Corrective Action Plans

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COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest HHS guidelines.. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to fi...
COVID-19 Provider Relief Funding Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest HHS guidelines.. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Hospital will ensure that controls are put into place to present lost revenues in accordance with HHS guidelines. Name of the contact person responsible for corrective action: Al White, CFO. Planned completion date for corrective action plan: February 1, 2023
Finding 21364 (2022-001)
Significant Deficiency 2022
Corrective Action: We will be creating universal tick sheets for the elementary and secondary schools. The internal control will be more manageable when we make this change. The tick sheets will be on separate sheets for breakfast and lunch and there will be a signature line on each sheet in orde...
Corrective Action: We will be creating universal tick sheets for the elementary and secondary schools. The internal control will be more manageable when we make this change. The tick sheets will be on separate sheets for breakfast and lunch and there will be a signature line on each sheet in order to identify the employee that ticked during the meal. All Student Nutrition employees will be instructed to use the standardized tick sheet and will be advised not to make any change to the form. Due Date of Completion: December 31, 2022 Responsible Party: Director of Student Nutrition
Finding ref number: 2022-001 Finding caption: The District overcharged indirect costs and fringe benefits to the Education Stabilization Fund Program. Name, address, and telephone of District contact person: Kira Acker 905 West 9th Street Port Angeles WA 98363 360-565-3755 Corrective action the a...
Finding ref number: 2022-001 Finding caption: The District overcharged indirect costs and fringe benefits to the Education Stabilization Fund Program. Name, address, and telephone of District contact person: Kira Acker 905 West 9th Street Port Angeles WA 98363 360-565-3755 Corrective action the auditee plans to take in response to the finding: The district has removed all 2022-2023 payroll expenses associated with fringe benefits charged against ESSER III. In addition, the unrestricted indirect percentage rate of 13.17% will be charged against the remaining ESSER III reimbursements. Anticipated date to complete the corrective action: 6/1/2023
View Audit 18481 Questioned Costs: $1
U.S. Department of Housing and Urban Development 2022-001: Section 8 Housing Assistance Payments Program ? Assistance Listing No. 14.195 Recommendation: Management should review its internal control procedures to ensure proper oversight over the payroll disbursement process surrounding earned time p...
U.S. Department of Housing and Urban Development 2022-001: Section 8 Housing Assistance Payments Program ? Assistance Listing No. 14.195 Recommendation: Management should review its internal control procedures to ensure proper oversight over the payroll disbursement process surrounding earned time payouts. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Upon realization of the overpayment, Human Resource (HR) and Payroll have developed a new process where the hourly rates are to be verified and validated prior to the processing of an earned time payout. This process is for all employees that remain employed but are no longer eligible to accrue earned time, thus requiring their earned time to be paid out. On the bi-weekly HR changes worksheet, HR will denote what the hourly rate should be upon pay out of the earned time. Payroll will then cross-check the hourly rate and the earned time hours prior to processing payroll. Name(s) of the contact person(s) responsible for corrective action: Jonathan Allia, Vice President of Finance Planned completion date for corrective action plan: August 1, 2022 If the U.S. Department of Housing and Urban Development has questions regarding this plan, please call Jonathan Allia, Vice President of Finance at 617-971-5762.
View Audit 20747 Questioned Costs: $1
Corrective Action Plan Crestwood Court, Inc. Finding: 2022-001 Failure to Submit the Annual Financial Statements by the Due Date Corrective Action: As the Center for Human Services (CHS) continues to work through the challenges of staffing, the timeliness of filings has been emphasized and assigned ...
Corrective Action Plan Crestwood Court, Inc. Finding: 2022-001 Failure to Submit the Annual Financial Statements by the Due Date Corrective Action: As the Center for Human Services (CHS) continues to work through the challenges of staffing, the timeliness of filings has been emphasized and assigned to the lead Jr Accountant. Along with this, CHS will be hiring a Director of Finance for closer monitoring of such tasks to facilitate filing compliance. Additionally, the Audit Services RFP process will begin in March of each renewal year to provide an expanded window to secure an audit firm. Contact Person: Vickie Akin, Chief Financial Officer Anticipated completion date: CHS is actively searching for a Director of Finance. We anticipate completing this process by December 31, 2022.
The district has hired an additional person to help with grant reporting. Part of the job is to keep track of the grant funded employees making sure we are receiving either timecards, PARS, or Semi-certifications for the employee's time worked in the grant. Name of Contact Person and Completion Date...
The district has hired an additional person to help with grant reporting. Part of the job is to keep track of the grant funded employees making sure we are receiving either timecards, PARS, or Semi-certifications for the employee's time worked in the grant. Name of Contact Person and Completion Date: Name 1: Heidi Duford Anticipated Completion Date - 6/30/2024
View Audit 18760 Questioned Costs: $1
Management acknowledges that Form SF-425, Federal Financial Report (Form SF-425) was not completed in a timely manner. This was corrected in fiscal year 2023 when Form SF-425 was submitted and accepted by the grantor. There was no penalty for submitting Form SF-425 in fiscal year 2023. Internal cont...
Management acknowledges that Form SF-425, Federal Financial Report (Form SF-425) was not completed in a timely manner. This was corrected in fiscal year 2023 when Form SF-425 was submitted and accepted by the grantor. There was no penalty for submitting Form SF-425 in fiscal year 2023. Internal control policies and procedures have now been established to ensure that Form SF-425 will be completed and submitted in a timely manner on a biannual basis. All funds for this grant have been drawn down and the final Form SF-425 has been submitted per grant guidelines.
2022-001- Noncompliance regarding Reporting ALN #93.498 Provider Relief Funds U.S. Department of Health & Human Services As soon as I was aware of the mistake that was made for the Single Federal Audit for Phase @ & 3 of the CARES Act funding, it was evident that I used amounts that was in a FY in...
2022-001- Noncompliance regarding Reporting ALN #93.498 Provider Relief Funds U.S. Department of Health & Human Services As soon as I was aware of the mistake that was made for the Single Federal Audit for Phase @ & 3 of the CARES Act funding, it was evident that I used amounts that was in a FY instead of CY financials. The program we use, Share Point for billing and receipts automatically defaults to FY which again, was incorrect. This went through 4 different hands and did not get noticed before reporting. I immediately contacted HRSA Provider Relief Support to report the incorrect information and to see if I could revise my reporting. Unfortunately, that can't be done. One the deadline for reporting takes place, it is then locked and cannot be retrieved. I asked if there was anything I could do and her reply was to keep the corrections with what I reported in case I was to be audited. Ongoing reporting will be confirmed for the correct time frames as required.
Finding 21349 (2022-001)
Material Weakness 2022
Finding 2022-001 ? Allowable Costs/Cost Principles The District concurs with the finding 2022-001. Corrective Action: The District understands the importance of compliance with all federal grants and will make the appropriate steps to ensure compliance. Moving forward, the District will develop a mo...
Finding 2022-001 ? Allowable Costs/Cost Principles The District concurs with the finding 2022-001. Corrective Action: The District understands the importance of compliance with all federal grants and will make the appropriate steps to ensure compliance. Moving forward, the District will develop a monthly sign off for all teachers to complete if any of their salary is being covered under any Federal grant. This documentation will be housed will all grants applications and resources for annual review. Contact Person: Ryan Smith, School Business Administrator 518-537-6281 rsmith@germantowncsd.org
Finding No. 2022-003: Eligibility (Significant Deficiency - Internal Control Over Compliance) Audit Recommendation: We recommend the City be more diligent in following its policies and procedures for tracking, documenting and performing HQS inspections and taking appropriate action timely when an...
Finding No. 2022-003: Eligibility (Significant Deficiency - Internal Control Over Compliance) Audit Recommendation: We recommend the City be more diligent in following its policies and procedures for tracking, documenting and performing HQS inspections and taking appropriate action timely when an owner fails to correct HQS deficiencies identified. Administration?s Comments: The City will follow policies and procedures to ensure tracking, documenting and performing HQS inspections and timely appropriate actions are taken when owner fails to correct HQS deficiencies. Anticipated Completion Date: Effective immediately (March 2023)
View Audit 17972 Questioned Costs: $1
Finding No. 2022-002: Subrecipient Monitoring (Significant Deficiency - Internal Control Over Compliance) Audit Recommendation: Management should create policies and procedures to ensure required monitoring procedures are performed and completed timely. Administration?s Comment: The City will a...
Finding No. 2022-002: Subrecipient Monitoring (Significant Deficiency - Internal Control Over Compliance) Audit Recommendation: Management should create policies and procedures to ensure required monitoring procedures are performed and completed timely. Administration?s Comment: The City will adhere to policies and procedures for the timely performance of required monitoring, including the review and issuance of monitoring reports. The City will prepare a schedule for targeted monitoring and comprehensively track these projects. The City acknowledges that the finding was caused in part by the aforementioned staffing-related issues which the City has attempted to address and will continue to attempt to address by filling the vacant positions responsible for monitoring. Anticipated Completion Date: June 2023 (for the monitoring related issues including issuance of reports). Ongoing (until the Post Development Monitoring Section is fully staffed)
Finding 21339 (2022-002)
Significant Deficiency 2022
The fever scanner had not been opened at the time of the equipment information submission from the facilities director?s secretary. The serial number had been submitted for the laptop that was purchased from a separate vendor and the cost was well below the capital assets threshold. Since fever scan...
The fever scanner had not been opened at the time of the equipment information submission from the facilities director?s secretary. The serial number had been submitted for the laptop that was purchased from a separate vendor and the cost was well below the capital assets threshold. Since fever scanners were no longer in use, the laptop had been given to an employee and could not be located. The fever scanners are all in storage but could not be identified because the serial number was for the laptop. The District will try and maintain proper records for all equipment. Misti Flowers, District Treasurer June 1, 2023 Action Started June 30, 2023 Action completed
RESPONSE: The following is Food Service Director Deanna Gilbert?s response: Not going in and adding the addition meals until the end of the month to keep from the meals being added twice. The Management company director handed out the right completed meals but the paperwork did not back up the comp...
RESPONSE: The following is Food Service Director Deanna Gilbert?s response: Not going in and adding the addition meals until the end of the month to keep from the meals being added twice. The Management company director handed out the right completed meals but the paperwork did not back up the components in the meal. Double check all paperwork to make sure the meal components are all listed on the Production record. Deanna Gilbert, Child Nutrition Director June 1, 2023 Action started June 30, 2023 Action completed
Finding 21336 (2022-003)
Significant Deficiency 2022
We will contact DESE for guidance regarding this matter and implement proper controls over program expenditures. Misti Flowers, District Treasurer June 1, 2023 Action Started June 30, 2023 Action completed
We will contact DESE for guidance regarding this matter and implement proper controls over program expenditures. Misti Flowers, District Treasurer June 1, 2023 Action Started June 30, 2023 Action completed
View Audit 17870 Questioned Costs: $1
Finding 2022-004 ? Lack of Data Available to Audit the Federal Allowable Activities, Allowable Costs, Cash Management, Procurement or Special Tests and Provisions Compliance Requirements (Other Matter) Capital Fund Program ? Assistance Listing No. 14.872; Grant period ? fiscal year ended March 31, 2...
Finding 2022-004 ? Lack of Data Available to Audit the Federal Allowable Activities, Allowable Costs, Cash Management, Procurement or Special Tests and Provisions Compliance Requirements (Other Matter) Capital Fund Program ? Assistance Listing No. 14.872; Grant period ? fiscal year ended March 31, 2022 Corrective Action The Commission will maintain, and make available for audit, data applicable to the Capital Fund Program Allowable Activities, Allowable Costs, Cash Management, Procurement and Special Tests and Provisions compliance requirements. Laurie Ingram, Executive Director, has assumed the responsibility of maintaining and making available for audit, data applicable to the Capital Fund Program Allowable Activities, Allowable Costs, Cash Management, Procurement and Special Tests and Provisions compliance requirements and expects the deficiencies which led to this Finding to be resolved by February 28, 2023.
Finding 2022-003 ? Lack of Data Available to Audit the Federal Compliance Requirements Applicable to the Section 8 Housing Choice Program (Material Weakness, Potential Material Noncompliance) Section 8 Housing Choice Voucher Program ? Assistance Listing No. 14.871; Grant period ? fiscal year ended M...
Finding 2022-003 ? Lack of Data Available to Audit the Federal Compliance Requirements Applicable to the Section 8 Housing Choice Program (Material Weakness, Potential Material Noncompliance) Section 8 Housing Choice Voucher Program ? Assistance Listing No. 14.871; Grant period ? fiscal year ended March 31, 2022 Corrective Action The Commission will maintain, and make available for audit, data applicable to the Section 8 Housing Choice Voucher Program compliance requirements. Laurie Ingram, Executive Director, has assumed the responsibility of maintaining and making available for audit, data applicable to the Section 8 Housing Choice Voucher Program compliance requirements and expects the deficiencies which led to this Finding to be resolved by February 28, 2023.
Finding 2022-002 ? Lack of Data Available to Audit the Federal Compliance Requirements Applicable to the Public Housing Program (Material Weakness, Potential Material Noncompliance) Public Housing Program ? Assistance Listing No. 14.850a; Grant period ? fiscal year ended March 31, 2022 ...
Finding 2022-002 ? Lack of Data Available to Audit the Federal Compliance Requirements Applicable to the Public Housing Program (Material Weakness, Potential Material Noncompliance) Public Housing Program ? Assistance Listing No. 14.850a; Grant period ? fiscal year ended March 31, 2022 Corrective action The Commission will maintain, and make available for audit, data applicable to the Public Housing Program compliance requirements. Laurie Ingram, Executive Director, has assumed the responsibility of maintaining and making available for audit, data applicable to the Public Housing Program compliance requirements and expects the deficiencies which led to this Finding to be resolved by February 28, 2023.
2022-015 Recommendation: The School Board did not adhere to its policies and procedures regarding purchasing documentation. Supporting documentation relating to receipt of goods was not present for some disbursements. The School Board should adhere to their policies and procedures and ensure that...
2022-015 Recommendation: The School Board did not adhere to its policies and procedures regarding purchasing documentation. Supporting documentation relating to receipt of goods was not present for some disbursements. The School Board should adhere to their policies and procedures and ensure that all required documentation is maintained. Corrective Action Plan: To ensure that receipt of goods is properly documented prior to invoice payment, the following process will be implemented effective immediately: (1) As of 7/1/2022, inventory received by each school site will be verified for documentation of receipt (signature) by CNS Office Coordinator/ Accounts Payable, (2) Inventory received without documentation of receipt will be verified with computer entry of inventory received by Area Supervisor assigned to that school; receiving date, quantity received, and price will be verified and signature will be obtained, (3) Documentation of receipt for inventory received that has not been processed for payment will be reviewed by Area Supervisor prior to submission to CNS Office Coordinator for payment, (4) School Site Cafeteria Managers and Technicians have received notification of and training on this requirement, (5) Area Supervisors will review all inventory receipts when conducting routine monitoring, and (6) The CNS Office Coordinator will be the final check to ensure that receipt of goods is properly documented.
View Audit 26549 Questioned Costs: $1
2022-014 Recommendation: There were inadequate controls over documentation in personnel files. Supporting documentation relating to education necessary to meet minimum job requirements and experience are not being properly maintained in the personnel files. The School Board should adhere to their ...
2022-014 Recommendation: There were inadequate controls over documentation in personnel files. Supporting documentation relating to education necessary to meet minimum job requirements and experience are not being properly maintained in the personnel files. The School Board should adhere to their policies and procedures and ensure that all required documentation is maintained. Corrective Action Plan: Moving forward, Pam Belmore has been assigned the task of auditing personnel files to ensure the correct experience and education information is in the files. She is starting with the grant-funded positions first, per Anthony Mouton?s suggestion. Also, Madeline Guilbeau, Employee Services data Technician, has been given the role of checking certification requirements for non-teaching/non-instructional personnel. Some employees are given a grace period of 60 to 90 days to pass different certification/licensure exams. Ms. Guilbeau will be responsible for ensuring that these employees meet said requirements. She will begin with ensuring that all grant-funded employees are up to date and then move on to other employees.
View Audit 26549 Questioned Costs: $1
2022-009 Recommendation: The School Board did not adhere to its policies and procedures regarding purchasing documentation. Supporting documentation relating to receipt of goods was not present for some disbursements. The School Board should adhere to their policies and procedures and ensure that...
2022-009 Recommendation: The School Board did not adhere to its policies and procedures regarding purchasing documentation. Supporting documentation relating to receipt of goods was not present for some disbursements. The School Board should adhere to their policies and procedures and ensure that all required documentation is maintained. Corrective Action Plan: To ensure that receipt of goods is properly documented prior to invoice payment, the following process will be implemented effective immediately: (1) As of 7/1/2022, inventory received by each school site will be verified for documentation of receipt (signature) by CNS Office Coordinator/ Accounts Payable, (2) Inventory received without documentation of receipt will be verified with computer entry of inventory received by Area Supervisor assigned to that school; receiving date, quantity received, and price will be verified and signature will be obtained, (3) Documentation of receipt for inventory received that has not been processed for payment will be reviewed by Area Supervisor prior to submission to CNS Office Coordinator for payment, (4) School Site Cafeteria Managers and Technicians have received notification of and training on this requirement, (5) Area Supervisors will review all inventory receipts when conducting routine monitoring, and (6) The CNS Office Coordinator will be the final check to ensure that receipt of goods is properly documented.
2022-008 Recommendation: There were inadequate controls over documentation in personnel files. Supporting documentation relating to education necessary to meet minimum job requirements and experience are not being properly maintained in the personnel files. The School Board should adhere to their ...
2022-008 Recommendation: There were inadequate controls over documentation in personnel files. Supporting documentation relating to education necessary to meet minimum job requirements and experience are not being properly maintained in the personnel files. The School Board should adhere to their policies and procedures and ensure that all required documentation is maintained. Corrective Action Plan: Moving forward, Pam Belmore has been assigned the task of auditing personnel files to ensure the correct experience and education information is in the files. She is starting with the grant-funded positions first, per Anthony Mouton?s suggestion. Also, Madeline Guilbeau, Employee Services data Technician, has been given the role of checking certification requirements for non-teaching/non-instructional personnel. Some employees are given a grace period of 60 to 90 days to pass different certification/licensure exams. Ms. Guilbeau will be responsible for ensuring that these employees meet said requirements. She will begin with ensuring that all grant-funded employees are up to date and then move on to other employees.
Finding ref number: 2022-001 Finding caption: The County?s internal controls were inadequate for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of county contact person: Melinda Raihl, Chief Deputy Auditor 100 W Broadway Montesano, WA 98563 (36...
Finding ref number: 2022-001 Finding caption: The County?s internal controls were inadequate for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of county contact person: Melinda Raihl, Chief Deputy Auditor 100 W Broadway Montesano, WA 98563 (360-964-1559) Corrective action the auditee plans to take in response to the finding: The County will verify that each contractor identified by the State Auditor has not been suspended, debarred, or otherwise excluded, and will review existing Program-funded contracts to ensure required verification. To ensure that the County verifies future Program-funded contracts, the County?s budget office will distribute to each department and elected office a copy of the Policy, as well as the Office of Management and Budget Compliance Supplement (?Supplement?). Thereafter, each year as the Supplement is updated, the County will distribute the updated Supplement. Anticipated date to complete the corrective action: 10/15/2023
Management Response: We concur with the recommendation and going forward when the Corporation receives federal funding there will be policies in place to appropriately earmark and track federal expenditures.
Management Response: We concur with the recommendation and going forward when the Corporation receives federal funding there will be policies in place to appropriately earmark and track federal expenditures.
Lexington Center for Recovery's Finance Director, Jodi Sawyer, will ensure that the Data Collection form will be file 30 days after the receipt of the Auditor's Report or nine months after the Audit Period.
Lexington Center for Recovery's Finance Director, Jodi Sawyer, will ensure that the Data Collection form will be file 30 days after the receipt of the Auditor's Report or nine months after the Audit Period.
FISCAL YEAR OF FINDING: June 30, 2022 AUDITOR FINDING: 2022-003 FINDING: Reporting and Activities Allowed or Unallowed, Allowable Costs/Cost Principles CFDA No. 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution The Organization included direct expenses fro...
FISCAL YEAR OF FINDING: June 30, 2022 AUDITOR FINDING: 2022-003 FINDING: Reporting and Activities Allowed or Unallowed, Allowable Costs/Cost Principles CFDA No. 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution The Organization included direct expenses from 2020 and 2021 that had already been included on reporting Period 1. In addition, there was an audit entry recorded for fiscal year 2021 that had not been updated with the Period 3 report calculations. Direct expenses from 2020 and 2021 should not have been included and overstated the direct expenses applied to PRF funding by $170,246. The audit entry not included in the Period 3 revenues, reduced revenue by $110,000 along with a keying difference between general ledger data and the report of approximately $26,000. CLIENT PLANNED ACTION: Amy Cooper, VP of Operations and Aaron Hancey, Interim CFO will establish quality reviewing and approval processes so proper reporting can be done effectively and timely. CLIENT RESPONSIBLE PARTY: John Sheehan, CEO COMPLETION DATE: September 22, 2023
View Audit 26287 Questioned Costs: $1
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