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Corrective Action Plans

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Finding 571008 (2024-002)
Significant Deficiency 2024
City of Brainerd
MN
Matching / Level of Effort / Earmarking Reporting Significant Deficiency
Reporting & Earmarking Federal Agency: U.S Department of Treasury Federal Program Name: Coronavirus State & Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Federal Award Identification Number and Year: N/A Pass-Through Agency: N/A Compliance Requirement Affected: Reporting & Earmark...
Reporting & Earmarking Federal Agency: U.S Department of Treasury Federal Program Name: Coronavirus State & Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Federal Award Identification Number and Year: N/A Pass-Through Agency: N/A Compliance Requirement Affected: Reporting & Earmarking Award Period: FY24 Recommendation: We recommend that the City implement procedures and controls to ensure the required reports are accurate before submitting. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action take in response to finding: The City will implement controls to ensure required reports are accurate before submitting. Name of the contact person responsible for corrective action: Connie Hillman, Finance Director Planned completion date for corrective action plan: December 31, 2025
View Audit 361947
Finding 571007 (2024-002)
Significant Deficiency 2024
Morristown Housing Auhtority
TN
HUD Housing Programs Cash Management § 200.05
TVHS will implement a system to ensure the three-day rule is followed.
TVHS will implement a system to ensure the three-day rule is followed.
View Audit 361942
Finding 571005 (2024-005)
Significant Deficiency 2024
Eastern Carolina Human Services Agency, Inc.
NC
HUD Housing Programs Special Tests & Provisions Significant Deficiency
Management will obtain required depository agreements for all HUD bank accounts. Proposed Completion Date: As soon as possible.
Management will obtain required depository agreements for all HUD bank accounts. Proposed Completion Date: As soon as possible.
View Audit 361938
Finding 571003 (2024-004)
Significant Deficiency 2024
Eastern Carolina Human Services Agency, Inc.
NC
HUD Housing Programs Reporting Significant Deficiency
Management will work closely with the audit firm to ensure that the required reporting to HUD is completed by the due date. Proposed Completion Date: Management is currently working to ensure that FY 2022 and 2023 reporting is completed. The FY 2024 submission will be late, but will be completed s...
Management will work closely with the audit firm to ensure that the required reporting to HUD is completed by the due date. Proposed Completion Date: Management is currently working to ensure that FY 2022 and 2023 reporting is completed. The FY 2024 submission will be late, but will be completed shortly after the financial statement audit is completed. Management anticipates that the June 30, 2025 audit and reporting package will be completed by the due date.
View Audit 361938
Finding 570996 (2024-002)
Significant Deficiency 2024
Baptist Community Health Services, Inc.
LA
Reporting
Recommendation - We recommend BCHS submit form SF-425 for all grants in compliance with Federal Financial Reporting requirements. Management's Response - BCHS plans to submit form SF-425 for all grants in compliance with Federal Financial Reporting requirements. Contact Person Responsible for the Co...
Recommendation - We recommend BCHS submit form SF-425 for all grants in compliance with Federal Financial Reporting requirements. Management's Response - BCHS plans to submit form SF-425 for all grants in compliance with Federal Financial Reporting requirements. Contact Person Responsible for the Corrections - Cary Calhoun Anticipated Completion Date - 6/30/2025
View Audit 361935
Finding 570989 (2024-001)
Significant Deficiency 2024
Baptist Community Health Services, Inc.
LA
Internal Control / Segregation of Duties HUD Housing Programs
2024-001 Internal Control Structure Recommendation - We recommend BCHS implement adequate internal controls relating to transaction approval and account reconciliation which provide for approval of all transactions and reconciliation of all accounts on a monthly basis. Management's Response - BCHS w...
2024-001 Internal Control Structure Recommendation - We recommend BCHS implement adequate internal controls relating to transaction approval and account reconciliation which provide for approval of all transactions and reconciliation of all accounts on a monthly basis. Management's Response - BCHS will implement adequate internal control procedures related to reconciliation of all accounts on a yearly basis. Contact Person Responsible for the Corrections - Cary Calhoun Anticipated Completion Date - 12/31/2025
View Audit 361935
Map Development Corporation
RI
HUD Housing Programs Reporting
Current Status – The Corporation coordinated with the independent public accountant to have the various data collection forms submitted and procedures have been developed to submit the data collection form in a more timely manner.
Current Status – The Corporation coordinated with the independent public accountant to have the various data collection forms submitted and procedures have been developed to submit the data collection form in a more timely manner.
View Audit 361933
Ability Connection Colorado, Inc.
CO
Allowable Costs / Cost Principles HUD Housing Programs Reporting
The Organization will strive to meet future reporting deadlines, as it has in the past. Greater emphasis will be placed on identifying issues that may result in delays to facilitate timely resolution of situations with parties outside of the Organization's control.
The Organization will strive to meet future reporting deadlines, as it has in the past. Greater emphasis will be placed on identifying issues that may result in delays to facilitate timely resolution of situations with parties outside of the Organization's control.
View Audit 361924
Finding 570985 (2024-002)
Significant Deficiency 2024
Evergreen Youth & Family Services, Inc.
MN
Subrecipient Monitoring Reporting Significant Deficiency
Transitional Living for homeless Youth – Assistance Listing No. 93.550 Recommendation: It is recommended that the Organization implement controls to monitor program income and ensure that the funds are being properly used before requesting additional federal funds. This could include requiring regul...
Transitional Living for homeless Youth – Assistance Listing No. 93.550 Recommendation: It is recommended that the Organization implement controls to monitor program income and ensure that the funds are being properly used before requesting additional federal funds. This could include requiring regular reporting on the use of program income and conducting periodic reviews to ensure compliance with program requirements. Additionally, the Organization should review its policies and procedures to ensure that they are in compliance with program requirements and make any necessary updates. Finally, the Organization should ensure that all staff members responsible for monitoring program income are properly trained and have a clear understanding of program requirements. Note, the organization implemented the recommendations in April of 2024 after the 2023 audit was completed. However, there was still a portion of 2024 where the process was not implemented. Thus, a repeat finding was warranted Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: During each Payment Management System Draw process, the Finance Director will verify the draw amounts and run a program income and expense report to verify that the amount of miscellaneous expenses for the Transitional Living Program are more than the program income received. A copy of the income and expense statement will be saved in each draw file with the other verification documents. A column for verification initials of this process was added to the ACF Grant Balances Spreadsheet used for recording the draw amounts and dates of the draws. Name(s) of the contact person(s) responsible for corrective action: Julia Montebello, Finance Director Planned completion date for corrective action plan: 4/26/2024
View Audit 361922
Favor, Inc.
CT
Reporting
Close the future accounting records in a timly fashion and submit federal single audit on time.
Close the future accounting records in a timly fashion and submit federal single audit on time.
View Audit 361911
Finding 570982 (2024-001)
Significant Deficiency 2024
Wieder Silver Manor Apartments
OH
Internal Control / Segregation of Duties HUD Housing Programs Significant Deficiency
Supportive Housing for Persons with Disabilities – Assistance Listing No. 14.181 Recommendation: Perform training regarding HUD requirements surrounding Reserve for Replacement Provisions and introduce policies and procedures to prevent oversight of deposit changes. Explanation of disagreement with ...
Supportive Housing for Persons with Disabilities – Assistance Listing No. 14.181 Recommendation: Perform training regarding HUD requirements surrounding Reserve for Replacement Provisions and introduce policies and procedures to prevent oversight of deposit changes. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Management discovered the oversight in August 2024, and the required deposits were immediately made, Management has implemented additional controls to prevent the recurrence of the oversight. Management has already made the required deposit. Name(s) of the contact person(s) responsible for corrective action: Elaine Gimmel, Executive Director Planned completion date for corrective action plan: June 30, 2025 – corrective measure occurred in August 2024, prior to the audit.
View Audit 361908
Finding 570979 (2024-002)
Material Weakness 2024
Shenandoah Community School District
IA
Internal Control / Segregation of Duties Reporting
The district will review the processes for duty segregation of the financial and cash management areas.
The district will review the processes for duty segregation of the financial and cash management areas.
View Audit 361905
St. David's Housing Development Fund Company, Inc.
NY
Subrecipient Monitoring Reporting § 200.512
Finding #2024-001 Prior Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: St. David’s Court agrees with the auditor...
Finding #2024-001 Prior Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: St. David’s Court agrees with the auditor’s ecommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact Kyle Lyskawa, Chief Financial Officer, at (315) 424-1821.
View Audit 361903
Career Development System
IL
Reporting
The System will implement a process to track the submission time of the data collection form and audit package.
The System will implement a process to track the submission time of the data collection form and audit package.
View Audit 361897
Finding 570921 (2024-001)
Significant Deficiency 2024
Thf Highland Oaks Holdings, LLC
TX
Procurement, Suspension & Debarment Subrecipient Monitoring HUD Housing Programs § 200.512
Name of auditee: THF Highland Oaks Holdings, LLC HUD auditee identification number: 115-11319 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Allison Milliorn Position: Chief Executive Officer Telephone number: 830-...
Name of auditee: THF Highland Oaks Holdings, LLC HUD auditee identification number: 115-11319 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Allison Milliorn Position: Chief Executive Officer Telephone number: 830-693-8100 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: Comments on the Finding and Each Recommendation: For the year ended December 31, 2023, the Company did not submit the Data Collection Form (SF-SAC) to the Federal Audit Clearinghouse in the time period required by Uniform Guidance Section 2 CFR 200.512. Action(s) taken or planned on the finding: The Data Collection Form was submitted to the Federal Audit Clearinghouse on May 10, 2024 and management will submit the Data Collection Form timely going forward.
View Audit 361887
Finding 570920 (2024-001)
Significant Deficiency 2024
Thf Vistas Holdings, LLC
TX
Procurement, Suspension & Debarment Subrecipient Monitoring HUD Housing Programs § 200.512
Name of auditee: THF Vistas Holdings, LLC HUD auditee identification number: 115-11319 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Allison Milliorn Position: CEO Telephone number: 830-693-8100 Current Findings on t...
Name of auditee: THF Vistas Holdings, LLC HUD auditee identification number: 115-11319 Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2024 CAP prepared by Name: Allison Milliorn Position: CEO Telephone number: 830-693-8100 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2024-001: Comments on the Finding and Each Recommendation: For the year ended December 31, 2023, the Company did not submit the Data Collection Form (SF-SAC) to the Federal Audit Clearinghouse in the time period required by Uniform Guidance Section 2 CFR 200.512. Action(s) taken or planned on the finding: The Data Collection Form was submitted to the Federal Audit Clearinghouse on May 10, 2024 and management will submit the Data Collection Form timely going forward.
View Audit 361886
Finding 570907 (2024-002)
Material Weakness 2024
Sibley-Ocheyedan Community School District
IA
Internal Control / Segregation of Duties Reporting
The District understands the nature of the weakness and the necessity of oversight and review procedures. The District will review its procedures and continue to implement changes.
The District understands the nature of the weakness and the necessity of oversight and review procedures. The District will review its procedures and continue to implement changes.
View Audit 361879
Finding 570903 (2024-002)
Significant Deficiency 2024
Wright County
MN
Procurement, Suspension & Debarment
SUSPENSION AND DEBARMENT – COVID‐19 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (SLFRF) Recommendation: It is recommended the County ensure they follow theircountywide policies regarding federal suspension and debarment and retain necessary documentation. Explanation of disagreement with audit...
SUSPENSION AND DEBARMENT – COVID‐19 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS (SLFRF) Recommendation: It is recommended the County ensure they follow theircountywide policies regarding federal suspension and debarment and retain necessary documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will ensure they follow their policy related to suspension and debarment. Name of the contact person responsible for corrective action plan: Lindsey Meyer, Finance Director Planned completion date for corrective action plan: December 31, 2025
View Audit 361863
North Bay Human Development Corporation
CA
Reporting § 200.512
2024-001: Late Audit Submission Condition: While the audit report was completed on June 30, 2025, the submission of the audit package to the Federal Audit Clearinghouse (FAC) was not completed until after nine months after the end of the audit period, June 30, 2025, which is the due date for audit ...
2024-001: Late Audit Submission Condition: While the audit report was completed on June 30, 2025, the submission of the audit package to the Federal Audit Clearinghouse (FAC) was not completed until after nine months after the end of the audit period, June 30, 2025, which is the due date for audit report submission. Corrective Action Plan: Daniel V. Walker, CFO inadvertently neglected to maintain an active UEI number per annual registration renewal with SAM.Gov. CFO has implemented a system both electronic and manual to update annual registration with SAM.gov in order to continually maintain active UEI number status. Person(s) Responsible: Daniel V. Walker, CFO Timing for Implementation: Immediate 7-8-2025
View Audit 361862
Finding 570897 (2024-003)
Significant Deficiency 2024
Greater Baton Rouge Food Bank
LA
Reporting
We recognize the importance of accurately preparing the Schedule of Expenditures for Federal Awards (SEFA) to ensure compliance with federal reporting requirements, and agree that, although properly segmented, certain awards were not listed on SEFA. To strenghten this process, we will establish a fo...
We recognize the importance of accurately preparing the Schedule of Expenditures for Federal Awards (SEFA) to ensure compliance with federal reporting requirements, and agree that, although properly segmented, certain awards were not listed on SEFA. To strenghten this process, we will establish a formal review process to evaluate all grant awards for their nature and to confirm whether they should be classified as federal. We will also implement a secondary review of the SEFA by a staff member independent of the initial preparer to ensure accuracy and completeness prior to final submission.
View Audit 361855
Finding 570892 (2024-001)
Significant Deficiency 2024
City of Springfield
MN
Auditor Prepared Financial Statements
Auditor Prepared Financial Statements
View Audit 361829
Finding 570892 (2024-001)
Significant Deficiency 2024
City of Springfield
MN
Name of Contact Person: Amber Dale, City Manager
Name of Contact Person: Amber Dale, City Manager
View Audit 361829
Finding 570892 (2024-001)
Significant Deficiency 2024
City of Springfield
MN
Correction Action: The City Manager will continue to review GASB pronouncements and GASB disclosure checklists to ensure she is aware of financial statement requirements and new pronouncements.
Correction Action: The City Manager will continue to review GASB pronouncements and GASB disclosure checklists to ensure she is aware of financial statement requirements and new pronouncements.
View Audit 361829
Finding 570892 (2024-001)
Significant Deficiency 2024
City of Springfield
MN
Proposed Completion Date: The City Council will implement the above procedures immediately.
Proposed Completion Date: The City Council will implement the above procedures immediately.
View Audit 361829
Finding 570874 (2024-003)
Significant Deficiency 2024
Rice County, Minnesota
MN
Internal Control / Segregation of Duties Eligibility Significant Deficiency
2024-003 Temporary Assistance for Needy Families Program (TANF) (Assistance Listing #93.558) Award #2401MNTANF, Passed through Minnesota Department of Human Services: Grant Period Year Ended December, 31, 2024: Eligibility Requirement Recommendation: It is recommended the County implement procedure...
2024-003 Temporary Assistance for Needy Families Program (TANF) (Assistance Listing #93.558) Award #2401MNTANF, Passed through Minnesota Department of Human Services: Grant Period Year Ended December, 31, 2024: Eligibility Requirement Recommendation: It is recommended the County implement procedures to ensure all required documentation is maintained in the file and that there are procedures in place to review files for errors and omissions in eligibility documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will review their process for data input and recording and remind staff to verify all eligibility requirements are documented for verbal interviews. Name of contact person responsible for corrective action plan: Rick Gieseke, Deputy Administrator Community Services and Deb Purfeerst, Public Health Director. Planned completion date for corrective action plan: December 31, 2025
View Audit 361810
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