Corrective Action Plans

Finding 34227 (2022-001)

Significant Deficiency 2022

Ucr of Bellefontaine, Ohio, Inc. D/b/a Shawnee Springs

OH

HUD Housing Programs Reporting Significant Deficiency

Finding Number: 2022-001 Condition: The Corporation failed to make the required reserve for replacements deposits in 2022, as required by HUD. Planned Corrective Action: The Corporation was not able to make the required deposits because the subsidy payments for the rent increase, which the increas...

Finding Number: 2022-001 Condition: The Corporation failed to make the required reserve for replacements deposits in 2022, as required by HUD. Planned Corrective Action: The Corporation was not able to make the required deposits because the subsidy payments for the rent increase, which the increased deposit was based, were not received until January 2023. The Corporation made a deposit that included $31,749 to properly fund the replacement reserve for the deposits that were not made during 2022. Contact person responsible for corrective action: Julie Reed, Housing Accounting Manager Anticipated Completion Date: February 7, 2023

View Audit 33057

Finding 34221 (2022-005)

Significant Deficiency 2022

Cahokia Community Unit School District No. 187

IL

Reporting Internal Control / Segregation of Duties

Condition: The District filed quarterly expenditures reports late for ESSER Grants. Recommendation: To ensure that steps are taken, including oversight by a second employee, to ensure that all quarterly reports are filed by the due date. Management's Response: Management will take the necessary...

Condition: The District filed quarterly expenditures reports late for ESSER Grants. Recommendation: To ensure that steps are taken, including oversight by a second employee, to ensure that all quarterly reports are filed by the due date. Management's Response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated Date of Completion: June 30, 2023.

View Audit 33056

Finding 34216 (2022-006)

Significant Deficiency 2022

Cahokia Community Unit School District No. 187

IL

Reporting Internal Control / Segregation of Duties

Condition: The District filed quarterly expenditures reports late for the IDEA Grants. Recommendation: To ensure that steps are taken, including oversight by a second employee, to ensure that all quarterly reports are filed by the due date. Management's Response: Management will take the necess...

Condition: The District filed quarterly expenditures reports late for the IDEA Grants. Recommendation: To ensure that steps are taken, including oversight by a second employee, to ensure that all quarterly reports are filed by the due date. Management's Response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated Date of Completion: June 30, 2023.

View Audit 33056

Finding 34215 (2022-002)

Significant Deficiency 2022

Alluma, INC

MN

Questioned Costs Allowable Costs / Cost Principles Significant Deficiency § 200.403

Alluma, Inc. Single Audit Corrective Action Plan Year Ending December 31, 2022 Audit Finding 2022-002: Contact Person Tammy Hickel Zola, CFO Corrective Action Plan Ensure specific CFR training to employees responsible for managing federal grant requirements as well as implementing additional procedu...

Alluma, Inc. Single Audit Corrective Action Plan Year Ending December 31, 2022 Audit Finding 2022-002: Contact Person Tammy Hickel Zola, CFO Corrective Action Plan Ensure specific CFR training to employees responsible for managing federal grant requirements as well as implementing additional procedures to ensure compliance with necessary and reasonable costs. Completion Date Alluma will expand training and internal controls in 2023.

View Audit 30304 Questioned Costs: $1

Finding 34214 (2022-001)

Significant Deficiency 2022

Cuyahoga Metropolitan Housing Authority

OH

Eligibility HUD Housing Programs Significant Deficiency

U.S. Department of Housing and Urban Development The Cuyahoga Metropolitan Housing Authority (the Authority) respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 through December 31, 2022 The finding from the schedule of findin...

U.S. Department of Housing and Urban Development The Cuyahoga Metropolitan Housing Authority (the Authority) respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 through December 31, 2022 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Housing and Urban Development 2022-001 Public and Indian Housing ? Assistance Listing No. 14.850 Recommendation: We recommend the Authority review their recertification process to ensure all necessary documentation is maintained and accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Authority will review the recertification policies and procedures to ensure that all required documentation is maintained in tenant files. Name of the contact person responsible for corrective action: Bo Truett Planned completion date for corrective action plan: December 31, 2023 If the U.S. Department of Housing and Urban Development has questions regarding this plan, please call Bo Truett at 216-348-5000.

View Audit 30300

Finding 34213 (2022-001)

Significant Deficiency 2022

Dysart Unified School District No. 89

AZ

School Nutrition Programs Student Financial Aid Allowable Costs / Cost Principles

Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Contact Person: Dr. Shelley Isai, Assistant Superintendent for Education Services Anticipated Completion Date: November 21, 2022 Planned Corrective Action: The District reviewed the procedures used to determine Tit...

Findings and Questioned Costs Related to Federal Awards Finding Number: 2022-001 Contact Person: Dr. Shelley Isai, Assistant Superintendent for Education Services Anticipated Completion Date: November 21, 2022 Planned Corrective Action: The District reviewed the procedures used to determine Title I, Part A eligibility in the Grants Management System as well as a process that includes maintaining records. The process was redefined for the fiscal year 2023 grant application but will change slightly in future years due to a change in the options in criteria available used to determine eligibility for fiscal year 2023 grant applications. To complete this process with accuracy, the Director of Federal Projects will communicate the required eligibility criteria to the Director of Nutrition Services. The Nutrition Services department will provide Federal Projects with the necessary information to complete the process. Supporting documentation for the basis of fiscal year 2023 and the future years will be stored in a shared file and readily accessible for reference or audits. This process has been documented to ensure consistency through any department transitions.

View Audit 36747

Finding 34208 (2022-001)

Material Weakness 2022

United Piedmont Center for Educational Excellence, INC

NC

Cash Management Subrecipient Monitoring Matching / Level of Effort / Earmarking § 200.305

Our response: UPCEE has hired a Contract Manager. This person recently retired as the Director of Contracts from a four-year emerging research institution. They come highly skilled in working with federal granting agencies. ? They will oversee office management processes, budgets, and enhance ou...

Our response: UPCEE has hired a Contract Manager. This person recently retired as the Director of Contracts from a four-year emerging research institution. They come highly skilled in working with federal granting agencies. ? They will oversee office management processes, budgets, and enhance our current way of working with federal timelines. ? They will ensure billings are kept timely and entered into our financial system of QuickBooks to better serve annual audit engagement and reporting requirements. Additionally, ? UPCEE drawdowns will be scheduled and done bi-monthly effective June 2023. UPCEE reserve the right to deviate for special events and give notice to program manager beforehand. ? The Contract Manager will generate payable documents that now will have the certifying official approve before requesting funds in G-5. With the implementation of these new processes, UPCEE feels very confident that this will prevent any further need for risk management.

View Audit 34907

Finding 34206 (2022-003)

None 2022

City of Ashland

WI

The City of Ashland Wisconsin will have staff attend CDBG program training during 2023 or 2024 and then develop a tracking method for grant requirements, to reduce the possibility of non-compliance to a minimal risk.

View Audit 34905

Finding 34204 (2022-002)

Material Weakness 2022

South O'Brien Community School District

IA

Internal Control / Segregation of Duties

The District will continue to monitor the segregation of duties to the best of our ability. The Superintendent and Board President will continue to review the District's financials, accounts payable, and payroll statements and reports.

View Audit 34903

Finding 34202 (2022-001)

Material Weakness 2022

Technology for Rural Enhancement of Communities

SD

Reporting

Finding No. 2022-001: Audit and SEFA Adjustments and Preparation Responsible Individual: Dorothy Richards, Fiscal Specialist Corrective Action Plan: The Organization has accepted the risk associated with the finding regarding the preparation of the financial statements and SEFA and will continue to ...

Finding No. 2022-001: Audit and SEFA Adjustments and Preparation Responsible Individual: Dorothy Richards, Fiscal Specialist Corrective Action Plan: The Organization has accepted the risk associated with the finding regarding the preparation of the financial statements and SEFA and will continue to have the independent auditor prepare the annual financial statements. However, the Organization will find a third-party accountant to assist with year-end accruals and reconciliations. Anticipated Completion Date: Ongoing

View Audit 34902

Finding 34201 (2022-002)

Significant Deficiency 2022

Costilla County

CO

Special Tests & Provisions Subrecipient Monitoring Eligibility

Finding 2022-002: TANF Program, CFDA No. 93.558 U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Eligibility, Special Tests and Provisions Grant No.: Not Applicable Type of Finding; Internal Control (significant deficiency) and...

Finding 2022-002: TANF Program, CFDA No. 93.558 U.S. Department of Health and Human Services Passed through Colorado Department of Human Services Compliance Requirement: Eligibility, Special Tests and Provisions Grant No.: Not Applicable Type of Finding; Internal Control (significant deficiency) and Compliance (noncompliance) Recommendation: The Department should implement monitoring controls to ensure timely completion of initial assessments in compliance with federal eligibility and special tests and provisions requirements. Action Taken: Costilla County DSS was experiencing turnover so no one was looking at the PEAK program cases on a daily basis. Moving forward, our Colorado Works caseworker will look at all cases coming in on a daily basis to ensure that all applications for Colorado Works are assessed no later than 30 days after an application date. If there are questions regarding this plan, please call the responsible parties listed below. Sincerely yours, Julie Albert Chief Financial Officer Costilla County, Colorado Tommy Vigil Department of Social Services Director Costilla County, Colorado

View Audit 33066

Finding 34200 (2022-001)

Significant Deficiency 2022

Canaan Manor Dayton

LA

HUD Housing Programs Cash Management

2022-1 ? Excess Residual Receipts Condition: The Project did not prepare a HUD 9250 to remit excess residual receipts, nor did it mail a check or transmit a wire of those funds. Response: Residual Receipts in the amount of $12,209 was not incurred in the fiscal year of 2022. This surplus cash was in...

2022-1 ? Excess Residual Receipts Condition: The Project did not prepare a HUD 9250 to remit excess residual receipts, nor did it mail a check or transmit a wire of those funds. Response: Residual Receipts in the amount of $12,209 was not incurred in the fiscal year of 2022. This surplus cash was incurred some years ago. Excess residual receipts have not been remitted for two reasons 1) the property is in need of the funds to pay for necessary improvements in which we are pursuing to obtain 3 bids as required and 2) HUD has not notified management of the method to remit.

View Audit 33063

Finding 34199 (2022-001)

Material Weakness 2022

Great Lakes Inter-Tribal Council Inc.

WI

Subrecipient Monitoring § 200.300

Identifying Number: 2022-001 Audit Finding: Reporting Criteria: The Organization is required to comply with 2 CFR Subpart D 200.300 (b) which indicates that a non-Federal entity is responsible for complying with Federal Funding Accountability and Transparency Act (FFATA). FFATA requires prime grant ...

Identifying Number: 2022-001 Audit Finding: Reporting Criteria: The Organization is required to comply with 2 CFR Subpart D 200.300 (b) which indicates that a non-Federal entity is responsible for complying with Federal Funding Accountability and Transparency Act (FFATA). FFATA requires prime grant recipients to file a FFATA sub-award report by the end of the month following the month in which the prime recipient awards any sub-grant greater than or equal to $30,000. Condition: During our testing of the reporting requirements, we noted subawards to seven subrecipients where the FFATA sub-award report was not filed timely. The amount of subawards required to be reported were $874,045. Subsequent to year end, the Organization prepared and submitted the FFATA sub-award reports. Cause: The Organization was unaware of the FFATA reporting requirement as the requirement was not explicit in the grant agreement. Effect: Potential loss or suspension of grant funding. Questioned costs: None. Prevalence: The population of first-tier subawards subject to reporting requirements included seven subawards. The sample size of seven was determined using guidance in the American Institute of Certified Public Accountants (AICPA) Audit and Accounting Guide - Government Auditing Standards and Single Audit. Our sample was not a statistical sample. Recommendation: We recommend the Organization implement procedures to comply with the requirements of FFATA. Corrective Actions Taken or Planned: Corrective action has been taken as of April 2023. The Chief Financial Officer (CFO) Gina Brown has written a procedure on when and how the FFATA report should be completed and will add it to the new updated Accounting and Procedures Manual. A copy of the procedure was emailed to RSM on April 18th, 2023 and is attached for reference. As of the reporting period ending for March 2023, we, Great Lakes Inter-Tribal Council (GLITC), have submitted the required FFATA reports for the current grants awarded in fiscal year 2023. Contact person(s) responsible for corrective action: Gina Brown, CFO

View Audit 32145

Finding 34198 (2022-001)

Material Weakness 2022

Excelsior Academy, Inc.

UT

Material Weakness Reporting Matching / Level of Effort / Earmarking

Finding 2022-001 Finding Summary: Venture Academy is required to submit annual financial statements and the proposed budget to the USDA. These items were not provided to the USDA by June 30, 2022. Responsible Individuals: Jon Mark Child, Executive Director and Steve Finley, Business Manager Correcti...

Finding 2022-001 Finding Summary: Venture Academy is required to submit annual financial statements and the proposed budget to the USDA. These items were not provided to the USDA by June 30, 2022. Responsible Individuals: Jon Mark Child, Executive Director and Steve Finley, Business Manager Corrective Action Plan: Management will provide a copy of the audited financial statements and copy of the proposed budget to USDA annually. Anticipated Completion Date: Ongoing Anticipated Completion Date: Management will ensure all necessary corrective action plan items are in place by the end of 2022.

View Audit 32140

Finding 34197 (2022-002)

Material Weakness 2022

Central Plains Unified School District No. 112

KS

Questioned Costs Special Tests & Provisions Cash Management

Recommendation The District should review its processes and controls to ensure grant requirements are reviewed and follow up procedures are implemented to verify all grant requirements are met. Action Taken: After review of all the requirements for the ECF program, the District realizes more devices...

Recommendation The District should review its processes and controls to ensure grant requirements are reviewed and follow up procedures are implemented to verify all grant requirements are met. Action Taken: After review of all the requirements for the ECF program, the District realizes more devices were purchased than allowed per regulations. A total of 624 devices were purchased with a total number of students and staff of 518. The District will be returning $36,782 for 106 devices that were purchased over the required amount allowed.

View Audit 23880 Questioned Costs: $1

Finding 34196 (2022-005)

Significant Deficiency 2022

Lutheran Social Services of South Dakota

SD

Eligibility Significant Deficiency Internal Control / Segregation of Duties § 200.303

Finding 2022-005 Eligibility Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: One instance was identified where two check copies were not retained within the case file to support the checks were received by the refuge...

Finding 2022-005 Eligibility Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: One instance was identified where two check copies were not retained within the case file to support the checks were received by the refugee family. Responsible Individuals: Tim Jurgens Corrective Action Plan: Procedures are being reviewed to ensure case file reviews include follow-up on incomplete files. Anticipated Completion Date: December 31, 2022

View Audit 28902

Finding 34195 (2022-004)

Significant Deficiency 2022

Lutheran Social Services of South Dakota

SD

Subrecipient Monitoring § 200.303 § 200.322

Finding 2022-004 Subrecipient Monitoring Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: There was no documentation retained to support a secondary independent review was completed over the evaluation of subrecipient...

Finding 2022-004 Subrecipient Monitoring Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: There was no documentation retained to support a secondary independent review was completed over the evaluation of subrecipient?s risk of noncompliance. Responsible Individuals: Nathan Beyer & Emily Lyons Corrective Action Plan: The process will be reviewed to ensure procedures are in place to include both the initial review of noncompliance, and a secondary review of that evaluation. Anticipated Completion Date: December 31, 2022

View Audit 28902

Finding 34194 (2022-003)

Material Weakness 2022

Lutheran Social Services of South Dakota

SD

Reporting Subrecipient Monitoring § 200.303

Finding 2022-003 Reporting Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: a. FFATA report was filed outside the 30-day reporting requirement. Further, FFATA was submitted under the incorrect FAIN and no subaward ID...

Finding 2022-003 Reporting Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: a. FFATA report was filed outside the 30-day reporting requirement. Further, FFATA was submitted under the incorrect FAIN and no subaward ID was identified within the FFATA report. Additionally, no support to substantiate independent review was completed prior to submission of FFATA report. b. No support could be provided to substantiate a secondary review of two Federal Financial Reports (ORR2s). c. Two amounts reported within a programmatic report (ORR6) did not agree to supporting documentation. Responsible Individuals: Nathan Beyer & Emily Lyons Corrective Action Plan: The Organization will update procedures to include documentation of the FFATA information review, and completion of the report within 30 days of the agreement effective date. If the reporting system does not allow for timely completion, steps will be taken to follow-up with the reporting agency to determine how to complete the submission. The Organization will document secondary reviews prior to submission of the reports and will retain the supporting documentation used to complete reports. Anticipated Completion Date: December 31, 2022

View Audit 28902

Finding 34193 (2022-002)

Significant Deficiency 2022

Lutheran Social Services of South Dakota

SD

Allowable Costs / Cost Principles Internal Control / Segregation of Duties § 200.303

Finding 2022-002 Allowable Costs / Costs Principles and Activities Allowed or Unallowed Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: Two instances were identified in which the manual federal time tracker, tracks f...

Finding 2022-002 Allowable Costs / Costs Principles and Activities Allowed or Unallowed Administration for Children and Families CFDA 93.566 Refugee and Entrant Assistance ? State Administered Programs Finding Summary: Two instances were identified in which the manual federal time tracker, tracks federal and nonfederal hours for employees, used to allocate employee?s time across federal awards, was not reviewed and approved prior to completion of monthly direct and indirect cost allocations based on staff time by federal award. Responsible Individuals: Nathan Beyer & Emily Lyons Corrective Action Plan: Procedures will be reviewed to determine if there are additional steps that can be taken to simplify completion and approval of federal time trackers. Procedures will then be reviewed with staff to ensure they are following the correct process. Anticipated Completion Date: December 31, 2022

View Audit 28902

Finding 34192 (2022-001)

Significant Deficiency 2022

Terra State Community College

OH

Subrecipient Monitoring Allowable Costs / Cost Principles § 200.329

See Corrective Action Plan for chart/table

View Audit 29781

Finding 34189 (2022-001)

Significant Deficiency 2022

Coastal Affordable Housing

ME

Reporting Internal Control / Segregation of Duties

Current Finding on the Schedule of Findings and Questioned Costs: 1. Finding 2022-001: a. Comments on the Finding: We concur that a significant audit adjustment related to accounts receivable and operating expense was needed in order to present the consolidated financial statements in accordance w...

Current Finding on the Schedule of Findings and Questioned Costs: 1. Finding 2022-001: a. Comments on the Finding: We concur that a significant audit adjustment related to accounts receivable and operating expense was needed in order to present the consolidated financial statements in accordance with generally accepted accounting principles, and are in agreement with the recommendations to implement training for the monthly and annual closing and financial reporting review procedures. b. Action(s) Taken or Planned on the Finding: We have posted the adjustment recommended by the auditors and will implement the following control by December 31, 2023: ? Conduct internal training over monthly and annual financial closing procedures.

View Audit 28604

Finding 34178 (2022-002)

Material Weakness 2022

Clarkson University

NY

Reporting Internal Control / Segregation of Duties Allowable Costs / Cost Principles

Management accepts this finding. To address this issue, the SEFA, related reconciliation and draft financial statements will be prepared by the Associate Controller and will be reviewed by the Controller and / or Chief Financial Officer prior to initiation of the audit review process. Anticipated Co...

Management accepts this finding. To address this issue, the SEFA, related reconciliation and draft financial statements will be prepared by the Associate Controller and will be reviewed by the Controller and / or Chief Financial Officer prior to initiation of the audit review process. Anticipated Completion Date March 2023 Responsible Person Keith Rosser, Controller

View Audit 30456

Finding 34151 (2022-001)

Material Weakness 2022

Higher Horizons Day Care Center, Inc.

VA

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Material Weakness

Higher Horizons will ensure the segregation of duties in the Fiscal Department at all times to ensure business continuity. The newly developed procedure will address continuing business operations in the event of disasters and other high impact scenarios (i.e. staff transitions, emergency operations...

Higher Horizons will ensure the segregation of duties in the Fiscal Department at all times to ensure business continuity. The newly developed procedure will address continuing business operations in the event of disasters and other high impact scenarios (i.e. staff transitions, emergency operations, etc.) Higher Horizons will refine and develop systems and fiscal procedures to ensure that when transitions of Finance Department staff occur, that all responsibilities are assigned to another individual. Fiscal operational procedures will reflect personnel assigned for tasks, authorizing responsibility, and approvals. Reconciling of accounts and review of all reconciliations and adjusting journal entries will be completed by someone other than the preparer. Higher Horizons' goal is to provide sufficient internal control over fiscal reporting so all necessary transactions are in accordance to generally accepted accounting principles. Person(s) Responsible: Kassahun Endaylalu, Chief Fiscal Officer. Timing for Implementation: April 30, 2023

View Audit 30454

Finding 34143 (2022-002)

Significant Deficiency 2022

Rust College, INC

MS

Subrecipient Monitoring

Rust College is implementing the Project Accounting Module of the Colleague software. This module will be used to capture grant tracking from the inception of the grant period until the end date, including award numbers and other relevant information. In addition, the Finance and Business office is ...

Rust College is implementing the Project Accounting Module of the Colleague software. This module will be used to capture grant tracking from the inception of the grant period until the end date, including award numbers and other relevant information. In addition, the Finance and Business office is developing a plan to convert the critical grant information from the old system to the new system.

View Audit 30452

Finding 34142 (2022-001)

Significant Deficiency 2022

Rust College, INC

MS

Finance and Business Department, along with Chief Information Officer, will be working together to ensure that back-ups are done daily to the Cloud and offsite data storage and, in addition, all upgrades to the system are promptly addressed.

View Audit 30452

Corrective Action Plans

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