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Corrective Action Plans

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Finding 32258 (2022-013)
Significant Deficiency 2022
State of North Dakota
ND
Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
Finding: 2022-013 Department of Human Services Response/Corrective Action Plan: The Department agrees with the recommendation. The Child Care Licensing System (CCL) went live Dec. 2022, CCL will add upcoming unannounced visits to Licensing Specialist?s work que. Licensing Supervisors and the L...
Finding: 2022-013 Department of Human Services Response/Corrective Action Plan: The Department agrees with the recommendation. The Child Care Licensing System (CCL) went live Dec. 2022, CCL will add upcoming unannounced visits to Licensing Specialist?s work que. Licensing Supervisors and the Licensing Administrator will run a monthly report to assure unannounced visits are being completed by the Licensing Specialists. Contact Person: Carmen Traeholt, Child Care Licensing Administrator Anticipated Completion Date: Completed January 2023
View Audit 36677
Finding 32257 (2022-012)
Significant Deficiency 2022
State of North Dakota
ND
Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties
Finding: 2022-012 Department of Human Services Response/Corrective Action Plan: The Department of Health and Human Service agrees with this recommendation. The Department has been working with a developer to create a Child Care Licensing Data System to replace a paper process and multiple sprea...
Finding: 2022-012 Department of Human Services Response/Corrective Action Plan: The Department of Health and Human Service agrees with this recommendation. The Department has been working with a developer to create a Child Care Licensing Data System to replace a paper process and multiple spreadsheets. The system allows each licensing specialist to see their workflow when they log into the system. It also notifies when a reinspection is needed and will escalate the notice if the reinspection is not done timely. Contact Person: Carmen Traeholt, Child Care Licensing Administrator Anticipated Completion Date: The data system launched in December 2022.
View Audit 36677
Finding 32252 (2022-002)
Material Weakness 2022
Metropolitan Boston Housing Partnership, Inc.
MA
Subrecipient Monitoring Eligibility HUD Housing Programs
2022-002 Recertifications 14.881 Moving to Work Demonstration Program ? Award No. OCD26401344019MTW 14.871 Housing Choice Voucher Program (Housing Voucher Cluster) ? Award No. OCD26401344019HCV Responsible Official John Hillis Director of Inspections & Property Owner Services, Systems, and Com...
2022-002 Recertifications 14.881 Moving to Work Demonstration Program ? Award No. OCD26401344019MTW 14.871 Housing Choice Voucher Program (Housing Voucher Cluster) ? Award No. OCD26401344019HCV Responsible Official John Hillis Director of Inspections & Property Owner Services, Systems, and Compliance Plan Detail After a detailed RFP process, Metro Housing has selected an outside vendor (Nan McKay) to assist with completing a backlog of regular reexaminations amassed during calendar years 2020 and 2021. The contract was signed on September 27, 2022. By clearing up this backlog of work, Metro Housing staff working on the completion of regular re-exams for the Section 8 HCVP and MTW programs will be able to renew their focus on completing current work timely and accurately. Metro Housing is also making changes to decrease caseload sizes for Program Specialists while also streamlining workflows to better internal and external communication needed to complete our tasks. The roll-out of this new setup should be complete before the end of the current calendar year. Anticipated Completion Date June 30, 2023 ? All reexaminations will be current, and past due percentages will be lowered to acceptable levels.
View Audit 32287
Finding 32251 (2022-001)
Material Weakness 2022
Metropolitan Boston Housing Partnership, Inc.
MA
HUD Housing Programs Subrecipient Monitoring Internal Control / Segregation of Duties
2022-001 Unit Inspections 14.881 Moving to Work Demonstration Program ? Award No. OCD26401344019MTW 14.871 Housing Choice Voucher Program (Housing Voucher Cluster) ? Award No. OCD26401344019HCV Responsible Official John Hillis Director of Inspections & Property Owner Services, Systems, and Com...
2022-001 Unit Inspections 14.881 Moving to Work Demonstration Program ? Award No. OCD26401344019MTW 14.871 Housing Choice Voucher Program (Housing Voucher Cluster) ? Award No. OCD26401344019HCV Responsible Official John Hillis Director of Inspections & Property Owner Services, Systems, and Compliance Plan Detail Metro Housing is converting all eligible inspections from an annual to a biennial cycle as allowed by the program. Due to the constraints of the pandemic waivers, Metro Housing was required to perform an inspection of every unit on its portfolio over a 12-month period instead of a 24-month period, which resulted in numerous delays. This shift should allow for all our inspections to be completed timely. Metro Housing also faced problems in implementing the COVID-waiver issued by HUD to allow for self-certifications of units?namely, if the owner did not provide said waiver, our only recourse would have been to terminate the HAP Contract and force the tenant to move, which was not a course of action deemed appropriate by Metro Housing leadership given the circumstances. We do not anticipate that self-certifications will be implemented again, and so this process should not be a factor moving forward with our ability to meet program requirements. Anticipated Completion Date July 1, 2023 ? All inspections will be in compliance and on a biennial schedule.
View Audit 32287
Finding 32250 (2022-003)
Material Weakness 2022
Greater Tucson Lions Senior Citizen Foundation Inc.
AZ
Questioned Costs Internal Control / Segregation of Duties
When director reviews invoice will initial. Director will continue to work on invoice retention.
When director reviews invoice will initial. Director will continue to work on invoice retention.
View Audit 32172 Questioned Costs: $1
West House Corporation
RI
HUD Housing Programs Internal Control / Segregation of Duties
August 5, 2022 Re: West House Corporation Project No. 016-EE-010 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exist...
August 5, 2022 Re: West House Corporation Project No. 016-EE-010 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exists. Corrective Action Plan: Management has transferred the excess to another bank account. Finding 2002-002: Federal program ? PRAC: Criteria ? the HUD Occupancy handbook specifies the nature and content of tenant income re/certifications. Corrective Action Plan: Management has reviewed all files, obtained required information, and corrected calculations. Site staff will be trained in correct procedures. Please let me know if you have any questions. Sincerely, Jennifer Y. Huynh Vice President
View Audit 32171
West House Corporation
RI
Subrecipient Monitoring HUD Housing Programs Internal Control / Segregation of Duties
August 5, 2022 Re: West House Corporation Project No. 016-EE-010 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exist...
August 5, 2022 Re: West House Corporation Project No. 016-EE-010 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exists. Corrective Action Plan: Management has transferred the excess to another bank account. Finding 2002-002: Federal program ? PRAC: Criteria ? the HUD Occupancy handbook specifies the nature and content of tenant income re/certifications. Corrective Action Plan: Management has reviewed all files, obtained required information, and corrected calculations. Site staff will be trained in correct procedures. Please let me know if you have any questions. Sincerely, Jennifer Y. Huynh Vice President
View Audit 32171
V. N. Housing Corporation
RI
HUD Housing Programs Subrecipient Monitoring
August 5, 2022 Re: V.N. Housing Corporation Project No. 016-HD-013 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exi...
August 5, 2022 Re: V.N. Housing Corporation Project No. 016-HD-013 YE June 30, 2022 Finding 2022-001: Federal Program- Section 811: Criteria- HUD regulations require all bank accounts be fully insured up to the FDIC limit or that management monitor the bank ratings if an excess of the FDIC limit exists. Corrective Action Plan: Management has transferred the excess to another bank. Please let me know if you have any questions. Sincerely, Jennifer Y. Huynh Vice President
View Audit 31348
Finding 32246 (2022-002)
Significant Deficiency 2022
Minot Vocational Adjustment Workshop, Inc. Dba: Kalix
ND
Internal Control / Segregation of Duties
2022-002: Contact Person: Misty Wanner, CFO Corrective Action Plan: Management will retain all documentation as required by the federal agency. Completion Date: The Organization will implement immediately.
2022-002: Contact Person: Misty Wanner, CFO Corrective Action Plan: Management will retain all documentation as required by the federal agency. Completion Date: The Organization will implement immediately.
View Audit 31347
Finding 32245 (2022-001)
Significant Deficiency 2022
Minot Vocational Adjustment Workshop, Inc. Dba: Kalix
ND
Internal Control / Segregation of Duties
2022-001: Contact Person: Misty Wanner, CFO Corrective Action Plan: Management will retain all documentation as required by the federal agency. Completion Date: The Organization will implement immediately.
2022-001: Contact Person: Misty Wanner, CFO Corrective Action Plan: Management will retain all documentation as required by the federal agency. Completion Date: The Organization will implement immediately.
View Audit 31347
Finding 32244 (2022-001)
Material Weakness 2022
White Mountain Community Health Center
NH
Subrecipient Monitoring Special Tests & Provisions Eligibility
October 31, 2022 Corrective Action Plan Finding: 2022-001 Condition Found: The Center has not applied sliding fee discounts to patient charges consistent with its sliding fee discount program. Individual(s) Responsible for Corrective Action: Ken ?JR" Porter Executive Director, Toni Howard Billin...
October 31, 2022 Corrective Action Plan Finding: 2022-001 Condition Found: The Center has not applied sliding fee discounts to patient charges consistent with its sliding fee discount program. Individual(s) Responsible for Corrective Action: Ken ?JR" Porter Executive Director, Toni Howard Billing manager Planned Corrective Action: ? Update the sliding fee discount program policy to more clearly define family size and income, including examples of source documents ? Create and use a form to document the calculation of the household income entered into the EHR ? Review the complexity of the discount schedule and consider whether it would be beneficial to change the schedule from percentage discounts to flat dollar amounts for Category B, C, D and E ? Develop routine internal monitoring procedures to perform periodic testing of sliding fee discounts to help ensure the discounts are provided consistent with the Center?s sliding fee discount program Anticipated Completion Date: December 2022 Sincerely, Ken ?JR? Porter Executive Director White Mountain Community Health Center 298 White Mountain HWY, Conway, NH 03818 Phone: 603-447-8900 X321 Fax: 603-447-4846 jrporter@whitemountainhealth.org
View Audit 31346
Finding 32240 (2022-002)
Significant Deficiency 2022
Regina Coeli Child Development Center
LA
Questioned Costs Equipment & Real Property Management Procurement, Suspension & Debarment
2022-002 - Equipment and Real Property Management- Failure to Obtain Approval for Disposition of Property Acquired with Federal Awards- The Center concurs with the finding. The Center has implemented procedures to ensure approval for disposition of property acquired with federal funds. New personnel...
2022-002 - Equipment and Real Property Management- Failure to Obtain Approval for Disposition of Property Acquired with Federal Awards- The Center concurs with the finding. The Center has implemented procedures to ensure approval for disposition of property acquired with federal funds. New personnel have been hired who are being adequately trained regarding this process.
View Audit 35779 Questioned Costs: $1
Finding 32239 (2022-001)
Significant Deficiency 2022
Schi Early Intervention Program
NJ
Views of Responsible Officials and Planned Corrective Action: Management and the Board of SCHI EIP have increased their efforts to collect the outstanding debt from the related party. A significant portion of the monies have been repaid. As of the date of the independent auditors? report, the balanc...
Views of Responsible Officials and Planned Corrective Action: Management and the Board of SCHI EIP have increased their efforts to collect the outstanding debt from the related party. A significant portion of the monies have been repaid. As of the date of the independent auditors? report, the balance has been paid off in its entirety.
View Audit 35776
Finding 32238 (2022-001)
Significant Deficiency 2022
Village Cooperative of the Northland
MO
Internal Control / Segregation of Duties Significant Deficiency
The Board of Directors is and will remain involved in the financial affairs of the Cooperative.
The Board of Directors is and will remain involved in the financial affairs of the Cooperative.
View Audit 35774
Finding 32237 (2022-003)
Significant Deficiency 2022
Heal the Hero Foundation
AZ
Internal Control / Segregation of Duties Cash Management Significant Deficiency § 200.303
Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 Recommendation: We recommend that the Organization implement policies and procedures surrounding the cash disbursement process that ensures disbursements to the chief executive officer are reviewed and approved by a se...
Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 Recommendation: We recommend that the Organization implement policies and procedures surrounding the cash disbursement process that ensures disbursements to the chief executive officer are reviewed and approved by a second, independent individual such as a board member. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will implement policies and procedures surrounding cash disbursement process ensuring disbursements to the chief executive officer are reviewed and approved by a second, independent individual such as a board member. Name(s) of the contact person(s) responsible for corrective action: Joseph Holmes Planned completion date for corrective action plan: 10/31/23
View Audit 34813
Finding 32236 (2022-002)
Significant Deficiency 2022
Heal the Hero Foundation
AZ
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.303 § 200.317 § 200.318 § 200.319 § 200.320
Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 Recommendation: We recommend that the Organization adopt a formal and written procurement policy. Additionally, management should develop controls to help ensure procurement procedures are followed and to monitor the a...
Coronavirus State and Local Fiscal Recovery Funds ? Assistance Listing No. 21.027 Recommendation: We recommend that the Organization adopt a formal and written procurement policy. Additionally, management should develop controls to help ensure procurement procedures are followed and to monitor the amount spent with vendors throughout the year to ensure procurement procedures are initiated when the vendor costs exceed the procurement thresholds. These procedures will help ensure compliance with Compliance Supplement and the Code of Federal Regulations related to procurement and suspension and debarment provisions. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will create a formal, written procurement policy. Management will also review the noncompetitive procurement procedures and will document how and why our vendor(s) meets these requirements, if applicable. Additionally, HTHF will improve internal processes increasing the foundation?s work with our accounting support staff moving to a monthly service from quarterly with expenses entered into QuickBooks each month. Once expenses are entered, they will be reviewed by management and by the board treasurer. Name(s) of the contact person(s) responsible for corrective action: Joseph Holmes Planned completion date for corrective action plan: 10/31/23
View Audit 34813
Finding 32235 (2022-001)
Material Weakness 2022
Fairfield Medical Center
OH
Material Weakness Reporting Internal Control / Segregation of Duties
Fairfield Medical Center and Subsidiaries December 31, 2022 CORRECTIVE ACTION PLAN The finding from the schedule of findings and questioned costs for the year ended December 31, 2022 are discussed below. The findings are numbered consistently with the numbers assigned in the Schedule. Finding 2022-0...
Fairfield Medical Center and Subsidiaries December 31, 2022 CORRECTIVE ACTION PLAN The finding from the schedule of findings and questioned costs for the year ended December 31, 2022 are discussed below. The findings are numbered consistently with the numbers assigned in the Schedule. Finding 2022-001 Condition: The Organization does not have a review process in place relate to reviewing PRF submissions. The Organization calculated its period 4 payments applied toward lost revenue using option ii and attested to using budgets approved prior to March 27, 2020. Planned Corrective Action: Management has implemented a process to ensure review of the reporting submissions prior to finalization. Management has updated its method for calculating lost revenues in the period 5 submission by comparing 2020 budget to 2020 ? 2023 actual revenues. Management believes this is an allowable method under option iii. The period 5 filing was submitted September 19, 2023. Anticipated Completion Date: September 30, 2023 Responsible Contact Person: Julie Grow, Chief Financial Officer
View Audit 34812
Finding 32232 (2022-001)
Significant Deficiency 2022
Eluna
PA
Procurement, Suspension & Debarment
SIGNIFICANT DEFICIENCY 2022-001 Uniform Guidance section 200.320 described five general procurement standards that cover the purchase of property, supplies and services which include the following: (a) the Organization must maintain written policies for procurement covering the methods available u...
SIGNIFICANT DEFICIENCY 2022-001 Uniform Guidance section 200.320 described five general procurement standards that cover the purchase of property, supplies and services which include the following: (a) the Organization must maintain written policies for procurement covering the methods available under these regulations, (b) costs must be reasonable and necessary, (c) must provide for full and open competition, (d) the Organization must maintain written standards of conduct covering internal and external conflicts of interest, and (e) the Organization must maintain documentation addressing costs and price analysis and vendor selections where applicable based on the method of procurement used. Recommendation: We recommend management have a new policy established and approved by the board of directors. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: Name(s) of the contact person(s) responsible for corrective action: Katie Timmons, VP of Finance and Operations Planned completion date for corrective action plan: The planned completion date for the corrective action plan will be completed in 2023.
View Audit 33104
Finding 32230 (2022-003)
Significant Deficiency 2022
Gertrude Remmel Butler Methodist Child Development Center, Inc.
AR
SIGNIFICANT DEFECIENCY Finding 2022-003: Billing Recommendation: To follow through with the control of an appropriate employee, outside of the employee who prepared billing, to review billing setup with attendance sheets prior to submitting billing to check for accuracy. Corrective Action Plan: T...
SIGNIFICANT DEFECIENCY Finding 2022-003: Billing Recommendation: To follow through with the control of an appropriate employee, outside of the employee who prepared billing, to review billing setup with attendance sheets prior to submitting billing to check for accuracy. Corrective Action Plan: The Center agrees with the finding, and recommended controls have been put in place.
View Audit 33102
Finding 32228 (2022-002)
Material Weakness 2022
Kootenai Health
ID
Reporting Material Weakness
Finding 2022-002 Federal Agency Name: Department of Homeland Security and the State of Idaho Department of Health & Welfare Program Name: Disaster Grants-Public Assistance (Presidentially Declared Disasters) Federal Financial Assistance Listing #97.036 Federal Agency Name: Department of Health and...
Finding 2022-002 Federal Agency Name: Department of Homeland Security and the State of Idaho Department of Health & Welfare Program Name: Disaster Grants-Public Assistance (Presidentially Declared Disasters) Federal Financial Assistance Listing #97.036 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution CFDA #93.498 Finding Summary: Eide Bailly LLP assisted with preparation of the schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Responsible Individuals: Michele Bouit, CFO and Kimberley Jones, Director of Accounting Corrective Action Plan: Management agrees with the finding and will review processes over the updating and reviewing of the Schedule. Anticipated Completion Date: 12/31/2023
View Audit 33101
Finding 32212 (2022-011)
Significant Deficiency 2022
The Boulevard of Chicago, Inc.
IL
Allowable Costs / Cost Principles Cash Management Significant Deficiency
Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. All vouchers will be reviewed and approved by upper management before submission. These vouchers will be checked against a modified policy ensuring costs are reasonable, allowable, and all...
Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. All vouchers will be reviewed and approved by upper management before submission. These vouchers will be checked against a modified policy ensuring costs are reasonable, allowable, and allocable to a State, Federal, local, and private awards shall be charged to that award directly or indirectly. Name(s) of the contact person(s) responsible for corrective action: Shanan Egger, Chief Financial Officer Planned completion date for corrective action plan: September 2023
View Audit 31477
University of Saint Katherine
CA
Cash Management
Cash Management of Education Stabilization Fund Planned Corrective Action: Draws will no longer be processed by the President of the University. The Controller will be the one processing them. Disbursements are currently and will continue be done within the appropriate time frames from the proce...
Cash Management of Education Stabilization Fund Planned Corrective Action: Draws will no longer be processed by the President of the University. The Controller will be the one processing them. Disbursements are currently and will continue be done within the appropriate time frames from the processing of the `Drawdown?. Person Responsible for Corrective Action Plan: Laurel Maguire, Controller Anticipated Date of Completion: Funds were disbursed December 2021; Continual.
View Audit 27151
University of Saint Katherine
CA
Reporting § 200.329
Education Stabilization Fund Reporting Planned Corrective Action: The University is no longer accepting HEERF Funding. 2021 HEERF (reported 2022) has been revised and will be resubmitted March 2023, during the US Department of Education?s submission window. All future applicable reporting will b...
Education Stabilization Fund Reporting Planned Corrective Action: The University is no longer accepting HEERF Funding. 2021 HEERF (reported 2022) has been revised and will be resubmitted March 2023, during the US Department of Education?s submission window. All future applicable reporting will be completed within the required timeframe(s). All required reports will be put on the University?s website. Person Responsible for Corrective Action Plan: Laurel Maguire, Controller Anticipated Date of Completion: March 2023
View Audit 27151
Northwest Compass
IL
Reporting § 200.512
Oversight Agency: U.S. Department of Housing and Urban Development Northwest Compass, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022. Auditor: Dugan & Lopatka, CPA?s 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For th...
Oversight Agency: U.S. Department of Housing and Urban Development Northwest Compass, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022. Auditor: Dugan & Lopatka, CPA?s 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For the year ended June 30, 2022 The findings from the schedule of finding and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 2022-002 Youth Homelessness Demonstration Program, CFDA #14.276 Auditor?s Recommendation: We recommend that upon receiving the final reporting package, the Organization completes all requirements with the Federal Audit Clearinghouse. Northwest Compass has adopted this policy for FY2022. If the funding agency has questions regarding this plan, please call me at (847) 392-2344.
View Audit 27861
Finding 32204 (2022-001)
Significant Deficiency 2022
Northwest Compass
IL
Cash Management § 200.305
Oversight Agency: U.S. Department of Housing and Urban Development Northwest Compass, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022. Auditor: Dugan & Lopatka, CPA?s 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For th...
Oversight Agency: U.S. Department of Housing and Urban Development Northwest Compass, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022. Auditor: Dugan & Lopatka, CPA?s 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For the year ended June 30, 2022 The findings from the schedule of finding and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Findings ? Federal Award Programs Audit DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 2022-001 (repeat finding of 2021-002) Youth Homelessness Demonstration Program, CFDA #14.276 Auditor?s Recommendation: We recommend that each reimbursement request agrees to what is allocated through the accounting system by grant or program for actual expenses. This will help support the request and, if needed, a method to provide the actual invoice for the expense being requested. This is Northwest Compass Policy. Each Grant program has its own identifiable "cost center" that both revenue and expenses are posted in NWC accounting system. If the funding agency has questions regarding this plan, please call me at (847) 392-2344.
View Audit 27861
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