Corrective Action Plans

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Finding Number 2025-209: The Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) project and expenditure reports (P&E) contained misstatements. Federal Program: 21.027 - Coronavirus State and Local Fiscal Recovery Fund Related to Prior Finding: N/A Agency’s view: The Division agrees with the ...
Finding Number 2025-209: The Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) project and expenditure reports (P&E) contained misstatements. Federal Program: 21.027 - Coronavirus State and Local Fiscal Recovery Fund Related to Prior Finding: N/A Agency’s view: The Division agrees with the finding and recognizes that additional controls are needed to ensure CSLFRF Project and Expenditure reports are accurate, fully supported, and more thoroughly reconciled to the State’s accounting system before submission. The Division notes that the identified errors were below the program’s materiality threshold and did not result in a finding of material noncompliance or a material weakness. The Division also corrects reporting errors when they are identified. However, Treasury’s published FAQ and written correspondence (attached) confirm that submitted reports cannot be reopened after the reporting deadline. Because P&E reports are cumulative, any necessary corrections must be reflected in a subsequent reporting period. This required correction process contributed to some of the differences identified during the audit because adjustments related to prior periods were necessarily recorded in later reports. Accordingly, the timing of these adjustments was consistent with Treasury’s prescribed reporting process. Corrective Action: The Division will implement the following corrective actions for all remaining CSLFRF P&E reports: 1. Required agency support. Each administering agency will submit a completed reporting template for every active project. If no activity occurred, the agency must provide documented confirmation of no change. Missing templates will be tracked and escalated before the report is finalized. 2. Reconciliation to Luma. Current and cumulative expenditures and obligations will be reconciled by administering agency to Lumat. All differences will be documented and resolved before submission. 3. Independent detailed review. The review will cover source templates, Luma reconciliations, current and cumulative amounts, prior-period balances, adjustments, and evidence supporting projects reported with no change. 4. Procedures, training, and retention. The Division will document the reporting process, provide training and cross-training to staff involved in CSLFRF reporting, and retain the templates, reconciliations, agency confirmations, review checklist, and final submission support in a centralized reporting file. 5. Correction of prior reporting errors. The Division will correct the identified errors through Treasury's prescribed process. In written email correspondence to Justin Collins, the U.S. Department of the Treasury confirmed: 'Prior submitted reports are not eligible to be reopened for revisions since the reporting deadline has passed. The SLFRF Project and Expenditure Reports are cumulative reports, and any adjustments needed will need to be made in the next reporting period.' Accordingly, the Division will document and include the necessary adjustments in the next available cumulative P&E report and retain Treasury's email as support for the correction method. Anticipated Corrective Action Date: January 31, 2027. The revised controls will be applied before submission of the next required quarterly CSLFRF P&E report. Responsible for Corrective Action: Justin Collins, Deputy Administrator | State Financial Officer Justin.collins@dfm.idaho.gov (208) 854-3063
Finding Number 2025-208: The Department’s Indirect Cost Rate Proposal contained multiple errors. Federal Program: 66.468 - Drinking Water State Revolving Fund Related to Prior Finding: N/A Agency’s view: Due to staff turnover, DEQ agrees that sufficient supporting documentation could not be located ...
Finding Number 2025-208: The Department’s Indirect Cost Rate Proposal contained multiple errors. Federal Program: 66.468 - Drinking Water State Revolving Fund Related to Prior Finding: N/A Agency’s view: Due to staff turnover, DEQ agrees that sufficient supporting documentation could not be located to recreate the data and calculations from the initial indirect cost rate proposal (ICRP) packet. DEQ does not agree with the ‘Cause’ statement of the Management Letter that says, “documentation to support the modified ICRP was not available at the time of our review.” DEQ had the documentation supporting the negotiated rate with the Environmental Protection Agency (EPA). The Legislative Services Office (LSO) Audit Division audited the initial indirect cost rate proposal (ICRP) only, which had errors, but not the final packet that was modified and approved by EPA. The rate used by DEQ for FY25 was reviewed, modified (negotiated) and approved by EPA. Corrective Action: DEQ has had significant turnover in the fiscal office, which has resulted in gaps of knowledge of policies and practices. In summer 2025, DEQ leadership reorganized the fiscal department to improve efficiency, enhance oversight of grants and contracts, and strengthen financial controls. The fiscal office is currently in a rebuilding phase and is dedicated to training and developing staff, implementing best practices, and documenting processes and procedures, including those for federal grant compliance. The agency reached out to our federal oversight agency for assistance and direction with preparing and submitting the indirect cost rate proposal for FY27. We have and are committed to maintaining a file with all supporting documentation used to compile and prepare current and future proposals, as required by 2 CFR 200. Training and developing staff is an ongoing process, along with following updated federal rules and regulations. DEQ staff worked with the Environmental Protection Agency’s Indirect Cost Rate Negotiator to submit the indirect cost rate proposal packet for FY27 and we anticipate significantly reduced errors with the calculations and support for that submittal. Anticipated Corrective Action Date: December 31, 2026 Responsible for Corrective Action: Linda Brown, Financial Executive Officer Linda.Brown@deq.idaho.gov (208) 373-0292
Finding Number 2025-207: The Commission did not verify that vendors were not suspended or debarred prior to making federal grant payments. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The Commission agrees...
Finding Number 2025-207: The Commission did not verify that vendors were not suspended or debarred prior to making federal grant payments. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The Commission agrees with this finding. ICBVI recognizes the absence of vendor suspension/debarment verifications prior to payment. Corrective Action: • Verification Process: Procedures were put in place to check applicable vendors against the SAM.gov database on an annual basis. Documentation of each check will be retained and periodically reviewed. • Staff Training: Relevant staff will be trained on suspension/debarment requirements, and responsibility for checks will be clearly assigned. Laura Corazar checks that the vendor is not debarred and saves the screenshot demonstrating this. Corey Bresina will review and initial that this has been verified. Procedure as follows: Procedure: Vendor Exclusion Verification – SAM.gov Document Owner: Accounting Department Effective Date: December 1, 2025 Review Cycle: Annually, with quarterly vendor reviews Applicable Regulations: 2 CFR Part 180; 2 CFR Part 200, Subpart C, Appendix I Objective: This procedure establishes the steps for verifying that vendors, contractors, and subrecipients are not suspended, debarred, or otherwise excluded from participation in federally funded programs, in accordance with 2 CFR Part 180. It ensures federal funds are awarded only to responsible parties and provides a documented audit trail for compliance purposes. Scope: These requirements apply to all personnel involved in: • Procurement activities funded as a whole or in part with federal funds • Issuing subawards, contracts, or purchase orders under federal programs • Vendor selection, onboarding, and monitoring • Grant administration and compliance oversight All employees responsible for these functions must follow this procedure. Responsibilities: • All staff involved in procurement, grant management, or vendor selection must perform and document SAM.gov checks. This ensures we remain compliant with 2 CFR Part 180 and protect all federal funds entrusted to our organization. Procedure Steps: • Vendor Identification Gather vendor information: legal name, UEI, CAGE code, and relevant location details. • SAM.gov Exclusion Search Navigate to SAM.gov Click Search Records Select Exclusions under the Domain filter Enter vendor identifiers (Name, UEI, CAGE code, or other applicable criteria) Click Search to retrieve results • Review Results No Results: Vendor is not excluded “Entity” (green): Vendor is active and eligible “Exclusion” (purple): Vendor is suspended or debarred Do not proceed with any transaction Escalate to Administrative Services Manager Contact the issuing federal agency if clarification is needed. • Documentation Save a PDF or screenshot of the search results Record the search and outcome in the Quarterly Vendor Review Log. • Quarterly Review - All active vendors must be reviewed quarterly for exclusion status, based on federal fiscal year Maintain documentation in the designated compliance folder Accounting staff verify completion and records adherence. Recordkeeping: • Maintain PDF/screenshots of each SAM.gov search • Maintain completed Quarterly Vendor Review Logs • Retain records in accordance with federal grant record retention requirements. Non-Compliance: Failure to follow this procedure may result in: • Audit findings • Repayment of federal funds • Suspension or termination of federal awards References: • 2 CFR Part 180 – Non-Procurement Debarment and Suspension • 2 CFR Part 200, Subpart C, Appendix II – Contract Provisions for Non-Federal Entities • SAM.gov Exclusions Database. Anticipated Corrective Action Date: This was corrected in December 2025 Responsible for Corrective Action: Laura Cortazar, Financial Technician lcortazar@icbvi.idaho.gov (208) 334-3220
Finding Number 2025-206: The Commission is not following Idaho Administrative Rules for Purchasing as required for compliance with the requirements applicable to the Rehabilitation Services-Vocational Rehabilitation Grants to States program. Federal Program: 84.126 - Rehabilitation Services - Vocati...
Finding Number 2025-206: The Commission is not following Idaho Administrative Rules for Purchasing as required for compliance with the requirements applicable to the Rehabilitation Services-Vocational Rehabilitation Grants to States program. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The agency agrees with the finding. However, we have since corrected this finding, as it was found on the previous year’s audit. Corrective Action: In December of 2025, we received training from the Department of Purchasing. Based on that training ICBVI’s management team worked with DOP to create contracts for current and future purchases. ICBVI asked Laura Cortazar to take the lead on the development of contracts for the agency. ICBVI created a procurement checklist and documentation template, which was added to internal controls to support purchases subject to state policy. In August of 2026, all staff who make any purchases were trained using the new guidelines, which ensure compliance with state procurement requirements. In addition, ICBVI worked with DOP’s process to request purchasing exemptions for working with community rehabilitation programs, universities and with a temporary staffing agency. ICBVI understands the state thresholds and has processes in place for creating contracts when needed. ICBVI believes this finding is ready to be closed. Anticipated Corrective Action Date: August 2026 Responsible for Corrective Action: Laura Cortazar, Financial Technician lcortazar@icbvi.idaho.gov (208) 334-3220
Finding Number 2025-205: The Cost Allocation Plan (CAP) used in fiscal year 2025 was not approved by the RSA as required and contained multiple errors. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The agen...
Finding Number 2025-205: The Cost Allocation Plan (CAP) used in fiscal year 2025 was not approved by the RSA as required and contained multiple errors. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The agency agrees with the finding as we were using the cost allocation plan which was originally approved by RSA but needed to be updated when the state changed to a new accounting system (Luma). The updated plan was submitted to the Indirect Cost Division with the Department of Education in January of 2026. After conversations with both RSA and the VRTAC we withdrew our submission in September of 2026 when the Department of Education began their evaluation of the new plan. It was determined that we will negotiate an indirect cost rate rather than use the updated Cost Allocation Plan. Corrective Action: Based on conversations with the Indirect Cost Division, RSA, the state audit team, and the VR TAC team we determined it would be best for the agency to work with the Indirect Cost Division to establish an indirect cost rate. Switching from using the Cost Allocation Plan that we had been using for 16 years, abruptly, to a 15% indirect cost rate April 1, 2026 created multiple hurdles and changes that we have been trying to overcome with the help of the VR TAC team’s intensive assistance. We are in the process of creating a system that will address the errors that were found by the state auditors. The Indirect Cost Division states that we need to begin the new plan July 1, 2027. They have provided us with a template, and we will complete that and work with them to ensure this rate is ready to begin using July 1, 2027. Previously, annually, we submitted a document by email to the Indirect Cost Division indicating that we were re-certifying the same Cost Allocation Plan. We did not receive responses, and we took that to mean it was okay to continue using the same plan each year. From 2021-2025 this was done and there was one year it was submitted later than when we typically (October 1) sent it. In the meeting with the Indirect Cost Division, Andre Hylton, told us that once our indirect rate was established, it would be approved for two years and then after review, it would be on a 5 year review schedule. Anticipated Corrective Action Date: We anticipate the template to be completed by January 15, 2027 and to begin using the new rate July 1, 2027. Responsible for Corrective Action: Corey Bresina, Administrative Services Manager cbresina@icbvi.idaho.gov (208) 334-3220
Finding Number 2025-204: Multiple errors were identified in the amounts reported on the Rehabilitation Services Administration reports required for the Rehabilitation Services-Vocational Rehabilitation Grants to states. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Gr...
Finding Number 2025-204: Multiple errors were identified in the amounts reported on the Rehabilitation Services Administration reports required for the Rehabilitation Services-Vocational Rehabilitation Grants to states. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The agency agrees with the finding as we were using the cost allocation plan which changes the numbers from the ones used by the audit team and found from Luma (the state accounting system). Corrective Action: Corrective Action Objectives:  Ensure that future RSA reports are complete, accurate, consistent, and fully supported by documentation.  Establish and implement clear, standardized reporting procedures.  Retain documentation necessary to justify all reported amounts.  Identify and correct errors in previously submitted reports and communicate corrections to RSA.  Strengthen staff competencies and ensure adequate staffing levels to support proper grant reporting. Actions To Be Taken:  Form a Reporting Review Team comprising program, fiscal, and data analysts to review reports prior to submission.  Develop standardized RSA Reporting Procedures, including: o Step-by-step instructions for preparing RSA-17. o Required supporting documentation for each line item. o Definitions of allowable expenditures and required classifications. o Review and approval workflows.  Established a double-verification process, requiring two qualified staff members to independently verify all numeric entries prior to submission.  Implement a centralized documentation repository for financial records, worksheets, cost allocation documents, and reconciliation statements.  Establish a mandatory documentation checklist that must be completed before a report can be sent for approval.  Create standardized reconciliation templates tying reported amounts directly to the general ledger or supporting program records.  Complete a retrospective review of all RSA submissions for the necessary reports.  Identify inaccuracies, variances, and documentation gaps.  Develop corrected versions of each affected report.  Prepared a formal communication package for RSA including: o Corrected reports o Explanation of errors o Documentation supporting corrected amounts Conclusion: This Corrective Action Plan establishes a comprehensive strategy to resolve reporting errors, strengthen documentation practices, and prevent future inaccuracies in RSA federal grant reporting. Through strengthened controls, trained staff, and rigorous review processes, the Commission will ensure ongoing compliance and improved accountability. Anticipated Corrective Action Date: October 30, 2026 Responsible for Corrective Action: Corey Bresina, Administrative Services Manager cbresina@icbvi.idaho.gov (208) 334-3220
Finding Number 2025-203: The Commission did not comply with federal matching, level of effort and earmarking grant requirements for the Rehabilitation Services-Vocational Rehabilitation Grants to State program. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to S...
Finding Number 2025-203: The Commission did not comply with federal matching, level of effort and earmarking grant requirements for the Rehabilitation Services-Vocational Rehabilitation Grants to State program. Federal Program: 84.126 - Rehabilitation Services - Vocational Rehabilitation Grants to States Related to Prior Finding: N/A Agency’s view: The agency agrees with the finding as we were using the cost allocation plan which changes the numbers from the ones used by the audit team and found from Luma (the state accounting system). Corrective Action: Corrective Action Objectives:  Achieve and maintain full compliance with federal matching, level of effort, and earmarking requirements.  Establish durable internal controls that prevent or promptly detect errors.  Ensure all compliance activities are properly documented, retained, and independently reviewable.  Train and support staff to understand compliance responsibilities and execute them consistently. Actions To Be Taken:  Implemented monthly compliance monitoring, including: o Match reconciliation comparing required vs. actual non-federal contributions o Review of earmarked funds to ensure required percentages are met.  Standardized documentation templates: o Match tracking worksheets o Earmark compliance ledger  Introduce a transaction sampling audit each quarter to validate documentation completeness and accuracy.  Establish a centralized compliance records repository.  Mandatory training covering matching requirements, MoE, earmarking rules, and documentation expectations. We are currently receiving intensive technical assistance from the VRTAC. This will include initial training for all program and fiscal staff.  Establish an annual internal audit focused on RSA compliance.  Establishing semi-annual briefings to the leadership team summarizing compliance status and corrective measures. Conclusion: This Corrective Action Plan strengthens the Commission’s internal controls, enhances documentation, and ensures compliance with federal matching, level of effort, and earmarking requirements. Implementation of these measures will improve accountability, reduce risk, and support ongoing program integrity. Anticipated Corrective Action Date: December 30, 2026 Responsible for Corrective Action: Corey Bresina, Administrative Services Manager cbresina@icbvi.idaho.gov (208) 334-3220
Finding Number 2025-202: The Commission did not complete required SF-425 reports for the Aging Cluster in a timely manner. Federal Programs: 93.044 - Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers 93.045 - Special Programs for the Aging, Title II...
Finding Number 2025-202: The Commission did not complete required SF-425 reports for the Aging Cluster in a timely manner. Federal Programs: 93.044 - Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers 93.045 - Special Programs for the Aging, Title III, Part C, Nutrition Services 93.053 - Nutrition Services Incentive Program Related to Prior Finding: N/A Agency’s view: The Commission agrees with this finding. Corrective Action: At the time of the audit period, the Commission was still working to complete Aging Cluster SF-425 Federal Financial Reports. Several operational challenges contributed to delays, including fiscal staffing transitions and state software system implementation. The Commission has now fully corrected this issue. All past-due SF-425 reports were reviewed, finalized, and submitted, bringing the agency fully current on Aging Cluster federal financial reporting requirements. Anticipated Corrective Action Date: The Commission completed required SF-425 reports in a timely manner in SFY 2026. All outstanding SF-425 reports were completed and submitted by January 31, 2026, marking the date of full corrective action implementation. Responsible for Corrective Action: Vicki Yanzuk, Operations Manager Vicki.yanzuk@aging.idaho.gov (208) 577-2847
Finding Number 2025-201: The Commission did not include administrative costs in required reports for the Federal Funding and Accountability Transparency Act (FFATA). Additionally, the Commission did not have any documentation to support adequate controls over FFATA reporting. Federal Programs: 93.04...
Finding Number 2025-201: The Commission did not include administrative costs in required reports for the Federal Funding and Accountability Transparency Act (FFATA). Additionally, the Commission did not have any documentation to support adequate controls over FFATA reporting. Federal Programs: 93.044 - Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers 93.045 - Special Programs for the Aging, Title III, Part C, Nutrition Services Related to Prior Finding: N/A Agency’s view: The Commission agrees with this finding. Corrective Action: The Commission acknowledges that the sub-award amounts reported under ALNs 93.044, 93.045, and 93.053 did not include all allocable administrative costs for the subrecipient tested. We have taken the following corrective actions, all of which were implemented during the audit following identification of this issue: 1. Revised FFATA Sub-Award Reports - The Commission revised the affected FFATA subaward reports in SAM.gov to include the administrative costs allocable to each of the three tested ALNs for the sub-recipient identified in the finding. The revised reports were provided to LSO for review on 06/18/2026. 2. Revised FFATA Reporting Policy Implemented: The Commission developed a documented policy governing FFATA sub-award data entry, review, and approval. The policy establishes the following: • The Financial Technician is responsible for entering all FFATA sub-award data and must confirm that reported amounts include direct program costs and administrative costs allocable to the sub-award. • The Financial Specialist Senior is required to review all FFATA entries for accuracy and completeness. The Financial Specialist will document their review. This step is the specific control that was absent during the audit period. • Documentation of each review and approval must be retained. Purpose: To document SCO Corrective Action Plan. Source: Ethan Draves, Financial Specialist, Pr. Tickmark Legend: Agrees with the agency response provided in Section 2815. Corrective action contains all requirements required by 2 CFR 200.511(c) (contact name, corrective action, anticipated completion, and an explanation if the auditee disagrees). Agency didn't specifically include if they agree or disagree with the finding Anticipated Corrective Action Date: The Commission issued a memorandum to LSO on 06/18/2026 identifying the revisions made to the FFATA reports and providing the policy. That memorandum is incorporated by reference into this response. This finding and corrective action is completed. Responsible for Corrective Action: Vicki Yanzuk, Operations Manager Vicki.yanzuk@aging.idaho.gov 208-577-2847
UNAUTHORIZED CHANGE IN REQUIRED MONTHLY DEPOSIT IN REPLACEMENT RESERVE Supportive Housing for the Elderly – Assistance Listing Number 14.155 Recommendation: CLA recommends that processes and procedures be evaluated to strengthen internal control over compliance relating to HUD-restricted accounts. E...
UNAUTHORIZED CHANGE IN REQUIRED MONTHLY DEPOSIT IN REPLACEMENT RESERVE Supportive Housing for the Elderly – Assistance Listing Number 14.155 Recommendation: CLA recommends that processes and procedures be evaluated to strengthen internal control over compliance relating to HUD-restricted accounts. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Actions Taken: Management will review compliance requirements for HUD programs related to replacement reserve withdrawals to ensure they are followed in the future. Name of the contact person(s) responsible for corrective action: Lindsey Beyer, Administrator Planned completion date for corrective action plan: September 2026
2025-002 UNAUTHORIZED WITHDRAWAL FROM REPLACEMENT RESERVE Supportive Housing for the Elderly – Assistance Listing Number 14.155 Recommendation: CLA recommends that processes and procedures be evaluated to strengthen internal control over compliance relating to HUD-restricted accounts. Explanation of...
2025-002 UNAUTHORIZED WITHDRAWAL FROM REPLACEMENT RESERVE Supportive Housing for the Elderly – Assistance Listing Number 14.155 Recommendation: CLA recommends that processes and procedures be evaluated to strengthen internal control over compliance relating to HUD-restricted accounts. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Actions Taken: Management will review compliance requirements for HUD programs related to replacement reserve withdrawals to ensure they are followed in the future. Name of the contact person(s) responsible for corrective action: Lindsey Beyer, Administrator Planned completion date for corrective action plan: September 2026
2025-008 – Written Policies and Procedures Required by the Uniform Grant Guidance (Repeat Finding) Auditor Description of Condition and Effect. Although the City has processes in place to cover these areas and draft policies have been developed, there are no formal written policies that address all ...
2025-008 – Written Policies and Procedures Required by the Uniform Grant Guidance (Repeat Finding) Auditor Description of Condition and Effect. Although the City has processes in place to cover these areas and draft policies have been developed, there are no formal written policies that address all of the areas required by the Uniform Guidance. As a result of this condition, the City did not fully comply with the Uniform Guidance applicable to the above noted grants. Auditor Recommendation. We recommend that the City review and approve the draft policies as soon as practical. Corrective Action. City staff has reviewed drafts and will submit to City Council Uniform Grant Guidelines to be adopted. Responsible Person. Finance Director Anticipated Completion Date. December 31, 2026
2025-007 – Procurement, Suspension and Debarment (Repeat Finding) Auditor Description of Condition and Effect. The City did not verify that any of their vendors with purchases over $25,000 were not suspended or debarred from doing business with the City, or did not retain documentation to evidence t...
2025-007 – Procurement, Suspension and Debarment (Repeat Finding) Auditor Description of Condition and Effect. The City did not verify that any of their vendors with purchases over $25,000 were not suspended or debarred from doing business with the City, or did not retain documentation to evidence that this verification had taken place. As a result of this condition, the City was exposed to the risk that disbursements of federal awards would be made to vendors suspended or debarred by the federal government. Auditor Recommendation. We recommend that the City verify that all of their vendors over $25,000 spent with federal funds were not suspended or debarred, and retain documentation to support this verification. Corrective Action. The City will maintain a schedule of dates checked for debarment. Responsible Person. Finance Director Anticipated Completion Date. December 31, 2026
Finding 2025-003: Deficiencies in Cost Allocation Plan and Methodology Condition: During our review of the Organization's cost allocation plan, we noted the Organization's monitoring report identified deficiencies in the current allocation methodology. Specifically, the space allocation schedule doe...
Finding 2025-003: Deficiencies in Cost Allocation Plan and Methodology Condition: During our review of the Organization's cost allocation plan, we noted the Organization's monitoring report identified deficiencies in the current allocation methodology. Specifically, the space allocation schedule does not fully reconcile based on allocated square footage, the space allocation includes cost categories that are not allowable under the indirect cost allocation (ICA) budget category, including wages, employee benefits, maintenance costs, reserve expenditures, and contractual services. Additionally, both the space allocation schedule and telephone allocation schedule contain line items identified as "other" or "other costs" without sufficient detail to identify the nature of the expenditures being allocated. Criteria: Federal and state grant requirements require costs charged to programs to be allocated using a reasonable, documented methodology that accurately reflects the relative benefits received by each program. Cost allocation plans should clearly identify the types of costs included in each allocation pool and maintain sufficient detail to support the basis of the allocations. Responsible Person: Chief Fiscal Officer, Wipfli Outsourced Controller Advisory Services, Lena Hicks, Executive Director, Governing Board Finance Committee. Corrective Action Plan: To support remediation of this finding, the Agency has added Wipfli Outsourced Controller Advisory Services as a controller-level resource. With this support, management will revise the cost allocation plan and supporting schedules so that costs are allocated using reasonable, consistent, and documented methods based on the relative benefits received by each program and in accordance with applicable federal and state grant requirements. Wipfli Outsourced Controller Advisory Services will assist with revising the plan, validating schedules, reviewing allowability and consistency, and developing sustainable controller-level processes. The Executive Director and Governing Board Finance Committee will approve the revised plan and monitor implementation. Implementation Date: The cost allocation plan revision is in progress and will be approved and implemented by December 31st, 2026. The plan will be reviewed annually thereafter.
Management has worked diligently to improve the financial reporting and audit readiness during 2026 and expect to meet the federal audit due date for the 2026 audit.Person(s) Responsible: Katrina King, CFO Timing for Implementation: December 31, 2026
Management has worked diligently to improve the financial reporting and audit readiness during 2026 and expect to meet the federal audit due date for the 2026 audit.Person(s) Responsible: Katrina King, CFO Timing for Implementation: December 31, 2026
Management will review and improve controls in the patient intake process to ensure that information necessary to document sliding fee discount program eligibility is being obtained from patients and retained as determined necessary to meet the requirements health centers program.Person(s) Responsib...
Management will review and improve controls in the patient intake process to ensure that information necessary to document sliding fee discount program eligibility is being obtained from patients and retained as determined necessary to meet the requirements health centers program.Person(s) Responsible: Katrina King, CFO Timing for Implementation: December 31, 2026
Findings Relating to Financials Statement: Finding 2025-002 – Late Filing SUGGESTED CORRECTIVE ACTION PLAN ON LATE FILING Planned Corrective Actions Management will implement a formal Single Audit filing calendar that identifies all statutory deadlines for Federal Single Audit (FAC) and Florida Sing...
Findings Relating to Financials Statement: Finding 2025-002 – Late Filing SUGGESTED CORRECTIVE ACTION PLAN ON LATE FILING Planned Corrective Actions Management will implement a formal Single Audit filing calendar that identifies all statutory deadlines for Federal Single Audit (FAC) and Florida Single Audit submissions, including interim milestones for close, audit fieldwork, report issuance, and filing. The Controller will be assigned to oversee audit coordination, monitor progress against deadlines, and ensure timely submission of all required reporting packages and certifications. Management will implement a submission checklist to verify completeness of the reporting packages prior to submission and will retain documentation evidencing timely filing with both the Federal Audit Clearinghouse and the Florida Auditor General. Management will accelerate year‑end close and audit preparation to allow sufficient time for review and filing prior to statutory deadlines. In addition to the audit filing status being periodically communicated to Executive Leadership Team, the Chair of the Audit Committee and the Chair of the Finance Committee, the calendar will also be shared going forward to enhance governance to support oversight and accountability. Anticipated Completion Date: 09/15/2026 Responsible Person/Title: April Dobes, CFO Management Statement: Management believes these actions will prevent recurrence and ensure timely filing of future Federal and Florida Single Audits.
Material Weakness in Internal Control over Compliance 10.558 – Child and Adult Care Food Program Commonwealth of Pennsylvania, Department of Education Contract Number: 359-46-477-8 Condition: Based on the Commonwealth of Pennsylvania, Office of the Budget, Bureau of Audits (Commonwealth) review of C...
Material Weakness in Internal Control over Compliance 10.558 – Child and Adult Care Food Program Commonwealth of Pennsylvania, Department of Education Contract Number: 359-46-477-8 Condition: Based on the Commonwealth of Pennsylvania, Office of the Budget, Bureau of Audits (Commonwealth) review of CBS Food Program's financial accounting system, it was noted that the Food Program utilizes QuickBooks software for their accounting system. Based on inquiry with CBS Food Program management, we determined internal controls connected with their QuickBooks accounting software were insufficient in the following areas: - User Access Management: Formal written policies or procedures have not been developed and implemented related to access authorization, access monitoring, and removal of system access. Additionally, certain functions are not properly segregated as users have access to perform both input and authorization of transactions. - Input Management: Formal written policies or procedures to ensure information input into QuickBooks is appropriate and accurate have not been developed and implemented. - Change Control Management: A formal written change management policy for QuickBooks Accounting System has not been developed and implemented including requirements that system security updates are implemented timely. - Backup and Recovery: A formal written policy for regular backup and recovery testing has not been developed and implemented. Recommendation: We recommend that CBS Food Program develop and implement comprehensive written internal control policies and procedures connected with their QuickBooks Accounting System. This should include: - Development and utilization of an Accounting Manual which includes an outline of CBS Food Program's accounting rules, procedures, and guidelines. - Access control policies and procedures to ensure that user access to QuickBooks is appropriate, regularly reviewed and promptly revoked upon termination or when otherwise merited. - A formal written change management policy for QuickBooks should be developed and implemented including requirements that systems security updates are implemented timely. - A disaster recovery plan and procedures to perform periodic testing to ensure that plans are functional and mitigate the risk of extended downtime. This process should also include regular review of backup records to ensure they are appropriately created and maintained. Repeat Finding: Yes Explanation of Disagreement with Audit Finding There is no disagreement with the audit finding. Action taken in response to finding: CBS Food Program will review all users of its new QuickBooks Online platform, document each user, and assign access based on job responsibilities and established best practices. Written procedures will address the timely removal or reassignment of access following terminations or role changes and will be incorporated into the applicable human resources checklists. CBS Food Program will also coordinate with QuickBooks support to identify security updates that may affect financial processes and establish procedures and defined timelines for implementing those updates. In addition, CBS Food Program will develop a disaster recovery plan and procedures for testing backups at least annually, or every 180 days if deemed appropriate, to confirm that backup records are created accurately and maintained properly. Community Benefit Solutions will also develop an accounting manual documenting standard practices for all accounting functions. Planned completion date for corrective action plan: June 30, 2026
Material Weakness in Internal Control over Compliance 10.558 – Child and Adult Care Food Program Commonwealth of Pennsylvania, Department of Education Contract Number: 359-46-477-8 Condition As part of our audit procedures, we selected a sample of 60 payroll transactions for review. Our testing incl...
Material Weakness in Internal Control over Compliance 10.558 – Child and Adult Care Food Program Commonwealth of Pennsylvania, Department of Education Contract Number: 359-46-477-8 Condition As part of our audit procedures, we selected a sample of 60 payroll transactions for review. Our testing included examining employee human resource files, including signed W-4 and I-9 forms, approved pay rates, timesheets with supervisory approval, and related payroll reports. We recalculated hours and compensation based on approved pay rates and compared the results to the payroll reports. During our review, we noted that management did not record and compensate all employee hours in the appropriate period based on the time and effort performed. Specifically, two employees were not properly compensated for one day of personal time off and 1.12 hours of overtime related to the administration of the CBS Food Program. These amounts were subsequently adjusted and paid in a later period. Recommendation We recommend that management strengthen its payroll review controls to ensure that employee compensation, including personal time off and overtime, is accurately calculated, reviewed, approved, and paid in the appropriate period. The review should include comparing approved timesheets, pay rates, payroll reports, and any leave or overtime documentation before payroll is finalized. Management should also document its review and establish a follow-up process to identify and correct payroll discrepancies timely. Repeat Finding: No Explanation of Disagreement with Audit Finding There is no disagreement with the audit finding. Action taken in response to finding: CBS Food Program will revise its compensation plan to include formal payroll processing procedures. These procedures will require an independent review of timesheets against payroll records before payroll is issued and will establish criteria and timelines for promptly investigating and correcting any discrepancies. Name of the contact person responsible for corrective action: Jonathan Shahar, CEO Jonathan@cbsfoodprogram.com Planned completion date for corrective action plan: June 30, 2026
With regard to Federal Award Finding 2025-002, Compliance over Federal Financial Reporting - Significant Deficiency, in the audit report for Mountain Home Montana, Inc. for the year ended December 31, 2025, we offer the following response: MHM will create a shared system of reminders within the Fina...
With regard to Federal Award Finding 2025-002, Compliance over Federal Financial Reporting - Significant Deficiency, in the audit report for Mountain Home Montana, Inc. for the year ended December 31, 2025, we offer the following response: MHM will create a shared system of reminders within the Finance Department's schedule and calendar to ensure that the SF-425 report is filed within 90 days of the end of the budget period. This reminder system will include a minimum of three people: the Senior Director of Finance People & Operations, the Billing and Finance Specialist, and the contracted Finance Consultant & Bookkeeper, to safeguard against the filing being late. Creating a system where the timely filing of the SF-425 is the responsibility of the Finance Department vs the responsibility of a single person will ensure that the filing is always completed on time.
Evaluate the outstanding checks and deposits and close them out.
Evaluate the outstanding checks and deposits and close them out.
Finding 1239802 (2025-007)
Material Weakness 2025
FINDING 2025-007 Finding Subject: COVID-19 - State and Local Fiscal Recovery Funds - Subrecipient Monitoring Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the fi...
FINDING 2025-007 Finding Subject: COVID-19 - State and Local Fiscal Recovery Funds - Subrecipient Monitoring Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The identified material weakness of SUBRECECIPIENT MONITORING has been recognized, confirmed, and accepted. The form of reporting contains language that formed differing thoughts as the County documented the Subrecipient report to the County Commissioners via a Public meeting, however, SBOA’s evaluation was to strengthen internal controls to ensure financial and performance reports are timely and accurate complying with the requirement of the Treasury. All Subrecipient awards from the Dept. of Treasury have been distributed in 2025, however, the Corrective Action Plan by the County is to ensure Compliance with each and every detail of Federal Awards in the future, by obtaining necessary subrecipient financial and/or performance reports and including a secondary review of the documents by someone other than the person who obtained the reports. Anticipated Completion Date: The anticipated completion date of the Corrective Action Plan identified above will occur September 30, 2026 reporting as the exposure of this finding-material weakness, is being addressed.
Finding 1239801 (2025-006)
Material Weakness 2025
FINDING 2025-006 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the find...
FINDING 2025-006 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The corrective action plan provided in FY 2025 was enacted and reviews did occur as committed to in FY 2024 Audit review and Corrective Action Plan. As stated in 2025 Corrective Action Plan for Audit Year 2024, the review was not effective in detecting and correcting previously enacted errors or misreported values in submitted reports. These previous reports have been “locked” from modifications and cannot be amended in future periods. The Commissioners did appoint the Chief Operations Officer and Chief Financial Officer to review future reporting for compliance. This move became effective in August 2025. The internal controls process has been strengthened with both positions collaborating on and reviewing for accuracy and required timely reporting. The final step of the internal control process is to have the President of the Commissioners review and submit the final quarterly reports. The Quarter III & IV FY 2025 is identified in the finding with 3 project errors $21,693. The CAUSE as identified on the Audit Report states “The County’s oversight process for filing the P&E reports did not detect errors. The errors were the result of including expenditures from the incorrect time periods.” The strengthened internal controls (The Chief Operations Officer and Chief Financial Officer will independently review the reporting and documentation and each will sign off on signifying their review and approval of submissions) are to ensure that all values presented to the Dept of Treasury are accurately reported and vetted with the local County reports thru the County Auditor’s Office. The P&E reports are reflective of the time period of payment, to ensure the Auditor records agree with the Treasury reporting and not timed to the completion/submission of the payment requests. All future efforts will be directed to compliance with the recommendations and requirements of the Treasury reporting. Floyd County agrees with the RECOMMENDATION as provided within the Audit Report – Strengthening the County’s system of internal controls to provide for segregation of duties in the preparation and review of federal reports and providing the Treasury with complete and accurate information for the P&E reports. Anticipated Completion Date: The anticipated completion date of the Corrective Action Plan identified above will occur September 30, 2026 reporting as the exposure of this finding-weakness, is being addressed.
Finding 1239800 (2025-005)
Material Weakness 2025
FINDING 2025-005 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Off...
FINDING 2025-005 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Procurement and Suspension and Debarment Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: Floyd County has concurred with the material weakness finding and has accepted the recommendation provided of “we recommend that management of the County establish a proper system of internal controls and develop procedures to ensure that property and services are properly procured and that contractors are not suspended, debarred or otherwise excluded prior to entering into any contracts or subawards.” Floyd County will present all appropriate Requests for Proposal to the Commissioners for approval, publish in local arenas as required by statute, receive bids by defined deadlines, present to Commissioners for opening in a public setting, take under review with the County Attorney, and award according to statute timely. Dept of Treasury-Covid 19 funds, were paper files out for scanning and the County was unable to retrieve the specifics to support all needed functions requested during the Audit period. Documentation of past and future actions will be maintained in electronic retrievable format. All actions recommended and produced in this Corrective Action Plan have been, and will be adhered to for transparency, efficiency, and ethically. Anticipated Completion Date: The anticipated completion date of the Corrective Action Plan identified above will occur September 30, 2026 reporting as the exposure of this finding-weakness, is being addressed.
Finding 1239799 (2025-004)
Material Weakness 2025
FINDING 2025-004 Finding Subject: Highway Planning and Construction - Procurement Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corre...
FINDING 2025-004 Finding Subject: Highway Planning and Construction - Procurement Contact Person Responsible for Corrective Action: Stan Heil Contact Phone Number and Email Address: 812-542-0506-sheil@floydcounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The Corrective Action Plan for this identified material weakness is first to recognize that strengthened internal controls will reduce/eliminate non-compliance submissions. Thereby resulting in potential loss of Federal awards to the County of Floyd. All Highway Planning Construction procurement procedures comply with State Statute. Floyd County will issue Request for Proposals are required and directed by Statute, requirements and deadlines are reviewed by Chief Operations Officer, reviewed by legal counsel and Commissioners, submitted for advertisement, sealed bids are receivedpresented to the Commissioners, opened and recorded in a Commissioner public meeting, taken under review and decisions are announced at a later Commissioner public meeting. Award letters are issued. Compliance to federal award reimbursements are completed and submitted to INDOT for processing. Floyd County has and will continue to comply with all Federal Award compliance requirements and embrace the recommendations of State Board of Accounts Internal Controls review by having the prepared documentation to INDOT reviewed by the Commissioners Chief Financial Officer and signed off on. Moving forward with the strengthened internal controls, the LPA Selection Checklist will be completed by the Chief Operations Officer – reviewed and authorized (signature) by the Chief Financial Officer prior to submission. Anticipated Completion Date: The anticipated completion date of the Corrective Action Plan identified above will occur September 30, 2026 reporting as the exposure of this finding-weakness, is being addressed.
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