Corrective Action Plans

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U.S. Department of Health and Human Services Passed through Health Research & Educational Trust (HRET), Federal Financial Assistance Listing #93.318, 87728, Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity, and Security Finding Summary: The...
U.S. Department of Health and Human Services Passed through Health Research & Educational Trust (HRET), Federal Financial Assistance Listing #93.318, 87728, Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity, and Security Finding Summary: The Organization’s procurement policy does not contain all provisions required by Appendix II to 2 CFR Part 200. Additionally, there was no documentation retained supporting a price analysis over the transactions tested. Management’s Response and Corrective Action Plan: We are working to implement additional controls where policies are reviewed in depth and are current in order to ensure procurement, suspension, and debarment policies are properly complied with and documented. Responsible Individuals: Rufus Glasper, President and CEO, and Cynthia Wilson, Vice President for Learning and Chief Impact Officer Anticipated Completion Date: January 2024
Emergency Connectivity Fund Program – Assistance Listing No. 32.009 Recommendation: We recommend the District review grant agreements and check with state agencies, as appropriate, to identify federal funded grants. For SEFA reporting, the determination of when a federal award is expended must be ba...
Emergency Connectivity Fund Program – Assistance Listing No. 32.009 Recommendation: We recommend the District review grant agreements and check with state agencies, as appropriate, to identify federal funded grants. For SEFA reporting, the determination of when a federal award is expended must be based on when the activity related to the federal award occurs. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The District will review any new grant agreements and verify the funding source to determine the appropriate fiscal period for recording expenditures and revenue according to applicable eligibility and availability requirements. Name(s) of the contact person(s) responsible for corrective action: Catherine Watts, Director for Budget and Finance Planned completion date for corrective action plan: December 2023
Corrective Action Plan
Corrective Action Plan
a. Contact person responsible for corrective action: Holly Rogers, CFO
a. Contact person responsible for corrective action: Holly Rogers, CFO
b. Description of correction action to be taken: Requisitions are no longer approved without
b. Description of correction action to be taken: Requisitions are no longer approved without
proper documentation attached, which would include quotes.
proper documentation attached, which would include quotes.
c. Anticipated completion date of corrective action: January 1, 2023
c. Anticipated completion date of corrective action: January 1, 2023
STUDENT CENTERED;
STUDENT CENTERED;
Corrective Action Plan
Corrective Action Plan
a.Contact person responsible for corrective action: Holly Rogers, CFO
a.Contact person responsible for corrective action: Holly Rogers, CFO
b.Description of correction action to be taken: Requisitions are no longer approved withoutproper documentation attached, which would include quotes. The ExecutiveAssistant/Board Clerk has been informed of the narrative required for board minuteswhen dealing with sole-source approval by the board of...
b.Description of correction action to be taken: Requisitions are no longer approved withoutproper documentation attached, which would include quotes. The ExecutiveAssistant/Board Clerk has been informed of the narrative required for board minuteswhen dealing with sole-source approval by the board of trustees.
c.Anticipated completion date of corrective action: November 15, 2023
c.Anticipated completion date of corrective action: November 15, 2023
Corrective Action Plan
Corrective Action Plan
a.Contact person responsible for corrective action: Holly Rogers, CFO
a.Contact person responsible for corrective action: Holly Rogers, CFO
b.Description of correction action to be taken: Will ensure proper narrative wording toencompass all items purchased using that account line.
b.Description of correction action to be taken: Will ensure proper narrative wording toencompass all items purchased using that account line.
c.Anticipated completion date of corrective action: November 15, 2023
c.Anticipated completion date of corrective action: November 15, 2023
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be rev...
Auditor's Recommendation: We recommend the Entity follow their policy and procedures related to purchases. Action Taken: The Organization understands the importance of following current, written policies and procedures for both employees and members of management. Policies and procedures will be reviewed to ensure the appropriate approvals and signatures are obtained. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective du...
Auditor's Recommendation: We recommend the Entity implement adequate controls to ensure the accuracy of the information reported to the Grantor Agency in a timely manner. Action Taken: The Organization will create an electronic calendar with reminders for all reporting requirements and respective due dates. Responsible Official: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
Auditor's Recommendation: We recommend the Entity enhance the design of its control activities and policies and procedures should be developed to ensure physical inventories are taken at least once every two years. Action Taken: The Organization understands the importance of regular physical invento...
Auditor's Recommendation: We recommend the Entity enhance the design of its control activities and policies and procedures should be developed to ensure physical inventories are taken at least once every two years. Action Taken: The Organization understands the importance of regular physical inventories and will implement this control activity for the June 30, 2023 fiscal year end. Responsible Person: John Clemons, Chief Financial Officer Timeline for Implementation: July 31, 2023
Finding Number: 2022-001 Finding Title: Micro-Purchasing Documentation Program: 93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (Journey to Independence) Name of Contact Person Responsible for Corrective Action: Jolene Lambert, Finance and Ben...
Finding Number: 2022-001 Finding Title: Micro-Purchasing Documentation Program: 93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (Journey to Independence) Name of Contact Person Responsible for Corrective Action: Jolene Lambert, Finance and Benefits Coordinator Corrective Action Planned: To keep policies for managing sponsored projects consistent, PACT for Families Collaborative will ensure Uniform Guidance Procurement Standards for all sponsored projects. We will use an updated expenditure authorization process to assure micro-purchases are distributed equitably among qualified suppliers by updating our EAF (Expenditure Authorization Form) to include a process to assure more than one supplier is priced and documented for the most reasonable purchase. Anticipated Completion Date: Ending December 31, 2023
Finding 9275 (2022-002)
Significant Deficiency 2022
The Borough’s accounting department will receive copies of all submissions for payments and/or reimbursements. These submissions will be compared to payments received in prior to payments being made to contractors.
The Borough’s accounting department will receive copies of all submissions for payments and/or reimbursements. These submissions will be compared to payments received in prior to payments being made to contractors.
The Borough will remain aware of the limitations and continually monitor the accounting function.
The Borough will remain aware of the limitations and continually monitor the accounting function.
Grant reporting requirements will be reviewed and monitored to assure reporting deadlines are met. Responsible Party: Cory Robinson and Stephen Howells. Estimated Completion: Ongoing
Grant reporting requirements will be reviewed and monitored to assure reporting deadlines are met. Responsible Party: Cory Robinson and Stephen Howells. Estimated Completion: Ongoing
The desired outcome of this corrective action plan is to retrain all staff working with the MCHC sliding fee discount scale and to have consistent and reliable application of the MCHC sliding fee discount scale to all eligible patients. Corrective Actions MCHC will implement a sliding fee discount ...
The desired outcome of this corrective action plan is to retrain all staff working with the MCHC sliding fee discount scale and to have consistent and reliable application of the MCHC sliding fee discount scale to all eligible patients. Corrective Actions MCHC will implement a sliding fee discount schedule retraining program and engage all front desk staff, health center directors, and billing staff. Training will encompass all aspects of the sliding fee discount scale including but not limited to how individuals register, attest and apply the MCHC sliding fee discount scale. Retraining will be provided on a semiannual basis and include mock tests. This training program will be under the direct supervision of the Chief Operating Officer. All MCHC staff will be refamiliarized with the MCHC policy and procedures that relate to the Sliding Fee Discount Scale as part of the retraining process and will continue to review the Sliding fee discount program policy and procedure on an annual basis. The MCHC Sliding Fee Discount Scale and associated policy and procedure will be updated annually in accordance with policy, and we will ensure that the slide is provided to staff annually. A dedicated staff will be identified and assigned to do spot check reviews of the application of the sliding fee discount scale monthly and this will be implemented immediately. MCHC will provide an annual presentation on the Sliding Fee Discount Scale program to the MCHC Board of Directors that included annual updates to the program. The MCHC policies and procedures related to the Sliding Fee Discount Scale program will be revised to ensure inclusion of the above changes. Goal - Metro Community Health Center is committed to ensuring that we are compliant with all regulations as they relate to the Sliding Fee Discount Program. MCHC’s commitment moving forward is to perform more regular trainings as it relates to the sliding fee discount program as well as more regular review and testing of the program to ensure that the policies that are written are being appropriately applied and administered.
The Project will follow HUD Internal Controls Over Cash Disbursements.
The Project will follow HUD Internal Controls Over Cash Disbursements.
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