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Corrective Action Plans

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Finding 1217528 (2024-002)
Material Weakness 2024
Ashtabula County General Health District
OH
Allowable Costs / Cost Principles
A procedure was put in place where the administrative assistant processing payroll verifies that the employee completed time-sheets are signed off by supervisors signing their initials next to the employees signature. The administrative assistant will verify that the supervisors have signed the time...
A procedure was put in place where the administrative assistant processing payroll verifies that the employee completed time-sheets are signed off by supervisors signing their initials next to the employees signature. The administrative assistant will verify that the supervisors have signed the time-sheets that they have completed based on the employee’s completed time-sheet. If the initials or signatures are missing, they will be returned to the supervisor to complete. The Finance Director will sign off on the Executive Director’s time-sheet so that the Executive Director is no longer approving their own time-sheet.
View Audit 403675
Finding 1217476 (2024-002)
Material Weakness 2024
Saunders County
NE
Reporting Internal Control / Segregation of Duties
The County recognizes the deficiencies in their internal control related to segretation of duties and preparation of the financial statements. They will continue to update, implement, and monitor their financial procedures, and implement mitigating controls as much as possible. In view of cost consi...
The County recognizes the deficiencies in their internal control related to segretation of duties and preparation of the financial statements. They will continue to update, implement, and monitor their financial procedures, and implement mitigating controls as much as possible. In view of cost considerations, adding personnel to address these deficiencies would not be practical.
View Audit 403649
Finding 1217475 (2024-001)
Material Weakness 2024
Saunders County
NE
Internal Control / Segregation of Duties
The County recognizes the deficiencies in their internal control related to segretation of duties and preparation of the financial statements. They will continue to update, implement, and monitor their financial procedures, and implement mitigating controls as much as possible. In view of cost consi...
The County recognizes the deficiencies in their internal control related to segretation of duties and preparation of the financial statements. They will continue to update, implement, and monitor their financial procedures, and implement mitigating controls as much as possible. In view of cost considerations, adding personnel to address these deficiencies would not be practical.
View Audit 403649
Finding 1217427 (2024-004)
Material Weakness 2024
Baltimore Corps, INC
DC
Reporting Significant Deficiency Internal Control / Segregation of Duties § 200.512
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-004: Significant Deficiency in internal Controls and Noncompliance Over Reporting Responsible Official’s Response and Corrective Action Plan We concur with the findings. We acknowledge the importance of adhering to the ...
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-004: Significant Deficiency in internal Controls and Noncompliance Over Reporting Responsible Official’s Response and Corrective Action Plan We concur with the findings. We acknowledge the importance of adhering to the federal guidelines for the submission of the reporting package within the mandated nine-month period. To address this, BCI will implement the following actions: 1. Policies and Procedures Development: We will create and enforce comprehensive policies and procedures to ensure that audits are initiated and completed promptly. This will include detailed timelines and checkpoints to monitor progress throughout the audit process. In addition, we will adhere to a year-end closing process that reconciles all significant accounts. 2. Training for Grant Administration: We will provide training for individuals responsible for administering federal assistance programs within BCI. This training will cover essential aspects of grant administration, ensuring that our team is well-equipped to manage these programs efficiently and in compliance with federal requirements. Planned Implementation Date of Corrective Action Plan September 1, 2024 Person Responsible for Corrective Action Plan Caryn York, President & CEO
View Audit 403640
Finding 1217426 (2024-003)
Material Weakness 2024
Baltimore Corps, INC
DC
Eligibility Subrecipient Monitoring Reporting § 200.514
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-003: Significant Deficiency and Noncompliance over Eligibility Responsible Official’s Response and Corrective Action Plan: We concur with the findings related to deficiencies in Internal Controls and Noncompliance over ...
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-003: Significant Deficiency and Noncompliance over Eligibility Responsible Official’s Response and Corrective Action Plan: We concur with the findings related to deficiencies in Internal Controls and Noncompliance over Eligibility related to our federal grant. In response, BCI has streamlined document collection and tracking and has strengthened its onboarding and document retention procedures to ensure all member files include the required documentation, including the signed member agreements. Planned Implementation Date of Corrective Action Plan September 1, 2024 Person Responsible for Corrective Action Plan Caryn York, President & CEO
View Audit 403640
Finding 1217425 (2024-002)
Material Weakness 2024
Baltimore Corps, INC
DC
Allowable Costs / Cost Principles § 200.430 § 200.514
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-002: Material Weakness in internal controls over Activities Allowed or Unallowed and Allowable Cost/Cost Principle (Payroll) Responsible Official’s Response and Corrective Action Plan We concur with the finding related ...
Schedule of Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-002: Material Weakness in internal controls over Activities Allowed or Unallowed and Allowable Cost/Cost Principle (Payroll) Responsible Official’s Response and Corrective Action Plan We concur with the finding related to deficiencies in our time tracking process. We have implemented a time tracking system using QuickBooks Time starting in the fourth quarter of fiscal year 2025. This system is designed to accurately capture and record employees’ hours worked by project/grant. Comprehensive training sessions have been conducted for all affected employees to ensure they are proficient in using the new time tracking system. Supervisors have received additional training on monitoring and verifying time entries. Planned Implementation Date of Corrective Action Plan September 1, 2024 Person Responsible for Corrective Action Plan Caryn York, President & CEO
View Audit 403640
Finding 1217420 (2024-011)
Material Weakness 2024
Community Legal Aid Society, Inc.
DE
Procurement, Suspension & Debarment § 200.318 § 200.326
Procurement procedures have been reiterated with staff members and enhanced to include quotes and bids as necessary. Responsible Official: Director of Finance Expected Completion Date: Completed.
Procurement procedures have been reiterated with staff members and enhanced to include quotes and bids as necessary. Responsible Official: Director of Finance Expected Completion Date: Completed.
View Audit 403627
Finding 1217419 (2024-010)
Material Weakness 2024
Community Legal Aid Society, Inc.
DE
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Reporting § 200.1 § 200.303 § 200.32
This has been corrected with current staff. We are making sure that all reports are filed on time and correctly. Responsible Official: Director of Finance Expected Completion Date: The report was corrected 4/14/2026 with the completion of the 2025 SLFRF Compliance Report.
This has been corrected with current staff. We are making sure that all reports are filed on time and correctly. Responsible Official: Director of Finance Expected Completion Date: The report was corrected 4/14/2026 with the completion of the 2025 SLFRF Compliance Report.
View Audit 403627
Finding 1217417 (2024-001)
Material Weakness 2024
Elderbridge Agency on Aging
IA
Subrecipient Monitoring Reporting
THE CONTRACTS WILL UPDATED WITH THE FEDERAL ASSISTANCE NUMBER BEGINNING WITH THE 2025 CONTRACTS
THE CONTRACTS WILL UPDATED WITH THE FEDERAL ASSISTANCE NUMBER BEGINNING WITH THE 2025 CONTRACTS
View Audit 403617
Finding 1217384 (2024-003)
Material Weakness 2024
Human Services Alliance of Greater Prince William
VA
Subrecipient Monitoring § 200.331 § 200.332
Undocumented Subrecipient Monitoring Recommendation: We recommend that the Alliance establishes a formal policy for subrecipient monitoring in accordance with requirements outlined in 2 CFR §200.331 and 2 CFR §200.332 to ensure its sub-recipients are properly monitored. Explanation of disagreement w...
Undocumented Subrecipient Monitoring Recommendation: We recommend that the Alliance establishes a formal policy for subrecipient monitoring in accordance with requirements outlined in 2 CFR §200.331 and 2 CFR §200.332 to ensure its sub-recipients are properly monitored. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Alliance did monitor the subrecipients, but the documentation was not properly saved. This policy has since been revised to save the monitoring documentation to the grant management software. Name of the contact person responsible for corrective action: Lisa Wolf Planned completion date for corrective action plan: July 1st 2026
View Audit 403581
Finding 1217383 (2024-002)
Material Weakness 2024
Human Services Alliance of Greater Prince William
VA
Allowable Costs / Cost Principles Material Weakness Internal Control / Segregation of Duties
Cost Allocation Recommendation: The Alliance must document its allocation methodology and retain support for allocation calculations, including any exceptions to the established policy. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in r...
Cost Allocation Recommendation: The Alliance must document its allocation methodology and retain support for allocation calculations, including any exceptions to the established policy. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Alliance documented the ARPA designated hours per employee and made adjustments where needed to allocate money away from ARPA funds when those were not reported. This process will be documented and all data and calculations supporting the allocations will be retained. Name of the contact person responsible for corrective action: Lisa Wolf Planned completion date for corrective action plan: July 1st 2026
View Audit 403581
Finding 1217363 (2024-001)
Material Weakness 2024
PELHAM-BATESVILLE FIRE DEPARTMENT
SC
Reporting Matching / Level of Effort / Earmarking
The Town is working with its external auditor to issue the Single Audit for the year ended December 31, 2024. Anticipated Completion Date: May 28, 2026
The Town is working with its external auditor to issue the Single Audit for the year ended December 31, 2024. Anticipated Completion Date: May 28, 2026
View Audit 403550
Finding 1217307 (2024-005)
Material Weakness 2024
Anna Marie's Alliance
MN
Cash Management Significant Deficiency Matching / Level of Effort / Earmarking § 200.303
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: A separate individual with supervisory authority over the preparer should be assigned to review and approve the cash drawdowns and reports prior to submission. Explanation of disagreement with audit finding: There is no disagree...
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: A separate individual with supervisory authority over the preparer should be assigned to review and approve the cash drawdowns and reports prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization has designated an individual to review and approve the cash reimbursement requests and reports prior to submission. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025
View Audit 403475
Finding 1217306 (2024-004)
Material Weakness 2024
Anna Marie's Alliance
MN
Procurement, Suspension & Debarment
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: The Organization should implement a formal internal control policy over suspension and debarment rules and follow them before entering into a covered transaction with another entity. Explanation of disagreement with audit findin...
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: The Organization should implement a formal internal control policy over suspension and debarment rules and follow them before entering into a covered transaction with another entity. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will implement and follow a suspension and debarment policy in accordance with 2 CFR section 180.995 and specify the review of a vendor must be done prior to entering into a covered transaction. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025
View Audit 403475
Finding 1217305 (2024-003)
Material Weakness 2024
Anna Marie's Alliance
MN
Procurement, Suspension & Debarment Subrecipient Monitoring Significant Deficiency § 200.318 § 200.326
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: The Organization should continue to apply its current procurement policy to new and existing vendors to ensure proper documentation is retained in accordance with said procurement policy and SA UG. Explanation of disagreement wi...
Crime Victim Assistance – Assistance Listing No. 16.575 Recommendation: The Organization should continue to apply its current procurement policy to new and existing vendors to ensure proper documentation is retained in accordance with said procurement policy and SA UG. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will apply its current procurement policy to new and existing vendors in order to comply with applicable procurement requirements. Name(s) of the contact person(s) responsible for corrective action: Tracy Johnson, Director of Finance Planned completion date for corrective action plan: June 30, 2025
View Audit 403475
Finding 1217290 (2024-001)
Material Weakness 2024
North Central Alabama Regional Council of Local Governments
AL
Subrecipient Monitoring Reporting Significant Deficiency
FINDINGS - U.S ECONOMIC DEVELOPMENT ADMINISTRATION, ALN# 11.307 SIGNFICANT DEFICIENCY Finding 2024-001 - Reporting: The U.S. Economic Development Administration ALN # 11 .307 require reports to the appropriate federal agency for revolving loan funds and grants. Response to Aydjt finding 2024-001: Ba...
FINDINGS - U.S ECONOMIC DEVELOPMENT ADMINISTRATION, ALN# 11.307 SIGNFICANT DEFICIENCY Finding 2024-001 - Reporting: The U.S. Economic Development Administration ALN # 11 .307 require reports to the appropriate federal agency for revolving loan funds and grants. Response to Aydjt finding 2024-001: Background: The FY2024 Semi-Annual Revolving Loan Fund Financial Reports were not submitted within the required timeframe. Current accounting and RLF management were not responsible for report preparation during the reporting period and unable to verify the specific circumstances that resulted in the late submissions. The finding indicates that report controls and monitoring procedures in place at the time were not sufficient to ensure required deadlines were met primarily due to accounting and RLF staff turnover. Conclusion: Staffing turnover was mitigated in Fall 2025 allowing significant progress towards existing corrective action plan. Progress was as follows: • Developing updated and written procedures for RLF reporting. • Ensuring current key staff members and management have access to reporting instructions and supporting documentation. • Ensuring periodic management review of reporting deadlines and requirements.
View Audit 403451
Finding 1217288 (2024-003)
Material Weakness 2024
Aha MacAv Housing Entity
AZ
Procurement, Suspension & Debarment § 200.318 § 200.327
Management's Response: AMHE has Established for the Aha Macav Housing Entity by Board action on December 28th, 2017. The effective date of this Statement is December 28th, 2017. This Statement of Procurement Policy complies with the Native American Housing Assistance and Self Determination Act of 19...
Management's Response: AMHE has Established for the Aha Macav Housing Entity by Board action on December 28th, 2017. The effective date of this Statement is December 28th, 2017. This Statement of Procurement Policy complies with the Native American Housing Assistance and Self Determination Act of 1996, as amended, and the implementing regulations at 24 CFR 1000, 24 CFR 1003, and the procurement standards of 2 CFR 200. AMHE will adhere to the Procurement Policy hat has been established and clarify the process so that no steps are skipped in the process moving forward. Estimated Completion Date: Immediately AMHE will adhere to the Procurement Policy currently in place. This will be addressed with AMHE staff prior to 6/30/26. Responsible Party: Maintenance Supervisor, Comptroller and Interim Director.
View Audit 403436
Finding 1217287 (2024-002)
Material Weakness 2024
Aha MacAv Housing Entity
AZ
Eligibility Material Weakness Internal Control / Segregation of Duties
Management's Response: AMHE Tenant Occupancy Specialist's will review and adhere to AMHE's Admission and Eligibility Program Management and Occupancy Master Requirements and will attend training courses that will help strengthen their eligibility policy and procedures. Estimated Completion Date: Imm...
Management's Response: AMHE Tenant Occupancy Specialist's will review and adhere to AMHE's Admission and Eligibility Program Management and Occupancy Master Requirements and will attend training courses that will help strengthen their eligibility policy and procedures. Estimated Completion Date: Immediately Interim Director will review the Admission and Eligibility Program Management and Occupancy requirements per AMHE's policy and procedures. This will be addressed with AMHE staff prior to 6/30/26. Responsible Party: Comptroller and Interim Director.
View Audit 403436
Finding 1217286 (2024-001)
Material Weakness 2024
Aha MacAv Housing Entity
AZ
Subrecipient Monitoring Material Weakness Reporting § 200.320
Management's Response: AMHE has established policies and procedures for the creation, approval, submission and retention of all required reports. On September 27, 2018 AMHE updated and adopted the Financial Management Policy and Procedures. Page 6, Section 8, Financial Reports states: "The TDHE must...
Management's Response: AMHE has established policies and procedures for the creation, approval, submission and retention of all required reports. On September 27, 2018 AMHE updated and adopted the Financial Management Policy and Procedures. Page 6, Section 8, Financial Reports states: "The TDHE must be able to produce accurate, current, and complete disclosure of the financial results of each of the financially assisted activities made in accordance with the financial reporting requirements of the grant or sub-grant. The TONE shall use the financial reports as tools to manage, control, ensure compliance, monitor, and inform the TDHE on its financial activities. Reports to Grant Agencies: The TDHE shall complete and submit all reports to Federal, State, and local grant agencies in accordance with, and in the format and timelines required by the agency. The Executive Director will oversee all administrative and financial reports, including the HUD Standard Form 425, the INP and the APR, before the due dates designated by HUD, as such forms and deadlines may change from time to time." AMHE will do better in adhering to our Financial Management Policy and Procedures moving forward and getting the reports submitted in a timely manner. Estimated Completion Date: Immediately AMHE will adhere to the practice of the Financial Reporting of the Financial Management Policy and Procedures. This will be addressed with AMHE staff prior to 6/30/26. Responsible Party: Comptroller and Interim Director.
View Audit 403436
Finding 1217258 (2024-002)
Material Weakness 2024
Bay Area Legal Aid
CA
Management's Response: BayLegal will automate the process for all Executive Director’s timesheets to be reviewed by General Counsel or Designee when unavailable, prior to submission to payroll to ensure appropriate billing to federal grants.
Management's Response: BayLegal will automate the process for all Executive Director’s timesheets to be reviewed by General Counsel or Designee when unavailable, prior to submission to payroll to ensure appropriate billing to federal grants.
View Audit 403400
Finding 1217257 (2024-006)
Material Weakness 2024
Municipality of Guayanilla
PR
Reporting
We will improve our internal control procedures related to record keeping and adjustments in order to ensure compliance with the March 31 federal requirement.
We will improve our internal control procedures related to record keeping and adjustments in order to ensure compliance with the March 31 federal requirement.
View Audit 403397
Finding 1217228 (2024-005)
Material Weakness 2024
Family Promise of Hendricks County Inc.
IN
Internal Control / Segregation of Duties Subrecipient Monitoring HUD Housing Programs § 200.303
Management acknowledges the importance of maintaining appropriate segregation of duties and documented independent review for match calculations and supporting documentation. Corrective actions implemented include the development and implementation of written procedures for preparing, reviewing, and...
Management acknowledges the importance of maintaining appropriate segregation of duties and documented independent review for match calculations and supporting documentation. Corrective actions implemented include the development and implementation of written procedures for preparing, reviewing, and approving match calculations and supporting documentation as well as requiring independent review and documented approval of match calculations by a staff member not involved in the preparation.
View Audit 403362
Finding 1217227 (2024-004)
Material Weakness 2024
Family Promise of Hendricks County Inc.
IN
Subrecipient Monitoring Eligibility HUD Housing Programs § 200.303
Management acknowledges the need to ensure that required documentation is complete and retained in each tenant file, including executed leases, required forms, inspection documentation, and other required program documents. Corrective actions implemented include the creation and use of a standardize...
Management acknowledges the need to ensure that required documentation is complete and retained in each tenant file, including executed leases, required forms, inspection documentation, and other required program documents. Corrective actions implemented include the creation and use of a standardized eligibility determination checklist that requires documented supervisory sign-off in each tenant file to ensure all required documentation is complete prior to assistance approval. Staff have completed refresher training on timing requirements, documentation standards, and calculation procedures.
View Audit 403362
Finding 1217226 (2024-003)
Material Weakness 2024
Family Promise of Hendricks County Inc.
IN
Subrecipient Monitoring HUD Housing Programs Significant Deficiency § 200.303
Management acknowledges the importance of completing rent reasonableness determinations timely (i.e., prior to lease execution) and ensuring the accuracy of amounts used in the calculation. Corrective actions implemented include the creation and use of a standardized eligibility determination checkl...
Management acknowledges the importance of completing rent reasonableness determinations timely (i.e., prior to lease execution) and ensuring the accuracy of amounts used in the calculation. Corrective actions implemented include the creation and use of a standardized eligibility determination checklist that requires documented supervisory sign-off in each tenant file which includes verification of the lease amount and calculation prior to lease execution. Staff have completed refresher training on timing requirements and calculation procedures.
View Audit 403362
Finding 1217225 (2024-002)
Material Weakness 2024
Family Promise of Hendricks County Inc.
IN
HUD Housing Programs Significant Deficiency Internal Control / Segregation of Duties § 200.303
Management acknowledges the need for consistent documentation and secondary review to support income determinations and rent calculations, including ensuring calculations are based on appropriate income measures. Corrective actions implemented include the creation and use of a standardized eligibili...
Management acknowledges the need for consistent documentation and secondary review to support income determinations and rent calculations, including ensuring calculations are based on appropriate income measures. Corrective actions implemented include the creation and use of a standardized eligibility determination checklist that requires documented supervisory sign-off in each tenant file confirming the income calculations and rent determinations. Staff have completed refresher training on documentation standards and calculation procedures.
View Audit 403362
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