Corrective Action Plans

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Audit Finding Reference: 2022-001 Planned Corrective Action: CDC's management performed a review of timekeeping and reimbursement practices in relation to reimbursements submitted to the U.S. Small Business Administration ("SBA") regarding the Microloan Technical Assistance Program and noted that SB...
Audit Finding Reference: 2022-001 Planned Corrective Action: CDC's management performed a review of timekeeping and reimbursement practices in relation to reimbursements submitted to the U.S. Small Business Administration ("SBA") regarding the Microloan Technical Assistance Program and noted that SBA had likely overpaid CDC for multiple years for expenses related to personnel hours spent. After review, all relevant personnel were advised and instructed to comply with revised timekeeping practices to address the issue going forward. Additional processes/controls were also established to mitigate future occurrences. CDC's management notified the SBA of the matter and repaid the estimated amount of overpayment on April 17, 2023. Name of Contact Person: Natalie Gunn, Chief Financial Officer Phone: 703-647-2360 Email: ngunn@capitalimpact.org
2022 ? 001 COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completed in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management has report...
2022 ? 001 COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completed in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management has reported Covid-19 expenses to cover the Period 4 funding received. Management has additionally identified additional Covid-19 expenses that were not included with the Period 4 submission that they believe would offset the issue identified above. Action taken in response to finding: The Hospital will ensure that controls are put into place to ensure lost revenue reporting is completed in accordance with HHS guidelines. Name of the contact person responsible for corrective action: Carli Taylor, CFO. Planned completion date for corrective action plan: October 1, 2023.
Corrective Action Plan and Views of Responsible Officials The District has implemented a team comprised of the Associated Superintendents of Business and Education Services and Directors of Fiscal and Technology Services to implement a need assessment before any spending takes place. This group wil...
Corrective Action Plan and Views of Responsible Officials The District has implemented a team comprised of the Associated Superintendents of Business and Education Services and Directors of Fiscal and Technology Services to implement a need assessment before any spending takes place. This group will review and evaluate all processes associated with the program before implementation. All items purchased will be tracked using the new inventory software, and a log with be kept to maintain a record of the assigned in and out of equipment. Implementing this new process will eliminate this finding from re-occurring.
Corrective Action Plan and Views of Responsible Officials The Director of Technology will purchase an inventory software system to assist with tracking all equipment purchases with federal and non-federal funding. All equipment purchases will be tagged and recorded into the system by their serial n...
Corrective Action Plan and Views of Responsible Officials The Director of Technology will purchase an inventory software system to assist with tracking all equipment purchases with federal and non-federal funding. All equipment purchases will be tagged and recorded into the system by their serial number and category. Scanners will be used when entering a room to assist with determining the location of the equipment, and a computer log will be used to track the assigning out and in of equipment.
Corrective Action Plan and Views of Responsible Officials The Director of Fiscal Services and payroll staff will collaborate with site administrators to ensure all timecards relating to federal programs are pre-approved before submitting them to payroll for processing. In addition, payroll will not...
Corrective Action Plan and Views of Responsible Officials The Director of Fiscal Services and payroll staff will collaborate with site administrators to ensure all timecards relating to federal programs are pre-approved before submitting them to payroll for processing. In addition, payroll will not process timecards without prior approval.
We have discussed this finding with our auditors and now have an understanding of the requirements of this grant. Although this is a one-time grant, we will review our grant procedures to ensure a thorough understanding of grant requirements going forward. We will work with the grantor to ensure a...
We have discussed this finding with our auditors and now have an understanding of the requirements of this grant. Although this is a one-time grant, we will review our grant procedures to ensure a thorough understanding of grant requirements going forward. We will work with the grantor to ensure any funds are repaid as necessary. We expect this to be corrected by June 30, 2023.
View Audit 24988 Questioned Costs: $1
ASI - RENO, INC. HUD PROJECT NO. 121-HD011-NP-WPD CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ASI - Reno, Inc. respectfully submits the following corrective action plan for th...
ASI - RENO, INC. HUD PROJECT NO. 121-HD011-NP-WPD CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ASI - Reno, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Hinrichs & Associates, Ltd 1000 Shelard Parkway, Suite 110 Minneapolis, MN 55426 Audit Period: December 31, 2022 The findings from the December 31, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS - FINANCIAL STATEMENT AUDIT NONE FINDINGS - FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: SECTION 811, ASSISTANCE LISTING NUMBER 14.181 In 1 of 25 cash disbursements tested, the Project paid the expense of another project under common management. Recommendation: The Project should carefully review invoices before payment to make sure it only pays the proper amount. Action Taken: The Project agrees with the finding. The accounts payable staff will be reminded to be careful when entering invoices for payment. If the Department of Housing and Urban Development has questions regarding this plan, please call Chuck Reuter at 651-645-7271.
View Audit 24779 Questioned Costs: $1
Finding Number: 2022-002 Annual Financial Reporting Under Generally Accepted Accounting Principles (GAAP) Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We have determined we cannot afford to hire additional staff that is required to proper...
Finding Number: 2022-002 Annual Financial Reporting Under Generally Accepted Accounting Principles (GAAP) Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We have determined we cannot afford to hire additional staff that is required to properly prepare financial statements, disclosures, supplemental information, schedule of expenditures of federal awards and schedule of state financial assistance per generally accepted accounting principles in the United States of America. We feel that it makes more sense to work closely with our auditors to meet that criteria. Name of Responsible Person: Ron Johnson, District Accountant Projected Implementation Date: Estimated, June 2023
Finding Number: 2022-001 Lack of Segregation of Duties Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We are always working towards separating the tasks in order to maintain proper segregation of duties the best we can with the amount of staf...
Finding Number: 2022-001 Lack of Segregation of Duties Fiscal Year: 2022 District?s Response: We concur. Views of Responsible Officials and Corrective Action: We are always working towards separating the tasks in order to maintain proper segregation of duties the best we can with the amount of staff that we currently have. We have determined that the costs outweigh the benefit of hiring additional staff. Name of Responsible Person: Ron Johnson, District Accountant Projected Implementation Date: Estimated, June 2023
2022-003 Planned Corrective Action: Management has just recently begun the creation of both individual grant calendars as well as a shared master grants calendar. These are Outlook based and shared with project staff responsible for submitting the various reports. A new protocol is being developed w...
2022-003 Planned Corrective Action: Management has just recently begun the creation of both individual grant calendars as well as a shared master grants calendar. These are Outlook based and shared with project staff responsible for submitting the various reports. A new protocol is being developed which requires the responsible employee for each reporting deadline to add those dates to their personal calendars and to either update the shared Outlook calendar with submission dates or notify the organizational Grants Manager (currently the staff accountant) when each report is submitted. The Grants Manager will be responsible for oversite of grant reporting deadlines. Responsible Person: Angelique Leis Date of Completion: July 27, 2023
Finding 29470 (2022-001)
Significant Deficiency 2022
2022-001 Planned Corrective Action: We agree with the need for a management confirmation that the final payroll report reconciles to what was approved during the initial payroll process when hours are submitted to Checkmate and a preliminary payroll 'prep' register is generated. We have added this s...
2022-001 Planned Corrective Action: We agree with the need for a management confirmation that the final payroll report reconciles to what was approved during the initial payroll process when hours are submitted to Checkmate and a preliminary payroll 'prep' register is generated. We have added this step into our Payroll Procedures Checklist. The Executive or Deputy Director will access and review the final Checkmate register once notification is received that the payroll is finalized . The notification of review by management will be sent to accounting who will maintain in the relevant pay period folder. Responsible Person: Donna Dudley Date of Completion: Implemented in August, 2023
2022-002 Planned Corrective Action: Every year the Organization complies with an in-depth compliance review for LSC in which at least 75 cases that were closed in the previous grant year are randomly selected using an LSC designated randomization process. Those cases are then individually reviewed f...
2022-002 Planned Corrective Action: Every year the Organization complies with an in-depth compliance review for LSC in which at least 75 cases that were closed in the previous grant year are randomly selected using an LSC designated randomization process. Those cases are then individually reviewed for 13 LSC designated errors, in a process called Self Inspection. The resulting information is collected and reported to LSC as part of Ongoing Compliance Oversight. Finally, the Organization must submit a Self-Inspection Certification and Summary Form which lists the number of cases where errors were identified. This process allows the organization to identify trends and make adjustments to protocols and training on an annual basis . The Organization has put in place all necessary protocols to ensure compliance with LSC regulations regarding assessing and documenting client eligibility. Ongoing training and oversight will be provided to intake staff and caseworkers throughout the year to ensure compliance. Responsible Person: Emma Sisti Date of Completion: December 31, 2023
Finding 29466 (2022-001)
Significant Deficiency 2022
Finding 2022-001 Lack of Internal Controls over Reporting Name of Contact Person: Dr. Madeline Aguillard, Superintendent maguillard@kuspuk.org 907-675-4250 Corrective Action Plan: Occasionally, circumstances won?t allow us to complete timely submission of financial reports for our grants....
Finding 2022-001 Lack of Internal Controls over Reporting Name of Contact Person: Dr. Madeline Aguillard, Superintendent maguillard@kuspuk.org 907-675-4250 Corrective Action Plan: Occasionally, circumstances won?t allow us to complete timely submission of financial reports for our grants. This was one of those circumstances. However, we will work to cross-train our staff to ensure that reports will be filed timely in the event that our primary grant managers are unavailable at the different school sites. We understand the need for a back-up plan when these situations arise. Proposed Completion Date: January 31, 2023
Finding 29465 (2022-001)
Significant Deficiency 2022
VIEWS OF RESPONSIBLE OFFICIALS AND CORRECTION ACTION: THE ERROR OCCURRED DURING A TIME OF STAFF TRANSITION. THE NEW STAFF PERSON WAS NOT ABLE TO PERFORM HER DUTIES AND SHE WAS TERMINATED. WE QUICKLY HIRED FROM WITHIN, AUDITED OUR FILES AND HAVE CORRECTED ALL OF THE ERRORS FROM THE PREVIOUS EMPLOYEE.
VIEWS OF RESPONSIBLE OFFICIALS AND CORRECTION ACTION: THE ERROR OCCURRED DURING A TIME OF STAFF TRANSITION. THE NEW STAFF PERSON WAS NOT ABLE TO PERFORM HER DUTIES AND SHE WAS TERMINATED. WE QUICKLY HIRED FROM WITHIN, AUDITED OUR FILES AND HAVE CORRECTED ALL OF THE ERRORS FROM THE PREVIOUS EMPLOYEE.
Finding 29463 (2022-001)
Significant Deficiency 2022
CITY OF WAUWATOSA CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2022 United States Departments of Treasury and Health and Human Services The City of Wauwatosa respectfully submits the following corrective action plan for the year ended December 31, 2022. Federal Program Name: Coronavirus State a...
CITY OF WAUWATOSA CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2022 United States Departments of Treasury and Health and Human Services The City of Wauwatosa respectfully submits the following corrective action plan for the year ended December 31, 2022. Federal Program Name: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Award Period: March 2020 through December 31, 2024 Audit Period: January 1, 2022 to December 31, 2022 The findings from the schedule of findings are discussed below. The findings are numbered consistently with the numbers assigned in the schedule FINDINGS ? FEDERAL AWARD PROGRAM AUDITS SIGIFICANT DEFICIENCY 2022-001 Internal Control over Compliance ? Verification of non-debarment status Recommendation: We recommend the City of Wauwatosa design controls to ensure an adequate review process is in place to review potential contractors to determine they are not suspended or debarred. Explanation of disagreement with the audit finding: There is no disagreement with the audit finding. Action planned in response to finding: This correction was made in October 2022 after it was brought to the City?s attention. The Purchasing Manager has been added as a required approver in the electronic requisition workflow process for all requisitions (Previously she was only a required approver for those greater than $25,000). At this step, the Purchasing Manager will look-up the vendor on Sam.gov and attach a screenshot on the requisition to show the vendor is not debarred. An affidavit of non-debarment status will also be added to the City?s standard terms and conditions document as well as its public construction contracts. Name(s) of the contact person(s) responsible for corrective action: John Ruggini, Director of Finance Planned completion date for corrective action plan: October 31, 2022 ****** If the United States Department of Treasury or Health and Human Services has questions regarding this plan, please call John Ruggini, Director of Finance at 414-479-8962.
ASI - DAKOTA COUNTY, INC. HUD PROJECT NO. 092-HD044 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ASI - Dakota County, Inc. respectfully submits the following corrective action plan for the year ...
ASI - DAKOTA COUNTY, INC. HUD PROJECT NO. 092-HD044 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ASI - Dakota County, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Hinrichs & Associates, Ltd., 1000 Shelard Parkway, Suite 110, Minneapolis, MN 55426. Audit Period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS - FINANCIAL STATEMENT AUDIT NONE FINDINGS - FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: SECTION 811, ASSISTANCE LISTING NUMBER 14.181 Condition: For one of the tenant files tested, there was a mathematical error in computing the tenant's medical expense deduction in the process of computing the tenant share of monthly rent. Recommendation: The Project should recompute the HUD subsidy and tenant rent for this tenant and adjust a future monthly billing, if necessary. Project managers should be aware of the importance of computing the tenant's medical expense deduction accurately. Action Taken: The Project agrees with the finding. Tenant rent was recomputed and management will adjust a future monthly HUD billing. If the Department of Housing and Urban Development has questions regarding this plan, please call Chuck Reuter at 651-645-7271.
View Audit 29931 Questioned Costs: $1
Corrective Action Plan: 1. Create a comprehensive timeline (from engagement letter to distribution of final audit) for the auditing process that drives all departments associated with the auditing procedure. 2. Yearly review of auditing timeline with the current auditor for the purpose of making adj...
Corrective Action Plan: 1. Create a comprehensive timeline (from engagement letter to distribution of final audit) for the auditing process that drives all departments associated with the auditing procedure. 2. Yearly review of auditing timeline with the current auditor for the purpose of making adjustments. Anticipated Completion Date: 1. November 1, 2023 (rough draft is already completed) 2. 30-45 days prior to signing of engagement letter
Corrective Action Plan: 1. Evaluate the financial department to ensure the correct number and types of personnel are in place. 2. Review the current Financial Policies and Procedures. 3. Update Financial Policies and Procedures where necessary. 4. Greater accountability for the meeting of deadlines ...
Corrective Action Plan: 1. Evaluate the financial department to ensure the correct number and types of personnel are in place. 2. Review the current Financial Policies and Procedures. 3. Update Financial Policies and Procedures where necessary. 4. Greater accountability for the meeting of deadlines established in financial policies and procedures. Anticipated Completion Date: 1. October 15, 2023 2. December 1, 2023 3. March 1, 2024 4. Ongoing
CORRECTIVE ACTION PLAN May 16, 2023 United States Department of Housing and Urban Development Elk County Housing Authority respectfully submits the following corrective action plan for the year ending September 30, 2022. Name and address of independent public accounting firm: Maher Duessel, CPA?s...
CORRECTIVE ACTION PLAN May 16, 2023 United States Department of Housing and Urban Development Elk County Housing Authority respectfully submits the following corrective action plan for the year ending September 30, 2022. Name and address of independent public accounting firm: Maher Duessel, CPA?s 503 Martindale Street, Suite 600 Pittsburgh, PA 15212 Audit Period: October 1, 2021 ? September 30, 2022 FINDINGS ? FINANCIAL STATEMENT AUDIT No matters were reported FINDINGS ? FEDERAL AWARD PROGRAMS AUDITS Finding 2022-001 U.S. Department of Housing and Urban Development Housing Voucher Cluster/Section 8 Housing Choice Vouchers ALN 14.871 Eligibility Recommendation: We recommend that the Authority implement procedures to ensure appropriate support is obtained and used. Authority Management Response: ECHA staff has already made changes to the internal controls by performing a file check upon completion, which should bring to light any mathematical errors. Self-certification was the highest form of verification during COVID-19, which ended on January 1, 2022. The files with the discrepancy were prepared prior to that date. Since January 1, 2022, ECHA only uses Self-certification as a last resort. If the Department of Housing and Urban Development has questions regarding this plan, please call Amy Auman at 814-965-2532. Sincerely yours, Amy Auman, Executive Director
8. Deficiency 2022-008 ? Instance of Noncompliance ? Meal County Tally a. An instance of noncompliance was identified over compliance requirement L from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Recordkeeping of the daily supporting documentation for the monthly claims wa...
8. Deficiency 2022-008 ? Instance of Noncompliance ? Meal County Tally a. An instance of noncompliance was identified over compliance requirement L from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Recordkeeping of the daily supporting documentation for the monthly claims was found to not be in compliance with federal requirements. The District should develop and implement policies and procedures to ensure that all original daily meal counts and tallies used to support reimbursement reports are maintained for the appropriate amount of time. b. Plan of Action: The District will review, develop and implement procedures to provide the required reporting. c. Timeframe: Fiscal year 2023-24
7. Deficiency 2022-007 ? Instance of Noncompliance ? Procurement Policy a. An instance of noncompliance was identified over compliance requirement 1(a) from the 2022 Office of Management and Budget (OMB) Compliance Supplement. The District does not have a documented procurement policy. The District ...
7. Deficiency 2022-007 ? Instance of Noncompliance ? Procurement Policy a. An instance of noncompliance was identified over compliance requirement 1(a) from the 2022 Office of Management and Budget (OMB) Compliance Supplement. The District does not have a documented procurement policy. The District should develop and implement a formal procurement policy consistent with Federal, State, and local laws and regulations. b. Plan of Action: The District will undertake a review of best practices regarding procurement policy and will advance resulting recommendations. c. Timeframe: Fiscal year 2023-24
6. Deficiency 2022-006 ? Material Weakness ? Eligibility Verification Review a. A material weakness in controls over compliance was identified for controls over compliance requirement N.1 from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over eligibility verificatio...
6. Deficiency 2022-006 ? Material Weakness ? Eligibility Verification Review a. A material weakness in controls over compliance was identified for controls over compliance requirement N.1 from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over eligibility verification were found not to be implemented. The District should develop and implement policies and procedures to ensure that all eligibility verifications are review in a timely manner and documented appropriately. b. Plan of Action: The District will develop procedures to ensure all eligibility verifications are reviewed timely by an administrator and documented appropriately. c. Timeframe: August 2023
5. Deficiency 2022-005 ? Material Weakness ? Evidence of Review Needed a. A material weakness in controls over compliance was identified for controls over compliance requirement L from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over reporting were found not to be ...
5. Deficiency 2022-005 ? Material Weakness ? Evidence of Review Needed a. A material weakness in controls over compliance was identified for controls over compliance requirement L from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over reporting were found not to be implemented. The District should develop and implement policies and procedures to ensure that all monthly reimbursement reports are reviewed in a timely manner and documented appropriately. b. Plan of Action: The District will implement internal controls to address the need for additional oversight of monthly meal reimbursement reports. c. Timeframe: August 2023
4. Deficiency 2022-004 ? Material Weakness ? Federal Vendor Status Check a. A material weakness in controls over compliance was identified for controls over compliance requirement I(b) from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over suspension and debarment d...
4. Deficiency 2022-004 ? Material Weakness ? Federal Vendor Status Check a. A material weakness in controls over compliance was identified for controls over compliance requirement I(b) from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over suspension and debarment determinations were found not to be implemented. The District should develop and implement policies and procedures to ensure that all suspension and debarment determinations are reviewed in a timely manner and documented appropriately. b. Plan of Action: The District is implementing new protocols to ensure vendors receiving federal dollars are appropriately vetted for suspension or debarment, using SAM.gov. c. Timeframe: New protocols are underway to be established for school year 2023-24.
3. Deficiency 2022-003 ? Material Weakness ? Eligibility Determination a. A material weakness in controls over compliance was identified for controls over compliance requirement E from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over eligibility determinations were...
3. Deficiency 2022-003 ? Material Weakness ? Eligibility Determination a. A material weakness in controls over compliance was identified for controls over compliance requirement E from the 2022 Office of Management and Budget (OMB) Compliance Supplement. Controls over eligibility determinations were found not to be implemented. The District should develop and implement policies and procedures to ensure that all eligibility determinations are reviewed in a timely manner and documented appropriately. b. Plan of Action: The District will develop procedures to ensure all eligibility determinations are reviewed timely and documented appropriately by an administrator. c. Timeframe: Beginning August 2023
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