Corrective Action Plans

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We agree with the auditor’s assessment of a state of noncompliance with respect to the 2025 audited REAC submission. However, we do not believe that the noncompliance resulted from weaknesses in BVCOG’s controls over the REAC submission itself; rather, the noncompliance resulted from delays in compl...
We agree with the auditor’s assessment of a state of noncompliance with respect to the 2025 audited REAC submission. However, we do not believe that the noncompliance resulted from weaknesses in BVCOG’s controls over the REAC submission itself; rather, the noncompliance resulted from delays in completing the fiscal year 2025 audit, which must be finished before the REAC audited submission is completed. Ultimately, the audit’s timely completion was delayed because of significant turnover in key positions and unanticipated time requirements to fill those positions. In particular, both the executive director and chief financial officer positions were vacant for several months dating from the end of FY25 well into FY26. Additionally, comptroller and senior accountant positions were open during FY25 and FY26, during the time that audit preparation normally occurs. Because of this, BVCOG achieved audit readiness in early June 2026, a timeframe which did not permit its outside auditors enough time to complete their audit before the REAC submission deadline. As of July 2026, these positions have all been filled. We do not expect that additional corrective action will be necessary to ensure that the 2026 audit and audited REAC submission will be completed timely.
Corrective Action Plan for Finding 2025-002 U.S Department of Agriculture Rural Broadband Access Loans (AL# 10.886) Criteria: Quarterly financial reports are required to be submitted to the United State Department of Agriculture no more than 30 days after the end of the quarter. Internal controls sh...
Corrective Action Plan for Finding 2025-002 U.S Department of Agriculture Rural Broadband Access Loans (AL# 10.886) Criteria: Quarterly financial reports are required to be submitted to the United State Department of Agriculture no more than 30 days after the end of the quarter. Internal controls should provide reasonable assurance of compliance with reporting requirements of the Rural Broadband Access Loans program. Cause/Condition: Quarterly reports for all 4 quarters of the year under audit were not submitted timely. Effect: The County was not in compliance with the reporting requirements of the Rural Broadband Access Loans program. Perspective Information: We tested all 4 quarterly financial reports due relating to the fiscal year ending December 31, 2025. All 4 quarterly reports were submitted late, subsequent to 30 days after quarter end. Questioned Costs: None noted. Recommendation: We recommend the County design and implement internal controls over compliance to ensure that all reports required under the Uniform Guidance are submitted to the appropriate government agency timely. Documentation to support the effectiveness of the controls should be retained. Management’s Response: Management agrees with the finding and recommendation. To address this issue, we will implement procedures to better monitor reporting deadlines and assign responsibility for preparing, reviewing, and submitting required reports. We will also maintain documentation to verify reports are completed and submitted timely. These improvements will help ensure compliance with the reporting requirements of the Rural Broadband Access Loans program going forward. Corrective Action Plan for Finding 2025-002 (Continued) Expected Completion: December 31, 2026 Responsible Official: Lou Anne Randall, Director of Finance
1. Explanation of Disagreement with Audit Finding: There is no disagreement with the finding. 2. Actions Planned in Response to Finding: Corrective actions are underway, including clarified expectations, additional training, and improved monitoring to prevent recurrence. Also, site-level recording a...
1. Explanation of Disagreement with Audit Finding: There is no disagreement with the finding. 2. Actions Planned in Response to Finding: Corrective actions are underway, including clarified expectations, additional training, and improved monitoring to prevent recurrence. Also, site-level recording and reporting templates have been implemented for the 2025-2026 school year and are in place at each recipient program. 3. Official Responsible for Ensuring CAP: The District’s Principal on Special Assignment who oversees the Title I program and the Business Services Director are the school officials responsible for carrying out the corrective action plan. 4. Planned Completion Date for CAP: The planned completion date for the CAP is June 30, 2026. 5. Plan to Monitor Completion of CAP: The Board of Education and administration will be monitoring this corrective action plan.
Audit Finding #2025-003: U.S. Department of Education Student Financial Aid Cluster: Cash Management Contact Person Responsible: Kelli Englehardt – Lead Darci May – Support Corrective Actions Planned: 1. Reconcile Jenzabar Financial Aid to General Ledger o Create reports from Jenzabar Financial Aid ...
Audit Finding #2025-003: U.S. Department of Education Student Financial Aid Cluster: Cash Management Contact Person Responsible: Kelli Englehardt – Lead Darci May – Support Corrective Actions Planned: 1. Reconcile Jenzabar Financial Aid to General Ledger o Create reports from Jenzabar Financial Aid to compare to the General Ledger on a monthly basis. Also completed in January, May and September when census date occurs. o Steps will be taken to research any discrepancies between the reports and correct them to calculate the appropriate draw amount. 2. Review of Reconciliation. o Financial Aid will review and approval prior to actual draw down of funds. o Anticipated Completion Date: March 31st, 2026, and then ongoing. Commitment to Compliance: The University will leverage all available tools to prevent timing-related errors and ensure accurate draw downs in future years.
Audit Finding #2025-002: U.S. Department of Education Student Financial Aid Cluster: Personnel Contact Person Responsible: Kelli Engelhardt – Lead Darci May - Support Corrective Actions Planned: 1. Search for Staff and opportunities for Staffing Enhancements o Continue to search for financial aid st...
Audit Finding #2025-002: U.S. Department of Education Student Financial Aid Cluster: Personnel Contact Person Responsible: Kelli Engelhardt – Lead Darci May - Support Corrective Actions Planned: 1. Search for Staff and opportunities for Staffing Enhancements o Continue to search for financial aid staff to support functions in the office and provide for segregation of duties. If not possible, working with a firm that can provide assistance in order to enhance the system of internal controls. 2. Implementation of Internal Control Procedures o Process for Eligibility and Award packaging will be reviewed by designated staff and supervised by the Vice President for Enrollment Management. o Annual training will continue for the Financial Aid team to ensure compliance with the Federal Student Aid Handbook. o Anticipated Completion Date: Ongoing. Commitment to Compliance: The University will leverage all available tools to prevent timing-related errors and ensure accurate Subsidized Loan awarding in future years.
Audit Finding #2025-001: U.S. Department of Education Student Financial Aid Cluster:FISAP Contact Person(s) Responsible: Kelli Engelhardt – Lead Darci May - Support Corrective Actions Planned: 1. Documentation for how FISAP is completed using new reports from software conversion: o A Procedure will ...
Audit Finding #2025-001: U.S. Department of Education Student Financial Aid Cluster:FISAP Contact Person(s) Responsible: Kelli Engelhardt – Lead Darci May - Support Corrective Actions Planned: 1. Documentation for how FISAP is completed using new reports from software conversion: o A Procedure will be written and saved in the Procedures documents detailing the process of gathering information and entering information into the reporting system. o Anticipated Completion Date: April 15th, 2026 2. Second Person to review FISAP before submission. o FISAP will be prepared and ready for review at least two-weeks prior to submission deadline so any errors can be identified and corrected with enough time to make those corrections. Commitment to Compliance: The University is committed to rectifying this finding and will ensure future compliance with federal regulations.
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 reg...
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 2025-003: The Company does not have effective internal controls or consistently follow the written policies and procedures over federal awards. CORRECTIVE ACTION: Effective January 1, 2026, Prospera has control over ACG and plans to improve the internal control procedures and monitor the federal awards.
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 reg...
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 2025-002: Inadequate internal controls for ACG Corporate. CORRECTIVE ACTION: Prospera has begun implementing new policies and procedures. Effective January 1, 2026, Prospera has control over ACG and plans to continue to improve the internal control procedures.
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 reg...
CORRECTIVE ACTION PLAN Name and Number of the Project: Alamo Area Mutual Housing Association, Inc. 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 2025-001: Management Company’s internal control and procedures over financial reporting. CORRECTIVE ACTION: Management plan to transition to a new property management company during 2026.
BPTC will ensure that all future operating grant purchases are allowable costs/activities per the grant agreements. BPTC will return the funds improperly reimbursed through Pay.gov.
BPTC will ensure that all future operating grant purchases are allowable costs/activities per the grant agreements. BPTC will return the funds improperly reimbursed through Pay.gov.
Management acknowledges that owner certified financial data is required to be submitted through the Federal Audit Clearinghouse online system by March 31st of each year for the preceding fiscal year. To ensure that this deadline is adhered to each year going forward the CFO or designee will create a...
Management acknowledges that owner certified financial data is required to be submitted through the Federal Audit Clearinghouse online system by March 31st of each year for the preceding fiscal year. To ensure that this deadline is adhered to each year going forward the CFO or designee will create an aggressive closing schedule so that accurate financial information is available on a timely basis to adhere to future filing requirements. In addition, RAIN is in the process of implementing NetSuite, a new accounting software system, which will help automate and accelerate the monthly and year-end close process, further supporting timely completion of the audit and future Federal Audit Clearinghouse submissions. Anticipated Completion Date: 12/31/2026 Contact Person: Kendell Burroughs, CFO
Recommendation: Management should consider hiring a replacement for the Finance Manager with the necessary skills and knowledge to prepare the monthly reconciliations and financial statements as expeditiously as possible. Action Taken: Management has reviewed the job description for the Director of ...
Recommendation: Management should consider hiring a replacement for the Finance Manager with the necessary skills and knowledge to prepare the monthly reconciliations and financial statements as expeditiously as possible. Action Taken: Management has reviewed the job description for the Director of Finance position, specifically addressing knowledge and experience with municipal financial and reporting requirements. The Director of Finance position was posted April 16th on the Village’s social media platforms, Vermont League of Cities and Towns, and Indeed. Management has made arrangements with another local utility company controller to assist in the evaluation of qualified candidates. Anticipated Completion Date: May 22, 2026 Contact Person: John Dasaro, Village Manager
Finding 1226979 (2025-001)
Material Weakness 2025
Semcac
MN
Department of Health and Human Services Semcac respectfully submits the following corrective action plan for the year ended 09/30/2025. BerganKDV, Ltd. 220 Park Ave S St. Cloud, MN 56301 Audit Period: 10/1/2024 – 9/30/2025 The finding from the 9/30/2025 schedule of findings and questioned costs is d...
Department of Health and Human Services Semcac respectfully submits the following corrective action plan for the year ended 09/30/2025. BerganKDV, Ltd. 220 Park Ave S St. Cloud, MN 56301 Audit Period: 10/1/2024 – 9/30/2025 The finding from the 9/30/2025 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the numbers assigned in the schedule. FINDINGS – FEDERAL AWARD FINDINGS AND QUESTIONED COSTS Federal Agency: Various Assistance Listing Number: Multiple Compliance Requirement: Reporting Finding 2025-001: Submission of the Audit Reporting Package and Data Collection Form (Repeat of Finding 2024-001 Submission of the Audit Reporting Package and Data Collection Form Recommendation: We recommend that management address the lack of capacity in the finance department and monitor the year-end closing schedule for a timely audit reporting package and data collection form to ensure compliance with federal deadlines. Action Taken: We agree with the auditors’ comments, the following action will be taken to address the situation. As Semcac continues to grow and compliance requirements increase, we have evaluated staffing capacity within the Fiscal Department and added a management-level position in fiscal year 2026. Semcac has also contracted with an outsourced accounting firm to strengthen internal controls, improve processes and procedures, support adherence to the year-end closing schedule, and help ensure timely submission of the audit reporting package. If the Department of Health and Human Services have questions regarding this plan, please call Adam Larson at (507) 864-8218.
Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants FFAL #10.766 Finding Summary: For eight of the twelve months, the Center did not document an independent review of the monthly reserve fund account balance as compared to the required min...
Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants FFAL #10.766 Finding Summary: For eight of the twelve months, the Center did not document an independent review of the monthly reserve fund account balance as compared to the required minimum balance. Corrective Action Plan: Effective September 2025, the balance of the reserve account, minimum required reserve balance and compliance of the reserve was presented to the board with formal documentation of review and approval being retained. Responsible Individuals: Mari Chambers, Chief Finance Officer Anticipated Completion Date: October 2025
Management has updated the policies and procedures manual to address this finding. For each housing unit, we are using the Department of Housing and Urban Development (HUB) rent reasonableness form at lease signing. This form will be updated annually for each unit. We will also be following the HUD ...
Management has updated the policies and procedures manual to address this finding. For each housing unit, we are using the Department of Housing and Urban Development (HUB) rent reasonableness form at lease signing. This form will be updated annually for each unit. We will also be following the HUD fair market rent determinations.
Operation Hope has retained a new audit firm and developed a new schedule to ensure future audits are completed in a timely manner and reports are submitted by the due date.
Operation Hope has retained a new audit firm and developed a new schedule to ensure future audits are completed in a timely manner and reports are submitted by the due date.
Management agrees with the finding that payroll costs charged to HUD-funded programs were based on estimated allocations and did not consistently reflect actual time and effort in accordance with 2 CFR §200.430 (Compensation—Personal Services) and applicable HUD program requirements. Management ackn...
Management agrees with the finding that payroll costs charged to HUD-funded programs were based on estimated allocations and did not consistently reflect actual time and effort in accordance with 2 CFR §200.430 (Compensation—Personal Services) and applicable HUD program requirements. Management acknowledges the requirement that personnel costs charged to HUD awards (e.g., CDBG, HOME, CoC) must be supported by records that accurately reflect work performed on eligible program activities.
Management has updated its policies and procedures to require a formal annual review and update of the cost allocation plan. This review will occur in conjunction with the finalization and Board approval of the organization’s annual operating budget, ensuring that the CAP aligns with the most curren...
Management has updated its policies and procedures to require a formal annual review and update of the cost allocation plan. This review will occur in conjunction with the finalization and Board approval of the organization’s annual operating budget, ensuring that the CAP aligns with the most current program structure, funding sources, and cost allocation methodologies.
Congregation Rachmistrivka, Inc. respectfully submits the following corrective action plans for the year ended August 31, 2025. Finding 25-1: The audit report was due to be received by the State of New Jersey no later than May 31, 2026. As a result, the audit was not submitted timely. Recommendation...
Congregation Rachmistrivka, Inc. respectfully submits the following corrective action plans for the year ended August 31, 2025. Finding 25-1: The audit report was due to be received by the State of New Jersey no later than May 31, 2026. As a result, the audit was not submitted timely. Recommendation: The School should alert the auditor about new funding received during the year to give ample time to research and prepare. Action Taken: The administrator will monitor the School’s funding that they receive throughout the year and will alert the auditor as soon as they receive funding from a new program. As such, the required corrective actions have been implemented. Implementation Date: Corrective Action Plan has been implemented as of June 11, 2026. Person Responsible for Implementation: Simon Balsam, the Administrator, is the responsible party for implementation of the CAP. Telephone Number: (732) 942-4582.
We agree with the auditor's comments. The delay was a result of turnover in personnel and the additional workload of school finances. Corrective action has been taken and County finance personnel are working to ensure this delay does not occur again in the future.
We agree with the auditor's comments. The delay was a result of turnover in personnel and the additional workload of school finances. Corrective action has been taken and County finance personnel are working to ensure this delay does not occur again in the future.
We agree with the auditor's comments. A previously established procurement process titled School Fund Handbook was located, updated to reflect current purchasing process and policy per the Essex County Public Schools Policy Manual Section D, Fiscal Management on March 9, 2026. The Fund Handbook was ...
We agree with the auditor's comments. A previously established procurement process titled School Fund Handbook was located, updated to reflect current purchasing process and policy per the Essex County Public Schools Policy Manual Section D, Fiscal Management on March 9, 2026. The Fund Handbook was distributed to administrative staff and a review and update recommended to incorporate all applicable requirements prescribed by 2 CFR §§ 200.318 through 200.326, including Federal procurement methods, competition requirements, documentation standards, and suspension and debarment requirements.
We agree with the auditor's comments. Prior to transferring financial responsibilities back to Essex County Public Schools Administration effective July 1, 2026, a process was put into place for all staff to have current and fully executed contracts stating their pay rate, FLSA status, expected leng...
We agree with the auditor's comments. Prior to transferring financial responsibilities back to Essex County Public Schools Administration effective July 1, 2026, a process was put into place for all staff to have current and fully executed contracts stating their pay rate, FLSA status, expected length of contract (with number of workdays), and associated benefits. A process was also established to utilize an automated or manual timekeeping report to reflect all hours worked and approved by the supervisor prior to submission for payment. All records should be matched and retained to support payroll payments.
The Corporation screens applicants for eligibility by following the state of Indiana guidelines as provided through the INWIC system used to enter, track, and store information about applicants. Based on guidance contained in 7 CFR Section 246, states were encouraged to move to a paperless system. S...
The Corporation screens applicants for eligibility by following the state of Indiana guidelines as provided through the INWIC system used to enter, track, and store information about applicants. Based on guidance contained in 7 CFR Section 246, states were encouraged to move to a paperless system. Specifically, federal guidance contained in 7CFR 246.7 (i)(4) and (5)(i) outlines acceptable documentation to be included on certification forms as “a description of the document(s) used to determine residency and identity or a copy of the document(s) used or the applicant’s written statement when no documentation exists,” and “a description of the document(s) used to determine income eligibility or a copy of the document(s) in the file.” The State of Indiana has followed that guidance and does not require the Corporation to retain copies of the WIC applicant’s proof of eligibility. Therefore, the auditors were not able to test internal controls over compliance or compliance over the eligibility compliance requirement through re-performance and have issued a qualified opinion based on the scope limitations. Compliance with State of Indiana participant eligibility requirements is the responsibility of Rebecca Lies, WIC Coordinator. As the Corporation follows the State of Indiana’s paperless system as described above, no further corrective action will be taken.
Health Resources and Services Administration Mary Zelazny, CEO respectfully submits the following corrective action plan for the year ended December 31, 2025: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2025 The findings from the December 31, 2025, sched...
Health Resources and Services Administration Mary Zelazny, CEO respectfully submits the following corrective action plan for the year ended December 31, 2025: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2025 The findings from the December 31, 2025, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS FEDERAL AWARD PROGRAM AUDITS Item 2025-001 Procurement, Suspension and Debarment (Significant Deficiency) During our audit, we noted that there is no evidence that any exclusion search was conducted from January 2025 to May 2025. Recommendation We recommend that FLCH train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Action Taken Management agrees with the finding. As of the effectivity date below, procedures have been revised and personnel have been trained to help ensure the accuracy, completeness and timeliness of exclusion searches. The Compliance department has added periodic internal auditing of the process to their calendar. Effective Date: June 1, 2025 Sincerely yours, Name: Mary Zelazny Title: CEO. Finger Lakes Community Health, Inc. (f/k/a Finger Lakes Migrant Health Care Project, Inc.)
REACH has policies in place for annual unit inspections. Management created a new unit inspection form to capture inspection, work orders, and re-inspection in 2025. Portfolio Managers reviewed these new forms with site teams and provided training on how to complete these forms. Property management ...
REACH has policies in place for annual unit inspections. Management created a new unit inspection form to capture inspection, work orders, and re-inspection in 2025. Portfolio Managers reviewed these new forms with site teams and provided training on how to complete these forms. Property management team also sent emails and Teams reminders to the site team to ensure unit inspection, work orders, and re-inspections are completed on time and properly. During the second quarter of 2026, REACH outsourced both property management and compliance functions to a third-party management company to address outstanding compliance issues.
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