Corrective Action Plans

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Finding 20979 (2022-005)
Significant Deficiency 2022
Finding 2022-005 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training on how and when to request information needed that includes when to request The Work Number, OVS,AVS, Property che...
Finding 2022-005 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training on how and when to request information needed that includes when to request The Work Number, OVS,AVS, Property checks and Register of Deeds checks. The county will conduct a targeted second party of cases to check the effectiveness of the refresher training provided. This area will continue to be a part of the second party process conducted monthly by lead staff and supervision in the county. Proposed Completion Date: January 31, 2023.
Finding 20978 (2022-004)
Significant Deficiency 2022
Finding 2022-004 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training to staff on the appropriate entry of resources on applications/recertifications. The county will complete a target...
Finding 2022-004 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training to staff on the appropriate entry of resources on applications/recertifications. The county will complete a targeted second party of cases to check for the effectiveness of the refresher training. This area will continue to be a part of the second party checks conducted by lead staff and supervision in the county Proposed Completion Date: January 31, 2023.
Finding 20977 (2022-003)
Significant Deficiency 2022
Finding 2022-003 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training for staff on how to correctly add/remove household members to a case. The county will conduct a targeted second pa...
Finding 2022-003 Name of Contact Person: Alice Wilson, Economic Program Administrator Corrective Action: The county will conduct refresher training for staff on how to correctly add/remove household members to a case. The county will conduct a targeted second party of cases to check for the effectivemness of the refresher training. This area will continue to be a part of the second party checks conducted by lead staff and supervision in the county. Proposed Completion Date: January 31, 2023.
Finding 20976 (2022-002)
Significant Deficiency 2022
Finding 2022-002 Name of Contact Person: Alice Wilson, Economic Services Program Administrator Corrective Action: County will conduct a refresher training to all staff on when/how to complete the IVD referral. The county has added a section for IVD referrals to ...
Finding 2022-002 Name of Contact Person: Alice Wilson, Economic Services Program Administrator Corrective Action: County will conduct a refresher training to all staff on when/how to complete the IVD referral. The county has added a section for IVD referrals to the casenote template for all staff to complete when evaluating applications and recertifications for eligibility. The casenote template serves as a checklist for staff to ensure that all areas of eligibility as well as post eligibilty items are addressed. The county will complete a targeted second party to check for effectiveness of refresher training in the IVD referral area. This area will continue to be a part of the second party checks conducted by lead and supervision in the county. This is a repeat finding from previous year however the total number of findings for this review was lower than previous. Proposed Completion Date: January 31, 2023.
Finding 20975 (2022-001)
Significant Deficiency 2022
U.S. Department of Health and Human Services Olmsted Medical Center (the Medical Center) respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: (PRF Phase 3 and 4 Reports) The findings from the schedule of findings and questioned costs are discu...
U.S. Department of Health and Human Services Olmsted Medical Center (the Medical Center) respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: (PRF Phase 3 and 4 Reports) The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD SINGLE AUDIT U.S. Department of Health and Human Services 2022-001 Provider Relief Fund ? Assistance Listing No. 93.498 Recommendation: We recommend that management review the PRF and ARP guidelines to make sure amounts requested for reimbursement are supported by paid invoices. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Medical Center will review reporting requirements to ensure proper reporting in future periods. However, it is noted that there was unreimbursed expenses to support the PRF and ARP distributions received. Name(s) of the contact person(s) responsible for corrective action: Matthew Peterson, Controller Planned completion date for corrective action plan: Implemented If the U.S. Department of Health and Human Services has questions regarding this plan, please call Matthew Peterson, Controller at 507-529-6615.
View Audit 22796 Questioned Costs: $1
Views of Responsible Officials and Planned Corrective Actions: In December 2021, the Organization?s Board of Directors approved and adopted a procurement policy for the organization. The organization acknowledges that there is an opportunity for improvement of this policy, specifically to address ...
Views of Responsible Officials and Planned Corrective Actions: In December 2021, the Organization?s Board of Directors approved and adopted a procurement policy for the organization. The organization acknowledges that there is an opportunity for improvement of this policy, specifically to address suspension and debarment, and to establish procedures to ensure that purchases and subawards made under covered transactions are not made to parties that are suspended or debarred. Management has created a Vendor Monitoring Tracking spreadsheet and effective November 1, 2022, this spreadsheet will be maintained by the Bookkeeper to document that new and existing vendors are monitored to verify that the vendor is not debarred, suspended, or otherwise excluded or ineligible for participation in Federal assistance programs or activities. Vendor status will be verified before using a new vendor and on an annual basis for existing vendors. Documentation of findings will be copied, saved, and retained. On at least a quarterly basis, Management will review the vendor monitoring tracking spreadsheet and documentation of findings. The Organization?s procurement policy will be updated by November 1, 2022, to reflect the adoption of this procedure to address suspension and debarment.
Views of Responsible Officials and Planned Corrective Actions: Before FY2021, the organization had not received federal funding to purchase equipment. In October 2022, the Organization?s Bookkeeper updated the Fixed Asset Schedule to meet OMB compliance requirements. A schedule of preventative ma...
Views of Responsible Officials and Planned Corrective Actions: Before FY2021, the organization had not received federal funding to purchase equipment. In October 2022, the Organization?s Bookkeeper updated the Fixed Asset Schedule to meet OMB compliance requirements. A schedule of preventative maintenance will be created and implemented by November 1, 2022, and maintained regularly by the Warehouse and Facilities Manager. A hard copy of all maintenance records will be retained by Management. On at least a quarterly basis, Management will review the schedule of preventative maintenance as well as the maintenance records.
Current Finding on Schedule of Findings, Questioned Costs and Recommendations See Schedule of Findings and Questioned Costs for the year ended September 30, 2022.
Current Finding on Schedule of Findings, Questioned Costs and Recommendations See Schedule of Findings and Questioned Costs for the year ended September 30, 2022.
View Audit 22706 Questioned Costs: $1
FINDINGS?FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2022-004: Equipment/Real Property Management Program: Education Stabilization Fund CFDA Number: 84.425D Federal Agency: U.S. Department of Education Pass-Through Agency: Arizona Department of Education Grantor Number: 21FESSII-111389-01A Question...
FINDINGS?FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS 2022-004: Equipment/Real Property Management Program: Education Stabilization Fund CFDA Number: 84.425D Federal Agency: U.S. Department of Education Pass-Through Agency: Arizona Department of Education Grantor Number: 21FESSII-111389-01A Questioned Costs: $-0- Type of Finding: Noncompliance, significant deficiency Compliance Requirement: F. Equipment/Real Property Management Condition/Context: The District did not properly update its capital assets listing to include equipment purchased under the ESSER program. Criteria: The District must follow 2 CFR sections 200.313 which requires that: Property records must be maintained that include a description of the property, a serial number or another identification number, and the source of funding for the property (including the federal award identification number), who holds the title, the acquisition date, cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sales price of the property. Repeat Finding: This finding is a repeat of a finding in the immediately prior year. The prior year finding number was 2021-006. Action planned in response to finding: The District will ensure the capital assets listing is properly updated for all assets and stewardship items in the upcoming fiscal year. Planned completion date for the corrective action plan: For the period ending June 30, 2023. Name of the contact person responsible for corrective action: Judy James, Business Manager
We recommend certain improvements related to the preparation and review of the Organization?s Schedule of Expenditures of Federal Awards and State Financial Assistance. Condition: The Organization incorrectly calculated the expenditures for one contract that was subject to federal single audit repo...
We recommend certain improvements related to the preparation and review of the Organization?s Schedule of Expenditures of Federal Awards and State Financial Assistance. Condition: The Organization incorrectly calculated the expenditures for one contract that was subject to federal single audit reporting requirements. Criteria: Internal controls should be in place to provide reasonable assurance that all expenditures subject to federal single audit requirements are correctly included on the Schedule of Expenditures of Federal Awards and State Financial Assistance. Cause: We understand that due to a formula error on a spreadsheet, management inadvertently miscalculated the expenditures of one contract as it relates to the Organization?s responsibilities pursuant to the federal single audit reporting requirements, which was not identified in the review of the Schedule of Expenditures of Federal Awards and State Financial Assistance. Effect: The condition presents an elevated risk of the Organization preparing an inaccurate Schedule of Expenditures of Federal Awards and State Financial Assistance. Context: The auditor identified the miscalculation of the contract through its designed auditing procedures. No other similar exceptions were noted as a result of audit procedures. Repeat Finding: This finding is not a repeat finding from a prior audit. Recommendation: We recommend that the Organization carefully review the Schedule of Expenditures of Federal Awards and State Financial Assistance to ensure all expenditures subject to federal single audit requirements are properly included. Views of Responsible Officials and Planned Corrective Action: The Organization agrees with the finding and will develop additional procedures for the review of the Schedule of Expenditures of Federal Awards and State Financial Assistance.
2022-001 Written Policies Relative to Federal Awards Major Program: Water and Waste Disposal Systems For Rural Communities CFDA: #10.760 Federal Agency: U.S. Department of Agriculture Name of Contact Person: Adam LePrevost, Superintendent Corrective Action: The District will work on creating writ...
2022-001 Written Policies Relative to Federal Awards Major Program: Water and Waste Disposal Systems For Rural Communities CFDA: #10.760 Federal Agency: U.S. Department of Agriculture Name of Contact Person: Adam LePrevost, Superintendent Corrective Action: The District will work on creating written policies relative to federal awards. Proposed Completion Date: December 31, 2023.
Ocosta School District No. 172 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Pr...
Ocosta School District No. 172 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with wage rate requirements. Name, address, and telephone of District contact person: Carrie Forest 2580 Montesano Street S. Westport, WA 98595 360-268-9125 Corrective action the auditee plans to take in response to the finding: Ocosta School District did not complete the required documentation to ensure prevailing wage was paid. We did not collect weekly certified payroll reports. Moving forward, before any project begins staff will be reminded of all federal requirements. Ocosta School District will train staff on federal program requirements. Staff will be instructed what the expectations are for the contractors. They will be directed to have the appropriate time sheets available to give to the contractor, explain that weekly payroll reports will be completed and certified. Anticipated date to complete the corrective action: Ongoing
2022-001- Noncompliance with Single Audit Submission Requirements Condition: Organization did not submit their Single Audit reporting package and data collection form to the Federal Audit Clearinghouse (FAC) for FY 2021. Corrective Action Planned: Organization has been in communication with pre...
2022-001- Noncompliance with Single Audit Submission Requirements Condition: Organization did not submit their Single Audit reporting package and data collection form to the Federal Audit Clearinghouse (FAC) for FY 2021. Corrective Action Planned: Organization has been in communication with predecessor auditor to submit fiscal year 2021 single audit. Additionally, the Organization will implement a new control procedure to ensure Single Audit reporting package and data collection form are submitted timely to FAC. Person(s) responsible for corrective action: Rex Snyder, Chief Accounting Officer Telephone: (205) 639-5125 Anticipated Completion Date: Organization has been in communication with predecessor auditor to submit fiscal year 2021 before fiscal year 2022 is submitted. Management company to implement new control procedure before end of fiscal year 2023.
Finding 2022-002 Identification of the Federal Program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing: 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Pass-Through Gr...
Finding 2022-002 Identification of the Federal Program: Federal Agency: U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing: 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Pass-Through Grantor: Not applicable Pass-Through Award Number: Not applicable Pass-Through Award Period: 1/1/2020-12/31/2022 (Periods 3 and 4) Summary of finding: Management?s internal controls over the review and interpretation of instructions related to the input of lost revenue into the HRSA PRF portal were not sufficient to ensure the lost revenue recorded in the General Distribution portal ?Total Lost Revenues for the Period of Availability (January 1, 2020 to December 31, 2022)? line did not include the lost revenues that had been transferred from the Parent to subsidiaries and recorded in the portal for the subsidiaries Targeted Distributions. Corrective Action Plan: When populating the Period 4 HRSA PRF portal for Spectrum Health System, Corewell Health West management was aware that the inputs were not considering the System lost revenue attributed to the affiliates appropriately. In order to communicate to the users of the portal and other auditors, Management included an excel tracking worksheet which was uploaded on the HRSA PRF portal showing the total lost revenue used as an organization and the remaining balance left to be used. When populating the Period 5 filing, due September 30, 2023, Corewell Health West Management will correctly input the lost revenue in the Parent submission in order to reflect the lost revenue used by the individual subsidiaries. Individual responsible for the corrective action: Cindy Brink, Director, System Accounting & Reporting Timing of the Corrective Action Period 5 HRSA PRF portal filing, due September 30, 2023.
Condition: The District did not comply with the requirements of filing quarterly reports by the due dates set by ISBE. Plan: The District will establish procedures in order to assure that reports are submitted to ISBE on a timely manner. Anticipated Date of Completion: 6/30/2023. Name of Contact Per...
Condition: The District did not comply with the requirements of filing quarterly reports by the due dates set by ISBE. Plan: The District will establish procedures in order to assure that reports are submitted to ISBE on a timely manner. Anticipated Date of Completion: 6/30/2023. Name of Contact Person: Dr. Maureen M. White, Superintendent. Management Response: The District will establish procedures for internal controls that will assure that we submit quarterly reports 15 days prior to the due date. The Business Manager will be responsible to certify to the Superintendent that these timelines have been achieved. In the event that the timelines are not met, the Superintendent will notify the Board of Education.
Condition: During compliance testing of the District's accounting records to the expenditure report filed with the Illinois State Board of Education, we noted the District double-claimed $59,000 worth of expenditures. Plan: Management will review its policies and procedures and implement changes to ...
Condition: During compliance testing of the District's accounting records to the expenditure report filed with the Illinois State Board of Education, we noted the District double-claimed $59,000 worth of expenditures. Plan: Management will review its policies and procedures and implement changes to strengthen internal controls over federal reporting. Anticipated Date of Completion: 6/30/2023. Name of Contact Person: Dr. Maureen M. White, Superintendent. Management Response: The District inadvertently claimed the same expenditure on two different grants. The District will monitor subsequent reports more closely and make sure expenditures are not claimed twice.
View Audit 22023 Questioned Costs: $1
Condition: During compliance testing of the District's accounting records to the expenditure report and budget filed with the Illinois State Board of Education, we noted the District claimed $250 under the 1220-300 line but per the budget, it should have been claimed under 2130-300. Plan: Management...
Condition: During compliance testing of the District's accounting records to the expenditure report and budget filed with the Illinois State Board of Education, we noted the District claimed $250 under the 1220-300 line but per the budget, it should have been claimed under 2130-300. Plan: Management will review its policies and procedures and implement changes to strengthen internal controls over federal reporting. Anticipated Date of Completion: 6/30/2023. Name of Contact Person: Dr. Maureen M. White, Superintendent. Management Response: The District inadvertently claimed the expenditure under the incorrect function in comparison to the detailed budget. The District will monitor subsequent reports more closely.
View Audit 22023 Questioned Costs: $1
Condition: The School District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will establish procedures in order to assure that reports are submitted to ISBE on a timely manner. Anticipated Date of Completion: 6/30/2023. Na...
Condition: The School District did not comply with the requirements of filing quarterly and final reports by the due dates set by ISBE. Plan: The District will establish procedures in order to assure that reports are submitted to ISBE on a timely manner. Anticipated Date of Completion: 6/30/2023. Name of Contact Person: Dr. Maureen M. White, Superintendent. Management Response: The District will establish procedures for internal controls that will assure that we submit quarterly reports 15 days prior to the due date. The Business Manager will be responsible to certify to the Superintendent that these timelines have been achieved. In the event that the timelines are not met, the Superintendent will notify the Board of Education.
A single audit for March 31, 2022 was completed in June 2023.
A single audit for March 31, 2022 was completed in June 2023.
FINDING 2022-003 (Medical Assistance Program) Contact Person Responsible for Corrective Action: Jeb Bardon Contact Phone Number: 317-418-7855 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Internal controls are being updated and will be adopted by t...
FINDING 2022-003 (Medical Assistance Program) Contact Person Responsible for Corrective Action: Jeb Bardon Contact Phone Number: 317-418-7855 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Internal controls are being updated and will be adopted by the Board. The Township and Fire Department have worked on division of duties. Now the Fire Department will process a payment and will be approved by someone else in Fire Department. Then, the bill will be reviewed by the Township Accounting Specialist and will be paid by the outside accounting service. After the check is written, the Trustee will sign. If an invoice is over $5000 the Trustee will sign off prior to the payment. The payments received by the Medicaid program will be reviewed by the Township Accounting Specialist. After the person agrees it is then inputted in the accounting software and coded to the proper account. The accounting software is reconciled on a monthly basis to ensure all transactions are accounted for properly and accurately. Anticipated Completion Date: 9/30/23
FINDING 2022-002 (Medicaid Cluster ? Activities Allowed or Unallowed) Contact Person Responsible for Corrective Action: Jeb Bardon Contact Phone Number 317-418-7855 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: The Federal Cost report beginning 202...
FINDING 2022-002 (Medicaid Cluster ? Activities Allowed or Unallowed) Contact Person Responsible for Corrective Action: Jeb Bardon Contact Phone Number 317-418-7855 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: The Federal Cost report beginning 2022 will be done by a new firm. The firm is Blue & Co. They are a wellestablished CPA. The information that is supplied to the CPA firm will be maintained by Wayne Township and will be put the finished cost report. This is for the financial and other metrics that are needed for the report. The cost report will be reviewed for accuracy by the Township Office. Since the audit is just completed for 2019, this comment be repeated until we receive the funds for 2023 which will probably occur in 2026. Anticipated Completion Date: 9/30/23
Finding 20890 (2022-001)
Significant Deficiency 2022
2022 ? 001 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 res...
2022 ? 001 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: Megan Shank, DOF. Planned completion date for corrective action plan: February 1, 2023
SEE SEFA REPORT FOR CAP ON FINDING #2022-002.
SEE SEFA REPORT FOR CAP ON FINDING #2022-002.
SEE SEFA REPORT FOR CAP ON FINDING #2022-003.
SEE SEFA REPORT FOR CAP ON FINDING #2022-003.
SEE SEFA REPORT FOR CAP ON FINDING #2022-004.
SEE SEFA REPORT FOR CAP ON FINDING #2022-004.
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