Corrective Action Plans

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Corrective Action Plan 1. Policy and Procedure Review and Update During the first quarter of 2025, GHA conducted a comprehensive review of its Housing Choice Voucher policies and since then, provided staff with ongoing standard operating procedures training related to tenant eligibility, annual rece...
Corrective Action Plan 1. Policy and Procedure Review and Update During the first quarter of 2025, GHA conducted a comprehensive review of its Housing Choice Voucher policies and since then, provided staff with ongoing standard operating procedures training related to tenant eligibility, annual recertifications, income calculations, utility allowance determinations, HUD Form 50058 submissions, and file retention. Policies were adopted and has since been amended as needed to clearly define documentation requirements, timelines, and staff responsibilities. Moving forward, supervisors will conduct 20 percent of active participant files annually, reviewed on a monthly basis, to verify that all required documentation is complete, accurate, and compliant with HUD and federal program requirements. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: March 31, 2027 2. Strengthening Internal Controls and File Management GHA implemented standardized file checklists for move-ins, unit transfers, port-ins, annual recertifications, interim reexaminations, and port-outs to ensure all required documents (including eligibility declarations, signed release forms, income verifications, utility allowance calculations, and HUD Form 50058s) are present and complete prior to file review. Supervisory reviews will be documented on 20 percent of active participant files to confirm compliance. In addition, corrective actions will be taken immediately when deficiencies are identified. Results will also be documented and used to guide additional training or process improvements. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Monthly 3. Timely HUD Form 50058 Reporting GHA will reinforce reporting timelines and establish monitoring controls to ensure HUD Form 50058s are submitted accurately and timely in accordance with HUD requirements. Monthly reconciliation reports will be reviewed by supervisory staff to identify and correct late or missing submissions. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Ongoing, with full implementation within 30 days 4. Staff Training and Technical Assistance All HCV staff will receive refresher training on eligibility determinations, income calculation, utility allowance application, documentation requirements, and HUD Form 50058 reporting. Training will emphasize regulatory compliance, record retention, and the importance of complete and accurate tenant files. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Within 90 days 5. File Quality Control Reviews GHA will implement periodic internal quality control reviews of tenant files, by the Chief Operating Officer, to ensure ongoing compliance. A sample of 30 participant files will be reviewed quarterly, and corrective actions will be taken immediately when deficiencies are identified. Results will also be documented and used to guide additional training or process improvements. Responsible Party: Chief Operating Officer Anticipated Completion Date: Quarterly, beginning within 60 days Expected Results Implementation of this corrective action plan will strengthen internal controls, improve documentation accuracy and timeliness, ensure compliance with HUD and federal requirements, and reduce the risk of future audit findings related to tenant eligibility and reporting. Status of Finding: Open – Corrective actions in progress
Findings 1: Income calculation Documentation Issue identified: five(5) tenant files did not contain proper documentation supporting income calculations. Corrective action: the Gainesville Housing Authority will identify and/or develop a standardized income calculation worksheet to be incoporated int...
Findings 1: Income calculation Documentation Issue identified: five(5) tenant files did not contain proper documentation supporting income calculations. Corrective action: the Gainesville Housing Authority will identify and/or develop a standardized income calculation worksheet to be incoporated into the tenant file documentation process. until the worksheet is finalized and implemented, Property Managers are required to use calculation tape to clearly document how income was calculated for each household member and each income source. property managers will attach calculation tape to all income verification documents to demonstrate step by step income calculations. once the standardized income calculator sheet is completed, it will be implemented Authority wide and used consstenty for all applicable transactions. Responsible Staff Property Managers Target completion date: implemented immediately, missing documentation and/or proper income calculation resolved within 30 days. ongoing monitoring: supervisory file reviews and periodic internal audits will be conducted to ensure income calculations are clearly documented and comply with program requirements. Responsible Staff Property Managers; assistant director of housing programs monitoring frequency: quarterly file audits. Finding 2: Missed Annual Inspection Issue Identified: One (1) tenant file did not contain documentation of a required annual public housing unit inspection. Corrective Action: The Gainesville Housing Authority (GHA) has hired a full-time Public Housing Inspector to strengthen inspection oversight and ensure timely completion of annual inspections for all public housing units. The addition of a dedicated inspector provides improved accountability and ensures inspections are conducted and documented in accordance with HUD requirements. Going forward, the Public Housing Inspector is responsible for ensuring that all public housing units receive an annual inspection and that inspection results are properly completed, tracked, and maintained in the tenant file. Responsible Staff: Public Housing Inspector; Property Managers Target Completion Date: Implemented immediately; all units brought into compliance within 30 days of CAP submission. Ongoing Monitoring: If the Public Housing Inspector is unable to gain access to a unit, the reason for the missed inspection will be clearly documented, and the Property Manager will be notified to initiate appropriate lease enforcement or follow-up actions. Management will conduct routine reviews of inspection logs to ensure continued compliance. Responsible Staff: Assistant Director of Housing Programs; Property Manager Monitoring Frequency: Monthly review of inspection logs. Findings 3: Proper Citizenship Documentation Issue Identified: Three (3) tenant files did not have proper citizenship verification documentation. Corrective Action: Citizenship verification requirements have been formally incorporated into the File Review Checklist. Property Managers are now required to verify that the following documents are present in each tenant file: • Unexpired photo identification for all household members age 18 and older • Birth certificates for all household members • Completed Citizenship Certification Forms for all household members This process ensures consistent collection and retention of citizenship documentation at admission and during recertification. Responsible Staff: Property Managers; Intake Specialists Target Completion Date: Implemented immediately; missing documentation resolved within 30 days. Ongoing Monitoring: Internal quality control audits will be conducted for each Property Manager to ensure compliance with citizenship documentation requirements. Any missing documentation will be promptly requested and corrected, and staff will receive refresher training as needed. Responsible Staff: Property Manager; Assistant Director of Housing Monitoring Frequency: audit of all new move in files
Name of Contact Person: Paul Taylor, Superintendent. Recommendation: We recommend the District implement internal controls to ensure their procurement policy is followed. We also recommend updating their contracts with all required language, including the Buy American clause. Correction Action: We w...
Name of Contact Person: Paul Taylor, Superintendent. Recommendation: We recommend the District implement internal controls to ensure their procurement policy is followed. We also recommend updating their contracts with all required language, including the Buy American clause. Correction Action: We will implement internal controls to ensure our procurement policy is followed. We will also update our contracts with all required language, including the Buy American clause. Proposed Completion Date: Immediately.
The fiscal year 2025 annual audit identified a material weakness in internal controls regarding documentation of procurement procedures required under federal or State awards, specifically related to suspension/debarment verification and sole-source justification. Public Library of Charlotte and Mec...
The fiscal year 2025 annual audit identified a material weakness in internal controls regarding documentation of procurement procedures required under federal or State awards, specifically related to suspension/debarment verification and sole-source justification. Public Library of Charlotte and Mecklenburg County Material Weakness Finding 2025-002 Corrective Action Plan: Because of the material weakness finding, the following actions have/will be taken: - When utilizing federal funds, the Library will properly document verification that vendors were not suspended or debarred prior to contract execution in accordance with Uniform Grant Guidance procurement standards. - The Library will ensure that all required documentation supporting sole source vendor selection is completed and retained in accordance with the Library’s procurement policy. Each action stated in the corrective action plan will be completed during and by the end of fiscal year 2026. Responsible Parties: Michael Boger, Deputy Finance Director Angie Myers, Interim CEO & Chief Financial and Administrative Officer (CFO)
Condition: The accounts used to record expenditures in the general ledger and the quarterly expenditure report are inconsistent with the budgeted expenses. Recommendation: We recommend reviewing the general ledger to determine that expenses are coded appropriately per the budget. Management Response...
Condition: The accounts used to record expenditures in the general ledger and the quarterly expenditure report are inconsistent with the budgeted expenses. Recommendation: We recommend reviewing the general ledger to determine that expenses are coded appropriately per the budget. Management Response: The District will review the general ledger to the budget before submitting the expenditure reports. Anticipated Date of Completion: June 30, 2026.
Condition: Expenditure repots for the IDEA Cluster was not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the dued dates. Management response: Management will take th...
Condition: Expenditure repots for the IDEA Cluster was not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the dued dates. Management response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated date of completion: June 30, 2026.
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash 56 days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has ackno...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash 56 days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management deposited the surplus cash amount of $39,601 into residual receipts on November 25, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: November 25, 2024
Finding Number: 2025-001 Condition: Withdrawals totaling $13,846 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Mana...
Finding Number: 2025-001 Condition: Withdrawals totaling $13,846 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management has deposited the underfunded amount of $13,846 to the replacement reserve account on July 10, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: July 10, 2025
CORRECTIVE ACTION PLAN (Concerning Finding 2025-001) Contact Person Responsible for Corrective Action: Meghan Butts, Executive Director Corrective Action: The Upper Valley Lake Sunapee Regional Planning Commission will take the following actions to address finding 2025-001: We will revise our existi...
CORRECTIVE ACTION PLAN (Concerning Finding 2025-001) Contact Person Responsible for Corrective Action: Meghan Butts, Executive Director Corrective Action: The Upper Valley Lake Sunapee Regional Planning Commission will take the following actions to address finding 2025-001: We will revise our existing procurement policy to align with the current requirements outlined in 2 CFR 200. Anticipated Completion Date: February 11th, 2026
Finding Number: 2025-001 Condition: The Organization accrued for and expensed an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls to e...
Finding Number: 2025-001 Condition: The Organization accrued for and expensed an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls to ensure the invoice approval process is adequate for professional fees to ensure expenses are charged to the project that incurred the cost. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: June 30, 2025
Finding Number: 2025-002 Condition: During testing of tenant files, it was noted that the EIV report was missing for one tenant. Planned Corrective Action: Management has acknowledged the noncompliance and related internal control deficiency over compliance and will implement proper procedures and c...
Finding Number: 2025-002 Condition: During testing of tenant files, it was noted that the EIV report was missing for one tenant. Planned Corrective Action: Management has acknowledged the noncompliance and related internal control deficiency over compliance and will implement proper procedures and controls to ensure EIV is properly utilized. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: June 30, 2026
Finding Number: 2025-001 Condition: The Organization paid for expenses and an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over co...
Finding Number: 2025-001 Condition: The Organization paid for expenses and an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management received reimbursement from the other project on September 8, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: September 8, 2025
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash seven days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has ac...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash seven days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management deposited the surplus cash amount of $8,731 into residual receipts on October 7, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: October 7, 2024
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash eight days after the deadline as stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash eight days after the deadline as stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management made the required deposit of surplus cash into residual receipts on October 8, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: October 8, 2024
Finding Number: 2025-001 Condition: Withdrawals totaling $8,603 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Manag...
Finding Number: 2025-001 Condition: Withdrawals totaling $8,603 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management has deposited the underfunded amount of $8,603 to the replacement reserve account on September 3, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: September 3, 2025
Management’s View: During the recent audit, a finding was identified within the Sliding Fee Discount Program (SFDP) related primarily to data entry errors, incomplete documentation, and lack of proper review. Errors included incorrect or missing income calculations, misclassification of SFDP categor...
Management’s View: During the recent audit, a finding was identified within the Sliding Fee Discount Program (SFDP) related primarily to data entry errors, incomplete documentation, and lack of proper review. Errors included incorrect or missing income calculations, misclassification of SFDP categories, and inaccuracies entered into the EHR. These discrepancies were attributed to inconsistent staff performance, insufficient oversight, and gaps in training. Since the audit, the former Office Manager and two front desk employees responsible for SFDP data entry have left the organization. Proposed Corrective Action: 1. Strengthening Oversight & Accountability Office Manager Signature Required on ALL SFDP Forms signifying they have reviewed for accuracy, completeness, verified income documentation, ensure calculations are correct, and confirm appropriately and accurately entered into Athena software. 2. Updated Workflow & Process Improvement 3. Training & Competency Development - Annual Refresher Training (All Front Office Staff) The next training has already been scheduled for the week of December 8th. 4. Onboarding Process for New Front Office Employees A strengthened onboarding process will ensure new hires understand the SFDP accurately from day one. 5. Ongoing Monitoring & Quality Assurance Monthly Internal Reviews The Office Manager will audit a percentage of SFDP applications monthly, they will be documented and accuracy rates will be documented for all frontdesk staff. The Director of Administration will ensure these are maintained monthly. 6. Reinforcing the Importance of SFDP Accuracy Anticipated Completion Date: No later then December 31, 2025 Responsible Official: Diana Salcedo, Director of Administration
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and recognizes the need for enhanced controls over tenant selection and admissions. 4 | P a g e Planned Corrective Action: The Authority will update, formally adopt, and implement its Admissions and Continued...
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and recognizes the need for enhanced controls over tenant selection and admissions. 4 | P a g e Planned Corrective Action: The Authority will update, formally adopt, and implement its Admissions and Continued Occupancy Policy (ACOP) and Administrative Plan to clearly define HUD-compliant waiting list management, preferences, tenant selection, and admissions procedures. Staff training will be conducted, and management will perform ongoing compliance reviews. Sustainability Measures: Admissions and waiting list controls will be sustained through formal policy adoption, recurring staff training, documented compliance reviews, and periodic policy updates to ensure ongoing alignment with HUD Public Housing and HCV program requirements.
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding regarding insufficient documentation of program- level controls. Planned Corrective Action: The Authority will standardize and consistently utilize HUD-compliant checklists and forms to document compliance wi...
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding regarding insufficient documentation of program- level controls. Planned Corrective Action: The Authority will standardize and consistently utilize HUD-compliant checklists and forms to document compliance with program requirements, including inspections, eligibility determinations, and ongoing monitoring activities. Files will be periodically reviewed to ensure completeness and consistency. Sustainability Measures: The Authority will sustain program compliance by integrating checklist usage into daily operations, conducting routine file reviews, and retaining documentation to demonstrate continued adherence to HUD program requirements during monitoring and audits.
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges HUD’s requirements for maintaining effective internal controls in accordance with applicable HUD regulations and guidance. The Authority acknowledges that required reports were not always sub...
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges HUD’s requirements for maintaining effective internal controls in accordance with applicable HUD regulations and guidance. The Authority acknowledges that required reports were not always submitted timely. Planned Corrective Action: A formal compliance and reporting calendar will be established identifying all required HUD, state, and audit-related submissions, including responsible staff and submission deadlines, to ensure timely and accurate reporting in accordance with HUD requirements. Management will conduct periodic monitoring to ensure timely and accurate reporting. Sustainability Measures: Reporting controls will be sustained through ongoing use of the compliance calendar, documented management reviews, and periodic reassessment of reporting requirements to reflect HUD and state regulatory changes.
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges that internal controls were not consistently documented. Planned Corrective Action: Management will prepare, implement, and maintain a centralized internal control manual documenting HUD-requ...
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges that internal controls were not consistently documented. Planned Corrective Action: Management will prepare, implement, and maintain a centralized internal control manual documenting HUD-required controls over key operational and financial processes, including inspections, rent calculations, eligibility determinations, and file reviews. Supporting documentation will be retained in tenant and administrative files. Sustainability Measures: Internal control documentation will be maintained as a living resource, reviewed periodically, and updated as HUD regulations or program requirements change. Management will ensure continued staff awareness and adherence through training and routine file monitoring.
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges HUD’s requirements for maintaining effective internal controls in accordance with applicable HUD regulations and guidance. The Authority acknowledges that written waiting list policies and co...
Auditee’s Response and Planned Corrective Action: Management concurs with the audit finding and acknowledges HUD’s requirements for maintaining effective internal controls in accordance with applicable HUD regulations and guidance. The Authority acknowledges that written waiting list policies and consistent documentation were not fully implemented. Planned Corrective Action: The Authority will develop, formally adopt, and implement HUD-compliant written waiting list policies and procedures for the Housing Choice Voucher and Public Housing programs, consistent with applicable HUD regulations. Staff will be trained in these procedures, and compliance will be monitored through periodic supervisory reviews. Sustainability Measures: The Authority will sustain compliance by incorporating waiting list procedures into formal policy, providing recurring staff training, and performing documented supervisory reviews. Policies and procedures will be reviewed periodically to ensure continued alignment with HUD Housing Choice Voucher and Public Housing requirements.
Management shall establish and maintain procedures within its federal grants policy to ensure compliance with all applicable federal reporting requirements, including the timely, accurate, and complete submission of required reports.
Management shall establish and maintain procedures within its federal grants policy to ensure compliance with all applicable federal reporting requirements, including the timely, accurate, and complete submission of required reports.
Management has hired a Grants Manager who is responsible for developing and maintaining a comprehensive schedule of all federal awards and funding sources to ensure proper tracking, monitoring, and compliance with applicable federal requirements.
Management has hired a Grants Manager who is responsible for developing and maintaining a comprehensive schedule of all federal awards and funding sources to ensure proper tracking, monitoring, and compliance with applicable federal requirements.
See response for finding 2025-006
See response for finding 2025-006
BPHA has initiated corrective actions to strengthen internal procedures to ensure all files include fully executed HAP contracts. A standardized file review process will be implemented that includes periodic file reviews to ensure all documents required are complete and included.
BPHA has initiated corrective actions to strengthen internal procedures to ensure all files include fully executed HAP contracts. A standardized file review process will be implemented that includes periodic file reviews to ensure all documents required are complete and included.
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