Corrective Action Plans

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Condition: The Organization?s procurement policy is not consistent with the general procurement standards as defined in Title 2, CFR Part 200. Certain provisions of the Organization?s policies were lacking or not consistent with the policies outlined in the general procurement standards. Pla...
Condition: The Organization?s procurement policy is not consistent with the general procurement standards as defined in Title 2, CFR Part 200. Certain provisions of the Organization?s policies were lacking or not consistent with the policies outlined in the general procurement standards. Planned Corrective Action: The Organization is in the process of reviewing amending its financial control policy manual to be more consistent with the requirements of 2 CFR 200. The revised policy manual is scheduled to be submitted to the Board of Directors for approval at the September board meeting. Contact Person: John Bendon, Director of Finance / Controller Anticipated Completion Date: September 30, 2023
Finding 23369 (2022-002)
Significant Deficiency 2022
The Foundation agrees with and has implemented the recommendation. The Foundation already has a reporting calendar to ensure timely filings and will add dates to review total federal expenditures to the calendar.
The Foundation agrees with and has implemented the recommendation. The Foundation already has a reporting calendar to ensure timely filings and will add dates to review total federal expenditures to the calendar.
Finding 23368 (2022-001)
Significant Deficiency 2022
The Foundation agrees with the recommendation. An internal review is currently in process to evaluate and update policies as needed to address the use of federal funds.
The Foundation agrees with the recommendation. An internal review is currently in process to evaluate and update policies as needed to address the use of federal funds.
Finding 23361 (2022-006)
Significant Deficiency 2022
United States Department of Health and Human Services 2022-006 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over the LCTS Annual Collaborative Report. Explanation of disagreement with audit finding: There is no disagreement with the ...
United States Department of Health and Human Services 2022-006 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over the LCTS Annual Collaborative Report. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will enact a process to ensure the review of the annual collaborative report is documented. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
Finding 23360 (2022-005)
Significant Deficiency 2022
2022-005 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement procedures to ensure collaborative members submit reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to find...
2022-005 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement procedures to ensure collaborative members submit reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will enact a process to ensure all reports are received prior to the reporting deadline. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
Finding 23359 (2022-004)
Material Weakness 2022
United States Department of Health and Human Services 2022-004 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over medical assistance case files. A sample of cases should be reviewed by someone knowledgeable of the program requirements...
United States Department of Health and Human Services 2022-004 Medical Assistance ? Assistance Listing No. 93.778 Recommendation: The County should implement a review process over medical assistance case files. A sample of cases should be reviewed by someone knowledgeable of the program requirements on a periodic basis and documented. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will add a case file documentation process for the casefiles being reviewed. Name(s) of the contact person(s) responsible for corrective action: Heather Olson Auditor/Treasurer Planned completion date for corrective action plan: December 31, 2023
2022-006 CONTROLS OVER REPORTING AND CASH MANAGEMENT (PREVIOUSLY 2021-004) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-T...
2022-006 CONTROLS OVER REPORTING AND CASH MANAGEMENT (PREVIOUSLY 2021-004) Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: NH23IP922628 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance Recommendation: We recommend Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all reports prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place to verify accuracy of all reports prior to submission. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
2022-005 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agenc...
2022-005 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Immunization Cooperative Agreements Assistance Listing Number: 93.268 Federal Award Identification Number and Year: NH23IP922628, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: NH23IP922628 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: We recommend Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all journal entries. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place prior to submission, as well as ensure all support is maintained for disbursements. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
2022-004 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Agriculture Federal Program Name: WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Federal Award Identification Number and Year: 22MN004W10...
2022-004 CONTROLS OVER ALLOWABLE COSTS AND ALLOWABLE ACTIVITIES Federal Agency: U.S. Department of Agriculture Federal Program Name: WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Federal Award Identification Number and Year: 22MN004W1003, 2022 Pass-Through Agency: Minnesota Department of Health Pass-Through Number: 22MN004W1003 Award Period: Year Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended Countryside Public Health Service implement procedures to ensure a formal review process is in place to verify accuracy of all journal entries. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Countryside Public Health Service will implement procedures to ensure a formal review process is in place prior to submission. Name of the contact person responsible for corrective action plan: Liz Auch, Administrator Planned completion date for corrective action plan: December 31, 2023
Manteca Unified School District will direct all sites be mandated to complete and retain (within the digital cume file) the "Student Release and Transfer form" or the "Q Withdrawal Checklist" which will provide written documentation to support the removal of a student from the regulatory adjusted co...
Manteca Unified School District will direct all sites be mandated to complete and retain (within the digital cume file) the "Student Release and Transfer form" or the "Q Withdrawal Checklist" which will provide written documentation to support the removal of a student from the regulatory adjusted cohort. As a method of compliance, sites should run the "Enrollment Status Change" report in Q on a quarterly basis to confirm students removed from the cohort have been correctly identified based on the written documentation. Any discrepancies will be reported to the Student Information Team for correction in the CALPADS data system. The corrective action plan is effective upon acceptance by the Board of Trustees of the annual audit report.
Finding 23347 (2022-004)
Significant Deficiency 2022
2022-004 CONTROLS OVER SPECIAL PROVISIONS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Age...
2022-004 CONTROLS OVER SPECIAL PROVISIONS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2205MN5ADM and 2205MN5MAP Award Period: Year-Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended the County ensure that someone is disbursing the money received to the collaborative in a timely fashion. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County has implemented procedures and policies to have a person ensure payments are made to the Collaborative in a timely manner. Name of the contact person responsible for corrective action plan: Barb Dietz, Human Services Director Planned completion date for corrective action plan: December 31, 2023
Finding 23346 (2022-003)
Significant Deficiency 2022
2022-003 CONTROLS OVER REPORTING Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Agency: Minne...
2022-003 CONTROLS OVER REPORTING Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Medical Assistance Program (Medicaid Cluster) Assistance Listing Number: 93.778 Federal Award Identification Number and Year: 2205MN5ADM and 2205MN5MAP, 2022 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2205MN5ADM and 2205MN5MAP Award Period: Year-Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance Recommendation: It is recommended the County implement procedures to have a secondary person review the reports before they are submitted to the Minnesota Department of Human Services. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County has implemented procedures and policies to have a secondary person review the reports and in a timely manner. Name of the contact person responsible for corrective action plan: Barb Dietz, Human Services Director Planned completion date for corrective action plan: December 31, 2023
Finding 23344 (2022-005)
Significant Deficiency 2022
2022-005 SUSPENSION AND DEBARMENT Federal Agency: U.S. Department of Transportation Federal Program Title: Highway Planning and Construction (Highway Planning and Construction Cluster) Assistance Listing Number: 20.205 Federal Award Identification Number and Year: 2022-M1, 2022 Pass-Through Agency: ...
2022-005 SUSPENSION AND DEBARMENT Federal Agency: U.S. Department of Transportation Federal Program Title: Highway Planning and Construction (Highway Planning and Construction Cluster) Assistance Listing Number: 20.205 Federal Award Identification Number and Year: 2022-M1, 2022 Pass-Through Agency: Minnesota Department of Transportation Pass-Through Number: 2022-M1 Award Period: Year-Ended December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended the County follow its established internal control procedures regardless of familiarity with contractors. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will adhere to established procedures and policies. Name of the contact person responsible for corrective action plan: Wayne Stevens, County Engineer Planned completion date for corrective action plan: December 31, 2023
Compliance with Federal Requirements Recommendation: The Organization should evaluate its internal controls over compliance and implement additional controls over the procurements, including review of all procurements by a second person to ensure proper procedures were followed and documentation of ...
Compliance with Federal Requirements Recommendation: The Organization should evaluate its internal controls over compliance and implement additional controls over the procurements, including review of all procurements by a second person to ensure proper procedures were followed and documentation of those procedures is maintained. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding. In response to the finding, we plan to review all old and new vendors incurring $25,000 or more of costs per year to make sure they have undergone the required suspension and debarment check. Name of the contact person responsible for corrective action: Anna Marshall, Executive Director Planned completion date for corrective action plan: September 2022
View of Responsible Official Management agrees with the auditor?s recommendation and will strengthen procedures on the preparation and review of ROE and the SEFA to ensure the correct amount of expenditures allowable for reimbursement are reported. Management will confirm agreement between the quart...
View of Responsible Official Management agrees with the auditor?s recommendation and will strengthen procedures on the preparation and review of ROE and the SEFA to ensure the correct amount of expenditures allowable for reimbursement are reported. Management will confirm agreement between the quarterly ROE and the general ledger at that time prior to submitting for reimbursement. Further, management is correcting the reimbursement report for the quarter ending March 31, 2023, to account for the $409,485 of questioned costs.
View Audit 22203 Questioned Costs: $1
Elementary and Secondary School Emergency Relief Wage Rate Requirements Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425D Recommendation: CLA recommends that the District implement controls to ensure construction contracts include the proper wording and implement cont...
Elementary and Secondary School Emergency Relief Wage Rate Requirements Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425D Recommendation: CLA recommends that the District implement controls to ensure construction contracts include the proper wording and implement controls to ensure certified payrolls are received and reviewed. We also recommend the district implement controls for monitoring third party contractors when the contractors are responsible for compliance requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The district was contracting with CESA #10 facilities management to oversee the project. The prevailing wage requirement was designated in the bidding process and the district was assured that the prevailing wage rule would be met. Wage reports were requested and maintained by the CESA #10 office. From now on the district will be requesting that these documents be sent on to the district in a timely manner for review and take pictures of the postings at the job site. Name(s) of the contact person(s) responsible for corrective action: Joe Green Planned completion date for corrective action plan: Next capital project
View Audit 18647 Questioned Costs: $1
Elementary and Secondary School Emergency Relief Equipment/Real Property Management Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425C and 84.425D Recommendation: CLA recommends that the District implement proper documentation of controls over maintaining property reco...
Elementary and Secondary School Emergency Relief Equipment/Real Property Management Elementary and Secondary School Emergency Relief ? Assistance Listing No. 84.425C and 84.425D Recommendation: CLA recommends that the District implement proper documentation of controls over maintaining property records for equipment and real property purchased with federal funds and ensure documentation of a physical inventory of capital assets is completed at least every two years. Explanation of disagreement with audit finding: Capital Fixed Asset reports are maintained by the District with designated grant project information attached to the items. Linda Schmitt is using Asset Tiger to track inventory items. Action taken in response to finding: Capital fixed assets will be reviewed every 2 years for retention of items that have been purchased with federal grant funds. Name(s) of the contact person(s) responsible for corrective action
Child Nutrition Cluster Segregation of Duties Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District implement a formal review process over the reporting and verification requirements related to the Child Nutrition Cluster ...
Child Nutrition Cluster Segregation of Duties Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District implement a formal review process over the reporting and verification requirements related to the Child Nutrition Cluster during the fiscal year and properly retain the documentation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This process was completed in the fall of 2022. The person handling this for 2021-22 didn?t complete this process because lunches and breakfasts were all free.. Name(s) of the contact person(s) responsible for corrective action: Lisa Hinker Planned completion date for corrective action plan: Fall of 2022
Child Nutrition Cluster Procurement and Suspension and Debarment Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District review its Uniform Guidance policies with all staff to ensure procurement requirements are understood a...
Child Nutrition Cluster Procurement and Suspension and Debarment Child Nutrition Cluster ? Assistance Listing No. 10.553, 10.555, 10.559 and 10.582 Recommendation: CLA recommends that the District review its Uniform Guidance policies with all staff to ensure procurement requirements are understood and implement controls to ensure compliance. We also recommend the District review and update policies and procedures over review of certain transactions to ensure that all federal grants with covered transactions have vendors reviewed for suspension and debarment status. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The procurement requirements are being reviewed with staff and in-house information will be maintained and approved in-house in the future. Name(s) of the contact person(s) responsible for corrective action: Joe Green or Jeri Haase Planned completion date for corrective action plan: reviewed in 2022-23 and completed for 2023-24
Name of Contact Person: Jadee Draughn, Chief Financial Officer 161 Klevin St., Suite 100, Anchorage, AK jdraughn@campfireak.org 907-257-8802 Finding 2022-001 Material Weakness in Internal Control over Compliance, Material Noncompliance - Allowable Costs/Cost Principles Corrective Action Plan Camp Fi...
Name of Contact Person: Jadee Draughn, Chief Financial Officer 161 Klevin St., Suite 100, Anchorage, AK jdraughn@campfireak.org 907-257-8802 Finding 2022-001 Material Weakness in Internal Control over Compliance, Material Noncompliance - Allowable Costs/Cost Principles Corrective Action Plan Camp Fire will devise a clear and documented, shared-cost allocation methodology that is in compliance with the requirements of the Uniform Guidance, as well as controls over the review of the shared-cost allocation, to ensure reliable reporting. Expected Completion Date Camp Fire will implement a documented, shared-cost allocation by October 2023 based on the finding in our single audit September 2023 for fiscal year 2022.
View Audit 26673 Questioned Costs: $1
Finding 23223 (2022-002)
Significant Deficiency 2022
Corrective Action Plan: This plan will address and be implemented to remedy the Finding 2022-002: Suspension and Debarment Timeline: The Corrective Action Plan was initiated on October 1, 2023. The transition is expected to be completed by October 25, 2023 with ongoing support. Plan and Status of Co...
Corrective Action Plan: This plan will address and be implemented to remedy the Finding 2022-002: Suspension and Debarment Timeline: The Corrective Action Plan was initiated on October 1, 2023. The transition is expected to be completed by October 25, 2023 with ongoing support. Plan and Status of Corrective Action: 1. Beginning October 1, 2023 ?Aha Punana Leo is adding the necessary steps to enhance our Standard Operating Procedure to require storing documentation and evidence to verify that contracted or subaward entities are not suspended, debarred or otherwise excluded from doing business under our grants. We are accepting all reccomendations from our auditors. The additional verification and retention steps will be built into the procurement process to store the evidence in digital files. We will be hosting additional training with our staff to ensure the SOP?s are followed. the organization has reorganized our Fiscal Department and redistributed job duties.
September 28, 2023 John Wysocki Partner GW & Associates PC 4415 West Harrison, Suite 434 Hillside, IL 60162 Re: Finding 2022-001: Controls of Financial Reporting- Illinois Environment Protection (IEPA) Loan Program Dear John, Please find our corrective action plan exp...
September 28, 2023 John Wysocki Partner GW & Associates PC 4415 West Harrison, Suite 434 Hillside, IL 60162 Re: Finding 2022-001: Controls of Financial Reporting- Illinois Environment Protection (IEPA) Loan Program Dear John, Please find our corrective action plan explained below related to finding 2022-001. Corrective Action Plan: The City will produce the reporting recommended in the finding which includes a detailed listing of invoices related to each Federal project. As noted in the finding, the City had organized and reported IEPA loan contractor expenditures in compliance with Illinois state regulations. However, the supporting documentation for these expenditures should also have been organized and prepared for review by Auditors in accordance with Federal guidelines. Going forward, the City will process and organize future IEPA contractor invoices and documentation according to both State and Federal grant requirements and provide the necessary reports needed for audit. Responsible Person: Finance Director, Ben Daish; Public Works Director, Robert Schiller Expected Completion Date: Fall 2023 through Spring 2023 Respectfully Submitted Ben Daish Finance Director
Finding 2022-002 - Reporting U.S. Department of Treasury COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SCLFRF) - ALN 21.027 Reporting Recommendation: We recommend the County implement a procedure to ensure that all required quarterly reports are completed accurately and verity that the...
Finding 2022-002 - Reporting U.S. Department of Treasury COVID-19 Coronavirus State and Local Fiscal Recovery Funds (SCLFRF) - ALN 21.027 Reporting Recommendation: We recommend the County implement a procedure to ensure that all required quarterly reports are completed accurately and verity that the cumulative expenditures agree to the previously submitted quarterly current period expenditures. In addition, we recommend that the County ensure proper correction of previously submitted reports. Corrective Action Plan: We concur with the importance of this recommendation. Our general ledger continues to record properly all transactions but we have duplicated some entries in the US Treasury Reporting System. We will implement by October 20, 2023, a tracking worksheet in which we will post our general ledger transaction data, classifying each expenditure since inception by the "project" and by the quarter in which it was made. We will use the tracking worksheet to complete prior to the due date the report for the quarter ending September 30, 2023. Following that, we will use the tracking worksheet to work with the US Treasury "Help Desk" to determine the proper protocol to resolve all prior reporting duplications and to revise the previous quarterly reports so each quarter's cumulative expenditures agree with the County general ledger. The above work will be completed by December 31, 2023, by the Mercer County Fiscal Administrator. Summary Schedule of Prior Audit Findings Year Ended December 31, 2022 NONE
Finding 23218 (2022-001)
Significant Deficiency 2022
Finding 2022-001 - Internal Control over Financial Reporting and Account Adjustments as described in Section II (impacts two of the major federal programs COVID-19 Emergency Rental Assistance Program (ALN 21.023) and COVID-19 Coronavirus State and Local Fiscal Recovery Funds (ALN 21.027)), Auditor's...
Finding 2022-001 - Internal Control over Financial Reporting and Account Adjustments as described in Section II (impacts two of the major federal programs COVID-19 Emergency Rental Assistance Program (ALN 21.023) and COVID-19 Coronavirus State and Local Fiscal Recovery Funds (ALN 21.027)), Auditor's Recommendation: We recommend that management evaluate their internal controls over the financial reporting process and ensure that an individual is assigned to reconcile balance sheet accounts on a monthly, quarterly, and annual basis. We also recommend that a second individual be assigned to review the reconciliations and ensure that the financial statements are prepared in accordance with GAAP. Corrective Action Plan: The following procedures had been in place in prior years but were not followed completely in preparing trial balances for audit. During the period from January 1 following year-end until the trial balances are submitted for audit, both the Fiscal Office and the Controller's accounts payable processing will continue to evaluate invoices presented for payment. If either the invoice date, the date of delivery of goods or services, or a contractual down payment falls in the prior year, the item will be dated in the prior year. The trial balances of all restricted funds will be evaluated by the Fiscal Administrator to identify unexpended restricted revenues. These will be reclassified to "deferred revenue" accounts on the balance sheet of the respective fund. A representative of the Controller will approve and post those entries to the general ledger. The "payment under protest" of real estate taxes has been unusual in past years. However, we understand that it could be more common until the county-wide reassessment is completed for use in 2026. Accordingly, we will evaluate any such case and adjust the recorded "deferred total amount" to "estimated collection amount" in the current period. All of the above procedures have been re-adopted as of September 27, 2023 to constitute and implement our corrective action plan. We believe the above enhancement of our procedures will maintain our system of internal control to produce timely trial balances for audit and reporting.
Finding 23213 (2022-002)
Significant Deficiency 2022
2022-002. Segregation of Duties Corrective Acton Plan (CAP) a) Actions Planned in Response to the Finding: The Organization has determined the benefit of adequately segregating duties is less than the cost. Based on this assessment, the Organization is accepting the risk posed by the deficiency wh...
2022-002. Segregation of Duties Corrective Acton Plan (CAP) a) Actions Planned in Response to the Finding: The Organization has determined the benefit of adequately segregating duties is less than the cost. Based on this assessment, the Organization is accepting the risk posed by the deficiency while also evaluating mitigating controls that will help reduce the risk of material misstatement of the financial statements. Management is attempting to mitigate the associated risks by doing the following: 1. Identifying areas lacking segregation of duties and where there are higher risks of fraud occurring. 2. Implementing limited segregation to the extent possible to reduce risks without impairing efficiency. 3. Using the knowledge of management and the Board to review accounting records and reports, b) Official Responsible for Ensuring Corrective Action: Brenda Schmitz, Office Manager, will monitor the effectiveness of the above actions and make changes as considered appropriate. c) Planned Completion Date for the Corrective Action: The corrective action plan for this finding will be completed by December 31, 2023. d) Explanation of Disagreement: There is no disagreement with the audit finding. e) Plan to Monitor Completion of Corrective Action: The Board will be monitoring this corrective action plan to review the recommendations and take appropriate action.
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