Corrective Action Plans

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Management concurs with the audit finding. The County’s Subrecipient Monitoring Policy and our compliance review project, initiated in 2022, has allowed us to continue to ensure that all subrecipient’s are monitored during the contract period noted in the contractual agreements. We have identified a...
Management concurs with the audit finding. The County’s Subrecipient Monitoring Policy and our compliance review project, initiated in 2022, has allowed us to continue to ensure that all subrecipient’s are monitored during the contract period noted in the contractual agreements. We have identified and updated the annual monitoring plan to ensure that all subrecipient are monitored and incompliance with the 2 CFR 200.331 federal standards.
VIEWS OF RESPONSIBLE OFFICIALS & CORRECTIVE ACTION PLAN: Management will begin the single audit process as soon as possible when the books close. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Actions Planned in Response to Finding: The Organization ...
VIEWS OF RESPONSIBLE OFFICIALS & CORRECTIVE ACTION PLAN: Management will begin the single audit process as soon as possible when the books close. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Actions Planned in Response to Finding: The Organization will implement the recommendation. Officials Responsible for Ensuring CAP: The Organization’s appointed staff member is the official responsible for ensuring corrective action. Planned Completion Date for CAP: The planned completion date for the CAP is December 31, 2023. Plan to Monitor Completion of CAP: The Board of Directors will be monitoring this corrective action plan.
VIEWS OF RESPONSIBLE OFFICIALS & CORRECTIVE ACTION PLAN: Management will ensure they have a process to be informed of applicable training, attend all trainings and peer staff will have the ability to attend trainings when required to do so. Explanation of Disagreement with Audit Finding: There is no...
VIEWS OF RESPONSIBLE OFFICIALS & CORRECTIVE ACTION PLAN: Management will ensure they have a process to be informed of applicable training, attend all trainings and peer staff will have the ability to attend trainings when required to do so. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Actions Planned in Response to Finding: The Organization will implement the recommendation. Officials Responsible for Ensuring CAP: The Organization’s appointed staff member is the official responsible for ensuring corrective action. Planned Completion Date for CAP: The planned completion date for the CAP is December 31, 2023. Plan to Monitor Completion of CAP: The Board of Directors will be monitoring this corrective action plan.
Personnel Responsible for Corrective Action: This initiative was a collaboration between the Finance Grants Team, Brandie Hall and Bobby Morris-Culp, and the COO, Jennifer Johnson, representing the programs side of the contract. Anticipated Completion Date: A proper Time Activity Report was implemen...
Personnel Responsible for Corrective Action: This initiative was a collaboration between the Finance Grants Team, Brandie Hall and Bobby Morris-Culp, and the COO, Jennifer Johnson, representing the programs side of the contract. Anticipated Completion Date: A proper Time Activity Report was implemented October 1, 2022. Corrective Action Plan: Although Foster Adopt Connect did not receive the results from the 2021 Independent Audit conducted by other auditors until November of 2022, due to the close time proximity, was able to design a compliant Time Activity Report and have staff utilize said reports to track time beginning October 1, 2022, which was the beginning of the FFY/Contract funding period. This would indicate that this is not in fact, a repeat finding.
The Organization is transitioning to a new digital software to electronically receive meal counts
The Organization is transitioning to a new digital software to electronically receive meal counts
View Audit 9222 Questioned Costs: $1
The Organization is working with their financial institution to see if statement closing dates can better align with the reporting period. The Organization will perform the reconciliation if no changes can be made with the bank
The Organization is working with their financial institution to see if statement closing dates can better align with the reporting period. The Organization will perform the reconciliation if no changes can be made with the bank
The Organization is in the process of working to obtain a general ledger system and someone that can assist the Organization in maintaining the system
The Organization is in the process of working to obtain a general ledger system and someone that can assist the Organization in maintaining the system
Name of Auditee: County of Allegany, New York Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended December 31, 2022 CAP Prepared by: Terri Ross, Allegany County Treasurer Phone: 585-268-9290 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Audit...
Name of Auditee: County of Allegany, New York Name of Audit Firm: EFPR Group, CPAs, PLLC Period Covered by the Audit: Year ended December 31, 2022 CAP Prepared by: Terri Ross, Allegany County Treasurer Phone: 585-268-9290 (A) Current Finding on the Schedule of Findings and Questioned Costs (1) Audit Finding 2022-001 (a) Comments on the finding and recommendation: The County agrees with the finding. The County also agrees with the recommendation. See below for actions taken. (b) Actions Taken: Management will work to ensure that information is obtained in a timely manner to ensure that reporting deadlines are met. (c) Anticipated Completion Date: Management anticipates this finding will be resolved by December 31, 2023.
Corrective Action Plan: The Finance Department of Boys & Girls Clubs of Greater Milwaukee, Inc. will implement a hard close on a monthly basis where accounts are reviewed and reconciled on a monthly basis. Responsible Person for Corrective Action: Marta Kwiatkowski, Vice President of Administration ...
Corrective Action Plan: The Finance Department of Boys & Girls Clubs of Greater Milwaukee, Inc. will implement a hard close on a monthly basis where accounts are reviewed and reconciled on a monthly basis. Responsible Person for Corrective Action: Marta Kwiatkowski, Vice President of Administration & Chief Financial Officer Implementation Date for Corrective Action: December 31, 2023
Significant Deficiency in Internal Control over Compliance 2022-002: Recommendation: Management should keep records of approval for all changes in an employee’s gross compensation in the employee’s personnel file. Management’s Response: A Standard Operating Procedure has been created to outline the ...
Significant Deficiency in Internal Control over Compliance 2022-002: Recommendation: Management should keep records of approval for all changes in an employee’s gross compensation in the employee’s personnel file. Management’s Response: A Standard Operating Procedure has been created to outline the workflow of the Personnel Action Form. Additionally, a new process has been created where the Human Resources (HR) Analyst sends biweekly excel sheets to Payroll and copies the HR Director with any pay changes. Copies of the Personnel Action forms are attached and the HR Director confirms that all Personnel Action Forms have been placed in the employee’s file. Lastly, two days a month, the HR Analyst is to ensure all filing is up to date. Personnel Responsible: Executive Director of Human Resources Anticipated completion date: Ongoing
Finding 2022-004 - Strengthen controls surrounding program-related record keeping including increasing the frequency of reconciliation's and program wage allocation procedures to match the payroll cycle. Program Affected Under the U.S. Department of Health and Human Services - Award Year October 1,...
Finding 2022-004 - Strengthen controls surrounding program-related record keeping including increasing the frequency of reconciliation's and program wage allocation procedures to match the payroll cycle. Program Affected Under the U.S. Department of Health and Human Services - Award Year October 1, 2021 - September 30, 2022: Assistance Listing 93.262 Occupational Safety and Health Program Corrective Action The Organization agrees with the finding. The Organization has implemented both time and effort reporting by pay period and wage reconciliations as part of a monthly close process. Responsible individual - JJ Bartlett Completion 9/30/2023
View Audit 9150 Questioned Costs: $1
Finding 7034 (2022-002)
Material Weakness 2022
The Executive Director and Deputy Director will review and approve all reporting submissions to ensure they are being reported timely in accordance with grant requirements.
The Executive Director and Deputy Director will review and approve all reporting submissions to ensure they are being reported timely in accordance with grant requirements.
Condition and Cause: As part of our federal compliance testing we reviewed supporting documentation used to submit claims for lunch and breakfast programs. Our review noted one instance where the breakfast meals were submitted as lunch meals. Questioned Costs: $7,864 Criteria: Districts must s...
Condition and Cause: As part of our federal compliance testing we reviewed supporting documentation used to submit claims for lunch and breakfast programs. Our review noted one instance where the breakfast meals were submitted as lunch meals. Questioned Costs: $7,864 Criteria: Districts must submit monthly claims for reimbursement for meals served to eligible students within 60 days following the last day of the month covered by the claim. Each month’s claim for reimbursement and all data used in the claims review process must be maintained on file. Accurate records must be maintained justifying all meals claimed and documenting that all Program funds were spent only on allowable Child Nutrition Program costs. Effect: If incorrect amounts are reported, the District could either receive disallowed aid, or be missing out on additional aid. Auditor’s Recommendation: We recommend the District review of current procedures for compiling and reporting the information submitted in order to verify accurate claims are submitted to DPI. Grantee Response: The District is working with DPI to correct the claims and will implement procedures to ensure that claims are accurate. Contact Person: Jessica Lien Anticipated Completion: Ongoing
View Audit 9024 Questioned Costs: $1
VIEWS OF RESPONSIBLE OFFICIALS AND PLANNED CORRECTIVE ACTION: Management agrees with the finding and will implement a process to maintain all payroll allocations.
VIEWS OF RESPONSIBLE OFFICIALS AND PLANNED CORRECTIVE ACTION: Management agrees with the finding and will implement a process to maintain all payroll allocations.
Finding: The Organization had contradicting support for the income eligibility documentation for two clients. All documentation supported the conclusion that the client was eligible based on their income, however the lack of consistent evidence results in the conclusion that proper review and appro...
Finding: The Organization had contradicting support for the income eligibility documentation for two clients. All documentation supported the conclusion that the client was eligible based on their income, however the lack of consistent evidence results in the conclusion that proper review and approval of this documentation is not occurring. Corrective Action Taken or Planned: An Eligibility and Retention Specialist was hired March 10, 2023, whose sole responsibilities pertain to eligibility. Name of Contact Person: Jacob Ducey, Grants Manager Phone Number of Contact Person: (540) 907-4555 Projected Completion Date: October 31, 2023
Finding: The Organization allowed payroll related costs to be submitted for reimbursement under the grant for time that did not match approved timesheets. This is not in compliance with program allowable cost requirements. The amount of payroll and related costs discovered to be incorrect was a net...
Finding: The Organization allowed payroll related costs to be submitted for reimbursement under the grant for time that did not match approved timesheets. This is not in compliance with program allowable cost requirements. The amount of payroll and related costs discovered to be incorrect was a net amount of $25, which when projected onto the remaining payroll and related costs that were not tested, amounted to $1,038. Corrective Action Taken or Planned: The Organization will review audit findings and ensure accurate future reimbursements, develop a comprehensive process for verifying time sheets against service delivery, and implement a paper timesheet system in which supervisors must enter time based on timesheets, ensuring 1:1 reimbursement. Name of Contact Person: Jacob Ducey, Grants Manager Phone Number of Contact Person: (540) 907-4555 Projected Completion Date: October 31, 2023
View Audit 9001 Questioned Costs: $1
Management concurs with the finding and will establish written policies and procedures to maintain supporting documentation for at least three years and ensure funds are used per HUD’s authorization.
Management concurs with the finding and will establish written policies and procedures to maintain supporting documentation for at least three years and ensure funds are used per HUD’s authorization.
The project was transferred over to a new management company. The new management company has written policies and procedures in place that provide guidelines for how the project will ensure compliance with 24 CFR Code of Federal Regulations to HUD Real Estate Assessment Center (REAC)
The project was transferred over to a new management company. The new management company has written policies and procedures in place that provide guidelines for how the project will ensure compliance with 24 CFR Code of Federal Regulations to HUD Real Estate Assessment Center (REAC)
Finding 6934 (2022-001)
Significant Deficiency 2022
Significant Deficiency Federal Program: Summer Food Service Program for Children Federal Agency: U.S. Department of Agriculture Federal Award Year: 2022 Individual responsible for corrective action: Date corrective action will be implemented: Nadia Martinez / Executive Director December 29, 2023 Res...
Significant Deficiency Federal Program: Summer Food Service Program for Children Federal Agency: U.S. Department of Agriculture Federal Award Year: 2022 Individual responsible for corrective action: Date corrective action will be implemented: Nadia Martinez / Executive Director December 29, 2023 Response: In FY 2022, our organization experienced a major weakness in internal controls over expenditures for the Food Service Program for Children, as highlighted in Finding 2022-001 of the recent financial audit. The audit found that our systems of internal control contained neither detection nor prevention elements. This raised doubts about whether we have adequate controls to prevent or detect instances of noncompliance with grant requirements. Our internal review has shown that the deficiency derives from weaknesses in our processes and systems, which failed to appropriately authorize or approve expenditures based on compliance with the Uniform Guidance. We realize the urgency in resolving this situation for proper management of federal awards under federal statutes, regulations and award terms. Corrective Action: To rectify the identified deficiency and align with the auditor's recommendation, our organization is implementing a comprehensive Corrective Action Plan. We have engaged a reputable CPA consulting firm specializing in internal controls and federal compliance. This firm will enter into a rigorous inspection of existing procedures to identify weaknesses and suggest improvements in prevention and help us greatly strengthen detection procedures. We recognize that skill upgrading and greater understanding of the task at hand among our staff, especially those with financial management or grant administration responsibilities are extremely important. Therefore, we will have special training sessions. These meetings will focus on the special demands of the Uniform Guidance and underline the importance of adhering to internal control measures. This applies to a full-scale review and improvement of the internal control over expenditures. This entails redefining the granting of authorization and approval procedures, as well as separating duties which must be met within the federal guidelines. It also involves installing checks and balances to ensure strict compliance with these guidelines. In view of the importance of adhering to standards for internal control, we promise to follow best practices as defined in the "Standards for Internal Control in the Federal Government" by the Comptroller General of the United States and the "Internal Control Integrated Framework" by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Determined as we are to constantly improve, our organization will use a systematic approach in order to monitor compliance with internal controls. Under this scheme, regular reporting and analysis is used to quickly find potential problems. It will be a transparent and all-inclusive monitoring process. Our organization knows just how important documentation is, and we will build a robust system in line with federally required documents. This system provides transparency and accountability in our financial management activities, taking another step toward compliance with requirements for responsible stewardship of federal funds. We will continue to co-operate closely with our CPA consulting firm and the auditing body until we can prove that there is significant progress in eliminating the large-scale deficiency. Thank you for your guidance. We will continue to improve our internal controls at the highest level possible so as to meet and exceed federal standards. This comprehensive Corrective Action Plan will be effective immediately.
2022-002 – Activities Allowed/Allowable Costs Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – Prevention, Women’s Specialty Services, Administration Criteria: As required by 2 CFR 200.402, the total cost of a Federal award is the sum of the allo...
2022-002 – Activities Allowed/Allowable Costs Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – Prevention, Women’s Specialty Services, Administration Criteria: As required by 2 CFR 200.402, the total cost of a Federal award is the sum of the allowable direct and allocable indirect costs less any applicable credits. Condition: For the timecard tested, all paid time off was charged to the grant. However, based on the percentage allocations in the timecard, only a portion should have been charged to the grant. Cause/Effect: Management oversight. Unallowable costs were charged to the grant. Recommendation: We recommend that the Entity review the internal controls over approval of payroll costs and modify them, if necessary, to assure that only allowable costs are charged to grants. View of Responsible Official: Management is in agreement with this recommendation. Planned corrective action: Management will work with the third party payroll processor to implement a payroll audit process to assure that timecards are entered as submitted. Responsible party: Chief Financial Officer Anticipated completion date: September 30, 2024
2022-001 – Communications with Subrecipients Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – SAPT COVID Supplement ALN 93.959 – Prevention, Women’s Specialty Services, Administration ALN 93.959 – Treatment/AMS Criteria: As required by 2 CFR 200....
2022-001 – Communications with Subrecipients Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – SAPT COVID Supplement ALN 93.959 – Prevention, Women’s Specialty Services, Administration ALN 93.959 – Treatment/AMS Criteria: As required by 2 CFR 200.332, the pass-through entity must communicate specific information to subrecipients, as applicable. Condition: Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the Entity update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation. Planned corrective action: FY2023 contracts with subrecipients have been partially updated with the required language and all required language will be included in the FY2024 contracts with subrecipients. Responsible party: Chief Financial Officer Anticipated completion date: September 30, 2024
Effective fiscal year 2023, Good Neighbor Settlement House, Inc will monitor and produce a monthly report of federal expenditures. This action plan will allow Good Neighbor Settlement House, Inc to identify at the end of each fiscal year the need for a Single Audit.
Effective fiscal year 2023, Good Neighbor Settlement House, Inc will monitor and produce a monthly report of federal expenditures. This action plan will allow Good Neighbor Settlement House, Inc to identify at the end of each fiscal year the need for a Single Audit.
FINDING NO. 2022-004: Ineffective Internal Controls over Expenditure Report Preparation Condition: The Organization’s internal controls over the preparation and review of grant expenditure reports were not properly followed during the current fiscal year. Certain expenditure reports submitted to ...
FINDING NO. 2022-004: Ineffective Internal Controls over Expenditure Report Preparation Condition: The Organization’s internal controls over the preparation and review of grant expenditure reports were not properly followed during the current fiscal year. Certain expenditure reports submitted to HRSA were not timely filed: • The Medicaid cost report is due to Illinois Healthcare and Family Services (HFS) within 180 days after the close of the Clinic’s fiscal year. The Organization filed this report on September 8, 2022 for year-end June 30, 2021. • The Medicare cost report is due to Centers for Medicare & Medicaid Services (CMS) on November 30th, 2021 but was not submitted until December 6, 2021 Plan: CHESI is implementing procedures to ensure all reports are filed timely to avoid being out of compliance. Anticipated Date of Completion: December 31, 2023 Name of Contact Person: Kanci Houston, CEO
FINDING NO. 2022-003: Ineffective Internal Controls over Sliding Fee Revenues Condition: During the compliance testing of the Uniform Guidance “Special Tests and Provisions – Sliding Fee Applications” requirements, we noted the following exceptions: • Three (3) out of thirty-four (34) were miss...
FINDING NO. 2022-003: Ineffective Internal Controls over Sliding Fee Revenues Condition: During the compliance testing of the Uniform Guidance “Special Tests and Provisions – Sliding Fee Applications” requirements, we noted the following exceptions: • Three (3) out of thirty-four (34) were missing applications. • Fourteen (14) out of thirty-four (34) sliding fee adjustments were calculated incorrectly based on the sliding fee schedule. • One (1) out of thirty-four (34) sliding fee adjustments were not properly applied to the patient’s account. Plan: CHESI has implemented a new workflow process to ensure compliance with the program requirements of the sliding fee program. CHESI has developed a new sliding fee procedure and trained all staff to ensure the applications are complete and signed by the patient, income is verified, the proper discount is calculated based on the sliding fee schedule, the proper amount of discount is applied to the patient’s account, and the application is approved and signed by the Billing Manager. All sliding fee applications will also be scanned into the patient’s chart once completed and approved. Anticipated Date of Completion: December 31, 2023 Name of Contact Person: Kanci Houston, CEO
Establish procedures to reconcile the general ledger to expenditures reported to government agencies. Create a separate liability account for each award with a corresponding schedule identifying the purpose and required use of the funds and basic requirements such as the period of performance to en...
Establish procedures to reconcile the general ledger to expenditures reported to government agencies. Create a separate liability account for each award with a corresponding schedule identifying the purpose and required use of the funds and basic requirements such as the period of performance to enhance monitoring and tracking. Develop written accounting procedures for recognition of expenditures and grant income. Provide training and resources to staff involved in federal award compliance and reporting.
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