications for foster family home licensure, as appropriate, into the digital catalogue of readily available licensure documentation available for audit retrieval. These documents corroborate household composition for the purpose of identifying who, within the household, requires background checks. See Corrective Action Plan for chart/table

View Audit 31369 Questioned Costs: $1

Corrective Action Plans

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