Corrective Action Plans

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FINDING 2024-004 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials: We concur with ...
FINDING 2024-004 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: INDIANA STATE BOARD OF ACCOUNTS 27 At least 2 people will look over the report and check all receipts and expenditures when the next P&E report is submitted to prevent and detect any errors. Prior P&E report had already been submitted before the prior audit was complete and we were made aware of the issue and then the Auditor changed in 2025. Control will not be in place until the 2026 P&E report is submitted. Anticipated Completion Date: Submission of next ARPA report, April 2026.
FINDING 2024-003 Finding Subject: COVID 19 - Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials...
FINDING 2024-003 Finding Subject: COVID 19 - Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Christy Smiley Contact Phone Number and Email Address: 812-663-2570, auditor@decaturcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The suspension and debarment form is now in the bidder’s packet and is mandatory to bid per our prior corrective action plan. An employee in the auditor’s office double check’s the bidders packet to ensure that the S&D form and all required information is included prior to sending it to the vendor. If the purchase does not require bidding, but is over the $25,000 small purchase threshold, an auditor’s office employee is responsible for submitting the S&D form to the vendor prior to payment and keeping the form once returned in the file for that project/vendor. Anticipated Completion Date: March 2025
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Curren...
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-002: The Corporation's accounting books and records as submitted for audit included certain accounts which were not presented in accordance with accounting standards generally accepted in the United States of America ("GAAP"). As a result, audit adjustments provided by management were required to present the December 31, 2024 financial statements in accordance with GAAP. Comments on the Finding and Each Recommendation: Management should review the internal controls to ensure that the accounting software allows for timely recording of information and that a timely review of the reconciliations is completed by another accountant not responsible for the month end close. Action(s) taken or planned on the finding: The accounting software provider is being changed and a new system to indicate review and approval of the month end closing process will be implemented.
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Curren...
Name of auditee: Fiesta House Senior Housing, Inc. HUD auditee identification number: 122-EE166-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: During the year ended December 31, 2024, the Corporation did not make the required deposits to the reserve for replacements.. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $1,711 for the delinquent deposits. In future periods, management should fund the reserve for replacements on an annual basis as required by the HUD regulatory agreement or request a suspension of deposits from HUD. Action(s) taken or planned on the finding: Management will make the delinquent deposit in 2025.
Finding 572581 (2024-002)
Significant Deficiency 2024
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on...
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-002: The Corporation's accounting books and records as submitted for audit included certain accounts which were not presented in accordance with accounting standards generally accepted in the United States of America ("GAAP"). As a result, audit adjustments provided by management were required to present the December 31, 2024 financial statements in accordance with GAAP. Comments on the Finding and Each Recommendation: Management should review the internal controls to ensure that the accounting software allows for timely recording of information and that a timely review of the reconciliations is completed by another accountant not responsible for the month end close. Action(s) taken or planned on the finding: The accounting software provider is being changed and a new system to indicate review and approval of the month end closing process will be implemented.
Finding 572580 (2024-001)
Significant Deficiency 2024
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on...
Name of auditee: Habibi Terrace, Inc. HUD auditee identification number: 143-EE054-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: During the year ended December 31, 2024, the Corporation withdrew $5,980 from the reserve for replacements without obtaining HUD approval. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $5,980. Action(s) taken or planned on the finding: Management will make a deposit of $5,980 during the year ended December 31, 2025.
View Audit 363712 Questioned Costs: $1
Finding Reference Number: 2024-01 View of Responsible Officials and Corrective Actions: Management agrees with the finding. Management will establish procedures and monitor compliance with those procedures to ensure that the audited financial statements, schedule of expenditures of federal awards, ...
Finding Reference Number: 2024-01 View of Responsible Officials and Corrective Actions: Management agrees with the finding. Management will establish procedures and monitor compliance with those procedures to ensure that the audited financial statements, schedule of expenditures of federal awards, and other required information is filed with the Federal Audit Clearinghouse by the required due dates. Contact Persons Responsible: Dr. Sharrone Ward, President and Chief Executive Officer Kim Shelton-Mamon, Vice President of Finance Completion Date: Open
Single Audit Report for fiscal year 2025 will be completed in a timely manner. It is anticipated that Single Audits will no longer be required after fiscal year 2025.
Single Audit Report for fiscal year 2025 will be completed in a timely manner. It is anticipated that Single Audits will no longer be required after fiscal year 2025.
Revew and Update: Accounting and Personnel Policies and Procedures and update to follow OMB's Uniform Administrative Requirements, Cost Principals, and Audit Requirements for Federal Awards (UG).
Revew and Update: Accounting and Personnel Policies and Procedures and update to follow OMB's Uniform Administrative Requirements, Cost Principals, and Audit Requirements for Federal Awards (UG).
2024-003 Period of Performance - Community Development Block Grants/Entitlement Grants Cluster Assistance Listing Number 14.218 Grant Period - Year Ended December 31, 2024 Condition Found The City did not meet program timeliness spending requirements. The City’s unexpended balance at December 31, 20...
2024-003 Period of Performance - Community Development Block Grants/Entitlement Grants Cluster Assistance Listing Number 14.218 Grant Period - Year Ended December 31, 2024 Condition Found The City did not meet program timeliness spending requirements. The City’s unexpended balance at December 31, 2024 of $2,548,256 is more than 1.5 times the $1,319,714 entitlement grant for the current year. We consider this to be an instance of non-compliance relating to the Period of Performance Compliance Requirement. Corrective Action Plan The City of Decatur received the 2023 Management Letter on May 15, 2025 with this same instance of non-compliance, after most of the 2024 financial audit was completed and the 2024 fiscal year had ended. The City of Decatur Economic & Community Development Department is under new leadership with Lacie Elzy as Acting Economic & Community Development Director. Director Elzy will be reviewing all grant programs and duties in the department and ensuring that grant requirements are met. As of the date of this letter, timeliness spending requirements have been met and the City is compliant. Responsible Person for Corrective Action Plan Lacie Elzy, Acting Economic & Community Development Director Implementation Date of Corrective Action Plan December 31, 2025
Reference # and title: 2024-004 Reporting Federal Grantor/Program Name Assistance Listing No. Award Year State & Local Fiscal Recovery Funds (ARPA) 21.027 2021 Criteria or specific requirement: The Police Jury is required to submit a project and expenditure report quarterly and annually. The ke...
Reference # and title: 2024-004 Reporting Federal Grantor/Program Name Assistance Listing No. Award Year State & Local Fiscal Recovery Funds (ARPA) 21.027 2021 Criteria or specific requirement: The Police Jury is required to submit a project and expenditure report quarterly and annually. The key line items in the report are obligations and expenditures. Condition found: The report submitted in March 2025 for the period ended December 31, 2024, did not agree with documentation for the Desoto Street Project and the Public Works Equipment project. The Desoto Street Project reported $300,000 in total cumulative obligations and $300,000 in total cumulative expenditures. The project was complete on December 31, 2024, for a total cost of $77,528. Both the cumulative obligations and expenditures were overstated $222,472. The Public Works Equipment project total cumulative obligations were reported as $289,426 and total cumulative expenditures were reported as $220,000. The equipment was purchased for $220,000. The cumulative expenditures agree to the supporting documentation, but the cumulative obligations are overstated by $69,426. The report did not include documentation that it was reviewed by anyone other than the preparer. Context: The December 31, 2024, report filed in March 2025 was tested by comparing amounts reported for cumulative obligations and expenditures to support for cumulative obligations and expenditures. Possible asserted effect (cause and effect): Cause: There is no evidence that the report was reviewed for errors by someone other than the preparer. Effect: The Police Jury may have unobligated amounts of $291,898 on December 31, 2024, which was the last day to obligate the funds. Recommendation to prevent future occurrences: The Policy Jury should communicate with the grantor agency to determine if the amount that is not obligated per the report should be repaid. Origination date and prior year reference (if applicable): This finding originated in the current fiscal year. Corrective action planned: Management will confer with the grantor to verify if repayment is due because of the error.
Reference # and title: 2024-003 Preparation of the Schedule of Expenditures of Federal Awards (SEFA) Federal Grantor/Program Name Assistance Listing No. Award Year State & Local Fiscal Recovery Funds (ARPA) 21.027 2021 Criteria or specific requirement: The Police Jury is required to have a compr...
Reference # and title: 2024-003 Preparation of the Schedule of Expenditures of Federal Awards (SEFA) Federal Grantor/Program Name Assistance Listing No. Award Year State & Local Fiscal Recovery Funds (ARPA) 21.027 2021 Criteria or specific requirement: The Police Jury is required to have a comprehensive and accurate schedule of expenditures of federal awards (SEFA) to document federal grant expenditures by agency, program and amount. Condition found: The Police Jury did not submit a complete and accurate SEFA. Context: The SEFA prepared by the Police Jury did not list the Federal granter, Program title, Federal ALN numbers, and Grant numbers. Federal awards were either missing from the SEFA or listed in incorrect amounts. Possible asserted effect (cause and effect): Cause: The Police Jury does not have processes and procedures documented for preparing a SEFA. Effect: The Police Jury may not meet all federal compliance requirements. Recommendation to prevent future occurrences: The Police Jury should document processes and procedures for preparing a schedule of expenditures of federal awards (SEFA). Origination date and prior year reference (if applicable): This finding originated in the current fiscal year. Corrective action planned: Management will provide and prepare the required information in the requested format.
The City’s Finance Department is working with the Fire Department to install the proper internal controls over the preparation of the performance reports. Going forward, the reports that are prepared by the City’s Fire Chief will be reviewed by the City’s Finance Department to ensure accuracy and co...
The City’s Finance Department is working with the Fire Department to install the proper internal controls over the preparation of the performance reports. Going forward, the reports that are prepared by the City’s Fire Chief will be reviewed by the City’s Finance Department to ensure accuracy and compliance.
The City of Mt. Pleasant agrees with the finding identified and respectfully submits the following Corrective Action Plan for the year ending December 31, 2024. The City does not have written policies and procedures regarding federal awards required by 2CFR200. This includes procurement standards,...
The City of Mt. Pleasant agrees with the finding identified and respectfully submits the following Corrective Action Plan for the year ending December 31, 2024. The City does not have written policies and procedures regarding federal awards required by 2CFR200. This includes procurement standards, including bidding procedures and review of vendor suspention and debarment. Implementation and monitoring - The City has verbally discussed and trained the current staff with the required procedures to ensure compliance with the 2CFR 200 requirements, including the verification of the vendor through SAM.gov as soon as this finding was known to the staff. The City will update the written policies and procedures to ensure the inclusion of the requirements surrounding federal awards as required by 2CFR 200 and provide them to the staff by September 30, 2025. This update will include procurement standards, bidding procedures, and the review of the vendors through SAM.gov. It will be the responsibility of the Division Heads, City Manager and Fiannce Director to ensure the policies and procedures are being adhered to. If anyone has questions about the plan, please contact Lauren Pavlowski at 989-779-5376.
Managing Agent concurs with the finding and agrees with the auditors' recommendation. We are working on implementing policies and procedures to ensure compliance requirements are being met in a timely manner. Management made a deposit of $6,222 on June 5, 2025. No further action is required.
Managing Agent concurs with the finding and agrees with the auditors' recommendation. We are working on implementing policies and procedures to ensure compliance requirements are being met in a timely manner. Management made a deposit of $6,222 on June 5, 2025. No further action is required.
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff are currently developing an appropriate cost allocation plan which will address direct costs and indirect costs including salary, fringe benefits, and non-salary costs. Throug...
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff are currently developing an appropriate cost allocation plan which will address direct costs and indirect costs including salary, fringe benefits, and non-salary costs. Through this process a spreadsheet will be developed to better distribute costs appropriately across all federal programs operated by Second Harvest and efforts supported through additional funding sources. This corrective action will be implemented by October 1, 2025.
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff have started a process to build a comprehensive vendor list to properly evaluate vendors through the procurement process. Second Harvest updated its Financial Policies and Pr...
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff have started a process to build a comprehensive vendor list to properly evaluate vendors through the procurement process. Second Harvest updated its Financial Policies and Procedures as of July 1, 2025, which includes the guiding process, review of the organizational practices around procurement, and a new threshold of $25k. We intend to utilize the comprehensive vendor list and develop a schedule to review vendors in accordance with our Financial Policies and Procedures on a regular basis based on the anticipated and/or historical aggregate spend for goods and services. This corrective action will be implemented by December 31, 2025.
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff are currently developing an appropriate cost segregation plan which will address direct costs and indirect costs including salary, fringe benefits, and non-salary costs. Throu...
We agree with the auditor’s comments and the following action will be taken to improve this situation. Second Harvest staff are currently developing an appropriate cost segregation plan which will address direct costs and indirect costs including salary, fringe benefits, and non-salary costs. Through this process a spreadsheet will be developed to better distribute costs appropriately across all federal programs operated by Second Harvest and efforts supported through additional funding sources. This corrective action will be implemented by October 1, 2025.
We agree with the auditor’s comments and the following action will be taken to improve this situation. As of September 2024, the Director of Logistics has established a system to ensure the accurate values of USDA foods are receipted into Primarius, Second Harvest’s inventory software system. At t...
We agree with the auditor’s comments and the following action will be taken to improve this situation. As of September 2024, the Director of Logistics has established a system to ensure the accurate values of USDA foods are receipted into Primarius, Second Harvest’s inventory software system. At the beginning of each year, the Department of Social Services sends our Operations team the USDA Foods valuation chart for the calendar year. This valuation chart lists the food value per pound, net case weight and case value by material code. These material codes are input into our inventory software system and reviewed each month to ensure they match the USDA foods code. In preparing for USDA food deliveries, the Director of Logistics will pre-enter information using the USDA Foods Valuation chart to verify the case values & case net weights match in Primarius. Finally, all USDA food valuations will be reviewed at year-end for accuracy and sent to the State Agency for verification that all monthly receipted quantities and values align between the two systems. This corrective action was implemented as of September 30, 2024.
Corrective Action Plan: Housing Resources, Inc. will review and update the current procurement policy to clarify competitive bidding thresholds and approval process for single source purchases. Once approved by the organization’s Board of Directors, the policy will be reviewed with all staff. Additi...
Corrective Action Plan: Housing Resources, Inc. will review and update the current procurement policy to clarify competitive bidding thresholds and approval process for single source purchases. Once approved by the organization’s Board of Directors, the policy will be reviewed with all staff. Additionally, we will identify a specific staff person to manage vendor and contractor relationships including solicitation, bid process, selection, onboarding, etc. Documentation will be kept throughout the process should bids be required. Anticipated Corrective Action Plan Completion Date: October 31, 2025 Contact Information: For additional information regarding this finding please contact Trena Bond, Executive Director, at (414)461-6330.
View Audit 363651 Questioned Costs: $1
The County’s Corrective Action Plan to address the condition is to put controls in place to ensure subaward agreements are current and include all required information, required information is provided to the subrecipient at the time of award issuance, subrecipients have a UEI, monitoring activities...
The County’s Corrective Action Plan to address the condition is to put controls in place to ensure subaward agreements are current and include all required information, required information is provided to the subrecipient at the time of award issuance, subrecipients have a UEI, monitoring activities are conducted in accordance with the subaward agreement, and subrecipient risk assessment and audit verification is documented.In addition, finance personnel will be provided with the proper education and training to ensure proper monitoring procedures are being followed.The County is in the process of finalizing an updated subaward agreement that includes all required information. The subrecipient has obtained the proper UEI.The County Auditor, Michelle Samford, will be responsible for ensuring that the Corrective Action Plan is implemented. The anticipated completion date is December 31, 2025.
Continuum of Care -Assistance Listing No. 14.267 Recommendation: We recommend that management implement a policy that both the preparer and reviewer {two separate individuals) of the drawdown requests document each of their sign offs upon completion of their process, including review of the matchin...
Continuum of Care -Assistance Listing No. 14.267 Recommendation: We recommend that management implement a policy that both the preparer and reviewer {two separate individuals) of the drawdown requests document each of their sign offs upon completion of their process, including review of the matching requirement. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The preparer of the reimbursement and match documentation will be a different person than the person who draws down funds from the ELOCCS system. The preparer will sign and date the reimbursement packet that is presented to the finance staff for review prior to draw down. A separate person will approve the reimbursement packet and will draw down funds from the ELOCCS system. Name{s) of the contact person{s) responsible for corrective action: Laura Caldwell, President & CEO Planned completion date for corrective action plan: July 15, 2025
Continuum of Care-Assistance Listing No. 14.267 Recommendation: We recommend that management implement a policy that the Chief of Housing Operations documents their approval to ensure the review and approval have occurred. Explanation of disagreement with audit finding: There is no disagreement wi...
Continuum of Care-Assistance Listing No. 14.267 Recommendation: We recommend that management implement a policy that the Chief of Housing Operations documents their approval to ensure the review and approval have occurred. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Supportive Housing Communities has updated our process for preparing and inspection of rent costs to ensure that the Chief of Housing Operations reviews all rent reasonableness documentation by signing each form and noting the date of review. Name(s) of the contact person(s) responsible for corrective action: Laura Caldwell, President & CEO Planned completion date for corrective action plan: July 15, 2025
Finding 572481 (2024-003)
Significant Deficiency 2024
SD2024-003 - Reporting - Data Collection Form ...
SD2024-003 - Reporting - Data Collection Form Management acknowledges the finding. Due to significant finance leadership turnover, the city lagged in audit reporting. The new Finance Director, who started on February 28th, 2025, reviewed the audit status in mid-March. The Finance Director hired an experienced Divisional Director, who took over the audit in late April. The newly implemented Month-End closed process will address any reporting issues and ensure compliance with the Florida State Statute. Additionally, the city will begin the year-end audit process each November of the following fiscal year.
Finding 572480 (2024-006)
Significant Deficiency 2024
The City will ensure that federal funding awards are reported on the FFTA website.
The City will ensure that federal funding awards are reported on the FFTA website.
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