Corrective Action Plans

Browse how organizations respond to audit findings

Total CAPs
61,436
In database
Filtered Results
58,188
Matching current filters
Showing Page
31 of 2328
25 per page

Filters

Clear
Finding Type: Immaterial Noncompliance / Significant Deficiency in Internal Control over Compliance (Subrecipient Monitoring). Program: Coronavirus State and Local Fiscal Recovery Funds; U.S. Department of Treasury; ALN 21.027, Small Business Support Hubs Program passed through the Michigan Strategi...
Finding Type: Immaterial Noncompliance / Significant Deficiency in Internal Control over Compliance (Subrecipient Monitoring). Program: Coronavirus State and Local Fiscal Recovery Funds; U.S. Department of Treasury; ALN 21.027, Small Business Support Hubs Program passed through the Michigan Strategic Fund. Auditor Description of Condition and Effect: Although there were improvements in the monitoring process from the prior year, during testing in the current year of seven subrecipients, it was determined: 1) The Assistance Listing Number (ALN) for the grant was not included in the subgrant agreement. All other applicable program information was noted, 2) Searches at www.sam.gov performed by management were not timely reviewed and no certification of eligibility was present in the subgrant agreements. As a result of this condition, the Organization did not fully comply with the requirements of the Uniform Guidance. Questioned Costs: No costs were required to be questioned as a result of this finding inasmuch as our testing did not identify any unallowed costs. Auditor Recommendation: We recommend that management become familiar with the subrecipient monitoring requirements and draft policy and procedures that provide reasonable assurance that future subrecipient arrangements will be in compliance with the Uniform Guidance. Management's Acknowledgment Management acknowledges that the recurrence of this finding — albeit at a reduced severity level compared to the FY2024 material weakness designation — reflects incomplete implementation rather than absence of policy. The ALN omission in subgrant agreement templates is a straightforward technical correction that should have been applied uniformly once identified. The corrective actions below are procedural in nature and largely already embedded in the updated SOP; the remaining work is one of consistent execution and documentation. Corrective Action Plan (See CAP for Table)
Corrective Action Taken - Secured a fidelity bond effective July 1, 2026 - Maintained documentation of all efforts to obtain replacement coverage during the period coverage was unavailable. - Continued reporting insurance procurement efforts to the Board of Directors. - Will continue to pursue broad...
Corrective Action Taken - Secured a fidelity bond effective July 1, 2026 - Maintained documentation of all efforts to obtain replacement coverage during the period coverage was unavailable. - Continued reporting insurance procurement efforts to the Board of Directors. - Will continue to pursue broader fidelity coverage as market conditions permit. - Will monitor renewal date to ensure timely renewal before expiration and prevent future lapses in coverage. Responsible Persons: Executive Director, Lee Pliscou Completion Date: July 1, 2026
Corrective action planned: Complete the physical inventory of all offices; reconcile inventory results to the property subsidiary ledger; investigate any discrepancies identified, resolved and ensure all required inventory documentation is complete, including supervisory review and approvals, is mai...
Corrective action planned: Complete the physical inventory of all offices; reconcile inventory results to the property subsidiary ledger; investigate any discrepancies identified, resolved and ensure all required inventory documentation is complete, including supervisory review and approvals, is maintained. Assets determined to be missing, obsolete, or no longer in service will be processed in accordance with MLSC’s property management procedures and the Financial Guide. Anticipated completion date: August 31, 2026.
This finding is due to the district inadequately maintaining property records for assets acquired under the Education Stabilization Fund – Elementary and Secondary Education that identify all of the property records elements not per federal guidance. Additionally, there was no indication that a phys...
This finding is due to the district inadequately maintaining property records for assets acquired under the Education Stabilization Fund – Elementary and Secondary Education that identify all of the property records elements not per federal guidance. Additionally, there was no indication that a physical inventory of the property acquired under the Education Stabilization Fund – Elementary and Secondary Education had been performed within the preceding two years.
Finding Reference Number: 2025-003 Description of Finding: IYT submitted its Audited Financial Statements and Single Audit Report to the Federal Audit Clearinghouse in August 2026, approximately five months after it was due. IYT was required to submit it no later than March 31, 2026; nine months aft...
Finding Reference Number: 2025-003 Description of Finding: IYT submitted its Audited Financial Statements and Single Audit Report to the Federal Audit Clearinghouse in August 2026, approximately five months after it was due. IYT was required to submit it no later than March 31, 2026; nine months after the June 30, 2025 fiscal year-end, in accordance with 2 CFR 200.512. Federal awarding agencies may deny future federal awards or subject IYT to additional cash monitoring requirements. Statement of Concurrence or Nonconcurrence: We concur with the audit finding. Corrective Action: This finding is a repeat of prior-year finding 2024-004. IYT's prior corrective action committed to on-time submission but did not establish the controls needed to make that commitment hold: it relied on the intent to submit on time rather than on a dated, back-scheduled calendar with an owner for each step and a checkpoint to catch slippage early. When the FY24-25 audit timeline slipped, there was no interim milestone to surface the delay while it could still be recovered, and the report was again submitted late. IYT acknowledges and accepts the responsibility for late submission. Meeting the FAC deadline is IYT's responsibility and remains so even where individual steps sit with the audit firm or with governance. IYT will establish a compliance calendar built by working backward from the Federal Audit Clearinghouse (FAC) statutory deadline, with defined interim milestones and an owner assigned to each by position: engagement of the audit firm and confirmation of fieldwork dates; completion of the year-end close; delivery of the prepared-by-client (PBC) list; fieldwork; draft report; management review; Finance Committee and Board review; and final FAC submission and certification. IYT's timeline depends on inputs from the audit firm (scheduling, fieldwork and reporting turnaround, and draft-review cycles) and from governance (Audit Committee and Board review windows). IYT manages these inputs to the deadline rather than treating them as outside its control: target dates are agreed with the auditors and committee chairs in advance and confirmed in writing, and if any party is at risk of missing a date, IYT escalates and adjusts immediately rather than absorbing the delay. Progress against every milestone is monitored by management and reported to the Audit Committee as a standing agenda item, so slippage is identified and escalated early rather than discovered near the deadline. Name of Contact Person: Macarena O'Brien, Chief Financial & Administrative Officer macarena@improveyourtomorrow.org | (480) 993-4764 Projected Completion Date: March 31, 2027
Finding Reference Number: 2025-002 Description of Finding: During the single audit, IYT provided three successive versions of the Schedule of Expenditures of Federal Awards (SEFA). The initial version included only the expenditures of grant funds received through California Volunteers and reflected ...
Finding Reference Number: 2025-002 Description of Finding: During the single audit, IYT provided three successive versions of the Schedule of Expenditures of Federal Awards (SEFA). The initial version included only the expenditures of grant funds received through California Volunteers and reflected an incorrect amount. The second version corrected the California Volunteers amount but omitted the other pass-through entities. The final version included expenditures from all pass-through entities. Earlier versions did not fully reconcile to the accounting system. Because of the significance of the AmeriCorps State and National funding (Assistance Listing 94.006) passed through multiple entities, this was reported as a material weakness in internal control over compliance related to entity-wide federal award reporting under 2 CFR 200.508(b) and 2 CFR 200.510. Statement of Concurrence or Nonconcurrence: We concur with the audit finding. Corrective Action: IYT implemented a formal, documented process for preparing the Schedule of Expenditures of Federal Awards (SEFA) that addresses completeness, accuracy, and reporting of pass-through information. IYT maintains a document that identifies all federal awards received and expended, including each pass-through entity, pass through identifying number, and award period, so that every funding source is captured. Federal expenditures are reconciled to the general ledger and to each pass-through entity's reports on a scheduled basis throughout the year, and total SEFA expenditures are compared to federal revenue recognized in the financial statements. The SEFA is subject to a documented preparer-and-reviewer control, and IYT will not designate the SEFA as final until it is complete, fully reconciled to the accounting system and supporting records, and reviewed and approved by management. Finance staff received training on the SEFA preparation and reporting requirements of 2 CFR 200.508(b) and 200.510, including the identification and reporting of pass-through awards. A complete, fully reconciled, and reviewed SEFA is prepared prior to the start of the FY 2026 audit. Name of Contact Person: Macarena O'Brien, Chief Financial & Administrative Officer macarena@improveyourtomorrow.org | (480) 993-4764 Completion Date: June 30, 2026
The Executive Director and Executive Assistant will coordinate with the appropriate NRWA program manager on an ongoing basis to ensure that Montana Rural Water Systems retains copies of all Wastewater Community Assessment Reports, documentation showing implementation of recommendations, focus storie...
The Executive Director and Executive Assistant will coordinate with the appropriate NRWA program manager on an ongoing basis to ensure that Montana Rural Water Systems retains copies of all Wastewater Community Assessment Reports, documentation showing implementation of recommendations, focus stories, certification records, and other supporting program documentation. Program staff will be required to provide the MRWS office with a copy of each required submission at the time it is submitted to NRWA. These records will be maintained in a centralized program file and retained for future audits and program reviews. MRWS will also contact NRWA to request copies of, or written confirmation regarding, the five Wastewater Community Assessment Reports, documentation showing implementation of recommendations, certification records, and other supporting program documentation from the audit period. Any documentation received will be placed in the Association's program files. Completion Date: The documentation retention process and request to NRWA for prior records will be completed by August 31, 2026. Documentation retention and coordination with NRWA will continue an ongoing basis. Tanya and I will oversee this process, remain in communication with the appropriate NRWA program managers, and make sure the required documentation is retained by Montana Rural Water Systems going forward. We will also reach out to NRWA to obtain the reports and supporting documentation identified in the findings so that those records can be placed in the Association's files. Sincerely, Ben Rigby Executive Director Montana Rural Water Systems Association, Inc.
The Executive Director and Executive Assistant will coordinate with the appropriate NRWA program manager on an ongoing basis to ensure that Montana Rural Water Systems retains copies of all reports, assessments, focus stories, and other supporting documentation submitted for the Disaster Recovery Ci...
The Executive Director and Executive Assistant will coordinate with the appropriate NRWA program manager on an ongoing basis to ensure that Montana Rural Water Systems retains copies of all reports, assessments, focus stories, and other supporting documentation submitted for the Disaster Recovery Circuit Rider Program. Program staff will be required to provide the MRWS office with a copy of each required submission at the time it is submitted to NRWA. These records will be maintained in a program file and retained for future audits and program reviews. MRWS will also contact NRWA to request copies of, or written confirmation regarding, reports, assessments, and other program documentation submitted during the audit period. Any documentation received will be placed in the Association's program files. Completion Date: The documentation retention process and request to NRWA for prior records will be completed by August 31, 2026. Documentation retention and coordination with NRWA will continue an ongoing basis. Tanya and I will oversee this process, remain in communication with the appropriate NRWA program managers, and make sure the required documentation is retained by Montana Rural Water Systems going forward. We will also reach out to NRWA to obtain the reports and supporting documentation identified in the findings so that those records can be placed in the Association's files. Sincerely, Ben Rigby Executive Director Montana Rural Water Systems Association, Inc.
SAMARITAS AND SUBSIDIARIES Management’s Corrective Action Plan For the Year Ended December 31, 2025 Finding 2025-001 Contact Person(s): Bridgette Zappacosta, Chief Financial Officer Corrective Action Planned: Management concurs with the finding. During the period under review, the Finance Department...
SAMARITAS AND SUBSIDIARIES Management’s Corrective Action Plan For the Year Ended December 31, 2025 Finding 2025-001 Contact Person(s): Bridgette Zappacosta, Chief Financial Officer Corrective Action Planned: Management concurs with the finding. During the period under review, the Finance Department was transitioning to a new accounting system. The identified exceptions occurred prior to the implementation of the new system and related processes. As part of the transition to Blackbaud Financial Edge NXT, Samaritas has implemented controls designed to prevent expenditures from being charged outside of a federal award's period of performance. Grant records within the system now include defined start and end dates that prevent expenditures from being applied to awards outside the authorized grant period. In addition, Samaritas enhanced its invoice approval process by adding a required custom field to identify the service period associated with each invoice. This information is reviewed during the monthly close process to identify invoices received before or after a grant period and to ensure expenditures are recorded in the appropriate award period. The Finance Department completed training on these revised procedures in July 2026. Management will continue to monitor compliance with these controls as part of its monthly grant and financial review processes. Anticipated Completion Date: Implemented July 2026; ongoing monitoring procedures are in place.
CORRECTIVE ACTION PLAN — Finding 2025-003 Grant Accounting Reconciliation and Compliance over Allowable Costs / Reporting — Compliance Finding (Allowable Costs / Cost Principles, Reporting) and Material Weakness in Internal Control over Compliance and Financial Reporting Programs: Weatherization Ass...
CORRECTIVE ACTION PLAN — Finding 2025-003 Grant Accounting Reconciliation and Compliance over Allowable Costs / Reporting — Compliance Finding (Allowable Costs / Cost Principles, Reporting) and Material Weakness in Internal Control over Compliance and Financial Reporting Programs: Weatherization Assistance for Low-Income Persons (ALN 81.042); Low-Income Home Energy Assistance Program – LIHEAP (ALN 93.568), and related state and federal funds administered through the Weatherization program | Cognizant / Pass-Through Agencies: U.S. Department of Energy; U.S. Department of Health and Human Services; State of Vermont Department for Children and Families | Entity: Southeastern Vermont Community Action, Inc. (SEVCA) | CAP Contact: Joshua Davis, Executive Director, JDavis@sevca.org 1. Summary of Finding Finding 2025-003 identified that Weatherization work-in-progress (WIP), grant revenue, and deferred revenue balances did not reconcile to the supporting documentation required under the related grants, resulting in significant audit adjustments; those balances were adjusted to agree with program reporting only at grant-year and fiscal-year close rather than on an ongoing basis. The finding also identified that expenditures recorded in the general ledger could not be reconciled to expenditures reported in the state reporting system (Hancock) for both the LIHEAP and Weatherization programs, and that subcontract labor and subcontract material costs were overstated and billed to both programs, requiring repayment of $133,144.05 to the State of Vermont. 2. Management’s Response Management concurs with the finding, and the $133,144.05 has been repaid. Both conditions share a common root cause: Weatherization and Finance operate on separate systems — Hancock for program job-costing, the general ledger for financial reporting — without a recurring, independently reviewed monthly reconciliation between the two. Program staff prepare both the Hancock job-closing data and the resulting Monthly Expenditure Reports (MERs), and Finance’s role has been limited to sign-off on the cash draw request and MER rather than independent verification of the underlying data. This allowed a set of jobs that were closed, reported, then inadvertently reopened, re-closed, and billed a second time to go undetected until identified by the independent audit. 3. Root Cause Gap A – Balance reconciliation (drives the WIP, revenue, and deferred revenue condition): No recurring monthly reconciliation exists between Hancock’s reported WIP activity by grant and the general ledger’s WIP asset, revenue, and deferred revenue balances. Alignment has relied on a semi-annual adjusting entry that forces the general ledger to agree with year-end or grant-end program reporting, without documenting the variance being corrected. Gap B – Source data review (drives the expenditure reporting and overbilling condition): Finance’s review of the MER and cash draw request has not included independent verification that the population of jobs and costs reported as newly closed for the month is accurate and non-duplicative, which allowed reopened-and-reclosed jobs to be billed twice without detection. Gap C – Subcontract cost validation: Subcontractor invoices and purchase orders are reviewed and approved at the point of payment. Weatherization’s existing job-closeout procedure for verifying subcontract labor and material costs on a closed job has not been reviewed for consistency with grant requirements, and is not currently integrated with Finance’s review of cash draw requests and MERs. 4. Corrective Actions The actions below establish monthly, documented, independently reviewed controls for closing Gaps A, B and C scoped to what can be reliably implemented and sustained in the near term. 1. Develop and implement a written Monthly Grant Reconciliation Procedure requiring Hancock’s month-end WIP, revenue, and deferred revenue activity by grant to be reconciled to the corresponding general ledger balances every month, rather than only at grant-year and fiscal-year close — Finance Director; within 60 days (by early October 2026). 2. Replace the semi-annual WIP adjusting entry with a monthly adjusting entry supported by a documented reconciliation identifying the variance between Hancock-reported and general-ledger balances. During the initial implementation period, Finance will develop and refine the reconciliation methodology; each variance identified will be documented, researched, and corrected once its cause is determined. A specific materiality threshold and escalation protocol for unresolved variances will be documented and adopted by January 2027, based on the pattern observed in the initial reconciliation cycles. The reconciliation and any correcting entries are subject to documented Finance Director review and sign-off, and independent review and sign-off by the Executive Director, retained for audit testing — Finance Director / Staff Accountant / Executive Director; first full month applied July 2026, ongoing thereafter; materiality threshold and escalation protocol adopted by January 2027. 3. Develop and implement a written MER Review Procedure requiring that, prior to submission, Finance compare the current month’s Hancock closed-job listing against the prior month’s listing for each grant to identify jobs appearing more than once, including jobs closed, reopened, and re-closed — Finance Director / Staff Accountant; within 60 days (by early October 2026). 4. Formalize the existing Finance review and sign-off of the MER and cash draw request to explicitly include and document this closed-job comparison, subject to independent review and sign-off by the Executive Director prior to submission, — Finance Director / Executive Director; effective with the September 2026 submission cycle. 5. Require Weatherization to flag, at the point of submission, any job reopened after an initial closing, so Finance’s review has a defined starting point — Weatherization Administration Staff; effective with the October 2026 submission cycle. 6. Train Weatherization and Finance staff on the updated procedures, including the integrated job-closeout review (Item 7), and on 2 CFR 200 Subpart E (allowable, allocable, and properly supported costs), and retain completed reconciliations and MER review documentation, including job-closeout review documentation, to support future audit testing — Finance Director / Accounting Staff; training by early November 2026, retention ongoing. 7. Review Weatherization’s current job-closeout procedure, in coordination with Weatherization Administration Staff, to confirm that subcontract labor and material costs attributed to a closed job are verified as complete, accurate, not previously billed, and correctly classified. Correct or strengthen the procedure as needed to bring it into compliance, document it, and integrate it with Finance’s review of the MER and cash draw request (Items 3–4) — Finance Director / Weatherization Administration Staff; review completed by mid-September 2026, procedure documented, corrected as needed, and integrated with Finance’s review by mid-November 2026. 8. After the monthly WIP/general ledger reconciliation (Item 2) and MER closed-job comparison (Items 3–4) have been operating for at least one full quarter, apply the same closed-job comparison methodology retrospectively to Hancock data for FY24 and FY25 to identify any additional jobs closed, reopened, and re-closed and billed more than once. Document the results, including any additional amounts potentially due to the State of Vermont or U.S. Department of Energy, and report findings to the Finance Committee and, if additional overbilling is identified, to the State of Vermont Department for Children and Families and the U.S. Department of Energy — Finance Director; lookback completed by April 2027, following at least one full quarter of the new procedures operating. 9. Establish a semiannual internal compliance review across all major federal award programs (Head Start, CSBG, LIHEAP, HWAP, and CDBG), phased in to match available capacity. The first cycle will verify that expenditures recorded in the general ledger reconcile to amounts reported to each funder; a sample-based test of cost allowability will be incorporated beginning with the second cycle. The review is performed by the Finance Director and independently reviewed by the Executive Director, with results reported to the Finance Committee — Finance Director / Executive Director; first review by June 2027, semiannual thereafter, cost-allowability testing added beginning with the review in December 2027. 5. Anticipated Completion Date Both procedures will be documented, approved, and in effect no later than October 2026, with the first full reconciliation and MER review cycle completed at October month-end close. The Weatherization job-closeout review (Item 7) will be completed, corrected as needed, and integrated with Finance’s review by mid-November 2026. Staff training will be completed by early November 2026. The materiality threshold and escalation protocol for reconciliation variances (Item 2) will be adopted by January 2027. The FY24–FY25 historical lookback (Item 8) will be completed by April 2027. The program-wide semiannual internal compliance review (Item 9) will begin no later than June 2027, with cost-allowability testing phased in by December 2027. 6. Broader Process Review – Weatherization / Finance Integration These near-term actions reduce but do not fully resolve a systemic issue: Weatherization and Finance rely on separate systems and staff, connected only by manual, summary-level data transfer. Fully closing that gap — including possible transaction-level reconciliation between Hancock and the general ledger — requires broader cross-departmental review, which management has begun, led by the Executive Director and Finance Director in consultation with Weatherization Administration Staff. The review will incorporate the results of the Weatherization job-closeout procedure review (Item 7) and will evaluate the feasibility of transaction-level reconciliation, staffing needs, and interim manual controls, and is targeted for completion by November 2026. A detailed scope, timeline, and set of deliverables is maintained as a supplementary document, available to the Finance Committee and auditors on request; a summary of findings and any resulting recommendations will be incorporated into next year’s corrective action reporting. 7. Monitoring The Finance Director will review completed monthly reconciliations and MER review documentation, and the integrated Weatherization job-closeout review (Item 7), as part of each monthly close and submission cycle; the Executive Director will independently review and sign off on this documentation on the same cycle. Unresolved reconciliation variances will be handled per the protocol adopted under Item 2. Reconciliation status and any unresolved variances will be reported to the Finance Committee monthly, together with progress on the broader Weatherization / Finance process review until that work concludes. The semiannual program-wide internal compliance review (Item 9) will be reported to the Finance Committee upon completion of each cycle. 8. Evidence of Completion Items 1–2 (Monthly WIP/GL reconciliation): Reconciliation workpapers, variance research notes, Finance Director and Executive Director sign-off, and escalation records where applicable. Items 3–4 (MER closed-job comparison): Closed-job comparison reports, and the MER and draw request with Finance Director and Executive Director sign-off. Item 5 (Weatherization reopened-job flag): Flagged job listing submitted with each MER cycle. Item 6 (Training): Training materials and sign-in sheets or completion certificates. Item 7 (Weatherization job-closeout review): Documentation of the procedure review, any corrections made, and sign-off integrating it into the MER/draw review. Item 8 (Historical lookback): Lookback workpapers, a summary of results, and related Finance Committee and funder correspondence. Item 9 (Semiannual compliance review): Review workpapers, sample testing documentation, and the Finance Committee report. All records will be retained in accordance with SEVCA’s record retention policy and 2 CFR 200.334.
CORRECTIVE ACTION PLAN — Finding 2025-002 Compliance Finding – Cash Management | Low-Income Home Energy Assistance Program (LIHEAP) (ALN 93.568) Entity: Southeastern Vermont Community Action, Inc. (SEVCA) | Pass-Through Entity: State of Vermont Department for Children and Families | Cognizant Federa...
CORRECTIVE ACTION PLAN — Finding 2025-002 Compliance Finding – Cash Management | Low-Income Home Energy Assistance Program (LIHEAP) (ALN 93.568) Entity: Southeastern Vermont Community Action, Inc. (SEVCA) | Pass-Through Entity: State of Vermont Department for Children and Families | Cognizant Federal Agency: U.S. Department of Health and Human Services | CAP Contact: Joshua Davis, Executive Director, JDavis@sevca.org 1. Summary of Finding Finding 2025-002 identified that SEVCA drew the maximum allowable 50% advance under the LIHEAP award at the onset of the grant period without a documented cash flow forecast or disbursement schedule demonstrating that the amount drawn was limited to actual, immediate program needs. Approximately 30 days after receipt, a significant portion of the advance remained unexpended. This is not consistent with 2 CFR 200.305(b), which requires advances to be limited to the minimum amounts needed and timed to minimize the elapsed time between receipt and disbursement of funds. 2. Management’s Response SEVCA concurs with the finding. No questioned costs were identified. Management is implementing the corrective actions below. 3. Corrective Actions 1. Develop and implement a written Cash Management Procedure requiring that each advance drawdown request be supported by a documented cash flow forecast / disbursement schedule covering the period through the next expected draw date for that award, in accordance with 2 CFR 200.305(b) — Finance Director; 9/1/26. 2. Limit advance drawdown amounts to anticipated disbursements through the next scheduled draw date, rather than defaulting to the maximum allowable advance percentage — Finance Director; 9/1/26. 3. Formalize Finance Director review and sign-off of draw requests, and require independent review and sign-off by the Executive Director prior to submission, to explicitly document verification of the supporting forecast and the next expected draw date, and the amount requested — Finance Director / Executive Director; 9/1/26. 4. Use a single recurring draw worksheet per award documenting cash on hand, anticipated disbursements through the next draw date, and the amount requested, while reconciling the prior draw’s actual disbursements against projections and flagging any idle balances — Finance Director; 9/1/26. 5. Train relevant staff on the updated procedure and 2 CFR 200.305 requirements, and retain completed draw worksheets to support future audit testing — Finance Director / Accounting Staff; 9/1/26, retention ongoing. 4. Anticipated Completion Date 9/1/26. 5. Monitoring The Finance Director will review completed draw worksheets as part of each draw cycle; the Executive Director will independently review and sign off on each draw worksheet prior to submission, and will assess quarterly whether advances are being appropriately sized and timely utilized across federal awards. Draw worksheets, supporting forecasts, and sign-offs will be retained to support future audit testing.
CORRECTIVE ACTION PLAN — Finding 2025-001 Compliance Finding – Special Tests and Provisions | Community Services Block Grant (ALN 93.569) Entity: Southeastern Vermont Community Action, Inc. (SEVCA) | Pass-Through Entity: State of Vermont Department for Children and Families | Cognizant Federal Agenc...
CORRECTIVE ACTION PLAN — Finding 2025-001 Compliance Finding – Special Tests and Provisions | Community Services Block Grant (ALN 93.569) Entity: Southeastern Vermont Community Action, Inc. (SEVCA) | Pass-Through Entity: State of Vermont Department for Children and Families | Cognizant Federal Agency: U.S. Department of Health and Human Services | CAP Contact: Joshua Davis, Executive Director, JDavis@sevca.org 1. Summary of Finding Finding 2025-001 identified that, as of the September 24, 2025 board meeting, SEVCA’s 13-member Board of Directors did not meet the required CSBG tripartite composition: four participant-sector members, five private-sector members, and four public-sector members, leaving neither the participant nor the public sector at one-third. SEVCA returned to compliance the following month by seating the additional members needed to restore the required composition, recruited and seated through SEVCA’s established board-selection process. No questioned costs were identified. 2. Management’s Response SEVCA concurs with the finding. The tripartite structure is fundamental to community action agency governance and to meaningful representation of low-income individuals and families, public officials, and private-sector members. Management and the Board have strengthened monitoring of Board composition and are maintaining a continuing pipeline of prospective members in each required sector. 3. Root Cause Board-member turnover created a temporary imbalance among the three required sectors. The underlying control gap was the absence of a documented composition matrix, a recurring compliance review, and a formal escalation procedure triggered when a departure caused—or was expected to cause—a sector to fall below its required representation. Because members must be seated through SEVCA’s established selection procedures, vacancies cannot always be filled immediately, making proactive succession planning and sector-specific recruitment necessary. 4. Corrective Actions 1. Provide Board training on CSBG tripartite composition requirements and each member’s role in maintaining a compliant Board — Executive Director / Board Chair; completed and incorporated into ongoing Board education. 2. Maintain a Board composition matrix identifying each member’s sector, term dates, appointing or selecting authority, applicable public-official status, and current or anticipated vacancies — Executive Director / Board Secretary; completed and maintained ongoing. 3. Review the composition matrix at each regular Executive Committee meeting, include it in the monthly Board meeting materials, and document the review in the minutes — Board Chair / Executive Director; ongoing. 4. Maintain an all-Board recruitment pipeline of qualified candidates for each required sector through public advertising, community partnerships, and direct outreach, beginning recruitment as early as possible when a departure is anticipated — Board of Directors / Executive Director; implemented and ongoing. 5. Adopt written requirements that vacancies affecting tripartite compliance be filled within 90 days where reasonably possible, with immediate escalation of any current or anticipated imbalance to the Board Chair and governance committee, together with contingency procedures for declined appointments, failed elections, or mid-year changes in Board size — Executive Committee; within 90 days of plan approval. 6. Obtain an annual certification by the Board Chair or governance committee confirming tripartite composition compliance and documentation of member-selection procedures — Board Chair / Governance Leadership; annually, beginning with the next governance review. 5. Anticipated Completion Date Restoration of tripartite compliance, Board training, and the composition matrix are complete. Written vacancy, escalation, and contingency requirements will be completed within 90 days of approval of this plan. Recruitment, succession planning, composition monitoring, and annual certification continue as ongoing governance responsibilities. 6. Monitoring The Executive Director and Board Chair will monitor the composition matrix, review it at each regular Executive Committee meeting, and include it with the monthly Board meeting materials. Progress toward filling affected seats will be reported to the full Board until compliance is restored, and the Board Chair or Executive Committee will complete the annual composition certification.
Onvida Health Management will revise/update existing procurement and/or grant policies to incorporate all Uniform Guidance requirements related to micro-purchases, small purchases, competitive proposals, and documentation of cost or price analysis. Procedures for verifying suspension and debarment s...
Onvida Health Management will revise/update existing procurement and/or grant policies to incorporate all Uniform Guidance requirements related to micro-purchases, small purchases, competitive proposals, and documentation of cost or price analysis. Procedures for verifying suspension and debarment status will also be formally addressed in these policies. Responsible Official: Dana Alexander, Controller Completion Date: Any outstanding items not already completed that are listed in the corrective action plan, will be completed by an estimation date of October 1, 2026.
Onvida Health will establish an echelon of staff for reporting in the grant policies and procedures manual that will cover gaps when turnover happens to key staff assigned. Multiple staff will and have been assigned to each grant portal to ensure that communication efforts and deadlines between gran...
Onvida Health will establish an echelon of staff for reporting in the grant policies and procedures manual that will cover gaps when turnover happens to key staff assigned. Multiple staff will and have been assigned to each grant portal to ensure that communication efforts and deadlines between grantee and YRMC/Onvida Health allow for multiple communication to be received in the event of any staffing changes and reporting can still be completed without delays. The Federal financial report was submitted as soon as access was given by HRSA. No correspondence came from HRSA to reference a late filing. Onvida Health is in the process of changing over the project director assigned to this grant on the HRSA EHB site for the performance reports. Only HRSA staff can update these records/access to individual grants. We have been delayed in this process due to a government furlough in place, no response to numerous Onvida Health emails to HRSA grant awarding agency contacts and phone messages were left for return correspondence. Responsible Official: Dana Alexander, Controller Completion Date: Any outstanding items not already completed that are listed in the corrective action plan, will be completed by an estimation date of October 1, 2026.
Management's Response Management will review the provided State Conservation Commission and Department of Environmental Protection grant awards with the percentage breakdown of Federal and State money grant sources from the contract allocations and spending balance of the federal monies verses state...
Management's Response Management will review the provided State Conservation Commission and Department of Environmental Protection grant awards with the percentage breakdown of Federal and State money grant sources from the contract allocations and spending balance of the federal monies verses state monies within the grant allocation.
Management's Response Management will address the proposed audit adjustments effective December 31, 2024. Accounting personnel will obtain guidance from the auditor on the proper reporting of infrequent and unusual transactions as they arise. Further, management will request statements on life insur...
Management's Response Management will address the proposed audit adjustments effective December 31, 2024. Accounting personnel will obtain guidance from the auditor on the proper reporting of infrequent and unusual transactions as they arise. Further, management will request statements on life insurance contracts in order to properly monitor and record activity and investment balances. -
Harmony Community Development Corporation will implement a formal monthly grant compliance review process for all HUD Continuum of Care grants. The purpose of this process is to ensure the required matching funds are identified, documented, reviewed, and maintained throughout the grant period. Begin...
Harmony Community Development Corporation will implement a formal monthly grant compliance review process for all HUD Continuum of Care grants. The purpose of this process is to ensure the required matching funds are identified, documented, reviewed, and maintained throughout the grant period. Beginning immediately, Finance, Program, and Compliance staff will conduct monthly reviews to: • Monitor required HUD matching funds and maintaining supporting documentation. • Reconcile eligible matching support to grant activity and supporting records. • Monitor cumulative administrative costs to ensure compliance with the 10% administrative cost limitation. • Maintain a centralized electronic grant file containing match documentation, payroll support, service documentation, administrative cost calculations, and monthly review approvals. • Report compliance with exceptions to Executive Leadership for timely resolution. This monthly review process will remain in place throughout the grant period and will be incorporated into Harmony's ongoing grant compliance procedures. Person Responsible for Corrective Action Plan: Mark Porter, Executive Director Departments Responsible: Finance, Compliance, and Program Leadership Anticipated Date of Completion: Implemented immediately and monitored monthly throughout the grant period.
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2025 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current ...
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2025 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2025-002: The Corporation paid entity costs of $7,680 from operating cash. Comments on the Finding and Each Recommendation: The Sponsor should reimburse the Corporation $7,680 or management should request HUD approval for funds to be reimbursed from the reserve for replacement. Action(s) taken or planned on the finding: Management requested reimbursement from the reserve for replacement. HUD approval was received on February 25, 2026.
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2025 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current ...
Name of auditee: Lime House Senior Housing, Inc. HUD auditee identification number: 122-EE136-WAH-NP Name of audit firm: Dauby O'Connor & Zaleski, LLC Period covered by the audit: Year ended December 31, 2025 CAP prepared by Name: Ana Ponce Position: President Telephone number: 323-231-1104 Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations Finding 2025-001: As of December 31, 2025, deposits to the reserve for replacements account of $27,908 had not been made. Comments on the Finding and Each Recommendation: Management should make a deposit to the reserve for replacements for $27,908 for the delinquent deposits. In future periods, management should fund the reserve for replacements on an annual basis as required by the regulatory agreement. Action(s) taken or planned on the finding: Management made the delinquent deposit on March 11, 2026.
Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Mateo Federal Award Identification Number: SFLRP0201 • Fiscal Year of Initial Finding: 2024 •...
Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Mateo Federal Award Identification Number: SFLRP0201 • Fiscal Year of Initial Finding: 2024 • Name(s) of the contact person: Kenneth Stiles, Interim Administrative Services Director • Corrective Action Plan: The City will implement controls to ensure timely quarterly reporting. Specifically, the City will: 1. Establish a reporting calendar with internal deadlines. 2. Assign primary and backup staff for report preparation. 3. Implement a review process prior to submission. 4. Use tracking tools to monitor deadlines and status. • Anticipated Completion Date: September 2026
Finding #SA2025-002: Subrecipient Monitoring Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Mateo Federal Award Identification Number: SFLRP...
Finding #SA2025-002: Subrecipient Monitoring Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Mateo Federal Award Identification Number: SFLRP0201 • Fiscal Year of Initial Finding: 2024 • Name(s) of the contact person: Kenneth Stiles, Interim Administrative Services Director • Corrective Action Plan: The City will strengthen its subrecipient monitoring practices to comply with 2 C.F.R. § 200.332. Specifically, the City will: 1. Conduct a suspension and debarment check on SAM.gov prior to awarding subrecipient agreements. 2. Update its standard subrecipient agreement template to include a requirement that subrecipients notify the City of any noncompliance or misuse of federal funds. 3. Require subrecipients to submit quarterly programmatic and financial reports to demonstrate proper use of funds and progress toward performance goals. 4. For subrecipients expending $750,000 or more in federal funds, obtain and review their Single Audit reports annually. If below the threshold, request and retain a written statement confirming the subrecipient is not subject to Single Audit requirements. 5. Maintain all documentation related to subrecipient monitoring for a minimum of five years and use a standardized checklist to track compliance. • Anticipated Completion Date: September 2026
Finding #SA2025-001: Suspension and Debarment Documentation for Contracts and Subcontracts Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Ma...
Finding #SA2025-001: Suspension and Debarment Documentation for Contracts and Subcontracts Assistance Listing Number: 21.027 Assistance Listing Title: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds Name of Federal Agency: Department of the Treasury Pass Through Entity: County of San Mateo Federal Award Identification Number: SFLRP0201 • Fiscal Year of Initial Finding: 2024 • Name(s) of the contact person: Kenneth Stiles, Interim Administrative Services Director • Corrective Action Plan: The City recognizes the importance of compliance with federal requirements related to suspension and debarment. To address this finding, the City will implement the following corrective actions: 1. Develop and implement a formalized procedure to verify suspension and debarment status through the System for Award Management (SAM.gov) for all applicable contractors and subcontractors prior to award. 2. Ensure documentation of this verification (e.g., printed SAM search results) is retained in the contract file. 3. Train staff responsible for procurement and contracting on the suspension and debarment requirements under 2 C.F.R. Part 180 and Part 200. 4. Apply these procedures to applicable contracts moving forward, effective immediately. • Anticipated Completion Date: September 2026
CORRECTIVE ACTION PLAN Name and Number of the Project: Cliff View Village II, Inc. No. 112-EE040 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2025 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regar...
CORRECTIVE ACTION PLAN Name and Number of the Project: Cliff View Village II, Inc. No. 112-EE040 Audit Firm: M Group, LLP Audit Period: The year ended December 31, 2025 Compliance Review A. COMMENTS ON FINDINGS AND RECOMMENDATIONS We concur with the findings and recommendations of our auditors regarding our noncompliance as cited in the accompanying Schedule of Findings and Questioned Costs. ACTIONS TAKEN FINDING 1: Section 202 Capital Advance, CFDA 14:157 CORRECTIVE ACTION COMPLETED: During March 2026 the Company deposited the delinquent payment of $120 into the residual receipts account for excess rent. We have prepared the corrective action plan as required by the standards applicable to financial statements contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principals, and Audit Requirements for Federal Awards. Any questions regarding the above corrective action plan should be directed to Ms. Becca Riebesell, Vice President, Asset Living.
Management concurs with the findings. Management is in the process of implementing formal procedures to strengthen oversight of HUD regulatory requirements, including the timely execution of replacement reserve deposits. These procedures will include clearly assigning responsibility, incorporating t...
Management concurs with the findings. Management is in the process of implementing formal procedures to strengthen oversight of HUD regulatory requirements, including the timely execution of replacement reserve deposits. These procedures will include clearly assigning responsibility, incorporating the requirement into a month-end compliance checklist, and documenting management review. Management expects these procedures to be implemented promptly and believes they will ensure compliance with HUD requirements going forward. Name of Responsible Person: Peyton Vang, Director of Finance Name of Contact: John Reilly Anticipated Completion Date: Corrective action was implemented effective July 2025
Management concurs with the findings. Management is in the process of implementing formal procedures to strengthen oversight of HUD regulatory requirements, including the preparation, review, and timely execution of surplus cash calculations and related residual receipts deposits. These procedures w...
Management concurs with the findings. Management is in the process of implementing formal procedures to strengthen oversight of HUD regulatory requirements, including the preparation, review, and timely execution of surplus cash calculations and related residual receipts deposits. These procedures will include clearly assigning responsibility, incorporating the requirement into a year‑end compliance checklist, and documenting management review. Name of Responsible Person: Peyton Vang, Director of Finance Name of Contact: John Reilly Anticipated Completion Date: August 2026
« 1 29 30 32 33 2328 »