Corrective Action Plans

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The Division will enhance controls to ensure timely submission of reports and that there is segregation of duties between the report preparer and reviewer. Reports will be reviewed prior to submission and the review and submission of reports to granting agencies will be documented. A schedule of re...
The Division will enhance controls to ensure timely submission of reports and that there is segregation of duties between the report preparer and reviewer. Reports will be reviewed prior to submission and the review and submission of reports to granting agencies will be documented. A schedule of reports will be added to the TSAMM during the review and approval of new contracts. We will also work with our funders to extend reporting due dates. Anticipated Completion Date: 12/31/25. Responsible Contact Person: Yohannes Gedlu, NW Divisional Finance Director & Julie Luft, NW Social Services Director
Finding 2024-001 – Program Reporting Requirements – Internal Control Over Compliance – Significant Deficiency Federal Programs Information: Funding Agency: Economic Development Administration Title: Economic Adjustment Assistance Assistance Listing Number: 11.307 Award year and number: 2020 and 08-...
Finding 2024-001 – Program Reporting Requirements – Internal Control Over Compliance – Significant Deficiency Federal Programs Information: Funding Agency: Economic Development Administration Title: Economic Adjustment Assistance Assistance Listing Number: 11.307 Award year and number: 2020 and 08-79-05447 Pass-through entity: Not applicable Type of Finding: Significant Deficiency in internal control over compliance (reporting) Funding Agency: Department of Treasury Title: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Award year and Number(s): 2021 and SLFRP2505 and SLFRP4740 Pass-through entity: Not applicable Type of Finding: Significant Deficiency in internal control over compliance (reporting) Name of the contact person responsible for corrective action: Sam Rowe, Accounting Manager Phone number of the contact person responsible for corrective action: (405) 395-5000 Anticipated completion date for corrective action: July 15, 2025 Action to be taken in response to the finding: The Department will review the reporting deadlines outlined in all award documents/contracts and setup automated reminders and sign-offs to document the completion and submission of the reports. Management view of the finding: There is no disagreement with the audit finding.
Management will insure the audited financial statement are filed into the REAC system within 90-days after year-end.
Management will insure the audited financial statement are filed into the REAC system within 90-days after year-end.
1) Effective 3/7/25, reports and requests for reimbursements are being reviewed, signed and dated by the Executive Director prior to submission to ensure the reports and requests for reimbursements are not incomplete or inaccurate; and 2) Financial Policy addressing the Deficiency in Internal Contro...
1) Effective 3/7/25, reports and requests for reimbursements are being reviewed, signed and dated by the Executive Director prior to submission to ensure the reports and requests for reimbursements are not incomplete or inaccurate; and 2) Financial Policy addressing the Deficiency in Internal Controls over Compliance were already in place during the audit period. These policies were reviewed by the Board of Directors on 6/11/25 and found to align with the best practices and compliance requirements. Following the audit, we have also taken steps to reinforce the adherence and ensure consistent implementation across all relevant areas. Responsible Parties: Brandi Senters, Finance Director, will be responsible for implementation, with oversight from Interim Executive Director, Bernie Jackson.
Subject: 2024-002 Material Weakness – Procurement and Suspension and Debarment Noncompliance Federal Agency: Department of the Treasury Federal Program: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Compliance Requirement: Procurement and Suspension and Debarmen...
Subject: 2024-002 Material Weakness – Procurement and Suspension and Debarment Noncompliance Federal Agency: Department of the Treasury Federal Program: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Compliance Requirement: Procurement and Suspension and Debarment Audit Finding: Material Weakness – Procurement and Suspension and Debarment Noncompliance Recommendation: The auditor recommends the City develop and implement formal written procedures to ensure suspension and debarment checks are performed on all CSLFRF transactions and documented appropriately. Planned Corrective Action: The City agreed with the recommendation and plans to implement corrective action plan by December 31, 2025. Staff are in the process of drafting internal policies for adoption by the appropriate boards to address this item as soon as possible for any of our grant funds not managed by a third-party administrator.
Finding: Inaccurate Reporting Schedule of Expenditures of Federal Awards and State Financial Assistance (SEFA). Corrective Action Taken: The corrective action plan to resolve the inaccurate SEFA reporting is to update the procedure for the preparation and review of the Federal and State reporting r...
Finding: Inaccurate Reporting Schedule of Expenditures of Federal Awards and State Financial Assistance (SEFA). Corrective Action Taken: The corrective action plan to resolve the inaccurate SEFA reporting is to update the procedure for the preparation and review of the Federal and State reporting requirements and to increase staff training. Contact Name(s); Michelle Quigley, Finance Bureau Chief, Chelsey Mills-Coleman, Finance Bureau Section Administrator, and Lin Feng, Finance Bureau Section Leader. Corrective Action Completion Date: 12/31/2025
Management concurs with the finding. The Organization acknowledges the oversight in not reporting subawards exceeding $30,000 in the FFATA Subaward Reporting System (FSRS), which was due to a lack of awareness regarding this specific requirement after hand-over transitions to new staff. To address ...
Management concurs with the finding. The Organization acknowledges the oversight in not reporting subawards exceeding $30,000 in the FFATA Subaward Reporting System (FSRS), which was due to a lack of awareness regarding this specific requirement after hand-over transitions to new staff. To address this, the Organization is developing formal procedures to ensure full compliance with all FFATA reporting. These will include clearly defined responsibilities and training relevant staff and internal reviews to verify ongoing compliance, to ensure timely submission of required reports. The organization is committed to strengthening internal controls to ensure transparency, maintain compliance with federal grant regulations, and prevent recurrence of this issue. Responsible Person: Director, Ethics & Compliance
Management acknowledges the importance of maintaining accessible and complete documentation to support all transactions charged to federal grants. The inability to provide the requested approvals for certain transactions was due to the challenging security conditions in some country offices during t...
Management acknowledges the importance of maintaining accessible and complete documentation to support all transactions charged to federal grants. The inability to provide the requested approvals for certain transactions was due to the challenging security conditions in some country offices during the audit period. To strengthen documentation access and retention, the Organization has transitioned to NetSuite, where backup documentation for transactions is now stored centrally on the cloud and can be easily accessed by headquarters staff. This change enhances our ability to ensure timely review, approval, and audit readiness, regardless of field conditions. We remain committed to continuous improvement of our internal controls and documentation practices. Responsible Person: Country Finance Directors
The Town is now duly aware of its responsibilities pertaining to this program and will comply with the program requirements for suspension and debarment including evaluation and documentation for program expenditures.
The Town is now duly aware of its responsibilities pertaining to this program and will comply with the program requirements for suspension and debarment including evaluation and documentation for program expenditures.
Recommendation: The City should adopt policies and procedures and improve controls necessary to ensure there is evidence of processes for inspection of suspended or debarred vendors. Action Taken: Management has agreed with this deficiency and has taken several steps to ensure processes are in plac...
Recommendation: The City should adopt policies and procedures and improve controls necessary to ensure there is evidence of processes for inspection of suspended or debarred vendors. Action Taken: Management has agreed with this deficiency and has taken several steps to ensure processes are in place to prevent payments to vendors who are suspended or debarred vendors. In FYE 2024, the City implemented a workflow check for debarment in the procurement procedures. Additional steps were taken in FY 2025 to add debarment language to contracts and invoices, and to obtain certification statements from vendors. Work continues on a draft of a grants policy and procedures document expected to be formalized and adopted in 2025.
FINDINGS— FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL PROGRAMS DEPARTMENT OF AGRICULTURE 2024 – 002 Community Facilities Loans and Grants Recommendation: Management should continue to focus on making operational improvements to achieve the minimum level of Historical Debt Service Coverage of 1.25...
FINDINGS— FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL PROGRAMS DEPARTMENT OF AGRICULTURE 2024 – 002 Community Facilities Loans and Grants Recommendation: Management should continue to focus on making operational improvements to achieve the minimum level of Historical Debt Service Coverage of 1.25, as required. Action taken in response to finding: The Hospital will continue to make operational improvements to achieve the minimum level of Historical Debt Service Coverage of 1.25 . Name of the contact person responsible for corrective action: Carli Taylor, Chief Financial Officer. Planned completion date for corrective action plan: December 31, 2025 If the Department of Health and Human Services has questions regarding this plan, please call Carli Taylor, Chief Financial Officer at 660.385.8716 .
Corrective Actions Taken or Planned: The current procedure in the Financial Manual for procurement will need to be enforced and monitored closely. The procedure does include a guide for what should be included with contracts before being submitted for signature. This section will be updated to inclu...
Corrective Actions Taken or Planned: The current procedure in the Financial Manual for procurement will need to be enforced and monitored closely. The procedure does include a guide for what should be included with contracts before being submitted for signature. This section will be updated to include all purchases over $10,000, same as stated in the first paragraph of the procedure. The limit for this may change to $25,000 when the financial manual is updated. The staff who submit’s the voucher for payment will be responsible for attaching all necessary paperwork as required by our procurement procedure. This should include documentation for the basis of selection or justification for lack of competition, and proof that suspension and debarment was checked. Contact person(s) responsible for corrective action: Gina Brown, CFO Anticipated Completion Date: September 2025
Corrective Actions Taken or Planned: Create procedures by the type of required reporting by grantor, as necessary. The procedure will include what and how the required report will be completed, who will and/or should review the required report, including signature for proof, and when the required re...
Corrective Actions Taken or Planned: Create procedures by the type of required reporting by grantor, as necessary. The procedure will include what and how the required report will be completed, who will and/or should review the required report, including signature for proof, and when the required report should be completed. Procedures will be added to the accounting department procedures and shared with staff as necessary. This is a work in progress and will continue to be adjusted as necessary. Contact person(s) responsible for corrective action: Gina Brown, CFO Anticipated Completion Date: September 2025
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Bryant Edgerton, Board Chairman
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Bryant Edgerton, Board Chairman
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact:Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact:Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
Corrective Action Plan: The Project is doing all that is within its control to get the vacant units rented. Auditee Contact: Lisa Poteat (The Arc of North Carolina, Inc.), Management Agent
CORRECTIVE ACTION PLAN Name of auditee: Bellflower Oak Street Manor Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: October 1, 2023 through September 30, 2024 CAP prepared by: Name: Sean Calendar Position: Director of Accounting Telephone: (916) 357-5300 Comments: Man...
CORRECTIVE ACTION PLAN Name of auditee: Bellflower Oak Street Manor Name of audit firm: Propp Christensen Caniglia LLP Period covered by the audit: October 1, 2023 through September 30, 2024 CAP prepared by: Name: Sean Calendar Position: Director of Accounting Telephone: (916) 357-5300 Comments: Management agrees with the 2024-001 finding. Actions: Management will implement policies and procedures to ensure the monthly deposit to the replacement reserve is made in accordance with HUD regulations. Additionally, management will fund $19,824 of additional reserve deposits to make the account whole; $9,912 for the current period’s unfunded deposits and an additional $9,912 for unfunded deposits from prior period, as reported in finding 2023-01.
Description of Finding: Pass-through grant agreements required quarterly reconciliation reports to be filed with the grantor within 5 days after the conclusion of the quarter. Four quarterly reports were not filed with the grantor, resulting in noncompliance with one grant agreement. We acknowled...
Description of Finding: Pass-through grant agreements required quarterly reconciliation reports to be filed with the grantor within 5 days after the conclusion of the quarter. Four quarterly reports were not filed with the grantor, resulting in noncompliance with one grant agreement. We acknowledge that, purely due to oversight, quarterly reports were not filed for one pass-through grant. We did, however, provide progress reports on the funded project when we submitted reimbursement and advance payment requests to the grantor towards the end of the year, resulting in payment without question or feedback regarding quarterly report omission. Corrective Action: The Charleston Area Alliance is committed to timely and accurate grant reporting and grant compliance. We will promptly submit all past due grant reports, and will review our grant administration process, creating reminders to ensure future grant reports are submitted on a timely basis. Contact Persons: Debra S. James, CPA, Chief Financial Officer 304-340-4253 djames@charlestonareaalliance.org Mara C. Boggs, Chief Executive Officer 304-340-4253 mboggs@charlestonareaalliance.org Anticipated Completion Date: July 5, 2025
Description of Finding: The audit team noted insufficient supervisory review and approval procedures related to the grant reporting function, specifically, a lack of documented supervisory review and approval prior to submission of grant reports which increases the risk of grant reporting errors or...
Description of Finding: The audit team noted insufficient supervisory review and approval procedures related to the grant reporting function, specifically, a lack of documented supervisory review and approval prior to submission of grant reports which increases the risk of grant reporting errors or omissions. As previously noted, 2024 was a year of transition with respect to executive leadership of the Charleston Area Alliance. Grant reporting previously handled at the executive level was delegated to experienced financial and program leaders within the organization who prepared grant reports collaboratively and reviewed reports prior to their submission. We acknowledge that approval of reports may not have been documented in writing other than in emails, and that reports were at times approved verbally prior to submission. Corrective Action: We will maintain written documentation of review and approval of future grant reports prior to submission. Contact Persons: Debra S. James, CPA, Chief Financial Officer 304-340-4253 djames@charlestonareaalliance.org Mara C. Boggs, Chief Executive Officer 304-340-4253 mboggs@charlestonareaalliance.org Anticipated Completion Date: July 1, 2025
CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Identifying Number(s): Finding No. 2024-002 Finding: TechnoServe’s controls failed to prevent overpayments for seven equipment procurements due to a fraud scheme involving local companies who submitted inflated invoices. Collusion among multip...
CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Identifying Number(s): Finding No. 2024-002 Finding: TechnoServe’s controls failed to prevent overpayments for seven equipment procurements due to a fraud scheme involving local companies who submitted inflated invoices. Collusion among multiple TechnoServe employees at one field office location to bypass the organization’s standard procurement controls. Corrective Actions Taken or Planned: Responsible Official: Smitha Allapat, Sr. Director Finance, Global Controller Anticipated Completion Date: June 1, 2025 View of Responsible Individuals: TechnoServe’s internal audit team uncovered potential bid rigging in a procurement purchase leading to overcharge of costs related to the purchase. The team found the vendor proposal was suspicious, the vendor site visit report lacked detail and several of the country staff were involved with the vendor making the process rigged. TechnoServe promptly ensured all overage costs were reported to the donor and moved them to unallowable costs. All the staff directly involved with the procurement was terminated. TechnoServe will implement following additional measures: 1. Enhance in-country leadership oversight - Country Directors will directly participate in bid analysis committees for procurements worth $50,000 and above. This is the only feasible means by which to prevent fraud when multiple staff are colluding to rig the bidding process. 2. Enhance regional/HQ oversight - The HQ/Regional team will increase oversight for procurements worth $50,000 and above through a thorough review of backup documentation, including non-shortlisted bids, and, as warranted, direct participation in the bid analysis committee. Additionally, the regional procurement managers will be empowered with a veto over procurement decisions that seem suspect. 3. Mandatory public advertisement - Procurements worth $50,000 and above, that go through a formal solicitation will be required to be publicly advertised for a reasonable period of time (not less than 7 days). Further, proof of advertisement, such as a copy of the web or newspaper posting will be required to be attached to the audit record. 4. Provide In-country procurement training: TechnoServe will ensure that the country team receives additional training relating to procurement to ensure their understanding both of their responsibilities when participating in a procurement exercise and the ethical requirements generally. These actions, taken together, will help TechnoServe to prevent or rapidly detect similar schemes going forward.
The Community Development Division took corrective actions regarding submission of HUDs Integrated Disbursement and Information System (IDIS) Cash on Hand Quarterly Reports (formerly known as Federal Financial Report /Standard Form SF-425). Moving forward, the Cash on Hand Quarterly Reports will be ...
The Community Development Division took corrective actions regarding submission of HUDs Integrated Disbursement and Information System (IDIS) Cash on Hand Quarterly Reports (formerly known as Federal Financial Report /Standard Form SF-425). Moving forward, the Cash on Hand Quarterly Reports will be submitted within IDIS every quarter and no later than 30 days after the last day of each reporting quarter and will be reviewed by a supervisor prior to submission. As the grantee, we understand HUDs Cash On Hand Quarterly Report is required every quarter, regardless of whether expenses were incurred or not, once the project(s) has begun.
Finding 2024-001 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting ...
Finding 2024-001 Significant Deficiency in Internal Control over Compliance, Noncompliance - Reporting Name of Contact Person: Cynthia Beatus, IGAP Coordinator Corrective action plan: The IGAP Coordinator will ensure that the annual federal financial report (FFR) will be submitted within the 120 day timeframe of the end of the project period. Proposed Completion Date: September 30, 2025
South Landry Parish Housing Authority P.O. Drawer E Grand Coteau, LA 70541 Phone: (337) 662-3573 Fax: (337) 662-3583 HOUSING AUTHORITY OF SOUTH LANDRY PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Corrective Action Plan Finding: Finding 2024-001-Re-examination Of Tena...
South Landry Parish Housing Authority P.O. Drawer E Grand Coteau, LA 70541 Phone: (337) 662-3573 Fax: (337) 662-3583 HOUSING AUTHORITY OF SOUTH LANDRY PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED DECEMBER 31, 2024 Corrective Action Plan Finding: Finding 2024-001-Re-examination Of Tenant Eligibility and Rent Not Timely Done-Special Tests Condition: Tenant eligibility and rent should be examined on an annual basis, as required by federal regulations. Corrective Action Planned: I am Denise Moore, Executive Director and Designated Person to answer this audit finding. We will do as the auditor recommends and timely do the re-exams in the future. Person responsible for corrective action: Denise Moore, Executive Director Telephone: (337) 662-3573 South Landry Parish Housing Authority Fax: (337) 662-3583 P.O. Drawer E Grand Coteau, LA 70541 Anticipated Completion Date: December 31, 2025
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