Corrective Action Plans

Finding 565990 (2024-001)

Material Weakness 2024

Central Virginia Legal Aid Society, Inc.

VA

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Material Weakness

Corrective Action Taken or Planned: The Organization will immediately implement a more formal review process for review of citizenship attestations and asset levels to ensure compliance before cases are reported to LSC. This review process will consist of two checks. The first will be done monthl...

Corrective Action Taken or Planned: The Organization will immediately implement a more formal review process for review of citizenship attestations and asset levels to ensure compliance before cases are reported to LSC. This review process will consist of two checks. The first will be done monthly through reports run in the case management system designed to identify cases where LSC or the Organization’s policies were not met. The second will be a review by the Managing Director of each of the Organization’s practice area groups where the case was closed to ensure compliance with LSC and the Organization’s requirements. In addition, training of new employees as part of their onboarding, and an annual training course for all of the Organization’s staff, will be held on LSC and the Organization’s case acceptance and reporting requirements and the use of tools, such as case management reports and checklists, to ensure compliance. Name of Contact Person: Steve Dickinson, Executive Director Phone Number of Contact Person: (804) 200-6049 Projected Completion Date: April 30, 2025

View Audit 359640

Finding 565976 (2024-001)

Significant Deficiency 2024

Young Men's Christian Association of Middle Tennessee

TN

Reporting Significant Deficiency Internal Control / Segregation of Duties

Finding 2024-001 – Significant Deficiency in Internal Controls over Reports Submitted to Grantors – Child Care and Development Block Grant – 93.575 Recommendation: YMCA management should strengthen its controls related to the review and approval of information on grant reporting ensuring proper evid...

Finding 2024-001 – Significant Deficiency in Internal Controls over Reports Submitted to Grantors – Child Care and Development Block Grant – 93.575 Recommendation: YMCA management should strengthen its controls related to the review and approval of information on grant reporting ensuring proper evidence is maintained of the control over compliance with financial reporting requirements. Corrective Action: Management will ensure reviews of documents submitted to grantors will be reviewed and documented such that evidence of such reviews will be retained. Person Responsible for Corrective Action: Chief Financial Officer Anticipated Completion Date for Corrective Action: The Corrective Action was implemented effective June 22, 2024. If there are questions regarding this corrective action plan, please call Marcy Towns, Chief Financial Officer, at (615) 259-9622.

View Audit 359631

Finding 565975 (2024-003)

Significant Deficiency 2024

Taylor County, Texas

TX

Procurement, Suspension & Debarment Subrecipient Monitoring § 200.303

Finding 2024-003 Federal Agency Name: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) Assistance Listing Number: 21.027 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal cont...

Finding 2024-003 Federal Agency Name: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) Assistance Listing Number: 21.027 Finding Summary: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Per 31 CFR 19.300, prior to enter in subawards and contracts with award funds, recipients must verify that such contractors and subrecipients are not suspended, debarred, or otherwise excluded pursuant to 31 CFR § 19.300. The County did not retain documentation of the verification that 6 vendors were not suspended, debarred, or otherwise excluded prior to entering into a transaction with them. Responsible Individuals: Elijah Anderson, County Auditor Corrective Action Plan: The County performed a review of suspended and debarred vendors in October 2024, prior to the submission of the final SLFRF required report. Going forward, Taylor County will continue retaining documentation of the verification of vendors paid with federal funds against the sam.gov suspension and debarment review tool. Anticipated Completion Date: Completed

View Audit 359630

Finding 565974 (2024-001)

Significant Deficiency 2024

Taylor County, Texas

TX

Reporting Significant Deficiency Internal Control / Segregation of Duties § 200.303

Finding 2024-001 Federal Agency Name: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) Assistance Listing Number: 21.027 Finding Summary: The County’s quarterly performance reports submitted to the Department of Treasury were not revie...

Finding 2024-001 Federal Agency Name: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) Assistance Listing Number: 21.027 Finding Summary: The County’s quarterly performance reports submitted to the Department of Treasury were not reviewed and approved by a separate individual outside of the preparer. Responsible Individuals: Elijah Anderson, County Auditor Corrective Action Plan: Taylor County implemented a control process for the last quarter of fiscal year 2024 to have the County Auditor prepare the performance reports, with a mechanical review of the report performed by an individual within the Auditor’s Office. Anticipated Completion Date: Completed

View Audit 359630

Finding 565967 (2024-002)

None 2024

Challenge Program, Inc.

DE

Reporting

During the fiscal year 2024, the entity experienced staffing shortages. In addition, this was the first year the entity was required to have a single audit. This caused a delay in the 2024 single audit. As of now, staffing has stabilized and the entity does not foresee delays with future audits.

View Audit 359625

Finding 565966 (2024-001)

None 2024

Challenge Program, Inc.

DE

Reporting Cash Management

During the fiscal year 2024, the entity experienced staffing shortages. In addition, this was the first year the entity was required to have a single audit. This caused a delay in the 2024 single audit. As of now, staffing has stabilized and the entity does not foresee delays with future audits.

View Audit 359625

Finding 565963 (2024-005)

Material Weakness 2024

East Prairie Housing Authority

AR

Internal Control / Segregation of Duties

View of responsible officials and corrective action plan: All documents are done in a timely manner with the Board of Directors approval, since dismissing the two past employees. The Board of Directors, MRI, and HUD are fully aware of the situation. The budget questionnaire was turned in in a timel...

View of responsible officials and corrective action plan: All documents are done in a timely manner with the Board of Directors approval, since dismissing the two past employees. The Board of Directors, MRI, and HUD are fully aware of the situation. The budget questionnaire was turned in in a timely manner as it should and all documents that are required are turned in in a timely manner.

View Audit 359621

Finding 565962 (2024-004)

Material Weakness 2024

East Prairie Housing Authority

AR

HUD Housing Programs Reporting

View of responsible officials and corrective action plan: Everything is being turned into any/and agencies in a timely manner. Two past employees refused to use software system and did not turn into the correct agencies in a timely manner as directed. As of September 3, 2024, both employees were di...

View of responsible officials and corrective action plan: Everything is being turned into any/and agencies in a timely manner. Two past employees refused to use software system and did not turn into the correct agencies in a timely manner as directed. As of September 3, 2024, both employees were dismissed for insubordination as a recommendation by the EXECUTIVE DIRECTOR with the board of directors for EPHA approval.

View Audit 359621

Finding 565961 (2024-001)

Material Weakness 2024

Charter Township of Texas

MI

Procurement, Suspension & Debarment

Texas Charter Township agrees with the finding identified and respectfully submits the following Corrective Action Plan for the year ending December 31, 2024. The Township did not document the part of the policy that is needed to show that the vendor was not suspended or debarred from the Federal G...

Texas Charter Township agrees with the finding identified and respectfully submits the following Corrective Action Plan for the year ending December 31, 2024. The Township did not document the part of the policy that is needed to show that the vendor was not suspended or debarred from the Federal Government through SAM.gov before the contract was entered into. The Township has discussed the procedure of policy and has identified that the review and documentation on the selected vendor needs to happen prior to approval of the contract by Township Board. It will be the responsibility of the Township Superintendent and the Township Treasurer to adhere to the policy to document the review of the vendor through SAM.gov. If anyone has questions about the plan, please contact the Township superintendent at 269-375-1591.

View Audit 359615

Finding 565947 (2024-003)

Significant Deficiency 2024

Intrahealth International, Inc,

NC

Reporting Subrecipient Monitoring § 200.331 § 200.508 § 200.510

Finding 2024-003: SEFA Preparation – Subrecipient vs. Subcontractor Determinations Name of Responsible Official: Nikolos Oakley, CFAO Anticipated Completion Date: 09/30/2025 Condition: Subcontractor amounts were improperly included in the Amounts Provided to Subrecipients column on the Schedule of ...

Finding 2024-003: SEFA Preparation – Subrecipient vs. Subcontractor Determinations Name of Responsible Official: Nikolos Oakley, CFAO Anticipated Completion Date: 09/30/2025 Condition: Subcontractor amounts were improperly included in the Amounts Provided to Subrecipients column on the Schedule of Expenditures of Federal Awards (SEFA). Context: Management made improper subrecipient vs. subcontractor determinations, resulting in inaccurate SEFA preparation. This resulted in $2.6 million being removed from the Amounts Provided to Subrecipients column in the original SEFA provided to the auditors by management. Views of Responsible Officials and Planned Corrective Action: IntraHealth acknowledges the finding regarding the improper inclusion of subcontractor amounts in the Amounts Provided to Subrecipients column on the Schedule of Expenditures of Federal Awards (SEFA). We will improve our reporting and review processes to ensure subcontractor amounts are not incorporated under Amounts Provided to Subrecipients column in SEFA. Corrective Action: • Implement a more rigorous review process to ensure that only true subrecipients are included in the Amounts Provided to Subrecipients column of the SEFA. Subcontractor amounts will be reported separately as required. We will also improve training for the finance and grants management teams to ensure they fully understand the regulations. IntraHealth is committed to ensuring the accuracy of future SEFA reports and will complete the corrective actions by 09/30/2025. We will also continue to monitor the effectiveness of these changes to prevent future misclassifications.

View Audit 359583

Finding 565946 (2024-002)

Significant Deficiency 2024

Intrahealth International, Inc,

NC

Subrecipient Monitoring § 200.332

Corrective Action Plan Finding 2024-002: Subrecipient Monitoring Name of Responsible Official: Nikolos Oakley, CFAO Anticipated Completion Date: 05/30/2025 Condition: Insufficient monitoring was performed over fixed amount subawards. Context: Fixed amount subawards did not have documented subreci...

Corrective Action Plan Finding 2024-002: Subrecipient Monitoring Name of Responsible Official: Nikolos Oakley, CFAO Anticipated Completion Date: 05/30/2025 Condition: Insufficient monitoring was performed over fixed amount subawards. Context: Fixed amount subawards did not have documented subrecipient monitoring plans based on subrecipient’s risk assessment evaluations. Monitoring of fixed amount subawards was limited to reviewing milestone certification forms against milestone tables included in the subrecipient agreements. Financial audits or reported were not requested for non-US based subrecipients as part of monitoring procedures. Views of Responsible Officials and Planned Corrective Action: Management acknowledges the finding. IntraHealth has a comprehensive sub-recipient monitoring manual and extensive subrecipient monitoring processes, including review of financial audits for all non-fixed price subrecipients. We will expand our monitoring processes and procedures to include requesting and reviewing financial audits and other relevant information for all fixed amount subawards. Corrective Action: • Expand monitoring procedures to include the collection of financial audits or financial reports from fixed amount sub-recipients, as it is required from all other subrecipients InrtaHealth is committed to strengthening its subrecipient monitoring practices and will implement corrective action promptly. We anticipate the completion of these improvements by 05/30/2025.

View Audit 359583

Finding 565945 (2024-002)

Significant Deficiency 2024

Partners for Women and Justice, Inc.

NJ

Reporting

Finding --- The reporting package was not made available to users timely. Corrective action --- The Organization will develop procedures to ensure that financial schedules, adjustments and support are provided in a timely manner and that the Federal Audit Clearinghouse submission is provided timely...

Finding --- The reporting package was not made available to users timely. Corrective action --- The Organization will develop procedures to ensure that financial schedules, adjustments and support are provided in a timely manner and that the Federal Audit Clearinghouse submission is provided timely. Status --- Corrective action in progress. Completion date --- by 3/31/2026 Contact --- Leslie Brown, Executive Director Contact phone --- 973-233-0111, Ext 201 Contact address --- 650 Bloomfield Ave, Suite 209, Bloomfield, New Jersey, 07003

View Audit 359579

Finding 565944 (2024-001)

Significant Deficiency 2024

Partners for Women and Justice, Inc.

NJ

Reporting

Finding --- Inadequate controls over the financial reporting process, such as performing reconciliations, posting yearly adjustments and posting of closing adjustments for annual financial reporting. Corrective action --- Management will develop and implement written procedures for the annual finan...

Finding --- Inadequate controls over the financial reporting process, such as performing reconciliations, posting yearly adjustments and posting of closing adjustments for annual financial reporting. Corrective action --- Management will develop and implement written procedures for the annual financial closing process. A review will be performed by someone other than the preparer to ensure completeness and accuracy of the annual financial information. Status --- Corrective action in progress. Completion date --- by 6/30/2025 Contact --- Leslie Brown, Executive Director Contact phone --- 973-233-0111, Ext 201 Contact address --- 650 Bloomfield Ave, Suite 209, Bloomfield, New Jersey, 07003

View Audit 359579

Finding 565844 (2024-004)

Significant Deficiency 2024

Valentine Elementary School District No. 22

AZ

Reporting

Planned Corrective Action: During this fiscal year, The District procured audit services for two additional fiscal years, therefore, the auditor is under contract and will be available if a single audit is required. In addition, federal grant expenditures will be monitored and if federal expenditu...

Planned Corrective Action: During this fiscal year, The District procured audit services for two additional fiscal years, therefore, the auditor is under contract and will be available if a single audit is required. In addition, federal grant expenditures will be monitored and if federal expenditures are expected to exceed $750,000 for the fiscal year ending June 30, 2023, then the District will enter into an engagement to have a single audit completed by the required due date. Anticipated Completion Date: June 30, 2025 Responsible Contact Person: Cliff Angle, Superintendent

View Audit 359568

Finding 565843 (2024-003)

Significant Deficiency 2024

The Antirecidivism Coalition

CA

Subrecipient Monitoring Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.328

To address the finding, ARC will strengthen internal controls related to federal reporting by taking the following actions: 1. Enhance Reporting Oversight: The Finance Manager and Grants and Compliance Officer will assume primary responsibility for monitoring and verifying all federal reporting dead...

To address the finding, ARC will strengthen internal controls related to federal reporting by taking the following actions: 1. Enhance Reporting Oversight: The Finance Manager and Grants and Compliance Officer will assume primary responsibility for monitoring and verifying all federal reporting deadlines and submission requirements. 2. Document Retention Procedure: Additional double checks of record retention will take place in monthly reporting meetings, ensuring that centralized record keeping is complete. 3. Compliance Calendar Audit: A quarterly internal audit of the compliance calendar and reporting checklist will be conducted to verify deadlines are met.

View Audit 359567

Finding 565841 (2024-001)

Material Weakness 2024

Barbour County Board of Education

AL

Questioned Costs Procurement, Suspension & Debarment

The Board will implement procedures and ensure compliance with the Un[orm Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) 2 CFR 200.318 and CFR 200.320 and the Code of Alabama 1975, Title 39 by conducting training with all personnel. Purchas...

The Board will implement procedures and ensure compliance with the Un[orm Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) 2 CFR 200.318 and CFR 200.320 and the Code of Alabama 1975, Title 39 by conducting training with all personnel. Purchasing Cooperatives will not be used when purchases are under the Public Works Law.

View Audit 359564 Questioned Costs: $1

Finding 565840 (2024-004)

None 2024

Town of Haughton

LA

Reporting

Planned Corrective Actions: The Town has attempted to contact the U.S. Department of Treasury (the Department) to verify that reporting requirements have been met but have been unable to make contact with the Department of Treasury. The Town will continue to pursue communication with the Department...

Planned Corrective Actions: The Town has attempted to contact the U.S. Department of Treasury (the Department) to verify that reporting requirements have been met but have been unable to make contact with the Department of Treasury. The Town will continue to pursue communication with the Department of Treasury to ensure reporting requirements have been met.

View Audit 359560

Finding 565820 (2024-001)

Significant Deficiency 2024

The Nazareth Project, Inc.

PA

Cash Management Reporting Matching / Level of Effort / Earmarking

Management's Response and Corrective Action Plan: On July 8, 2024, NPI received a reimbursement from ASHA of $741,559 for invoices that NPI received from Nazareth Hospital prior to June 30, 2024. NPI submitted these invoices for reimbursement on June 29, 2024, and recorded the revenue and the receiv...

Management's Response and Corrective Action Plan: On July 8, 2024, NPI received a reimbursement from ASHA of $741,559 for invoices that NPI received from Nazareth Hospital prior to June 30, 2024. NPI submitted these invoices for reimbursement on June 29, 2024, and recorded the revenue and the receivable, but did not record the expense until the funds were remitted to Nazareth Hospital on July 9, 2024. NPI should have recorded the expense and accrued a liability on June 29, 2024, during the same period in which the revenue was recognized. We acknowledge our failure to properly match the grant expense to the grant revenue in the proper accounting period and affirm that our cash basis of accounting was not appropriate to account for this grant. We have implemented a process to reconcile all grant revenues and expenses at the end of each accounting period to ensure proper recording. Further, the Treasurer of the Organization will take a more active role in reviewing the accounting for grants.

View Audit 359527

Finding 565819 (2024-002)

Material Weakness 2024

The Nazareth Project, Inc.

PA

Subrecipient Monitoring Cash Management

Management's Response and Corrective Action Plan: In past experience with USAID reimbursement requests, payment was received 10-14 days after the request for reimbursement was submitted to the office of CFO.CMP Electronic Invoices (USAID). For example, on October 11, 2022, we submitted a request fo...

Management's Response and Corrective Action Plan: In past experience with USAID reimbursement requests, payment was received 10-14 days after the request for reimbursement was submitted to the office of CFO.CMP Electronic Invoices (USAID). For example, on October 11, 2022, we submitted a request for $308,942.22. Payment was received on October 28, 2022 – 17 days after the request for reimbursement. In the specific case of reimbursement received on September 15, 2023, NPI submitted the request for reimbursement on September 13. In this specific case reimbursement was received within only two days. We acknowledge our failure to remit grant funds to the Nazareth Hospital on a timely basis. For future grant reimbursement requests, we have implemented a plan to be more diligent in monitoring the receipt of grant reimbursements to ensure that we can immediately disburse them to the recipient.

View Audit 359527

Finding 565818 (2024-002)

Significant Deficiency 2024

City of Beaumont

CA

Reporting Significant Deficiency Internal Control / Segregation of Duties

For required reporting offirm deadlines (such as those tied to portals or systems), we already have a practice of submitting a bit earlier when deadlines fall on weekends or holidays to avoid timing issues. However, for this specific grant, the reports are submitted via email to a consultant managin...

For required reporting offirm deadlines (such as those tied to portals or systems), we already have a practice of submitting a bit earlier when deadlines fall on weekends or holidays to avoid timing issues. However, for this specific grant, the reports are submitted via email to a consultant managing the ARPA funds on behalf of Riverside County. These deadlines are somewhat flexible, as the consultant collects data from all subrecipients and submits it to the County as a consolidated package. Effective immediately, the Grants Analyst will submit these earlier rather than later. The Finance Director will assess compliance with timely filing requirements to ensure the establishment of internal controls over financial reporting.

View Audit 359523

Finding 565817 (2024-001)

None 2024

City of Beaumont

CA

Reporting

For required reporting offirm deadlines (such as those tied to portals or systems), we already have a practice of submitting a bit earlier when deadlines fall on weekends or holidays to avoid timing issues. However, for this specific grant, the reports are submitted via email to a consultant managin...

For required reporting offirm deadlines (such as those tied to portals or systems), we already have a practice of submitting a bit earlier when deadlines fall on weekends or holidays to avoid timing issues. However, for this specific grant, the reports are submitted via email to a consultant managing the ARPA funds on behalf of Riverside County. These deadlines are somewhat flexible, as the consultant collects data from all subrecipients and submits it to the County as a consolidated package. Effective immediately, the Grants Analyst will submit these earlier rather than later. The Finance Director will assess compliance with timely filing requirements to ensure the establishment of internal controls over financial reporting.

View Audit 359523

Finding 565807 (2024-004)

Significant Deficiency 2024

Human Services of Faribault and Martin Counties

MN

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Cash Management

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 Numbers and Year: 2405MN5MAP and 2405MN5ADM, 2024 Pass-Through Agency: Minnesota Department of Human Ser...

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 Numbers and Year: 2405MN5MAP and 2405MN5ADM, 2024 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 2405MN5MAP and 2405MN5ADM Compliance Requirement Affected: Allowable Costs/Allowable Activities Award Period: Year-Ended December 31, 2024 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters Recommendation: It is recommended the Agency implement control procedures to ensure Income Maintenance Random Moment Study (IMRMS) and Social Services Time Study (SSTS) listings are accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Agency will review procedures and implement changes as needed to ensure going forward that the IMRMS and SSTS listings are accurate. Name of the contact person responsible for corrective action plan: Chera Sevcik, Human Services Executive Director Planned completion date for corrective action plan: December 31, 2025

View Audit 359512

Finding 565806 (2024-003)

Significant Deficiency 2024

Metropolitan Economic Development Association

MN

Procurement, Suspension & Debarment Significant Deficiency § 200.303

Federal Agency Name: Department of Treasury Assistance Listing Number: 21.033 Program Name: Community Development Financial Institutions Equitable Recovery Program Finding Summary: MEDA does not have a formal process to search for suspension and debarment of entities prior to entering into a loan ...

Federal Agency Name: Department of Treasury Assistance Listing Number: 21.033 Program Name: Community Development Financial Institutions Equitable Recovery Program Finding Summary: MEDA does not have a formal process to search for suspension and debarment of entities prior to entering into a loan agreement. Corrective Action Plan: MEDA has an extensive underwriting process that reviews all borrowers from a variety of state and national databases for fraud, debt, and money laundering activities. In our current underwriting process, we search SAM. gov for SBA loan requests. As of May 1, 2025, we are searching SAM. gov for all of our loan requests. Furthermore, we have added this requirement to our loan underwriting manual, as evidenced by Section 10, Letter D for the search list of legal, financial and personal documents that are required to approve a loan at MEDA. Responsible Individuals: Adrian Ruddock – VP of Lending & Business Consulting, Raynette Buerke – Sr. Loan Administration Manager Anticipated Completion Date: May 1, 2025

View Audit 359504

Finding 565805 (2024-002)

Significant Deficiency 2024

Metropolitan Economic Development Association

MN

Allowable Costs / Cost Principles

Federal Agency Name: Department of Treasury Assistance Listing Number: 21.033 Program Name: Community Development Financial Institutions Equitable Recovery Program Finding Summary: MEDA has a process for allocating employee wages based on hours worked, however controls in place did not operate to p...

Federal Agency Name: Department of Treasury Assistance Listing Number: 21.033 Program Name: Community Development Financial Institutions Equitable Recovery Program Finding Summary: MEDA has a process for allocating employee wages based on hours worked, however controls in place did not operate to prevent errors in the allocation of employees’ pay to the grants. Corrective Action Plan: MEDA’s payroll is performed by a third party. The errors identified during the audit were made by the third-party provider. Prior to the audit, MEDA was unsatisfied with the accuracy of records and customer service of the provider and engaged with a different payroll provider, transitioning the payroll processing at the beginning of 2025. This finding has very little impact on the financials and on the CDFI award. Total amount of differences between booked payroll and auditor-calculated payroll were less than $200. With the new payroll provider in place, we expect to have accurate results and accurate allocations to federal awards. Responsible Individuals: Catherine Rossini – Controller, Tarsha Humpries- Payroll Manager, Mesude Cingilli – VP of Finance Anticipated Completion Date: January 31, 2025

View Audit 359504

Finding 565798 (2024-001)

Significant Deficiency 2024

Operation Stand Down Tennessee

TN

Reporting Procurement, Suspension & Debarment Subrecipient Monitoring

Management accepts the recommendation. Corrective Action Taken: • Immediate Correction: The incorrect report was promptly reviewed, corrected and resubmitted to the appropriate entity on 05/28/2025 • Notification: Relevant stakeholders were informed of the error and corrective resubmission. Prev...

Management accepts the recommendation. Corrective Action Taken: • Immediate Correction: The incorrect report was promptly reviewed, corrected and resubmitted to the appropriate entity on 05/28/2025 • Notification: Relevant stakeholders were informed of the error and corrective resubmission. Preventative Measures and Process Improvements: • Dual Review Protocol: A two-step verification process has been instituted, requiring two qualified team members to review and sign off on all critical reports prior to submission. Person Responsible for Corrective Action Plan: Kyle Steffen, COO Date of Correction: 05/28/2025

View Audit 359492

Corrective Action Plans

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