Corrective Action Plans

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Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suit...
Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: January 1, 2024 through December 31, 2024 The findings from the December 31, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AND FINANCIAL STATEMENT AUDITS FINDING No. 2024-001: Section 236 Interest Reduction Payments, ALN 14.103 Recommendation: Management should ensure adherence to and the monitoring of established controls over cash disbursements. Action Taken: Staff training has been provided. New manager has been advised regarding limits. This was a glitch in the OPS Spend Management system.
Management concurs with the finding. As noted in our response to the previous finding, the Organization experienced significant turnover of accounting staff during the audit period, which disrupted monthly reconciliation processes and contributed to delays in finalizing the audited financial stateme...
Management concurs with the finding. As noted in our response to the previous finding, the Organization experienced significant turnover of accounting staff during the audit period, which disrupted monthly reconciliation processes and contributed to delays in finalizing the audited financial statements. These delays ultimately resulted in the late submission of required reporting to the Federal Audit Clearinghouse. The corrective actions in the first finding, along with taking steps to begin the Fiscal Year 2024/2025 audit process earlier than in previous years, will allow additional time to complete the audit and meet federal filing deadlines. Management is committed to ensuring timely reporting going forward, and will monitor progress closely to ensure all future submissions are completed within the required timeframe.
U.S. Department of Housing and Urban Development Economic Development Initiative, Community Project Funding Assistance Listing Number: 14.251 Award Period: January 1, 2024 through December 31, 2024 Recommendation: We recommend the City ensure it has proper controls in place to document the review ...
U.S. Department of Housing and Urban Development Economic Development Initiative, Community Project Funding Assistance Listing Number: 14.251 Award Period: January 1, 2024 through December 31, 2024 Recommendation: We recommend the City ensure it has proper controls in place to document the review of all required reports for the program. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The City will implement controls over reviewing reporting requirements. Name of the contact person responsible for corrective action: Noel Graczyk, Administrative Services Director Planned completion date for corrective action plan: December 31, 2025
2024-001 CORECTIVE ACTION PLAN The City attempted to file the required quarterly reports during the years ended December 31, 2023 and 2024. However, the U.S. Treasury changed the reporting software during the first quarter of 2023. Due to a technical issue with the file validation process, the City ...
2024-001 CORECTIVE ACTION PLAN The City attempted to file the required quarterly reports during the years ended December 31, 2023 and 2024. However, the U.S. Treasury changed the reporting software during the first quarter of 2023. Due to a technical issue with the file validation process, the City was unable to submit the reports. The information was tracked and compiled but the software prevented the City from completing the reporting process. The City contacted the technical support team numerous times for assistance in resolving this issue, however the issue was not resolved until the first quarter of 2025 when the U.S. Treasury staff were able to delete the transaction that was causing the validation error. That transaction was re-entered into the portal and the City was finally able to validate and file a report. Given the successful filing of the report in 2025, the City does not believe this will be an issue going forward. RESPONSIBLE PERSON Linda Read, Comptroller/Deputy Treasurer IMPLEMENTATION DATE OF CORRECTIVE ACTION PLAN The technical issue has finally been resolved by the U.S. Treasury and the report for the first quarter 2025 was successfully filed on June 24, 2025. All balances have been properly obligated as of the December 31, 2024 program deadline.
2024-002 CORECTIVE ACTION PLAN The grant award was formally accepted via city council resolution on December 5, 2023, and the mayor signed the grant award in January 2024. Once the award was formally accepted, additional time lapsed while the program was activated, and roles were assigned in the rep...
2024-002 CORECTIVE ACTION PLAN The grant award was formally accepted via city council resolution on December 5, 2023, and the mayor signed the grant award in January 2024. Once the award was formally accepted, additional time lapsed while the program was activated, and roles were assigned in the reporting and payment portals. Administration of the police grants is typically handled by the Aurora Police Department and finance staff who are familiar with the policies and procedures associated with administering these grants, however, due to the technical nature of the grant, the information technology staff was administrating the grant and missed the reporting deadlines resulting in two late reports. The City finance staff will continue to diligently monitor the grant reporting requirements to ensure compliance for future grant programs. RESPONSIBLE PERSON Linda Read, Comptroller/Deputy Treasurer IMPLEMENTATION DATE OF CORRECTIVE ACTION PLAN All reports for this grant program have been submitted in a timely manner since July 31, 2024.
New York Council for the Humanities (d/b/a Humanities New York) is in the process of developing and implementing procedures to reconcile amounts presented on the federal financial reports submitted to the federal awarding agency to underlying accounting records.
New York Council for the Humanities (d/b/a Humanities New York) is in the process of developing and implementing procedures to reconcile amounts presented on the federal financial reports submitted to the federal awarding agency to underlying accounting records.
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 30, 2025. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month....
The required FFATA reporting in the FSRS system will be completed by the Vice President of Health Services, Beth Watson, working with the Controller, David Simank, no later than June 30, 2025. The Controller will send a copy of the wire confirmations for payments made to the subgrantees each month. During the scheduled monthly meetings between the Vice President of Health Services, Controller, and the Health Services Grant Senior Project Manager, Metzli Gonzales, to review the monthly Title X patient counts, an agenda item will be added to confirm that all the information is available for the Vice President of Health Services to prepare and submit the FFATA report.
2024-001- SEFA REPORTING Recommendat ion : We recommend that the Council implement controls over financial reporting, including the SEFA, to ensure accuracy of financial data . Action Taken: Once the Fiscal Officer has compiled the financial reports and they have been reviewed by Matheny & Compa...
2024-001- SEFA REPORTING Recommendat ion : We recommend that the Council implement controls over financial reporting, including the SEFA, to ensure accuracy of financial data . Action Taken: Once the Fiscal Officer has compiled the financial reports and they have been reviewed by Matheny & Company AC, Senior Manager, the Fiscal Officer will send them to the Executive Director for final review and approval.
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs Finding 2024-002 (a) Com...
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs Finding 2024-002 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendations, please see below for action taken. (b) Action taken - The Authority will begin submitting voucher requests for BLI 1406 before funds are reported as obligated. (c) Planned implementation date of corrective action - Completed by December 31, 2025.
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Finding 2024-001 (a)...
Name of Auditee: Port Jervis Housing Authority Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: December 31, 2024 CAP Prepared by: Linda Drew, Executive Director Phone: (845) 856-8621 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Finding 2024-001 (a) Comments on the finding and recommendation - The Authority agrees with the finding. The Authority also agrees with the recommendations, please see below for action taken. (b) Action taken - The Authority submitted all required closeout documentation and received approval from HUD on July 3, 2025. (c) Planned implementation date of corrective action - Completed by December 31, 2025.
Procurement – Written Rate Quotes Recommendation: CLA recommends the procurement policy is consistently followed. Explanation of disagreement with audit finding: Management takes Partial Exception with the audit finding. Action planned in response to finding: Management Response: Management takes...
Procurement – Written Rate Quotes Recommendation: CLA recommends the procurement policy is consistently followed. Explanation of disagreement with audit finding: Management takes Partial Exception with the audit finding. Action planned in response to finding: Management Response: Management takes Partial Exception with this Finding. In an effort to be a good steward of Taxpayer/Federal Funding, Management consciousness chose to continue to work with a Construction Project Manager who had been previously vetted via the CCHC procurement process. CCHC had multiple projects in que and to ensure completion in the most expeditiously and fiscally responsible manner, Management chose to continue to work with a proven entity and monitor for spikes in cost and/or other outliers that may have caused a scintilla of concern. CCHC is currently in the process of revising the Procurement Policy to acknowledge potential future situations and may on occasion find the most cost effective/efficient option is a Sole Source award. Name(s) of the contact person(s) responsible for corrective action: Carolyn C. Allison, CEO Planned completion date for corrective action plan: August 31, 2025
Special Provisions - Sliding Fee Discount Recommendation: CLA recommends that the sliding fee discount program assessment form is reviewed to ensure the proper rate is used for each patient. Documentation of the review should be maintained. Explanation of disagreement with audit finding: Management...
Special Provisions - Sliding Fee Discount Recommendation: CLA recommends that the sliding fee discount program assessment form is reviewed to ensure the proper rate is used for each patient. Documentation of the review should be maintained. Explanation of disagreement with audit finding: Management takes Exception with the audit finding. Action planned in response to finding: Management Response: Management takes Exception with this Finding. Due to unforeseen circumstances CCHC’s FYE 2023 Annual Audit was not completed until November 2024. Of the sample examined for FYE 2023, Management was advised one sliding fee calculation was inaccurate. To address the FYE 2023 audit finding and to have a more robust reviewing process, Management conducted staff training and revised the oversight to include two signatures on all Sliding Fee Applications. The newly minted work process was introduced in December 2024. During the course of the FYE 2024 Annual Audit, the initial audit sample only included Sliding Fee Applications for the period January 2024-October 2024: resulting in 100% of the sample not having a secondary review. A review step that up until November 2024 had not been previously cited by the Auditors. Management would like to note, Sliding Fee calculation was 100% accurate as of December 2024. Name(s) of the contact person(s) responsible for corrective action: Carolyn C. Allison, CEO Planned completion date for corrective action plan: Completed December 2024
One of the four CMF funded projects, Barry Farm, is a two-phase project. The construction start was delayed due to local permitting challenges and COVID-related issues which resulted in the project not being completed by the original Project Completion date of March 27, 2024. Management informed C...
One of the four CMF funded projects, Barry Farm, is a two-phase project. The construction start was delayed due to local permitting challenges and COVID-related issues which resulted in the project not being completed by the original Project Completion date of March 27, 2024. Management informed CDFI Fund of the delays in the project and on May 16, 2024, CDFI Fund provided a one-year cure period to March 31, 2025. At that time, Management informed CDFI Fund that the second phase of the Barry Farm project would require a longer cure period due to a 30-month delivery schedule, driven by the incorporation of a large geothermal system, with delivery set for late 2026. CDFI Fund directed Management to report on the second phase’s progress with a new cure period request annually until project completion. During the cure period, Barry Farm’s first phase was completed, and is now leased up and operating. In March 2025, Management informed CDFI of the project status for phase two which is now 24% complete and remains on schedule for completion in November 2026. CDFI Fund provided a one-year cure period until March 31, 2026. Management has otherwise significantly exceeded the grant’s performance targets and will request cure period extensions until project completion.
• Description – The organization does not have a comprehensive cost allocation plan and what was documented was not always applied consistently throughout the year. • Views of Responsible Officials and Planned Corrective Action – Management agrees with the finding. The allocations plan was adjuste...
• Description – The organization does not have a comprehensive cost allocation plan and what was documented was not always applied consistently throughout the year. • Views of Responsible Officials and Planned Corrective Action – Management agrees with the finding. The allocations plan was adjusted in the fiscal year ending August 31, 2025 according to square footage, administrative involvement and payroll fees and we will work to formally document the plan. • Names and Title of Responsible Official – Kathy Sabitsky, Finance Manager • Anticipated Completion Date – This will be implemented by the end of August 2025.
Views of Responsible Officials and Planned Corrective Actions: Management agrees and plans to provide for additional training to ensure those preparing and reviewing the reports have the appropriate understanding and information to ensure accuracy and completeness in the information being reported. ...
Views of Responsible Officials and Planned Corrective Actions: Management agrees and plans to provide for additional training to ensure those preparing and reviewing the reports have the appropriate understanding and information to ensure accuracy and completeness in the information being reported. Management will create, to review and sign, a "checklist" of requirements needed to ensure compliance with the program's rules. The checklist will be reviewed, and incorporated into the minutes, as part of the weekly ARPA Oversight Meetings. The checklist will be completed and signed by management prior to submitting any reports. Past reports will be reviewed and corrected prior to submission of the next quarterly report. All changes will be incorporated into the City's controls prior to the submission of the next quarterly report due April 30, 2025.
FEDERAL AWARDS—CORRECTIVE ACTION PLAN REFERENCE # 2024-001 Federal Transit Cluster - ALN Number: 20.507; 20.525; and 20.526 Contract Number: C40261TECHINSP; C33941EFA-MTAB; C40265TECH-MTAB; U3NY-2023-101-02 and U9NY-2018-059-01 Significant Deficiency-Non-Compliance Agen...
FEDERAL AWARDS—CORRECTIVE ACTION PLAN REFERENCE # 2024-001 Federal Transit Cluster - ALN Number: 20.507; 20.525; and 20.526 Contract Number: C40261TECHINSP; C33941EFA-MTAB; C40265TECH-MTAB; U3NY-2023-101-02 and U9NY-2018-059-01 Significant Deficiency-Non-Compliance Agency: U.S. Department of Transportation Criteria: Activities Allowed/Allowable Costs/Cost Principles including Indirect Costs––Direct - As stated in Uniform Grant Guidance - §200 Requirements for Allowable Costs: a. Costs did not consist of improper payments, including (1) payments that should not have been made or that were made in incorrect amounts (including overpayments and underpayments) under statutory, contractual, administrative, or other legally applicable requirements; (2) payments that do not account for credit for applicable discounts; (3) duplicate payments; (4) payments that were made to an ineligible party or for an ineligible good or service; and (5) payments for goods or services not received (except for such payments where authorized by law). Condition/Context: The MTA has Activities Allowed/Allowable Costs/Cost Principles including Indirect Costs procedures in place. MTA has corporate policies and procedures regarding Activities Allowed/Allowable Costs. We tested the Federal Transit Cluster’s Allowable Costs compliance. Based on our review of sixty samples related to Personnel Services and Other than Personnel Services for this cluster, we noted that four samples related to an MTA Bus Company personnel’s hourly rate were charged at higher rate. We noted that the rate per personnel file and employee payroll register differs from the actual rate used by the agency to charge labor costs. The agency calculated labor cost using the annual earnings that is divided by 52 weeks because there are 52 weeks a year, but MTA payroll department used 52.1428 weeks based upon 365/7 days a week, which created variances in labor costs billed and actual recorded labor costs. For Contract # - U3NY-2023-101-02 and U9NY-2018-059-01 – We noted two instances of sixty samples reviewed where the agency used 2023 approved overhead rate of 98.18% instead of the 2024 approved overhead rate of 98.98%. Recommendation: We recommend that MTA ensure that all personnel are reviewed and should be charged at the correct hourly rates as required by §200 CFR Subpart E – Allowable Costs. We also recommend that approved indirect rate applied to direct costs. Corrective Action Plan: MTA Bus will work with the project team to implement the correct rate and calculate the variance. MTA Bus will return the credit to the FTA as needed. Going forward, MTA Bus will review the employee wage rates from the official data sources to ensure that the correct rates are applied. SIR Finance will ensure that the overhead rates on the labor sheets are reflecting the correct percentage by adding a "verification measure" to a checklist while performing internal audits and approvals of the invoices prior to submission. Additionally, SIR-Finance will adjust the formatting within the invoice spreadsheets for easier visibility to a potential error in the calculated overhead percentage. Action Date: MTABUS – 1ST QUARTER 2026 SIRTOA - Effective Immediately - on July 2025 Invoices Final Implementation Date: MTABUS – 2ND QUARTER 2026 SIRTOA – July 2025 Name And Phone Number of Person Responsible For Implementation: MTABUS Marixsa Rivera Assistant Budget Chief • Project Development 718-927-8056 SIRTOA Marissa Rand Assistant Director, Finance & Timekeeping - SIR 347-694-6448
View Audit 363411 Questioned Costs: $1
Views of Responsible Official(s) and Planned Corrective Action: Management concurs with the finding. The report found lacking was reviewed by the Executive Director, and the error was based on a difference between cash and accrual accounting. Management will review federal financial reports with co...
Views of Responsible Official(s) and Planned Corrective Action: Management concurs with the finding. The report found lacking was reviewed by the Executive Director, and the error was based on a difference between cash and accrual accounting. Management will review federal financial reports with contracted accountants and retrieve source documents before submitting. Management will also review scope of contracted accounting services to ensure it includes review of all NEH reports.
Finding Number: 2024-003 Condition The Corporation did not submit the budget to HUD within 30 days of the start of their fiscal year. Planned Corrective Action: Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fashio...
Finding Number: 2024-003 Condition The Corporation did not submit the budget to HUD within 30 days of the start of their fiscal year. Planned Corrective Action: Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fashion to lenders and are compliant with the HUD Regulatory Agreements. The action plan consists of the following components: o Development of a policy that outlines HUD requirements and identifies individuals responsible for meeting the requirements; the Senior Finance Team and Compliance team should be educated on this annually. o Regular communication (no less than quarterly) between Finance and the Compliance Officer regarding HUD deadlines and deviation from these deadlines. o Development of a checklist that will be utilized by the Compliance and Finance departments regarding HUD requirements and deadlines. o Reporting to the Audit and Compliance Committee of the Board that the checklist has been completed/deadlines have been met. This will be a regular agenda item. Contact person responsible for corrective action: Dimas Ortega - Vice President of Finance, Deputy Chief Financial Officer Anticipated Completion Date: 06/30/2025
Finding Number: 2024-002 Condition The Corporation did not submit the financial statements to HUD within 180 days of their fiscal year. Planned Corrective Action: Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fa...
Finding Number: 2024-002 Condition The Corporation did not submit the financial statements to HUD within 180 days of their fiscal year. Planned Corrective Action: Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fashion to lenders and are compliant with the HUD Regulatory Agreements. The action plan consists of the following components: o Development of a policy that outlines HUD requirements and identifies individuals responsible for meeting the requirements; the Senior Finance Team and Compliance team should be educated on this annually. o Regular communication (no less than quarterly) between Finance and the Compliance Officer regarding HUD deadlines and deviation from these deadlines. o Development of a checklist that will be utilized by the Compliance and Finance departments regarding HUD requirements and deadlines. o Reporting to the Audit and Compliance Committee of the Board that the checklist has been completed/deadlines have been met. This will be a regular agenda item. Contact person responsible for corrective action: Dimas Ortega - Vice President of Finance, Deputy Chief Financial Officer Anticipated Completion Date: 06/30/2025
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will implement policies and procedures to ensure that potential vendors are not suspended or debarred prior to contracting with them for goods and services.
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will implement policies and procedures to ensure that potential vendors are not suspended or debarred prior to contracting with them for goods and services.
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will adopt a formal Federal procurement policy which includes all elements identified in 2CFR Sections 200.303 and 200.318 through 200.626.
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will adopt a formal Federal procurement policy which includes all elements identified in 2CFR Sections 200.303 and 200.318 through 200.626.
Finding 572340 (2024-002)
Significant Deficiency 2024
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will implement policies and procedures to ensure that potential vendors are not suspended or debarred prior to contracting with them for goods and services.
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will implement policies and procedures to ensure that potential vendors are not suspended or debarred prior to contracting with them for goods and services.
Finding 572339 (2024-001)
Significant Deficiency 2024
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will adopt a formal Federal procurement policy which includes all elements identified in 2CFR Sections 200.303 and 200.318 through 200.626.
Views of Responsible Officials and Planned Corrective Action: Management agrees with this finding and will adopt a formal Federal procurement policy which includes all elements identified in 2CFR Sections 200.303 and 200.318 through 200.626.
The Airport Director will begin reviewing and documenting approval for all expenses and financial reconciliations. Effective immediately, check signing ability will be removed from the employee responsible for the accounts payable process. In addition, management will evaluate current office personn...
The Airport Director will begin reviewing and documenting approval for all expenses and financial reconciliations. Effective immediately, check signing ability will be removed from the employee responsible for the accounts payable process. In addition, management will evaluate current office personnel and determine if accounting functions can be segregated between current personnel or if an addition of an employee is needed. The recommended processes and action plan was implemented in July 2024.
Finding 572334 (2024-005)
Significant Deficiency 2024
The County Board should draft and approve policies and procedures for the procurement of contractors per the Compliance Supplement, Code of Federal Regulations, United States Codes, and Federal Acquisition Regulations to ensure the proper advertisement and selection of contractors and consultants, a...
The County Board should draft and approve policies and procedures for the procurement of contractors per the Compliance Supplement, Code of Federal Regulations, United States Codes, and Federal Acquisition Regulations to ensure the proper advertisement and selection of contractors and consultants, and to prevent conflicts of interest during the selection of contractors and consultants. Management Response: Management will draft and approve the recommended procurement policies and procedures and disseminate the information to department heads and County employees during the fall of 2025.
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