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Corrective Action Plans

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Finding 1166563 (2024-013)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Procurement, Suspension & Debarment § 200.303
The corrective action has already been implemented. This includes CDA hiring an employee in April 2024 to fulfill the FFATA duties, and CDA has now been able to keep current on FFATA reporting. The staff member has created FFATA procedures and caught up on the late FFATA reporting. Estimated Impleme...
The corrective action has already been implemented. This includes CDA hiring an employee in April 2024 to fulfill the FFATA duties, and CDA has now been able to keep current on FFATA reporting. The staff member has created FFATA procedures and caught up on the late FFATA reporting. Estimated Implementation Date: Currently implemented. Contact: Kim Elliot
View Audit 377562
Finding 1166558 (2024-012)
Material Weakness 2024
State of California
CA
Internal Control / Segregation of Duties Eligibility Special Tests & Provisions § 200.303
CHCQ will address the audit findings by increasing outreach to local District Office management and by providing ongoing oversight to frontline staff. CHCQ will emphasize the importance of completing CMS 1539 forms with proper documentation and signatures for all recertification surveys, including s...
CHCQ will address the audit findings by increasing outreach to local District Office management and by providing ongoing oversight to frontline staff. CHCQ will emphasize the importance of completing CMS 1539 forms with proper documentation and signatures for all recertification surveys, including surveys conducted by Accrediting Organizations. CHCQ has already taken steps by reiterating this requirement at a recent statewide management meeting. CHCQ will continue reminding staff of expectations at appropriate meetings and provide additional training as needed to ensure all offices follow consistent procedures when completing the required CMS 1539 forms. Headquarters management will provide oversight and conduct periodic audits to ensure staff complete and sign all CMS 1539 forms according to expectations. Estimated Implementation Date: Fiscal Year 2025-26 Contact: Nate Gilmore, State Surveyors Branch Chief, CHCQ
View Audit 377562
Finding 1166553 (2024-011)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Eligibility Internal Control / Segregation of Duties § 200.303
Effective June 1, 2024, DHCS reinstated county performance standards and reintroduced Focused Reviews. As outlined in All County Welfare Directors Letter (ACWDL) 24-17—Enhancing County Medi-Cal Eligibility Performance, DHCS will resume monitoring county performance and timeliness standards. County p...
Effective June 1, 2024, DHCS reinstated county performance standards and reintroduced Focused Reviews. As outlined in All County Welfare Directors Letter (ACWDL) 24-17—Enhancing County Medi-Cal Eligibility Performance, DHCS will resume monitoring county performance and timeliness standards. County performance standards measure the timeliness of county actions, while Focused Reviews evaluate both timeliness and accuracy of county determinations related to Medi-Cal applications, redeterminations, and Medi-Cal Eligibility Data System (MEDS) Alert processing. All counties will participate in a Focused Review on a biennial, rotating basis. Through the reinstatement of county performance standards and Focused Reviews, DHCS can identify and address eligibility concerns, such as the proper use of aid codes, and work with counties through the corrective action plan process to address staff training to ensure correct eligibility determinations for all Medi-Cal programs, including pregnancy programs. Estimated Implementation Date: Fully Implemented Contact: Sarah Crow, Medi-Cal Eligibility Division, Division Chief Harold Higgins, Medi-Cal Eligibility Division, Branch Chief Amy Halim, Medi-Cal Eligibility Division, Section Chief
View Audit 377562
Finding 1166548 (2024-010)
Material Weakness 2024
State of California
CA
Eligibility Internal Control / Segregation of Duties § 200.303
Effective June 1, 2024, DHCS reinstated county performance standards and reintroduced Focused Reviews. As outlined in All County Welfare Directors Letter (ACWDL) 24-17—Enhancing County Medi-Cal Eligibility Performance. DHCS has resumed monitoring county performance and timeliness standards. County p...
Effective June 1, 2024, DHCS reinstated county performance standards and reintroduced Focused Reviews. As outlined in All County Welfare Directors Letter (ACWDL) 24-17—Enhancing County Medi-Cal Eligibility Performance. DHCS has resumed monitoring county performance and timeliness standards. County performance standards measure the timeliness of county actions, while Focused Reviews evaluate both timeliness and accuracy of county determinations related to Medi-Cal applications, redeterminations, and Medi-Cal Eligibility Data System (MEDS) Alert processing. All counties will participate in a Focused Review on a biennial, rotating basis. Additionally, DHCS resumed the Aid Code Cleanup effort in September 2025, as outlined in MEDIL I 25-19. The purpose of the aid code cleanup effort is to assist counties in identifying records that require eligibility re-evaluation to either transition individuals to the correct Medi-Cal aid code or appropriately discontinue coverage. Through these initiatives, DHCS can identify and address eligibility concerns, such as processing timeliness and proper aid code usage. Estimated Implementation Date: Fully Implemented Contact: Sarah Crow, Medi-Cal Eligibility Division, Division Chief Harold Higgins, Medi-Cal Eligibility Division, Branch Chief Amy Halim, Medi-Cal Eligibility Division, Section Chief
View Audit 377562
Finding 1166546 (2024-009)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Procurement, Suspension & Debarment § 200.1 § 200.303 § 200.332 § 200.414
In response to the previous audit finding, CDPH submitted the required risk assessment as of January 2025, along with supporting documentation. Moving forward, CDPH will establish formal procedures to ensure that all required federal award information – such as the Assistance Listings Number, Title,...
In response to the previous audit finding, CDPH submitted the required risk assessment as of January 2025, along with supporting documentation. Moving forward, CDPH will establish formal procedures to ensure that all required federal award information – such as the Assistance Listings Number, Title, and FAIN – is clearly identified in all agreements with subrecipients. Estimated Implementation Date: March 2026 Contact: • Melissa Relles • Assistant Deputy Director • Center for Preparedness and Response
View Audit 377562
Finding 1166545 (2024-008)
Material Weakness 2024
State of California
CA
Procurement, Suspension & Debarment § 200.303
CDPH is reviewing its existing procedures for verifying the suspension and debarment status of vendors prior to entering into any agreements involving federal funds. CDPH will enhance these procedures as necessary to ensure full compliance. Estimated Implementation Date: March 2026 Contact: • Meliss...
CDPH is reviewing its existing procedures for verifying the suspension and debarment status of vendors prior to entering into any agreements involving federal funds. CDPH will enhance these procedures as necessary to ensure full compliance. Estimated Implementation Date: March 2026 Contact: • Melissa Relles • Assistant Deputy Director • Center for Preparedness and Response
View Audit 377562
Finding 1166544 (2024-007)
Material Weakness 2024
State of California
CA
Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303
SWRCB Program Manager acknowledges and understands the recommendation. During the December 2023 period, the SWRCB Program Manager held a meeting with staff and reviewed the information prior to approving the information being inputted into the CDOF Portal. Information being submitted to the CDOF Por...
SWRCB Program Manager acknowledges and understands the recommendation. During the December 2023 period, the SWRCB Program Manager held a meeting with staff and reviewed the information prior to approving the information being inputted into the CDOF Portal. Information being submitted to the CDOF Portal aligns with the FI$Cal KK Report per the direction of CDOF. For information provided by the SWRCB for the CDOF Quarterly Reporting, the SWRCB started formally documenting the approval of information starting the quarter after the December 2023 period. Corrective action plan: SWRCB Program Manager has implemented a process for the recommendation provided. As of the quarter following December 2023 period, a formal process that documents the information and approval of that information for CDOF portal updates is being used. The information submitted to the CDOF Portal aligns with the FI$Cal KK Report per the direction of CDOF. Estimated Implementation Date: March 2024 Contact: Selica Potter
View Audit 377562
Finding 1166543 (2024-006)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Reporting § 200.303 § 200.332
On November 25, 2025, it was brought to the attention of DLA that significantly more Assistance Listing Numbers (ALNs) have been created to correlate to specific programs awarded by FHWA. While the Caltrans Division of Local Assistance does not have the capacity to electronically identify the ALNs, ...
On November 25, 2025, it was brought to the attention of DLA that significantly more Assistance Listing Numbers (ALNs) have been created to correlate to specific programs awarded by FHWA. While the Caltrans Division of Local Assistance does not have the capacity to electronically identify the ALNs, the Caltrans Office of Federal Resources (OFR) owns the database that DLA uses to process federal requests for authorizations. By January 31, 2026, DLA and OFR will meet with FHWA to determine how they may transmit the ALN into Caltrans’ database. By June 30, 2026, the DLA will determine how to upload the data into the program supplement agreement or finance letter, which will be transmitted to subrecipients. Estimated Implementation Date: 6/30/2026 Contact: Dee Lam, Division of Local Assistance
View Audit 377562
Finding 1166541 (2024-005)
Material Weakness 2024
State of California
CA
Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303
The HQ Budgets OFR will update FPFT guidance and development documentation to include specific references to a new required secondary data validation for the more complex funding scenarios. A set of core FPFT standard templates will be modified to include an automated requirement for secondary data ...
The HQ Budgets OFR will update FPFT guidance and development documentation to include specific references to a new required secondary data validation for the more complex funding scenarios. A set of core FPFT standard templates will be modified to include an automated requirement for secondary data validation for any project that includes complex funding scenarios, including cooperative agreements, multiple funding priorities, multiple federal program codes, multiple state funding programs, and funding earmarks. Calculated data cells for federal reimbursement ratios will be added, as well as an automated check for the total sum of funding line percentages to ensure any rounding errors are eliminated. Consistent training will be provided for key HQ Budgets OFR staff on a regular basis, including live sessions for practical FPFT case reviews and FPFT development during monthly team meetings. Estimated Implementation Date: • Updated FPFT guidance documentation: 11/25/2025 • Updated FPFT template (automated secondary validation): 12/01/2025 • Monthly live training sessions (1st Thursday each month): 12/04/2025 Contact: • Raul Lerma, Chief, Program and Project Management Branch, Office of Federal Resources, HQ Division of Budgets • Keith Duncan, Division Chief, HQ Division of Budgets
View Audit 377562
Finding 1166539 (2024-004)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Allowable Costs / Cost Principles Eligibility § 200.303
The EDD has policies, procedures, and training in place instructing employees to include applicable penalty amounts when establishing overpayments in the database. When the overpayment for the sample in question was established, the employee did not follow the proper procedure to include the penalty...
The EDD has policies, procedures, and training in place instructing employees to include applicable penalty amounts when establishing overpayments in the database. When the overpayment for the sample in question was established, the employee did not follow the proper procedure to include the penalty. EDD accepts this oversight and is committed to reviewing its applicable policies and procedures to ensure they are clear, and the penalty requirements are emphasized. Regarding internal controls, EDD leverages a process known as the Field Office Basic Evaluation System (FOBES). This process includes a standardized form that is utilized by leadership to evaluate the quality of their employees’ work on a variety of processes, including overpayment processing. EDD continues to review and modernize the existing assessment form and FOBES process to ensure effectiveness and consistency while evaluating employee compliance with policies and procedures Estimated Implementation Date: Currently Implemented Contact: Diane Underwood, Division Chief, Unemployment Insurance Branch, California Employment Development Department
View Audit 377562
Finding 1166537 (2024-003)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Reporting Allowable Costs / Cost Principles § 200.303
Recognizing that the finding does not include any questioned costs, EDD agrees with the recommendation as it relates to the need for a formal reconciliation process between the U.S. DOL (DOL) ETA Financial Report, form ETA-9130 (ETA-9130) and the general ledger. EDD will take steps to formally docum...
Recognizing that the finding does not include any questioned costs, EDD agrees with the recommendation as it relates to the need for a formal reconciliation process between the U.S. DOL (DOL) ETA Financial Report, form ETA-9130 (ETA-9130) and the general ledger. EDD will take steps to formally document the process, including roles and responsibilities, a more regular reconciliation schedule and a plan to resolve variances with documented approvals. Also, as recommended, updates will be made to financial reporting procedures and staff that are part of this process will receive training. Estimated Implementation Date: June 2026 Contact: Diane Underwood, Division Chief, Unemployment Insurance Branch, California Employment Development Department
View Audit 377562
Finding 1166535 (2024-002)
Material Weakness 2024
State of California
CA
Subrecipient Monitoring Procurement, Suspension & Debarment § 200.303
Cal OES agrees with CLA's recommendation. Cal OES Grants Management which oversees Crime Victim Assistance funds has revised its existing FFATA reporting procedures and has taken several actions to strengthen internal controls and ensure staff are fully trained to maintain compliance with all FFATA ...
Cal OES agrees with CLA's recommendation. Cal OES Grants Management which oversees Crime Victim Assistance funds has revised its existing FFATA reporting procedures and has taken several actions to strengthen internal controls and ensure staff are fully trained to maintain compliance with all FFATA reporting requirements. In March of 2025, Cal OES Grants Management centralized FFATA reporting responsibilities and are currently under the purview of the Grants Management Support (GMS) Unit. Cal OES Grants Management also implemented the Grants Centralized System (GCS) which automates the grant application process and assists in generating required FFATA data effective Fiscal Year 2024-2025. In addition, in March of 2025, the Cal OES GMS Unit was provided a comprehensive FFATA training course to ensure staff understand the federal reporting requirements and provided the updated FFATA Reporting Guide Standard Operating Procedure (SOP) (attachment #1). The FFATA Reporting Guide SOP outlines steps for collecting subrecipient data, preparing reports, and submitting reports within the required time frames. Furthermore, FFATA reporting is now performed by Cal OES GMS Unit analysts and is reviewed and approved by their respective unit leads and manager to verify accuracy and complete reporting. Estimated Implementation Date: Implemented Contact: • Negin Sabbaghian, Chief • Grants Processing Division • Compliance Processing Section • Grants Management • California Governor's Office of Emergency Services
View Audit 377562
Finding 1166498 (2024-001)
Material Weakness 2024
Program for Aid to Victims of Sexual Assault, Inc.
MN
Internal Control / Segregation of Duties § 200.512
Corrective Action Plan Management acknowledges the importance of timely submission of the Single Audit reporting package and data collection form to the Federal Audit Clearinghouse (FAC) as required by 2 CFR 200.512(a). In this instance, the delay was due to the auditor not completing the audit and ...
Corrective Action Plan Management acknowledges the importance of timely submission of the Single Audit reporting package and data collection form to the Federal Audit Clearinghouse (FAC) as required by 2 CFR 200.512(a). In this instance, the delay was due to the auditor not completing the audit and issuing the reports by the required deadline, despite the auditee providing all necessary information in a timely manner. To prevent recurrence, management will establish a timeline for the Single Audit process, including key milestones and deadlines for both internal preparation and auditor deliverables; along with regular status meetings with the audit firm during the audit period to monitor progress and address any issues promptly. Completion Date September 30, 2026
View Audit 377504
Finding 1166444 (2024-010)
Material Weakness 2024
Municipality of Santa Isabel
PR
Reporting Significant Deficiency Internal Control / Segregation of Duties
Views of Responsible Officials and Planned Corrective Action We are giving instructions to the Finance Department, the Federal Program Office, and all other departments to submit, in a timely manner, all the required financial information, to our financial consultant and the external auditors, to co...
Views of Responsible Officials and Planned Corrective Action We are giving instructions to the Finance Department, the Federal Program Office, and all other departments to submit, in a timely manner, all the required financial information, to our financial consultant and the external auditors, to comply with the deadline for the submission of the Single Audit Report for the fiscal year ended June 30, 2025, which is March 31, 2026. Responsible Official: Mrs. Irma M. Vargas Aguirre, Finance and Budget Director Implementation Date: March 31, 2026
View Audit 377455
Finding 1166443 (2024-009)
Material Weakness 2024
Municipality of Santa Isabel
PR
Subrecipient Monitoring Reporting Significant Deficiency § 200.302 § 200.328 § 200.329
Views of Responsible Officials and Planned Corrective Action We will give instructions to the accounting staff in charge of the preparation of the quarterly progress reports of the Program, in order to comply with the FEMA reporting requirements. Responsible Official: Mrs. Irma M. Vargas Aguirre, Fi...
Views of Responsible Officials and Planned Corrective Action We will give instructions to the accounting staff in charge of the preparation of the quarterly progress reports of the Program, in order to comply with the FEMA reporting requirements. Responsible Official: Mrs. Irma M. Vargas Aguirre, Finance and Budget Director Implementation Date: December 31, 2025
View Audit 377455
Finding 1166440 (2024-008)
Material Weakness 2024
Municipality of Santa Isabel
PR
Subrecipient Monitoring Allowable Costs / Cost Principles Reporting
Views of Responsible Officials and Planned Corrective Action The necessary instructions were given to the accounting staff in order to comply with the reporting requirements established by each federal grant that the Municipality currently manages. Responsible Official: Mrs. Irma M. Vargas Aguirre, ...
Views of Responsible Officials and Planned Corrective Action The necessary instructions were given to the accounting staff in order to comply with the reporting requirements established by each federal grant that the Municipality currently manages. Responsible Official: Mrs. Irma M. Vargas Aguirre, Finance and Budget Director Implementation Date: December 31, 2025
View Audit 377455
Finding 1166345 (2024-002)
Material Weakness 2024
Cooper County, Missouri
MO
Subrecipient Monitoring Reporting Cash Management § 200.510
The County Clerk working alongside the County Treasurer will use the recommendations from the auditors to implement internal controls to ensure that the accuracy of the SEFA expenditures is correctly reported.
The County Clerk working alongside the County Treasurer will use the recommendations from the auditors to implement internal controls to ensure that the accuracy of the SEFA expenditures is correctly reported.
View Audit 377440
Finding 1166330 (2024-001)
Material Weakness 2024
Burchacon Housing, Inc.
NY
Name of auditee: Burchacon Housing, Inc. TIN: 14-1632619 Name of Audit Firm: EFPR Group, CPAs, PLLC Period covered by audit: December 31, 2024 CAP prepared by: Amanda Hamilton Finance Director Franklin County Community Housing Council, Inc. (518) 483-5934 Current Finding on the Schedule of Findings ...
Name of auditee: Burchacon Housing, Inc. TIN: 14-1632619 Name of Audit Firm: EFPR Group, CPAs, PLLC Period covered by audit: December 31, 2024 CAP prepared by: Amanda Hamilton Finance Director Franklin County Community Housing Council, Inc. (518) 483-5934 Current Finding on the Schedule of Findings and Questioned Costs and Recommendations (1) Finding 2024-001 (a) Comments on the finding and recommendation: Management agrees with the finding. Management also agrees with the recommendation. Please see below for action taken. (b) Action taken: Management will submit the Form SF-SAC to the Federal Audit Clearinghouse as soon as the audit is received for the year ended December 31, 2024.
View Audit 377412
Finding 1166328 (2024-004)
Material Weakness 2024
Project Hood Communities Development Corporation
IL
Allowable Costs / Cost Principles
The Organization will review its timesheet tracking and reconciliation procedures and make any necessary revisions to ensure that expenditures charged to the grants align with timesheets. Additionally, the Organization witll reconcile timesheets to amounts allocated to grants on at least a quarterly...
The Organization will review its timesheet tracking and reconciliation procedures and make any necessary revisions to ensure that expenditures charged to the grants align with timesheets. Additionally, the Organization witll reconcile timesheets to amounts allocated to grants on at least a quarterly basis.
View Audit 377407
Finding 1166289 (2024-001)
Material Weakness 2024
Harambee Community Development Initiative, Inc.
NJ
Reporting
“CORRECTIVE ACTION PLAN” This Corrective Action plan is to ensure the audits are filed timely with the Federal Audit Clearing House: 1. Revised Audit Preparation Timeline A formal audit timeline has been established, beginning within 45 days after the close of the fiscal year end, including mileston...
“CORRECTIVE ACTION PLAN” This Corrective Action plan is to ensure the audits are filed timely with the Federal Audit Clearing House: 1. Revised Audit Preparation Timeline A formal audit timeline has been established, beginning within 45 days after the close of the fiscal year end, including milestones dates for: • Year-end close • Auditor document requests• Draft financial statement review • Final audit completion 2. Assignment of Responsibility Assignment for audit coordination and FAC submission has been formally assigned to the CFO Robert Patrick. This individual will over preparation, communication with auditors and timely submission. 3. Internal Review Procedures The final audit report and FAC submission package will be reviewed by the CFO Robert Patrick, Executive Director Easter Parks, and Board Chair Walter McDowell prior to submission to ensure accuracy and completeness. Plan to Prevent Future Noncompliance The organization is committed to meeting all federal reporting requirements. With strengthening internal controls, assigned responsibilities, and improved scheduling processes, the organization will ensure that all future audits and FAC submissions are completed accurately and within the required deadlines. This plan will be implemented immediately and be in place for the next fiscal year end. If there are any questions regarding this plan please contact: Robert Patrick CFO Harambee Community Development Email: bob@rpcomp.com Tel. 201.341.4552 Cc: Easter Parks – Executive Director Harambee Family Academy Walter McDowell
View Audit 377375
Finding 1166258 (2024-003)
Material Weakness 2024
Stone County, Missouri
MO
Procurement, Suspension & Debarment
We will implement internal controls to ensure that suspension and debarment assessments are performed during the procurement and contracting phase, and we will retain sufficient documentation to evidence that suspension and debarment verficiation is performed.
We will implement internal controls to ensure that suspension and debarment assessments are performed during the procurement and contracting phase, and we will retain sufficient documentation to evidence that suspension and debarment verficiation is performed.
View Audit 377293
Finding 1166257 (2024-002)
Material Weakness 2024
Stone County, Missouri
MO
Subrecipient Monitoring Reporting Allowable Costs / Cost Principles
We will develop internal controls over reporting and will consult with external consultants, if necessary, to ensure preparation of an accurate Schedule of Expenditures of Federal Awards.
We will develop internal controls over reporting and will consult with external consultants, if necessary, to ensure preparation of an accurate Schedule of Expenditures of Federal Awards.
View Audit 377293
Finding 1166250 (2024-012)
Material Weakness 2024
Town of Oakland, Tennessee
TN
Reporting § 200.512
The Town of Oakland did not meet the Data Collection Deadline of March 31st, which is nine months after the town's year-end. The Finance Director Rice will work with the audit firm to ensure that the future audit report and data collection form are filed timely.
The Town of Oakland did not meet the Data Collection Deadline of March 31st, which is nine months after the town's year-end. The Finance Director Rice will work with the audit firm to ensure that the future audit report and data collection form are filed timely.
View Audit 377277
Finding 1166249 (2024-011)
Material Weakness 2024
Town of Oakland, Tennessee
TN
Reporting § 200.328
Finance Director Rice will work closely with grant managerment advisor to resolve the past reporting issues. An accurate report will be filed March 2026.
Finance Director Rice will work closely with grant managerment advisor to resolve the past reporting issues. An accurate report will be filed March 2026.
View Audit 377277
Finding 1166248 (2024-010)
Material Weakness 2024
Town of Oakland, Tennessee
TN
Reporting Internal Control / Segregation of Duties
Finance Director Rice will review the current internal controls related to the compliance requirements of federal award, to ensure transactions are properly recorded and that all documentation is readily available and accessible for audit and review.
Finance Director Rice will review the current internal controls related to the compliance requirements of federal award, to ensure transactions are properly recorded and that all documentation is readily available and accessible for audit and review.
View Audit 377277
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