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Corrective Action Plans

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Finding 1239400 (2025-004)
Material Weakness 2025
Peoria Housing Authority
IL
HUD Housing Programs
Eligibility Housing Voucher Cluster Significant Deficiency in Internal Control Other matter required to be reported in accordance with Uniform Guidance (Repeated in part from prior year, Finding No. 2024-004) Condition: Out of an approximate population of 1,680 Housing Voucher Cluster tenants we tes...
Eligibility Housing Voucher Cluster Significant Deficiency in Internal Control Other matter required to be reported in accordance with Uniform Guidance (Repeated in part from prior year, Finding No. 2024-004) Condition: Out of an approximate population of 1,680 Housing Voucher Cluster tenants we tested 40 tenants and the following deficiencies were noted: • 3 files did not have a semi-annual inspection completed; • 1 file did not have a signed 9886 form available; • 1 file had the incorrect payment standard applied; • 1 file had incorrectly reported income on the annual recertification; and, • 1 file had incorrectly reported assets on the annual recertification. Auditor Recommendations: The Authority should re-evaluate their established procedures and controls in place to ensure full compliance in regard to eligibility and the timeliness of recertifications. The Authority needs to correct the deficiencies noted in the tested files and consider the impact to the rest of the population of tenant files that were not selected as part of the auditor’s sample. Action Planned in Response to Finding: In response to the identified deficiency, we are taking the following immediate steps to address the situation: • Implement a new review process, 2nd review of files, and quarterly internal audit of tenant files. • Improvement of the tenant file checklist to ensure all required documents are consistently filed. • Corrections will be made to the tenant ledgers and HAP payments will be adjusted retroactively if necessary. • Revise the operations procedures for rent calculations, payment processing, and ledger reconciliations. • Conduct refresher training for the HCV staff. • Conduct refresher training for inspection staff on timely inspection requirements. • Implement an automated tracking system with alerts for upcoming and overdue inspections. • Increase staff and adjust workload to meet inspection timelines. Name of Responsible Person: Tonya Pollard, Senior Voucher Management Program Projected Completion Date: Tested file corrections November 30, 2026; Population Review March 31, 2027
View Audit 414202
Finding 1239398 (2025-002)
Material Weakness 2025
Ohio North East Health Systems, Inc.
OH
Reporting
Planned Corrective Action: Both the CFO and Controller have access to the EHB and will sit together to review that the information in the supporting spreadsheets is correctly transferred to the UDS report. They will document their formal completion of that process via a newly devised checklist or vi...
Planned Corrective Action: Both the CFO and Controller have access to the EHB and will sit together to review that the information in the supporting spreadsheets is correctly transferred to the UDS report. They will document their formal completion of that process via a newly devised checklist or via e-mail confirmation of same. Anticipated Completion Date: 12/31/2026 Responsible Contact Person: Dr. David Sansoterra, Chief Financial Officer
View Audit 414198
Finding 1239397 (2025-002)
Material Weakness 2025
Iowa Health System and Subsidiaries Dba Unitypoint Health
IA
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.318
Personnel Responsible for Corrective Action: Ryan Willhite, Executive Director, Internal Audit and ERM Anticipated Completion Date: 10/31/2026 Corrective Action Plan: Exclusion monitoring procedures were updated in June 2026 to memorialize expectations for documenting resolution of matches and submi...
Personnel Responsible for Corrective Action: Ryan Willhite, Executive Director, Internal Audit and ERM Anticipated Completion Date: 10/31/2026 Corrective Action Plan: Exclusion monitoring procedures were updated in June 2026 to memorialize expectations for documenting resolution of matches and submitting provider status change requests timely. Additionally, formal timing thresholds will be established for resolution of any UPH matches to exclusion listings.
View Audit 414197
Finding 1239395 (2025-001)
Material Weakness 2025
Iowa Health System and Subsidiaries Dba Unitypoint Health
IA
Internal Control / Segregation of Duties Subrecipient Monitoring § 200.303
Personnel Responsible for Corrective Action: Dawn Kilcoin, Director of Financial Operations, Robert Young Center Anticipated Completion Date: 10/15/2026 Corrective Action Plan: Documentation of review and approval of Fringe Rate calculations will be maintained in addition to the overall review and a...
Personnel Responsible for Corrective Action: Dawn Kilcoin, Director of Financial Operations, Robert Young Center Anticipated Completion Date: 10/15/2026 Corrective Action Plan: Documentation of review and approval of Fringe Rate calculations will be maintained in addition to the overall review and approval documentation before claims are submitted.
View Audit 414197
Finding 1239389 (2025-001)
Material Weakness 2025
Mag America, Inc.
DC
Reporting Significant Deficiency § 200.512
MAG US is implementing additional procedures to ensure the audit and the filing of the data collection form are completed in a timely manner. MAG US is committed to maintaining strong internal controls and ensuring the accuract of our financial reporting.
MAG US is implementing additional procedures to ensure the audit and the filing of the data collection form are completed in a timely manner. MAG US is committed to maintaining strong internal controls and ensuring the accuract of our financial reporting.
View Audit 414196
Finding 1239352 (2025-002)
Material Weakness 2025
Central Minnesota Council on Aging
MN
Subrecipient Monitoring § 200.332
Older Americans Act Title III – Assistance Listing No. 93.044, 93.045, 93.053 Recommendation: The Organization should retain documentation that monitoring activities and risk assessments are being reviewed. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...
Older Americans Act Title III – Assistance Listing No. 93.044, 93.045, 93.053 Recommendation: The Organization should retain documentation that monitoring activities and risk assessments are being reviewed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will implement a process to document their review. Name(s) of the contact person(s) responsible for corrective action: Lori Vrolson, Executive Director Planned completion date for corrective action plan: December 31, 2026
View Audit 414194
Finding 1239345 (2025-001)
Material Weakness 2025
Central Minnesota Council on Aging
MN
Procurement, Suspension & Debarment Subrecipient Monitoring Material Weakness § 200.332
Older Americans Act Title III – Assistance Listing No. 93.044, 93.045, 93.053 Recommendation: The Organization should retain suspension and debarment searches as well as retain documentation that monitoring activities and risk assessments are being reviewed. Explanation of disagreement with audit fi...
Older Americans Act Title III – Assistance Listing No. 93.044, 93.045, 93.053 Recommendation: The Organization should retain suspension and debarment searches as well as retain documentation that monitoring activities and risk assessments are being reviewed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will save and retain the suspension and debarment searches and implement a process to document their review. Name(s) of the contact person(s) responsible for corrective action: Lori Vrolson, Executive Director Planned completion date for corrective action plan: December 31, 2026
View Audit 414194
Finding 1239338 (2025-001)
Material Weakness 2025
Money Management International, Inc.
AZ
Subrecipient Monitoring Reporting Significant Deficiency § 200.303 § 200.332
Money Management International, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: January 1, 2025 – December 31, 2025 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consis...
Money Management International, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: January 1, 2025 – December 31, 2025 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS 2025-001 U.S. Department of Health and Human Services Social Services Block Grant – Assistance Listing No. 93.667 Recommendation: Management should establish internal control procedures to ensure formal documentation of the annual verification of whether subrecipients are subject to audit requirements and, if applicable, that required audits have been completed. Documentation should be retained to support the procedures performed, including information obtained from subrecipients, management's assessment of audit requirements, and any follow-up actions taken. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will implement a formal annual subrecipient monitoring process that includes documenting the assessment of each subrecipient's audit requirements, verifying completion of required audits when applicable, and retaining supporting documentation. A standardized tracking log and review checklist will be established to document the assessment performed, the determination of audit requirements, receipt and review of audit reports, and any necessary follow-up actions for findings or noncompliance. Supporting documentation will be maintained in a centralized location and reviewed annually by management to ensure compliance with federal grant requirements and provide an adequate audit trail. Name of the contact person responsible for corrective action: Andrea Clements Planned completion date for corrective action plan: Oct 31, 2026 If the U.S. Department of Health and Human Services has questions regarding this plan, please call Michelle Jones at 404-653-8849.
View Audit 414191
Finding 1239337 (2025-001)
Material Weakness 2025
Northwell Health, Inc.
NY
Reporting Subrecipient Monitoring Matching / Level of Effort / Earmarking § 200.303
Corrective Action Plan December 31, 2025 Finding 2025-001 – Transparency Reporting Identification of the federal program: Federal Grantor: United States Department of Health and Human Services Assistance Listing Number: 93.243 Substance Abuse and Mental Health Services Projects of Regional and Natio...
Corrective Action Plan December 31, 2025 Finding 2025-001 – Transparency Reporting Identification of the federal program: Federal Grantor: United States Department of Health and Human Services Assistance Listing Number: 93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance Federal Grant Award No.: H79TI084037 Planned corrective actions: As it relates to the Federal Funding Accountability and Transparency Acct (FFATA) reporting, Management has revised procedures to provide further clarity on FFATA reporting. To prevent recurrence, responsible staff will receive annual in-service training on FFATA reporting requirements and the importance of timely compliance with the Transparency Act. In addition, management is reviewing and updating its standard operating procedures for FFATA reporting to strengthen internal controls and ensure all reportable subaward actions are identified and submitted within the required reporting period. Responsible Party: Diane Marbury, AVP Grants Management Office Anticipated completion date: Ongoing
View Audit 414190
Finding 1239336 (2025-001)
Material Weakness 2025
Lewis County Community Health Services Dba Valley View Health Center
WA
Special Tests & Provisions Significant Deficiency Internal Control / Segregation of Duties
2025-001 Sliding Fee Discount Recommendation: VVHC should implement a second level independent review of the demographic data and income verification information entered in the patient billing system in order to ensure the sliding fee classification is correct and corresponding adjustment is appropr...
2025-001 Sliding Fee Discount Recommendation: VVHC should implement a second level independent review of the demographic data and income verification information entered in the patient billing system in order to ensure the sliding fee classification is correct and corresponding adjustment is appropriate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: VVHC will perform routine sampling of demographic data and income verification entered into the billing systems to ensure sliding fee classification is correct, and the proper adjustment was given. Name(s) of the contact person(s) responsible for corrective action: Holly Sliva, CFO Planned completion date for corrective action plan: September 30, 2026
View Audit 414184
Finding 1239333 (2025-001)
Material Weakness 2025
BETHESDA CARES INC
MD
Subrecipient Monitoring § 200.332 § 200.516
Management agrees and will implement our recommendations.
Management agrees and will implement our recommendations.
View Audit 414180
Finding 1239332 (2025-001)
Material Weakness 2025
Puerto Rico Community Network for Clinical Research on Aids, INC
PR
Cash Management Procurement, Suspension & Debarment § 200.302 § 200.305 § 200.339 § 200.344 § 200.346
Corporation's Response: 1. The amount undisbursed, $15,000, was notified to the Project of awareness that we intend to return it as soon as possible. We will be contacting the Awarding Agency Officer to allow us the specific instructions for returning funds through the Payment Management System (PMS...
Corporation's Response: 1. The amount undisbursed, $15,000, was notified to the Project of awareness that we intend to return it as soon as possible. We will be contacting the Awarding Agency Officer to allow us the specific instructions for returning funds through the Payment Management System (PMS) following the agency's refund rules. Also, we have procedures to determine whether any interest earned in the advance must be remitted under 2 CFR§ 200.305(b)(9). 2. We have developed and implemented written cash management procedures to ensure that advance requests are limited to immediate cash needs and each of them is backed by paid invoices. 3. A monthly reconciliation is done for each of the funds, comparing federal disbursements with actual disbursements to avoid excessive requests for unused funds. 4. Constant monitoring has been established. Analyses are carried out of the approved and used budget. This analysis is done by someone who doesn’t handle payments, for the segregation of duties and supervision and the senior management does reviews to make sure everything gets done on time. 5. A formal training program on federal award requirements has been developed and implemented for all staff involved in administration, financial management, procurement, and reporting of federal awards. PR CONCRA management traces all CFR 200-related training and federal fund management training for the staff who can attend or participate in these seminars virtually.
View Audit 414177
Finding 1239330 (2025-006)
Material Weakness 2025
Atrium Health, Inc.
NC
Subrecipient Monitoring Cash Management Period of Performance
Finding 2025-006: Information on the Federal Program: Disaster Grants – Public Assistance | Name of Contact Person: Anthony Gattuso, Vice President Accounting Operations | Corrective Action Plan: Atrium Health CMHA management has enhanced the FEMA expenditure review and approval process by implement...
Finding 2025-006: Information on the Federal Program: Disaster Grants – Public Assistance | Name of Contact Person: Anthony Gattuso, Vice President Accounting Operations | Corrective Action Plan: Atrium Health CMHA management has enhanced the FEMA expenditure review and approval process by implementing procedures to ensure all supporting documentation related to the review, approval, and monitoring of FEMA-funded expenditures is retained in a centralized and accessible location. Management established documentation requirements and provided guidance to responsible personnel to ensure sufficient evidence is maintained to demonstrate that controls have been performed and reviewed as designed. Periodic monitoring will be conducted to verify compliance with these documentation retention requirements. | Proposed Completion Date: Completed July 2025.
View Audit 414174
Finding 1239327 (2025-005)
Material Weakness 2025
Atrium Health, Inc.
NC
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
Finding 2025-005: Fiscal Operations Report and Application to Participate (FISAP) Reporting | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its ne...
Finding 2025-005: Fiscal Operations Report and Application to Participate (FISAP) Reporting | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its new student financial aid management system, with deployment anticipated in August 2027. The new platform is expected to enhance reporting capabilities and address limitations within the current Jenzabar Financial Aid system related to reporting, disbursement verification, and record retention. Until implementation is complete, management will maintain supplemental documentation, including manual records and supporting screenshots, to support the accuracy and completeness of financial aid reporting and related compliance requirements. Additionally, management will perform periodic reviews of reporting outputs to help ensure key reporting information is retained and available for monitoring and audit purposes. | Proposed Completion Date: Management expects interim remediation through enhanced manual documentation and monitoring procedures by December 31, 2026. Following the implementation of PowerFAIDS in August of 2027, a full remediation is expected to be completed by December 31, 2027. Due to the academic-year operating cycle, the College is unable to transition financial aid systems during the middle of an active award year, making a phased implementation approach necessary.
View Audit 414174
Finding 1239325 (2025-004)
Material Weakness 2025
Atrium Health, Inc.
NC
Student Financial Aid Matching / Level of Effort / Earmarking Subrecipient Monitoring § 200.303
Finding 2025-004: Gramm-Leach-Bliley Act (GLBA) – Student Information Security Controls | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA management has remediated this finding ...
Finding 2025-004: Gramm-Leach-Bliley Act (GLBA) – Student Information Security Controls | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA management has remediated this finding through the implementation of multifactor authentication (MFA) controls for the Student Information System (SIS) in February 2026. Following implementation, the SIS successfully underwent internal security review procedures in 2026, confirming that the required controls were operating as designed. Management will continue to monitor these controls as part of its ongoing information security and compliance program. | Proposed Completion Date: Completed February 2026.
View Audit 414174
Finding 1239323 (2025-003)
Material Weakness 2025
Atrium Health, Inc.
NC
Student Financial Aid Matching / Level of Effort / Earmarking § 200.303
Finding 2025-003: Notification of Disbursements to or on Behalf of Students | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA management will work with the current financial aid...
Finding 2025-003: Notification of Disbursements to or on Behalf of Students | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA management will work with the current financial aid system vendor to identify options for retaining and retrieving disbursement notification letters and related documentation. Management will also implement supplemental procedures, as necessary, to support the retention and accessibility of these records. As a long-term solution, the College plans to transition to the PowerFAIDS financial aid management system, which is expected to provide enhanced document retention and retrieval capabilities and address the deficiencies identified in this finding. | Proposed Completion Date: Management expects to implement interim remediation measures within the current system by December 31, 2026. Following the implementation of PowerFAIDS in August of 2027, a full remediation is expected to be completed by December 31, 2027. Due to the academic-year operating cycle, the College is unable to transition financial aid systems during the middle of an active award year, making a phased implementation approach necessary.
View Audit 414174
Finding 1239321 (2025-002)
Material Weakness 2025
Atrium Health, Inc.
NC
Student Financial Aid Matching / Level of Effort / Earmarking
Finding 2025-002: SFA Review and Approval of Internal Controls over Cash Management, Eligibility, Enrollment Reporting | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA manageme...
Finding 2025-002: SFA Review and Approval of Internal Controls over Cash Management, Eligibility, Enrollment Reporting | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Atrium Health CMHA management will strengthen oversight of Student Financial Assistance compliance by improving internal controls over Student Financial Aid (SFA) systems, National Student Clearinghouse reporting, and National Student Loan Data System (NSLDS) processes. Designated personnel will be assigned accountability for each area to ensure key controls are performed consistently and monitored appropriately. In addition, management will develop and implement written standard operating procedures (SOPs) to support compliance with cash management, eligibility, and enrollment reporting requirements. | Proposed Completion Date: Management expects to complete the development and implementation of the SOPs and formal assignment of control responsibilities by December 31, 2026.
View Audit 414174
Finding 1239319 (2025-001)
Material Weakness 2025
Atrium Health, Inc.
NC
Student Financial Aid Matching / Level of Effort / Earmarking Special Tests & Provisions
Finding 2025-001: Internal controls within the Student Financial Assistance (SFA) IT Systems | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its n...
Finding 2025-001: Internal controls within the Student Financial Assistance (SFA) IT Systems | Name of Contact Person: Jared Smith, Dean of Student Affairs and Enrollment Management & Amy Brown, Director of Financial Aid | Corrective Action Plan: Carolinas College is implementing PowerFAIDS as its new student financial aid management system, with deployment anticipated in August 2027. The new platform is expected to address limitations in the current Jenzabar Financial Aid system related to reporting capabilities, disbursement verification, and record retention. Until implementation is complete, management will utilize supplemental manual procedures, including maintaining supporting documentation and screenshots, to ensure adequate documentation of eligibility determinations, reporting, and disbursement activities. | Proposed Completion Date: Management expects interim remediation through enhanced manual recordkeeping procedures by December 31, 2026. Following the implementation of PowerFAIDS in August of 2027, a full remediation is expected to be completed by December 31, 2027. Due to the academic-year operating cycle, the College is unable to transition financial aid systems during the middle of an active award year, making a phased implementation approach necessary.
View Audit 414174
Finding 1239317 (2025-001)
Material Weakness 2025
Bassett Healthcare Network
NY
Subrecipient Monitoring § 200.303 § 200.332 § 200.425 § 200.521
Reference: Finding Number 2025-001 - Subrecipient monitoring Audit of Awards U54OH007542, 23U01OH012656, R01OH011668, and U13OH01282 Research and Development Cluster (93.262) for audit period 01/01/2025–12/31/2025 Finding: During the year ended December 31, 2025 Bassett Health Network (the Network) ...
Reference: Finding Number 2025-001 - Subrecipient monitoring Audit of Awards U54OH007542, 23U01OH012656, R01OH011668, and U13OH01282 Research and Development Cluster (93.262) for audit period 01/01/2025–12/31/2025 Finding: During the year ended December 31, 2025 Bassett Health Network (the Network) passed through $166,774 of federal funding to subrecipients as it relates to the Research and Development Cluster. As part of our testing related to subrecipient monitoring, we identified the following: A. For 3 out of 3 subrecipients selected for testwork, the Network was unable to provide support evidencing the evaluation of the subrecipients’ fraud risk and risk of noncompliance risk. B. For 3 out of 3 subrecipients selected for testwork, the Network was unable to provide evidence of considering or performing additional monitoring procedures based on the subrecipient’s risk evaluation. C. For 3 out of 3 subrecipients selected for testwork, the Network was unable to provide evidence that the Network reviewed that the subrecipient receives a Single Audit in accordance with subpart F. Recommendation: We recommend the Network develop written policies and procedures to ensure that all required subrecipient monitoring activities, both identified through risk assessments and through review of Single Audits, are consistently performed and adequately documented in accordance with Federal requirements and the terms and conditions of the subawards. Such documentation should provide clear and sufficient evidence that required risk assessment and monitoring procedures have been completed, including documentation that demonstrates what was performed, when it was performed, who performed it, the results of the monitoring activities, and any follow‑up actions or issues identified, as applicable Management Comments: We agree with the finding and observations and specifically note the following corrective actions will be implemented: Corrective Action Plan: Sub Award Monitoring: The Office of Grants Management will ensure that all investigators receiving grant funds will be provided Policy GM-MC-BMC-021 Sponsored Projects Sub-Awards. Principle Investigators and Project Directors will be responsible for monitoring sub awardees in accordance with the policy and 2 CFR: 200.330-200.332. This process will also include a subrecipient pre-award acceptance form that requires affirmation to audit compliance and the most recent single audit submission prior to final contract approval. This revised process will be begin to be put in place starting 11/1/2026.
View Audit 414163
Finding 1239304 (2025-003)
Material Weakness 2025
Hsg Authority of the City of Lakewood Dba Metro West Housing Solutions
CO
HUD Housing Programs Special Tests & Provisions
Finding 2025-003 Federal Agency Name: Department of Housing and Urban Development Assistance Listing Number: 14.871 Program Name: Section 8 Housing Choice Vouchers Program Initial Fiscal Year Finding Occurred: 2024 Finding Summary: Metro West Housing Solutions did not determine rent reasonableness f...
Finding 2025-003 Federal Agency Name: Department of Housing and Urban Development Assistance Listing Number: 14.871 Program Name: Section 8 Housing Choice Vouchers Program Initial Fiscal Year Finding Occurred: 2024 Finding Summary: Metro West Housing Solutions did not determine rent reasonableness for 1 tenant during 2025. Corrective Action Plan: •By August of 2025, Metro West Housing Solutions discontinued the Nelrod rent reasonableness system and replaced it with the Yardi Rent Reasonableness Module. Yardi determines reasonable rent in accordance with 24 CFR § 982.507(b). This system enables automated, consistent comparisons based on key HUD criteria. It is notable that the missing rent reasonableness documentation was generated using the now discontinued Nelrod system. Although the rent reasonableness check for that unit was completed, it was not placed in the file. To obtain the missing document, we would have to reinstate our annual Nelrod account at a significant cost. Metro West chose not to incur that cost which resulted in the finding. •Staff will complete file reviews more frequently and ensure tenant files are complete with all required documentation. •All move calculations now have to be approved by the Housing Choice Voucher Compliance Specialist before an inspection is scheduled. At this time, they will be looking for the rent reasonable documentation.Responsible Individual(s): Ash Obermeyer Director, Housing Choice Vouchers 303-987-7595 ashobe@mwhs.org Anticipated Completion Date: September 2026
View Audit 414155
Finding 1239303 (2025-002)
Material Weakness 2025
Hsg Authority of the City of Lakewood Dba Metro West Housing Solutions
CO
HUD Housing Programs Special Tests & Provisions
Federal Award Finding Finding 2025-002 Federal Agency Name: Department of Housing and Urban Development Assistance Listing Number: 14.871 Program Name: Section 8 Housing Choice Vouchers Program Initial Fiscal Year Finding Occurred: 2022 Finding Summary: Metro West Housing Solutions did not perform r...
Federal Award Finding Finding 2025-002 Federal Agency Name: Department of Housing and Urban Development Assistance Listing Number: 14.871 Program Name: Section 8 Housing Choice Vouchers Program Initial Fiscal Year Finding Occurred: 2022 Finding Summary: Metro West Housing Solutions did not perform re-inspections of 3 failed inspections within the prescribed 30-day or 24-hour requirement during 2025. In addition, HAP was not properly reviewed for possible abatement for 2 of these tenants. The Authority also did not have adequate controls in place for 3 other units to ensure the reinspection requirement was met; however, the lack of controls did not result in any non-compliance. Corrective Action Plan: The in-house inspector has been in the position for almost 2 years and has been sent to NAHRO/CHFA trainings to increase knowledge. With her growing experience, she is becoming continually more comfortable with the requirements of the position. It’s worth noting that the failed inspections were identified within the first half of 2025, while the new inspector was still onboarding. We feel confident based on this that our Inspector is a big part of eliminating future inspection-related findings. In addition, we reviewed the inspection tracking system implemented near the end 2025 and have added some additional columns to better track and follow-up on moves and terminations. We feel confident that these changes along with the systems put in place at the end of 2025 will eliminate future findings. Responsible Individual(s): Ash Obermeyer Director, Housing Choice Vouchers 303-987-7595 ashobe@mwhs.org Anticipated Completion Date: September 2026
View Audit 414155
Finding 1239302 (2025-001)
Material Weakness 2025
Tulsa Community Foundation
OK
Subrecipient Monitoring § 200.332
Corrective Action: While program and finance staff historically performed certain informal procedures such as checking for debarment and suspension, verifying SAM status, reviewing available audit reports and related findings, and holding meetings or teleconferences with each subrecipient, these ste...
Corrective Action: While program and finance staff historically performed certain informal procedures such as checking for debarment and suspension, verifying SAM status, reviewing available audit reports and related findings, and holding meetings or teleconferences with each subrecipient, these steps were not standardized, consistently applied, or formally documented. The Foundation acknowledges that this lack of a formal, documented risk assessment process does not meet the requirements of 2 CFR 200.332(c). To correct this, the Foundation will establish, document, and maintain effective internal control procedures over annual subrecipient monitoring to provide reasonable assurance that subrecipients are managing federal awards in compliance with 2 CFR 220.332 (c). Risk factors to be evaluated and documented annually will include: • Subrecipient’s prior experience with federal awards; • Results and findings from previous Single Audits and Uniform Guidance monitoring; • Verification of subrecipient's debarment and suspension status, and confirmation of the timely receipt of the subrecipient's annual audited financial statements or Single Audit reporting package, as applicable; • Whether the subrecipient has new personnel working on the grant, including leadership or new or substantially changed systems; • The extent and results of any Federal agency monitoring; • Ongoing programmatic and financial progress monitoring, including tracking of required match/cost-share contributions relative to federal expenditures, with follow-up action when match is not being met proportionally or is trending out of compliance with award terms. The risk assessment will be built into the subaward issuance checklist so no future subawardee agreement is executed without a completed and documented risk assessment on file. Name of Contact Person: Kristin Karlin, Controller Projected Completion Date: The Foundation projects the new policy documentation to be completed and the process for internal monitoring documentation to be established and shared with all grant subawardees by December 31, 2026 with all annual grant subawardee risk assessments completed no later than January 31st for the previous year during all relevant grant performance periods.
View Audit 414150
Finding 1239296 (2025-001)
Material Weakness 2025
National Marine Mammal Foundation, Inc.
CA
Cash Management § 200.305
The funds in question either already have been, or will be prior to year-end, fully spent down in 2026. No further draws are/will be taken in 2026 unless the need is critical, and if that is the case we will only take that which will (based on budget) be spent over a three-month span. Additionally, ...
The funds in question either already have been, or will be prior to year-end, fully spent down in 2026. No further draws are/will be taken in 2026 unless the need is critical, and if that is the case we will only take that which will (based on budget) be spent over a three-month span. Additionally, we have returned to billing for the awards in question on a cost reimbursement basis in 2026. Anticipated Completion Date is December 31, 2026. Responsible Official - Mike Marchesano, CFO
View Audit 414148
Finding 1239291 (2025-001)
Material Weakness 2025
FAMILY PROMISE OF CHEYENNE
WY
Procurement, Suspension & Debarment Subrecipient Monitoring § 200.213 § 200.303
Family Promise of Cheyenne will adopt a suspension and debarment policy to verify that vendors with transactions over $25,000 of expenditures are checked via sam.gov. Anticipated Completion Date – September 30, 2026 Contact Person - Audrey Apodaca, Executive Director
Family Promise of Cheyenne will adopt a suspension and debarment policy to verify that vendors with transactions over $25,000 of expenditures are checked via sam.gov. Anticipated Completion Date – September 30, 2026 Contact Person - Audrey Apodaca, Executive Director
View Audit 414146
Finding 1239289 (2025-003)
Material Weakness 2025
Contra Costa Family Justice Alliance
CA
Subrecipient Monitoring Reporting § 200.303 § 200.328 § 200.329
We will implement a process to reflect reviewer signature on D- 15s (County form) for financial reports.
We will implement a process to reflect reviewer signature on D- 15s (County form) for financial reports.
View Audit 414140
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