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Corrective Action Plans

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Finding 1157604 (2024-002)
Material Weakness 2024
Dairy Grazing Apprenticeship, Inc.
WI
Allowable Costs / Cost Principles Significant Deficiency Internal Control / Segregation of Duties
Partnerships for Climate-Smart Commodities – Assistance Listing No. 10.937 Recommendation: We recommend the Organization implement a compensating control to formally document their review and approval over payrates, payroll registers and time & effort studies. This review would include comparing the...
Partnerships for Climate-Smart Commodities – Assistance Listing No. 10.937 Recommendation: We recommend the Organization implement a compensating control to formally document their review and approval over payrates, payroll registers and time & effort studies. This review would include comparing the payroll processed and allocated to the grant to the approved time and effort documentation by funding source to ensure payroll costs are not being overcharged. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization’s practice is to require management approval before employee payrates are changed and before each payroll is initiated in the system. This practice was in place in 2024, but documentation of management approval had not been consistently maintained. The Organization will implement a process where any changes to an employee payrate is approved by a member of management via email prior to the change taking effect. Similarly, the Organization will implement a process where before payroll is processed each pay period, a member of management will review and document their approval of the payroll register via email or via the payroll system itself. In late 2024, the Organization began conducting quarterly time studies by position and adjusting allocations as time spent deviates from the most recent time study. These time studies are approved by the Organization’s management via email correspondence. Name(s) of the contact person(s) responsible for corrective action: Angie Sullivan, Director of Operations Planned completion date for corrective action plan: October 31, 2025
View Audit 369842
Finding 1157603 (2024-006)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
Eligibility HUD Housing Programs Significant Deficiency
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their process and internal controls for new tenants to ensure compliance with HUD requirements and their administrative plan. Explanation of disagreement with audit finding: There is...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their process and internal controls for new tenants to ensure compliance with HUD requirements and their administrative plan. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will review our process and internal controls for new tenants to ensure compliance with HUD requirements and our administrative plan. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31 , 2025
View Audit 369839
Finding 1157600 (2024-005)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
HUD Housing Programs Material Weakness
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their process and internal controls for rent reasonableness to ensure compliance with HUD requirements and their administrative plan. Explanation of disagreement with audit finding: ...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their process and internal controls for rent reasonableness to ensure compliance with HUD requirements and their administrative plan. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will review our process and internal controls to ensure staff perform the rent reasonableness in compliance with HUD requirements and our administrative plan. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31, 2025
View Audit 369839
Finding 1157597 (2024-004)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
HUD Housing Programs Material Weakness
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their inspection process to ensure that inspections are performed timely and that all documentation is maintained within Yardi or the tenant file. We recommend the Authority hiring a...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their inspection process to ensure that inspections are performed timely and that all documentation is maintained within Yardi or the tenant file. We recommend the Authority hiring additional inspectors or a third-party company to perform inspections to ensure compliance. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will ensure the inspection process is performed timely and the documentation is maintained within the Yardi software program. Processes will be reviewed and updated to ensure timely correction and enforcement. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31, 2025
View Audit 369839
Finding 1157594 (2024-003)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
Questioned Costs HUD Housing Programs
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their recertification process to ensure that all Eligibility requirements are met and documented. Explanation of disagreement with audit finding: There is no disagreement with the au...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their recertification process to ensure that all Eligibility requirements are met and documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will ensure staff perform the recertification process to ensure all requirements are met and documented. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31 , 2025
View Audit 369839 Questioned Costs: $1
Finding 1157591 (2024-002)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
Questioned Costs HUD Housing Programs Significant Deficiency
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their failed inspection process to ensure that any abatement/contract modifications are performed timely and in accordance with the compliance requirements. We recommend that the Aut...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their failed inspection process to ensure that any abatement/contract modifications are performed timely and in accordance with the compliance requirements. We recommend that the Authority utilize Yardi software to its full potential in terms of inspection documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will ensure the failed inspection process is performed timely and the documentation is maintained within the Yardi software program. Processes will be reviewed and updated to ensure timely correction and enforcement. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31, 2025
View Audit 369839 Questioned Costs: $1
Finding 1157588 (2024-001)
Material Weakness 2024
Newport News Redevelopment and Housing Authority
VA
HUD Housing Programs Material Weakness
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their quality control re-inspection process to ensure the inspections are performed timely and in accordance with the SEMAP requirements. We recommend that the Authority utilize Yard...
Housing Voucher Cluster-Assistance Listing No. 14.871/14.879/14.EHV Recommendation: We recommend the Authority review their quality control re-inspection process to ensure the inspections are performed timely and in accordance with the SEMAP requirements. We recommend that the Authority utilize Yardi software to its full potential in terms of inspection documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Director of Housing will ensure the re-inspection process in performed timely and the documentation is maintained within the Yardi software program. Processes will be reviewed and updated to ensure timely correction and enforcement. Name(s) of the contact person(s) responsible for corrective action: Director of Housing Planned completion date for corrective action plan: December 31 , 2025
View Audit 369839
Finding 1157584 (2024-001)
Material Weakness 2024
Fulton County Government
GA
Questioned Costs Subrecipient Monitoring Allowable Costs / Cost Principles § 200.303
The Fulton County District Attorney's Office has maintained compliance with their policy and procedure regarding time and effort management since August 2024. The SAKI grant employees per policy complete activity reports which document their activities on a biweekly basis, reflect time worked, and t...
The Fulton County District Attorney's Office has maintained compliance with their policy and procedure regarding time and effort management since August 2024. The SAKI grant employees per policy complete activity reports which document their activities on a biweekly basis, reflect time worked, and then sign those reports. Those reports are then reviewed and signed by a supervisor with a knowledge of their work. Those reports are maintained and kept in the Fulton County District Attorney's Office.
View Audit 369827 Questioned Costs: $1
Finding 1157583 (2024-002)
Material Weakness 2024
Fulton County Government
GA
Subrecipient Monitoring § 200.303 § 200.331
The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) performs continuous monitoring activities with program subrecipients by conducting weekly meetings, reviewing monthly reports, invoices, and conducts quarterly performance reviews. DBHDD will strengthen its subr...
The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) performs continuous monitoring activities with program subrecipients by conducting weekly meetings, reviewing monthly reports, invoices, and conducts quarterly performance reviews. DBHDD will strengthen its subrecipient monitoring internal controls by properly documenting these reviews in order to be incompliance with 2 CFR 200.331, and the County’s Subrecipient Monitoring Policy.
View Audit 369827
Finding 1157582 (2024-003)
Material Weakness 2024
Fulton County Government
GA
Subrecipient Monitoring § 200.303 § 200.331
The Department of Senior Services follows the monitoring standards established by the pass-through entity and has implemented process improvements to ensure that all Program Year 2024-2025 compliance processes were met. The current period monitoring plan, risk assessments and monitoring have been co...
The Department of Senior Services follows the monitoring standards established by the pass-through entity and has implemented process improvements to ensure that all Program Year 2024-2025 compliance processes were met. The current period monitoring plan, risk assessments and monitoring have been completed. The Department will maintain an annual monitoring plan to ensure that all subrecipients are monitored in compliance with 2 CFR 200 requirements.
View Audit 369827
Finding 1157581 (2024-001)
Material Weakness 2024
First Ame Housing Association
WA
HUD Housing Programs Reporting
Explanation: We acknowledge the oversight and would like to provide context to better understand the circumstances that led to the delay. We faced internal challenges when our previous management company departed, leaving us with incomplete files and late recertifications or recertifications that ne...
Explanation: We acknowledge the oversight and would like to provide context to better understand the circumstances that led to the delay. We faced internal challenges when our previous management company departed, leaving us with incomplete files and late recertifications or recertifications that never commenced, making it nearly impossible to catch up promptly. Next, staff staffing issues contributed to the delays because staff members were not adequately trained. Despite these challenges, we recognize the importance of adhering to HUD regulations and are committed to taking corrective measures. Corrective Actions Taken: We initiated immediate corrective actions to rectify the situation as stated in our 2023 corrective action plan. Upon discovering the late recertifications, we instituted the following measures to prevent the recurrence of late annual recertifications, 1. Created a recertification schedule and calendar with the annual recertification date, specific dates to notify residents that their annual recertification is due, and dates for submitting the information to CMS and to trac. The schedule and calendar are submitted to the executive director every two weeks to monitor progress. A meeting is also scheduled with staff every two weeks to review recertification issues. 2. We hired a consultant specializing in certification to train the staff and work with the staff daily to answer questions concerning our certification. This is not a one-and-done process; our recertification consultant is available on a permanent basis to address certification issues and provide ongoing staff training. These measures are designed to ensure timely compliance with HUD regulations and to strengthen our internal processes.
View Audit 369825
Finding 1157580 (2024-001)
Material Weakness 2024
Organized Parents Make A Difference, Inc.
CT
Allowable Costs / Cost Principles
The Organization agrees with the finding. The Organization indicated that they have put certain procedures in place as detailed in the Corrective Action Plan located in Appendix A.
The Organization agrees with the finding. The Organization indicated that they have put certain procedures in place as detailed in the Corrective Action Plan located in Appendix A.
View Audit 369814
Finding 1157579 (2024-002)
Material Weakness 2024
Better Family Life, Inc.
MO
Allowable Costs / Cost Principles Cash Management Reporting § 200.303
Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Relationship, Education, Advancement, and Development for Youth for Life Project Assistance Listing Number: 93.086 Assistance Listing Program Title: Healthy Marriage Promotion and Responsib...
Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Relationship, Education, Advancement, and Development for Youth for Life Project Assistance Listing Number: 93.086 Assistance Listing Program Title: Healthy Marriage Promotion and Responsible Fatherhood Grants Award Period: September 30, 2023 – September 29, 2024 Award Period: September 30, 2024 – September 29, 2025 Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Teen Pregnancy Prevention Education Assistance Listing Number: 93.297 Assistance Listing Program Title: Adolescent Health Programs Award Period: July 1, 2023 – June 30, 2024 Award Period: July 1, 2024 – June 30, 2025 Management response to 2024-002: In response to the auditors’ recommendation, management has addressed this deficiency by assigning appropriate personnel to review and approve all Federal reporting before submission. Additionally, management has implemented specific procedures for review and approval of drawdown requests, which include reviewing the indirect cost rate applied in all drawdown requests.
View Audit 369809
Finding 1157578 (2024-001)
Material Weakness 2024
Better Family Life, Inc.
MO
Cash Management § 200.303 § 200.305
Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Relationship, Education, Advancement, and Development for Youth for Life Project Assistance Listing Number: 93.086 Assistance Listing Program Title: Healthy Marriage Promotion and Responsib...
Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Relationship, Education, Advancement, and Development for Youth for Life Project Assistance Listing Number: 93.086 Assistance Listing Program Title: Healthy Marriage Promotion and Responsible Fatherhood Grants Award Period: September 30, 2023 – September 29, 2024 Award Period: September 30, 2024 – September 29, 2025 Federal agency: U.S. Department of Health and Human Services Federal Award Project Title: Better Family Life’s Teen Pregnancy Prevention Education Assistance Listing Number: 93.297 Assistance Listing Program Title: Adolescent Health Programs Award Period: July 1, 2023 – June 30, 2024 Award Period: July 1, 2024 – June 30, 2025 Management response to 2024-001: In response to the auditors’ recommendation, management has addressed this deficiency by assigning appropriate personnel to properly track and monitor drawdown requests to ensure the costs requested for reimbursement have been incurred, are complete and accurate, and in line with Federal award requirements. Additionally, management has implemented specific procedures for review and approval of all drawdown requests.
View Audit 369809
Finding 1157575 (2024-001)
Material Weakness 2024
Community Action Partnership of Lake County
IL
Questioned Costs Eligibility
2024-001: Eligibility – Community Service Block Grant - Assistance Listing #s 93.569 - Grant Period - Year Ended December 31, 2024 Criteria: Only individual households that fall under the 200% Poverty Guideline based on family size would be eligible to receive benefits from the Community Service Blo...
2024-001: Eligibility – Community Service Block Grant - Assistance Listing #s 93.569 - Grant Period - Year Ended December 31, 2024 Criteria: Only individual households that fall under the 200% Poverty Guideline based on family size would be eligible to receive benefits from the Community Service Block Grant. Condition: During our Eligibility Compliance testing, we noted two incorrect eligibility calculations out of our sample of forty applicants. We consider this Single Audit finding to be an instance of noncompliance relating to the Eligibility Compliance Requirement. Corrective Action Plan: Additional review of eligibility will be performed by management to assure proper eligibility going forward. The program Director will also be conducting additional training with the program staff on calculating income and required documentation. Responsible Person for Corrective Action Plan: Darlene Johnson, Deputy Director Implementation Date of Corrective Action Plan: November 1, 2025
View Audit 369808 Questioned Costs: $1
Finding 1157574 (2024-002)
Material Weakness 2024
Newton Housing Authority
MA
HUD Housing Programs Reporting
Name of Auditee: Newton Housing Authority EFPR Group, CP As, PLLC December 31, 2024 Name of Audit Firm: Period Covered by the Audit: CAP Prepared by: Michael Lara, Executive Director Phone: (718) 382-5332 (A)Current Finding on the Schedule of Findings and Questioned Costs and Recommendations (2) Fin...
Name of Auditee: Newton Housing Authority EFPR Group, CP As, PLLC December 31, 2024 Name of Audit Firm: Period Covered by the Audit: CAP Prepared by: Michael Lara, Executive Director Phone: (718) 382-5332 (A)Current Finding on the Schedule of Findings and Questioned Costs and Recommendations (2) Finding 2024-002 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendation. Please see below for additional comments and action taken. (b) Action taken - The Authority will review and verify key line items (including restricted net position, unrestricted net position and cash and investments) against the general ledger prior to VMS submission. Supervisory review will be required to confirm accuracy. ( c) Planned implementation date - The Authority plans to implement procedures during the year ending December 31, 2025 to resolve the reported finding.
View Audit 369807
Finding 1157573 (2024-002)
Material Weakness 2024
Rock County
WI
Procurement, Suspension & Debarment Subrecipient Monitoring
Finding 2024-002 Program ALN: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Award Number/Year: Not applicable / 2021 Federal Agency: U.S. Department of Treasury Repeat of Finding 2023-004 Condition The County was not able to provide evidence that the suspen...
Finding 2024-002 Program ALN: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Award Number/Year: Not applicable / 2021 Federal Agency: U.S. Department of Treasury Repeat of Finding 2023-004 Condition The County was not able to provide evidence that the suspension and debarment verification was completed for the three contractors selected for testing. The sample was not statistically valid. Corrective Action Plan Corrective Action Planned: Training has been provided to the County’s Purchasing division regarding the requirement to review and record evidence that verification is completed on vendors prior to contracting. Name(s) of Contact Person(s) Responsible for Corrective Action: Kristin Vander Kooi, Rock County Finance Director Anticipated Completion Date: September 18, 2024
View Audit 369805
Finding 1157572 (2024-010)
Material Weakness 2024
Philadelphia Legal Assistance Center, Inc.
PA
Questioned Costs Eligibility Internal Control / Segregation of Duties
Corrective Action Plan Provided by Management: Philadelphia Legal Assistance Center, Inc. (PLA) agrees with the finding. In November 2024, PLA hired a Legal Compliance Specialist whose full-time job is to review open and closed cases for compliance mistakes. The Legal Compliance Specialist did not h...
Corrective Action Plan Provided by Management: Philadelphia Legal Assistance Center, Inc. (PLA) agrees with the finding. In November 2024, PLA hired a Legal Compliance Specialist whose full-time job is to review open and closed cases for compliance mistakes. The Legal Compliance Specialist did not have time to review every case closed in 2024. However, the Legal Compliance Specialist has been reviewing cases all year in 2025 and catching issues with missing citizenship attestations, which should reduce the chances of a case being reported to LSC without the documentation required by 45 C.F.R. 1626. In the summer of 2025, we required all case handlers to watch compliance training videos and answer multiple-choice questions to test their knowledge. The videos and questions included content related to 45 C.F.R. 1626. We plan to require staff to complete a similar training process in 2026, which will include additional content related to 45 C.F.R. 1626 compliance.
View Audit 369802 Questioned Costs: $1
Finding 1157571 (2024-005)
Material Weakness 2024
Wilmington Neighborhood Conservancy Land Bank
DE
Allowable Costs / Cost Principles § 200.430
Re: Management’s Response & Corrective Action Plan to Salary Certifications Finding (2024-005) The Wilmington Land Bank charged allowable payroll expense to the SLFRF Program from October 11, 2022 through December 31, 2024. During the September 2025 audit, the Land Bank obtained certifications from ...
Re: Management’s Response & Corrective Action Plan to Salary Certifications Finding (2024-005) The Wilmington Land Bank charged allowable payroll expense to the SLFRF Program from October 11, 2022 through December 31, 2024. During the September 2025 audit, the Land Bank obtained certifications from each employee to document percentage of time dedicated to each SLFRF project. To ensure timely documentation and address this deficiency, the Land Bank’s Director of Finance & Grants will collect employee certifications on a quarterly basis going forward. Responsible Individual: Becky Vogel, Director of Finance & Grants Anticipated Completion Date: Already corrected
View Audit 369799
Finding 1157570 (2024-004)
Material Weakness 2024
Wilmington Neighborhood Conservancy Land Bank
DE
Procurement, Suspension & Debarment § 200.318 § 200.320
Re: Management’s Response & Corrective Action Plan to Procurement Policy & Procurement Action Documentation (2024-004) The Wilmington Land Bank adopted a written Procurement Policy on September 11, 2024. At one property, however, the policy was not fully followed. The Land Bank initially considered ...
Re: Management’s Response & Corrective Action Plan to Procurement Policy & Procurement Action Documentation (2024-004) The Wilmington Land Bank adopted a written Procurement Policy on September 11, 2024. At one property, however, the policy was not fully followed. The Land Bank initially considered the work a continuation of an existing project, but it was later determined that it should have been bid separately under the Procurement Policy. To strengthen compliance with the Procurement Policy going forward, the Land Bank will hold weekly internal staff meetings and weekly meetings with the City of Wilmington. These meetings will include a review of project updates and related procurement actions. Responsible Individual: Becky Vogel, Director of Finance & Grants Anticipated Completion Date: Already corrected
View Audit 369799
Finding 1157569 (2024-002)
Material Weakness 2024
Montgomery County Housing Authority
PA
HUD Housing Programs Special Tests & Provisions Significant Deficiency
Views of Responsible Officials and Planned Corrective Action: The Authority has recognized the deficiencies in the Housing Voucher Cluster and will implement internal control procedures that will ensure compliance with federal regulations. Rossaine Ricketts, Comptroller, is responsible for implement...
Views of Responsible Officials and Planned Corrective Action: The Authority has recognized the deficiencies in the Housing Voucher Cluster and will implement internal control procedures that will ensure compliance with federal regulations. Rossaine Ricketts, Comptroller, is responsible for implementing this corrective action by December 31, 2025.
View Audit 369797
Finding 1157568 (2024-001)
Material Weakness 2024
Montgomery County Housing Authority
PA
Questioned Costs HUD Housing Programs
Views of Responsible Officials and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authorty will increase oversight in the Housing Voucher Cluster to ensure that established internal control policies are being followed on a timely basis. Rossaine Ricketts, Com...
Views of Responsible Officials and Planned Corrective Action: The Authority accepts the recommendation of the auditor. The Authorty will increase oversight in the Housing Voucher Cluster to ensure that established internal control policies are being followed on a timely basis. Rossaine Ricketts, Comptroller, is responsible for implementing this corrective action by December 31, 2025.
View Audit 369797 Questioned Costs: $1
Finding 1157565 (2024-001)
Material Weakness 2024
Northwest Senior Housing Corporation
CT
HUD Housing Programs
Action Taken: The Project made the required 12 th replacement reserve deposit in March 2025 . The Project has also applied for a significant rent increase, effective 1/1/26, that would cure the Project' s cash issues and allow it to keep up with monthly replacement reserve deposits.
Action Taken: The Project made the required 12 th replacement reserve deposit in March 2025 . The Project has also applied for a significant rent increase, effective 1/1/26, that would cure the Project' s cash issues and allow it to keep up with monthly replacement reserve deposits.
View Audit 369795
Finding 1157564 (2024-001)
Material Weakness 2024
Outreach Community Health Centers, Inc.
WI
Internal Control / Segregation of Duties
Staffing & Structure: A dedicated Patient Financial Counselor (PFC) position was created and filled on November 27, 2023. A second staff member was transitioned into a PFC role on April 7, 2024, to augment the team. Training & Education: A dedicated Patient Financial Counselor (PFC) position was cre...
Staffing & Structure: A dedicated Patient Financial Counselor (PFC) position was created and filled on November 27, 2023. A second staff member was transitioned into a PFC role on April 7, 2024, to augment the team. Training & Education: A dedicated Patient Financial Counselor (PFC) position was created and filled on November 27, 2023. A second staff member was transitioned into a PFC role on April 7, 2024, to augment the team. Process & Technology Improvements: Monthly Audits: Implement ongoing monthly audits of sliding fee applications to proactively identify and address errors. Staff will receive targeted training based on audit findings. System Enhancement: Awaiting implementation of the Epic Patient Financial Module (released August 2024) to enable real-time tracking and improve outreach to eligible patients.
View Audit 369793
Finding 1157563 (2024-002)
Material Weakness 2024
Pacific Housing Oahu Corporation - Elderly Residence
HI
Eligibility HUD Housing Programs Significant Deficiency
Recommendation: The Company should consider reevaluating their established procedures and controls currently in place to ensure full compliance with regard to eligibility and proper maintenance of tenant information, including policies for handling missing files during management transitions to ensu...
Recommendation: The Company should consider reevaluating their established procedures and controls currently in place to ensure full compliance with regard to eligibility and proper maintenance of tenant information, including policies for handling missing files during management transitions to ensure compliance with HUD requirements. Action Taken: The Company will start randomly testing a small sample of tenant files, as part of our quarterly site inspection. Additionally, Kay-Kay Realty, a third-party vendor is already engaged to review tenant move-in and recertification files, but the prior resident manager was selecting the files to review. We will now ask Kay-Kay Realty to randomly select tenant files for their review process. Contact person: Patrick Delaney; (808) 523-5681, ext. 693 Anticipated Completion Date: October 1, 2025
View Audit 369792
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