Corrective Action Plans

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Views of Responsible Officials: Management concurs with the auditor’s findings related to Federal award compliance and questioned costs. Several internal transitions contributed to the control gaps and compliance lapses identified during the audit period, including:  The implementation of a new cha...
Views of Responsible Officials: Management concurs with the auditor’s findings related to Federal award compliance and questioned costs. Several internal transitions contributed to the control gaps and compliance lapses identified during the audit period, including:  The implementation of a new chart of accounts and a new instance of the Sage Intacct accounting system, which impacted reporting structures and account mapping for Federal programs.  A transition in finance leadership, which affected oversight of Federal grant compliance and reporting.  The lack of timely replacement for a key vacant finance position, which limited staff capacity during critical reporting periods. These factors collectively contributed to the challenges experienced in adhering to certain requirements under the Uniform Guidance, including the accurate preparation of the Schedule of Expenditures of Federal Awards (SEFA) and the documentation of allowable costs. To address the findings and prevent recurrence, management has taken or is taking the following steps:  Staff training on SEFA preparation and Uniform Guidance requirements will be conducted to ensure a full understanding of Federal compliance obligations. Will ask GRF what recommendations they have for trainings by August 2025.  Verify chart of accounts mapping for Federal grants has been finalized and validated within the new Intacct system to support more accurate tracking of expenditures. – Complete by September 2025.  The utilization of the C-STAAR system will support a more structured and consistent internal grant management process.  Finance will also evaluate the grants management module within the accounting system to determine feasibility for integration and ease of syncing with SEFA reporting requirements.  A calendar of Federal reporting deadlines will be developed to strengthen compliance monitoring and accountability. – By October 2025. Management is committed to improving its internal controls and ensuring compliance with all applicable Federal requirements moving forward.
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 20...
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2024 Item 2024-002 – Reporting (Significant Deficiency) The Project did not maintain documentation evidencing management's review of the Federal Financial Report (SF-425) prior to submission. Although the reports were submitted timely, there were no indication of formal review procedures to validate the accuracy, completeness, or consistency of reported financial data with the accounting records. Recommendation We recommend that the Project establish and implement a formal review process over the Federal Financial Report (SF-425); we also recommend that evidence of the review be documented and approval be kept on file. Action Taken Management agrees with the finding and will be implementing formal review procedures including documented evidence of review and approval prior to submission. Effective Date: September 1, 2025
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 20...
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2024 Item 2024-001 – Procurement, Suspension and Debarment (Material Weakness) During our audit, we noted that there is no evidence that any exclusion search was conducted in 2024 for all sample employees tested. Recommendation We recommend that the Project train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Action Taken Management agrees with the finding. As of the effectivity date below, procedures have been revised and personnel have been trained to help ensure the accuracy, completeness and timeliness of exclusion searches. The Compliance department has added periodic internal auditing of the process to their calendar. Effective Date: January 1, 2025
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management ...
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management tools to automate approvals and ensure a complete audit trail. In addition, our new global hub structure, with dedicated HR support functions, will provide greater oversight and consistency across entities. These measures will enhance compliance and reduce the risk of recurrence going forward.
View Audit 366660 Questioned Costs: $1
Direction Home of Eastern Ohio, Inc. Fiscal Year End: December 31, 2024 UEI: QJ6CKKSN3A94 Finding: 2024-001
Direction Home of Eastern Ohio, Inc. Fiscal Year End: December 31, 2024 UEI: QJ6CKKSN3A94 Finding: 2024-001
Fiscal Year End: December 31, 2024
Fiscal Year End: December 31, 2024
UEI: QJ6CKKSN3A94
UEI: QJ6CKKSN3A94
Finding: 2024-001
Finding: 2024-001
Assistance Listing Number: 21.027
Assistance Listing Number: 21.027
Compliance Requirement: Subrecipient Monitoring
Compliance Requirement: Subrecipient Monitoring
Description of Finding: For federal awards received under assistance listing number 21.027, the audit found that Direction Home of Eastern Ohio, Inc. (DHEO) provided subrecipients with written agreements that did not contain all of the required elements of a federal subaward. DHEO also failed to con...
Description of Finding: For federal awards received under assistance listing number 21.027, the audit found that Direction Home of Eastern Ohio, Inc. (DHEO) provided subrecipients with written agreements that did not contain all of the required elements of a federal subaward. DHEO also failed to conduct risk assessments of subrecipient noncompliance risks and did not perform ongoing monitoring during the subaward period.
Root Cause Analysis: The noncompliance was due to insufficient internal controls over subrecipient risk assessments, as required by 2 CFR § 200.332(b) which resulted in incorrect subaward agreements and failure to monitor subrecipients.
Root Cause Analysis: The noncompliance was due to insufficient internal controls over subrecipient risk assessments, as required by 2 CFR § 200.332(b) which resulted in incorrect subaward agreements and failure to monitor subrecipients.
Planned Corrective Actions:
Planned Corrective Actions:
Review and update the Organization’s policies and procedures to include formal risk assessment policy and procedures that include periodic internal control evaluations.
Review and update the Organization’s policies and procedures to include formal risk assessment policy and procedures that include periodic internal control evaluations.
Establish and document subrecipient risk assessment criteria.
Establish and document subrecipient risk assessment criteria.
Document annual risk assessment covering operational, financial, and compliance risks related to all grant programs and subrecipients.
Document annual risk assessment covering operational, financial, and compliance risks related to all grant programs and subrecipients.
Train relevant staff on risk assessment and internal control.
Train relevant staff on risk assessment and internal control.
Design the subrecipient monitoring plan based on the risk assessment of the subrecipient.
Design the subrecipient monitoring plan based on the risk assessment of the subrecipient.
Regular monitoring will be performed to assess adherence to the new policy and procedures.
Regular monitoring will be performed to assess adherence to the new policy and procedures.
The anticipated completion date of the Corrective Action is November 14, 2025.
The anticipated completion date of the Corrective Action is November 14, 2025.
Contact person for Corrective Action Plan:
Contact person for Corrective Action Plan:
Chief Financial Officer
Chief Financial Officer
330-505-2438
330-505-2438
jdeflin@dheo.org
jdeflin@dheo.org
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