Corrective Action Plans

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Finding Number: 2025-024 Planned Corrective Action: The Department shall review internal processes to identify mechanisms for documenting the deactivation of user access privileges. Anticipated Completion Date: 12/30/2026 Responsible Contact Person: Angela Carney, Audit & Compliance Consultant
Finding Number: 2025-024 Planned Corrective Action: The Department shall review internal processes to identify mechanisms for documenting the deactivation of user access privileges. Anticipated Completion Date: 12/30/2026 Responsible Contact Person: Angela Carney, Audit & Compliance Consultant
Finding Number: 2025-023 Planned Corrective Action: The Office of Information Technology Services (OITS) ACCESS application team that supports the FLORIDA system is in year four of a multi-year modernization initiative. By the end of 2027, all FLORIDA front-end functionality is expected to be availa...
Finding Number: 2025-023 Planned Corrective Action: The Office of Information Technology Services (OITS) ACCESS application team that supports the FLORIDA system is in year four of a multi-year modernization initiative. By the end of 2027, all FLORIDA front-end functionality is expected to be available through the ACCESS Management Portal, and staff will no longer have direct access to the FLORIDA mainframe. Given the current modernization progress and the planned elimination of direct mainframe access by the end of 2027, the Department acknowledges and accepts the residual risk during this transition. Anticipated Completion Date: 06/30/2028 Responsible Contact Person: Angela Carney, Audit & Compliance Consultant
Finding Number: 2025-036 Planned Corrective Action: Amend FHKC Contract – the FAHCA shall amend MED222 to ensure the subrecipient is notified in accordance with 45 CFR 75.352 and all appropriate audit requirements are incorporated into the contract; provide training to Contract Manager(s) on the est...
Finding Number: 2025-036 Planned Corrective Action: Amend FHKC Contract – the FAHCA shall amend MED222 to ensure the subrecipient is notified in accordance with 45 CFR 75.352 and all appropriate audit requirements are incorporated into the contract; provide training to Contract Manager(s) on the established procedures for subaward notification. Anticipated Completion Date: April 30, 2026 Responsible Contact Person: Suzi Kemp
Finding Number: 2025-035 Planned Corrective Action: FAHCA management will enhance reporting controls to ensure that all applicable CHIP subaward action information is timely reported in accordance with FFATA. Anticipated Completion Date: Completed Responsible Contact Person: Kimberly Jordan
Finding Number: 2025-035 Planned Corrective Action: FAHCA management will enhance reporting controls to ensure that all applicable CHIP subaward action information is timely reported in accordance with FFATA. Anticipated Completion Date: Completed Responsible Contact Person: Kimberly Jordan
Finding Number: 2025-034 Planned Corrective Action: The Florida Department of Children and Families (DCF) acknowledges the finding regarding subrecipient risk assessment and monitoring requirements. DCF recognizes the requirements set forth in 45 CFR 75.352(b) and (d) and section 402.7305(4), Florid...
Finding Number: 2025-034 Planned Corrective Action: The Florida Department of Children and Families (DCF) acknowledges the finding regarding subrecipient risk assessment and monitoring requirements. DCF recognizes the requirements set forth in 45 CFR 75.352(b) and (d) and section 402.7305(4), Florida Statutes, which require pass-through entities to evaluate each subrecipient’s risk of noncompliance with federal statutes, regulations, and the terms and conditions of the subaward, and to conduct monitoring activities commensurate with the assessed level of risk. DCF has developed a standardized assessment tool to determine the risk level for each subrecipient. Risk assessments and monitoring activities have begun, and DCF will complete a comprehensive risk assessment of all active contracts using this tool. Based on the results, DCF will develop a risk-based schedule for contract monitoring site visits. DCF continues to evaluate its monitoring processes and allocate resources to strengthen oversight of subawards. While oversight activities occur across a variety of Department offices including financial monitoring, contract manager oversight, and administrative compliance reviews, those activities are not currently documented within a single, clearly defined risk-based monitoring framework aligned with the federal requirements referenced above. The efforts include implementing documented risk assessments and monitoring activities that incorporate administrative, fiscal, and programmatic considerations, as applicable, and support development of risk-informed monitoring schedules and improved documentation of oversight activities. Additionally, DCF is developing a broader monitoring roadmap to assess existing monitoring practices across programs and identify opportunities to enhance consistency, coordination, and documentation of monitoring activities aligned with federal requirements. Anticipated Completion Date: 12/31/2027 Responsible Contact Person: Tami Gonyea, Deputy Assistant Secretary - OCFW
Finding Number: 2025-022 Planned Corrective Action: As recommended by the Florida Auditor General’s office, FDOE will take the following actions to enhance procedures for reviewing subrecipient audit reports pertaining to CCDF to include the requirement of issuing management decision letters timely ...
Finding Number: 2025-022 Planned Corrective Action: As recommended by the Florida Auditor General’s office, FDOE will take the following actions to enhance procedures for reviewing subrecipient audit reports pertaining to CCDF to include the requirement of issuing management decision letters timely for all audit findings pertaining to the CCDF program in accordance with Federal regulations: 1. Enhance the Division of Early Learning’s subrecipient annual single audit procedures to include the issuance of management decision letters for all subrecipient audit findings within six (6) months of audit report acceptance by the Federal Audit Clearinghouse. 2. Enhance the Division of Early Learning’s subrecipient annual single audit procedures to indicate whether or not the subrecipient audit finding is sustained, the reason(s) for the decision, and the expected auditee action which may include repayment of disallowed costs, making financial adjustments and/or other action(s) deemed necessary. 3. Enhance the Division of Early Learning’s subrecipient annual single audit procedures to include a multi-layer review and approval process within the Division’s Financial Management Systems Assurance Section department as documented by the annual single audit tracking log. Anticipated Completion Date: September 30, 2026 Responsible Contact Person: James Finch
Finding Number: 2025-021 Planned Corrective Action: As recommended by the Florida Auditor General’s office, FDOE will take the following actions to enhance payment controls to ensure that costs are attributable to the authorized period of performance and are charged to the correct Federal award: 1. ...
Finding Number: 2025-021 Planned Corrective Action: As recommended by the Florida Auditor General’s office, FDOE will take the following actions to enhance payment controls to ensure that costs are attributable to the authorized period of performance and are charged to the correct Federal award: 1. Identify the CCDF transactions falling before the October 1, 2024, performance period begin date for grant SMT25 and make the necessary corrections in FLAIR. Those corrections were completed October 31, 2025 and the associated FLAIR records were provided to the Auditor December 11, 2025 by upload to the ShareFile with email confirmation. The identified transactions were for services provided in September 2024 and those transactions were moved to discretionary grant SDI24. The period of performance for grant SDI24 began October 1, 2023, and ends September 30, 2026. These actions resolve the questioned costs the auditor noted. 2. Enhance the Division of Early Learning’s revenue and payment procedures to include verification by the Division’s assigned Revenue and Budget Supervisor that all period of performance information for active grants has been communicated in writing to the Division’s budget and accounting staff. Information will include active grant numbers, project period begin and end dates, amount of awards and obligation periods for all applicable funding streams to include CCDF, TANF, and SSBG. 3. Enhance the Division of Early Learning’s revenue and payment procedures to include periodic expenditure review to ensure no payments are made for a service period falling outside of the performance period of the funding used. 4. Enhance the Division of Early Learning’s revenue and payment procedures to include procedures and timeframes for correcting any errors discovered in the course of periodic expenditure review. 5. Enhance the Division of Early Learning’s revenue and budget procedures to include a multi-layer review and approval process to include the Division’s Budget and Revenue Supervisor and Manager as documented by a signed routing form. Anticipated Completion Date: May 31, 2026 Responsible Contact Person: James Finch
Finding Number: 2025-033 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact...
Finding Number: 2025-033 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact Person: Tisha Womack
Finding Number: 2025-032 Planned Corrective Action: The Office of Economic Self Sufficiency’s Refugee Contract team will develop and utilize a comprehensive risk assessment tool to evaluate subrecipient’s risk of noncompliance with subaward requirements. Anticipated Completion Date: June 30, 2026 Re...
Finding Number: 2025-032 Planned Corrective Action: The Office of Economic Self Sufficiency’s Refugee Contract team will develop and utilize a comprehensive risk assessment tool to evaluate subrecipient’s risk of noncompliance with subaward requirements. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Omesha James, Contract Manager Supervisor (Refugee Program) Laura Kirksey, Director of Business Operations
Finding Number: 2025-031 Planned Corrective Action: As part of continuous process improvement, OIT is in the process of implementing additional improvement measures. Anticipated Completion Date: July 1, 2026 Responsible Contact Person: Sandy Barnes
Finding Number: 2025-031 Planned Corrective Action: As part of continuous process improvement, OIT is in the process of implementing additional improvement measures. Anticipated Completion Date: July 1, 2026 Responsible Contact Person: Sandy Barnes
Finding Number: 2025-030 Planned Corrective Action: As part of continuous process improvement, the Office of Information Technology (OIT) is in the process of implementing additional improvement measures. Anticipated Completion Date: August 31, 2026 Responsible Contact Person: Mark Stich
Finding Number: 2025-030 Planned Corrective Action: As part of continuous process improvement, the Office of Information Technology (OIT) is in the process of implementing additional improvement measures. Anticipated Completion Date: August 31, 2026 Responsible Contact Person: Mark Stich
Finding Number: 2025-029 Planned Corrective Action: Security controls will be implemented at the application/system level. Anticipated Completion Date: June 30, 2028 Responsible Contact Person: Kevin Wiggins, Information Security Manager
Finding Number: 2025-029 Planned Corrective Action: Security controls will be implemented at the application/system level. Anticipated Completion Date: June 30, 2028 Responsible Contact Person: Kevin Wiggins, Information Security Manager
Finding Number: 2025-028 Planned Corrective Action: FDCF will perform periodic monitoring and issue a policy refresher to ensure child support sanctions are timely reviewed and properly imposed. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Robert Hogan, Chief of Quality Man...
Finding Number: 2025-028 Planned Corrective Action: FDCF will perform periodic monitoring and issue a policy refresher to ensure child support sanctions are timely reviewed and properly imposed. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Robert Hogan, Chief of Quality Management Terri Lynch, Director of ESS Operations
Finding Number: 2025-027 Planned Corrective Action: FDCF continues the phased approach of modernizing its eligibility (ACCESS) system. The modernization of the FLORIDA legacy eligibility system started development in State Fiscal Year 2025-2026 and includes the operational analysis of the state’s da...
Finding Number: 2025-027 Planned Corrective Action: FDCF continues the phased approach of modernizing its eligibility (ACCESS) system. The modernization of the FLORIDA legacy eligibility system started development in State Fiscal Year 2025-2026 and includes the operational analysis of the state’s data exchange processes. Anticipated Completion Date: June 30, 2027 Responsible Contact Person: Chris Presnell, Director of Data and Information Technology
Finding Number: 2025-026 Planned Corrective Action: The Florida Department of Children and Families (DCF) acknowledges the finding regarding subrecipient risk assessment and monitoring requirements. DCF recognizes the requirements set forth in 45 CFR 75.352(b) and (d) and section 402.7305(4), Florid...
Finding Number: 2025-026 Planned Corrective Action: The Florida Department of Children and Families (DCF) acknowledges the finding regarding subrecipient risk assessment and monitoring requirements. DCF recognizes the requirements set forth in 45 CFR 75.352(b) and (d) and section 402.7305(4), Florida Statutes, which require pass-through entities to evaluate each subrecipient’s risk of noncompliance with federal statutes, regulations, and the terms and conditions of the subaward, and to conduct monitoring activities commensurate with the assessed level of risk. DCF has developed a standardized assessment tool to determine the risk level for each subrecipient. Risk assessments and monitoring activities have begun. And DCF will complete a comprehensive risk assessment of all active contracts using this tool. Based on the results, DCF will develop a risk-based schedule for contract monitoring site visits. DCF continues to evaluate its monitoring processes and allocate resources to strengthen oversight of subawards. While oversight activities occur across a variety of Department offices including financial monitoring, contract manager oversight, and administrative compliance reviews, those activities are not currently documented within a single, clearly defined risk-based monitoring framework aligned with the federal requirements referenced above. The efforts include implementing documented risk assessments and monitoring activities that incorporate administrative, fiscal, and programmatic considerations, as applicable, and support development of risk-informed monitoring schedules and improved documentation of oversight activities. Additionally, DCF is developing a broader monitoring roadmap to assess existing monitoring practices across programs and identify opportunities to enhance consistency, coordination, and documentation of monitoring activities aligned with federal requirements. Anticipated Completion Date: 12/31/2027 Responsible Contact Person: Tami Gonyea, Deputy Assistant Secretary - OCFW
Finding Number: 2025-020 Planned Corrective Action: Bureau of Epidemiology budget staff worked with the Department’s Office of Budget & Revenue Management (OBRM) to enhance controls to ensure compliance. Moving forward, staff will ensure the following: • Prior to sending the financial reports for ap...
Finding Number: 2025-020 Planned Corrective Action: Bureau of Epidemiology budget staff worked with the Department’s Office of Budget & Revenue Management (OBRM) to enhance controls to ensure compliance. Moving forward, staff will ensure the following: • Prior to sending the financial reports for approval if any adjustments are needed, send email of the correction (TR58/TR51) for OBRM to record on their reconciliation report. • Any notes that are made in the Cooperative Agreement Management Platform that are not seen on the financial reports extracted for approval will need to be also noted on the financial reports next to the appropriate project. • Send the financial reports with our recommendations to receive approval from OBRM. • The authorized official in OBRM will then sign off next to the amounts to show that there was an agreement of numbers. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Brianna Caprioni
Finding Number: 2025-019 Planned Corrective Action: Bureau of Epidemiology staff will implement a second level review on all expenditures to ensure they occurred in the authorized period of performance and make corrections when errors are identified. Anticipated Completion Date: June 30, 2026 Respon...
Finding Number: 2025-019 Planned Corrective Action: Bureau of Epidemiology staff will implement a second level review on all expenditures to ensure they occurred in the authorized period of performance and make corrections when errors are identified. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Brianna Caprioni
Finding Number: 2025-018 Planned Corrective Action: For the property identified in the audit, we made the necessary adjustments in the Property Master file to include the ancillary charges and have implemented the following process for future property purchases: • Implement procedures to review all ...
Finding Number: 2025-018 Planned Corrective Action: For the property identified in the audit, we made the necessary adjustments in the Property Master file to include the ancillary charges and have implemented the following process for future property purchases: • Implement procedures to review all ancillary charges associated with property items appearing in the Property Pending file. • Where appropriate, and in accordance with Rule 69I-72.003, Florida Administrative Code, manually add these charges to the acquisition cost when entering the property into the Property Master file. Anticipated Completion Date: Completed Responsible Contact Person: Samantha Washington
Finding Number: 2025-017 Planned Corrective Action: Beginning in the 2025-26 fiscal year, the Immunization Section implemented a policy requiring field staff to complete a compliance site visit to all providers in their assigned areas at least annually, rather than the two-year requirement establish...
Finding Number: 2025-017 Planned Corrective Action: Beginning in the 2025-26 fiscal year, the Immunization Section implemented a policy requiring field staff to complete a compliance site visit to all providers in their assigned areas at least annually, rather than the two-year requirement established by the Centers for Disease Control and Prevention (CDC) Vaccines for Children program. Spreadsheets were created to track assigned sites and due dates. Completion of compliance visits has also been added to field staff performance standards. The new policy also updated the process for conducting and documenting Orientation Site Visits (OSR). The program requires staff to conduct OSRs in person. Documentation is uploaded in CDC’s Provider Education, Assessment, and Reporting online system, and back-up documentation is uploaded to a FDOH shared drive and reviewed by the field staff’s supervisor. The supervisor maintains a spreadsheet with information on site visits and OSRs and follows up with staff on any missing documentation. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Tom Bendle
Finding Number: 2025-016 Planned Corrective Action: Immunization Section staff will implement a second level review on all expenditures to ensure they occurred in the authorized period of performance and make corrections when errors are identified. Anticipated Completion Date: June 30, 2026 Responsi...
Finding Number: 2025-016 Planned Corrective Action: Immunization Section staff will implement a second level review on all expenditures to ensure they occurred in the authorized period of performance and make corrections when errors are identified. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Tom Bendle
Finding Number: 2025-015 Planned Corrective Action: To prevent future late submissions, the Department will strengthen communication on grant closeout timelines, implement a formal tracking tool for Federal Financial Report (FFR) deadlines, cross train staff, establish written procedures, and increa...
Finding Number: 2025-015 Planned Corrective Action: To prevent future late submissions, the Department will strengthen communication on grant closeout timelines, implement a formal tracking tool for Federal Financial Report (FFR) deadlines, cross train staff, establish written procedures, and increase management oversight through routine compliance reviews. Anticipated Completion Date: June 30, 2026 Responsible Contact Person: Curtis Barker
Finding Number: 2025-014 Planned Corrective Action: Expenditures reviewed were for services or travel that occurred in June at the end of the grant budget period/state fiscal year but were paid by the Florida Department of Health (Department, FDOH) in July. During this time new Other Cost Accumulato...
Finding Number: 2025-014 Planned Corrective Action: Expenditures reviewed were for services or travel that occurred in June at the end of the grant budget period/state fiscal year but were paid by the Florida Department of Health (Department, FDOH) in July. During this time new Other Cost Accumulators (OCA) are created to match the new budget period/state fiscal year. Of the 16 expenditures provided to the Public Health Emergency Preparedness Program (PHEP) for review, 11 were for purchasing card (Pcard) charges for travel that occurred at the end of June but cleared in July. Previous year’s codes are not available when clearing Pcard charges from a previous fiscal year. The remaining expenditures were for payments that were redistributed by finance and accounting and could not be charged to current fiscal year OCAs once the new fiscal year began. Language has been added to the PHEP’s checkbook review process to specifically identify expenses that occur at the end of a budget period/fiscal year but are cleared or paid at the beginning of the next fiscal year. A correction will be submitted to move those expenses to the previous fiscal year as appropriate. Anticipated Completion Date: Completed Responsible Contact Person: Jennifer Coulter
Finding Number: 2025-006 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact...
Finding Number: 2025-006 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact Person: Tisha Womack
Finding Number: 2025-013 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact...
Finding Number: 2025-013 Planned Corrective Action: Effective July 1, 2025, FCOM implemented new processes and procedures to enhance FFATA reporting controls and ensure the accuracy and timeliness of the subaward data reported in the SAM.GOV. Anticipated Completion Date: 7/1/2025 Responsible Contact Person: Tisha Womack
Finding Number: 2025-012 Planned Corrective Action: Security controls will be implemented at the Department’s secure remote access gateway. Additionally, security controls will be implemented at the application/system level. Anticipated Completion Date: The dates are June 30, 2027, and December 31, ...
Finding Number: 2025-012 Planned Corrective Action: Security controls will be implemented at the Department’s secure remote access gateway. Additionally, security controls will be implemented at the application/system level. Anticipated Completion Date: The dates are June 30, 2027, and December 31, 2028, respectively. Responsible Contact Person: The contacts are Michele Baxley-Branch, Service Maintenance Process Owner, and Kevin Wiggins, Information Security Manager, respectively.
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