Corrective Action Plans

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The issue was corrected before the audit concluded. A written invoice authorization proess is in place, and all invoices now require written approval before processing.
The issue was corrected before the audit concluded. A written invoice authorization proess is in place, and all invoices now require written approval before processing.
FINDING No. 2025-002: Section 236 Interest Reduction Payments, ALN 14.103 Recommendation: Management should implement procedures to ensure the Project verifies tenant eligibility through the EIV system. Action Taken: Staff training has been provided with additional HUD training inclusive of EIV repo...
FINDING No. 2025-002: Section 236 Interest Reduction Payments, ALN 14.103 Recommendation: Management should implement procedures to ensure the Project verifies tenant eligibility through the EIV system. Action Taken: Staff training has been provided with additional HUD training inclusive of EIV reporting and tenant file maintenance. If the audit Oversight Agency has questions regarding these plans, please call Irene Phillips at 954-835-9200. Sincerely yours, Irene Phillips CFO
Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite...
Oversight Agency for Audit, Retired Steelworkers Housing and Health Development Corporation respectfully submits the following corrective action plan for the year ended December 31, 2025. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067 Audit period: January 1, 2025 through 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. SECTION III – FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2025-001: Section 236 Interest Reduction Payments, ALN 14.103 Recommendation: Management should implement procedures to ensure the correct amount is deposited into the replacement reserve account each month. Action Taken: We are researching the underfunding and will ensure the RR account is fully funded on a monthly basis. New procedures have been implemented to review the deposits each month to ensure amounts are proper.
Finding 2025-001 Department of Homeland Security and Emergency Management Federal Financial Assistance Listing 97.036 Disaster Grant Public Assistance Allowable Costs/Activities Allowed or Unallowed Material Weakness in Internal Control over Compliance Finding Summary: In the testing of allowable co...
Finding 2025-001 Department of Homeland Security and Emergency Management Federal Financial Assistance Listing 97.036 Disaster Grant Public Assistance Allowable Costs/Activities Allowed or Unallowed Material Weakness in Internal Control over Compliance Finding Summary: In the testing of allowable costs and activities, there were instances where material inventory expenses were submitted for federal reimbursement at a cost per unit that did not agree to the replacement cost. Responsible Individuals: Troy Knutson, Andy Weiss, and Ann Watson Corrective Action Plan: The Cooperative will perform a thorough review and reconciliation of supporting documentation for expenditures, including material transactions, before amounts are claimed for reimbursement. Anticipated Completion Date: December 31, 2026
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
County department personnel changes have been implemented which address this deficiency. Additional training from the Auditor’s office and state grantors has occurred and will continue for staff in departments that receive federal and state awards.
The County Auditor’s office has established a checklist and reconciliation document for this project in order to ensure compliance with all federal grant regulations, including checks of suspension or debarment status for vendors of the project.
The County Auditor’s office has established a checklist and reconciliation document for this project in order to ensure compliance with all federal grant regulations, including checks of suspension or debarment status for vendors of the project.
Recommendation: We recommend that the City implement controls over USDA reports to ensure that they are reviewed prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The City will work to ensure t...
Recommendation: We recommend that the City implement controls over USDA reports to ensure that they are reviewed prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: The City will work to ensure that the management reports are reviewed prior to submission. Name of the contact person responsible for corrective action: Christina Regas, City Administrator Planned completion date for corrective action plan: December 31, 2026.
FINDING 2025-001 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Amy Borns Contact Phone Number and Email Address: 812-663-8582 ext 1 & aborns@greensburg.in.gov Views of Responsible Officials: We concur with th...
FINDING 2025-001 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Amy Borns Contact Phone Number and Email Address: 812-663-8582 ext 1 & aborns@greensburg.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: When the SLFRF Compliance report is completed by the Clerk-Treasurer, either the Accounts Payable/Receivable Specialist or the Personnel Administrator will double check it and sign off (or send an email) concurring with the report. Anticipated Completion Date: This will be completed no later than April 30, 2027.
The School has now made personnel and policy changes, and established procedures regarding time certifications that provide assurance that charges are accurate, allowable, and properly allocated.
The School has now made personnel and policy changes, and established procedures regarding time certifications that provide assurance that charges are accurate, allowable, and properly allocated.
The School has made personnel and policy changes and has put in place a purchase order process of approval that documents expenditures in compliance with audit regulations. The School has also made coding corrections and implemented proper controls over program expenditures.
The School has made personnel and policy changes and has put in place a purchase order process of approval that documents expenditures in compliance with audit regulations. The School has also made coding corrections and implemented proper controls over program expenditures.
The School has implemented an improved inventory control system that conducts inventory and records all information into APSCN as required.
The School has implemented an improved inventory control system that conducts inventory and records all information into APSCN as required.
The School has contacted DESE for guidance regarding this matter and has implemented proper controls over Title One program expenditures.
The School has contacted DESE for guidance regarding this matter and has implemented proper controls over Title One program expenditures.
The School has made personnel and policy changes and has also been in contact with DESE for guidance. The School has since made coding corrections and implemented proper controls over program expenditures.
The School has made personnel and policy changes and has also been in contact with DESE for guidance. The School has since made coding corrections and implemented proper controls over program expenditures.
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report di...
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report did not reconcile with the amounts recorded in its general ledger. Cause The Town does not have adequate controls and procedures over reporting. Effect The Town's annual report did not reconcile to the total amount expended. Recommendation The Town should review their established policies and procedures and make any necessary changes to ensure an effective control environment. Management's Corrective Action Plan The Town will review their established policies and procedures and make any necessary changes to ensure an effective control environment.
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report di...
Criteria In accordance with 31 CFR Sections 35.4(c), the Town should provide an annual report detailing the accounting for the use of the federal award program funds. In addition, the report should be completed and submitted by April 30th of the folllowing year. Condition The Town's annual report did not reconcile with the amounts recorded in its general ledger. Cause The Town does not have adequate controls and procedures over reporting. Effect The Town's annual report did not reconcile to the total amount expended. Recommendation The Town should review their established policies and procedures and make any necessary changes to ensure an effective control environment. Management's Corrective Action Plan The Town will review their established policies and procedures and make any necessary changes to ensure an effective control environment.
Department of Health and Human Services: ParkTree Community Health Center (PCHC) respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: 01/1/25 – 12/31/25 The findings from the schedule of findings and questioned costs are discussed below. The f...
Department of Health and Human Services: ParkTree Community Health Center (PCHC) respectfully submits the following corrective action plan for the year ended December 31, 2025. Audit period: 01/1/25 – 12/31/25 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 Department of Health and Human Services 2025-01 Health Center Cluster– Assistance Listing No. 93.HCP Recommendation: CLA recommends that PCHC implement a second-level, independent review of demographic data and income verification information entered into the patient billing system to help ensure each patient’s sliding fee classification and corresponding discount is accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Corrective Action Plan: ParkTree Community Health Center will implement a second-level independent review process for all new Sliding Fee Discount Program (SFDP) applications and annual renewals. Under this process, demographic information, household income documentation, family size, and the assigned sliding fee classification will be independently verified by a designated supervisor or other qualified staff member before the sliding fee discount is finalized in NextGen. Front desk receptionists and enrollment staff receive ongoing training and best practice reminders to ensure that all SFDP applications and supporting documentation are completed accurately and in a timely manner. Management has also implemented a weekly internal review process to verify that applications are complete, that appropriate supporting documentation is retained in each patient's file, and that assigned sliding fee classifications are accurate and consistent with PCHC's Board-approved SFDP policies and procedures. In addition, periodic quality assurance reviews will continue to be conducted to monitor compliance, identify trends, and provide corrective coaching when discrepancies are identified. These enhanced controls are designed to strengthen internal controls, improve compliance with the SFDP, and help ensure that each patient's sliding fee classification and corresponding discount are accurately applied in NextGen. Name of Contact Person Responsible for Corrective Action: Alfonso Aguilera Planned Completion Date: December 31, 2026 If the U.S Department of Health and Human Services has any questions regarding this Corrective Action Plan, please contact Alfonso Aguilera at (909)-865-9501, Ext. 3970.
Views of Responsible Officials and Planned Corrective Actions: (Prepared by Cooperative Management) 2025 -002 – Significant Deficiency in Internal Controls When the Cooperative completed the Essential Elements of Information (EEI) Worksheet, they excluded amounts billed to the Cooperative for mutual...
Views of Responsible Officials and Planned Corrective Actions: (Prepared by Cooperative Management) 2025 -002 – Significant Deficiency in Internal Controls When the Cooperative completed the Essential Elements of Information (EEI) Worksheet, they excluded amounts billed to the Cooperative for mutual aid help that was performed in an area that was not included in the declared area on the same invoice as work performed in the declared area. On September 25, 2024, the Cooperative sent an email to the FEMA representative with a reconciliation worksheet attached to the email showing the difference between the amounts listed on the mutual aid invoices and the amount reported by the Cooperative on the EEI Worksheet for mutual aid because the FEMA representative could not tie the invoice amounts to the amount reported on the EEI Worksheet. Notation of the amount to be excluded, $11,746, and why it should be excluded was documented on the reconciliation worksheet that was attached to the email. It was the FEMA representative that ultimately included an amount in the final submission that the Cooperative did not include in the EEI Worksheet and clearly communicated should not be included. In the future the Cooperative will verify all final numbers that the FEMA representative intends to report to the CRC. In December 2025, when the Cooperative was reviewing a work order for damage that happened in Colorado during the same storm that was the declared event, it was discovered that $2,294 in retirement costs performed by a contractor was accidentally included in the FEMA claim. In May 2024 when the contractor invoice was received and paid, it was accidentally coded as 100% Nebraska when 3.5% of the invoice should have been coded as Colorado retirement. In the future the Cooperative will have a better review process to catch any accidental coding errors. The Cooperative acknowledges that a total of $14,040 in costs were included when they should not have been.
Views of Responsible Officials and Planned Corrective Actions: (Prepared by Cooperative Management) 2025 -001 – Significant Deficiency in Internal Controls The electronic timesheet system used by the Cooperative, which is also used to track vehicle and equipment used by an employee only allows track...
Views of Responsible Officials and Planned Corrective Actions: (Prepared by Cooperative Management) 2025 -001 – Significant Deficiency in Internal Controls The electronic timesheet system used by the Cooperative, which is also used to track vehicle and equipment used by an employee only allows tracking of vehicle/equipment by mileage and/or hour usage, since the trailers owned by the Cooperative do not have a meter to track either mileage and/or hour usage it is not normal business practice to track the trailer usage on the timesheets. There is a comment section on the timesheet where the information can be entered to bypass the system requirement of entering mileage and/or hour usage, in future storm situations, trailer usage will be entered into the comment section of the timesheet. As for the ATV’s and loader/skid steer equipment it is not normal practice to enter those on the timesheet even though they have a meter to track miles and/or hours. In future storm situations, usage for such equipment will be tracked on the timesheet. The basis for including the trailers in question even though they were not tracked on timesheets was that the trailers were used to haul material (poles) that were checked out of inventory. The Cooperative had to change out over 500 poles, the poles had to be hauled at least 45 miles from the Cooperative inventory yard to the job site, the trailers are pulled by specific trucks which the usage of the trucks was documented on timesheets. The trailers were loaded with the poles in the morning, pulled to job site, a pole unloaded at each pole location, returned in the evening when the shift of the employee driving the truck that pulled the trailer was over. Between inventory records and timesheets documenting the trucks pulling the trailers, the Cooperative was able to determine when the trailers were used. The operations manager made note every day of the ATV’s and loader/skid steers that were used and by which employee. That equipment had to be hauled to the job sites which were at least 45 miles away from the office where they are normally kept. The equipment was pulled to the job sites with the assigned trailer (dump trailers) for that equipment in the morning and returned in evening when the employees shift was over. The FEMA representative the Cooperative worked with wanted the force equipment usage in excel format, the directive given to the Cooperative by the FEMA representative was to add the trailers, ATV’s, loader/skid steers to the excel spreadsheet based upon the documentation that was kept by the operations manager, the inventory records and timesheets. The FEMA representative gave the advice that the handwritten documents did not need to be kept once it was added to the excel spreadsheet since that was the document submitted to the FEMA representative, not the timesheets. In future storm situations all handwritten documents will be scanned as a pdf document and electronically kept.
June29,2026 Cognizant or Oversight Agency for Audit David Raines Community Health Center, lnc. respectfully submits the following corrective action plan for the year ended December 3I,2026. Name and address of independent public accounting firm AAFCPAS, lnc. 50 Washington Street Westborough, MA 0158...
June29,2026 Cognizant or Oversight Agency for Audit David Raines Community Health Center, lnc. respectfully submits the following corrective action plan for the year ended December 3I,2026. Name and address of independent public accounting firm AAFCPAS, lnc. 50 Washington Street Westborough, MA 01581 Audit period: January L,2025 - December 3L,2025 The findings from June 29,2026, schedule of findings and questioned costs are discussed below The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS - FINANCIAL STATEMENT AUDIT FINDINGS NONE FINDINGS-FEDERAL AWARD PROGRAMS AUDITS SIGNIFICANT DEFICIENCY DEPARTMENT OF HEALTH AND HUMAN SERVICES 2025-001 Federal Progrom Identification: Health Center Program Cluster: ALN 93.224/93.527 Health Center Program and Grants for New and Expanded Services under the Health Center Program Recommendation: Management should establish and implement procedures to ensure Federal drawdowns are based on actual, allowable expenditures or immediate cash needs in accordance with 2 CFR 5200'305' Draw requests should be reviewed and approved to verify that amounts requested do not exceed current allowable expenditures or immediate cash requirements. Action Taken: Management concurs with the finding(s). During the period under audit, the organization inadvertently did a duplicative Federal drawdown which was an-administrative oversight. To address this deficiency and prevent future occurrences, management has implemented the following corrective actions: Duplicate Prevention Controls: Management has instituted a centralized drawdown tracking log to cross-reference and reconcile historical requests against immediate cash needs, eliminating the risk of administrative duplication. Management expects to have the above completed by Fully lmplemented (as of April 2026) lf the Department of Health and Human Services has questions regarding this plan, please call Angela Chatman at 318-440-L9L8. Sincerely yours, Angela Chatman Chief Financial Officer
Finding Type: Material Weakness in Compliance and Internal Control over Compliance Finding No. 2025-01 Recommendation: Management should implement procedures to ensure an accurate schedule of expenditures of federal awards with a corresponding reconciliation to the accrual basis trial balance. It is...
Finding Type: Material Weakness in Compliance and Internal Control over Compliance Finding No. 2025-01 Recommendation: Management should implement procedures to ensure an accurate schedule of expenditures of federal awards with a corresponding reconciliation to the accrual basis trial balance. It is recommended that management establish and enforce review and approval procedures related to the schedule of expenditures of federal awards and the accrual basis trial balance. Responsible Official: David M. Holder, Chairman Corrective Action Plan: The County acknowledges the importance regarding the accuracy of the schedule of expenditures of federal awards and corresponding reconciliation to the accrual basis trial balance. The County is considering providing additional training for current personnel along with the employment of additional personnel with suitable knowledge, skills, and experience to fulfill the fund-based accounting duties and other fiscal duties of the Treasurer’s office. Planned completion date for corrective action plan: Fiscal year 2026
Finding #2025-001- Material Audit Adjustments Condition: The auditor proposed adjusting journal entries during the audit process to adjust City account balances. We deem these entries to be significant in relation to the financial statements. Since the City did not make these adjustments in its acco...
Finding #2025-001- Material Audit Adjustments Condition: The auditor proposed adjusting journal entries during the audit process to adjust City account balances. We deem these entries to be significant in relation to the financial statements. Since the City did not make these adjustments in its accounting system prior to the audit, a material weakness was determined to exist in the City’s internal controls. Effect: Financial reports generated by the accounting system may not provide an accurate reflection of the City’s financial position or activities. Cause: Financial information was not recorded in a timely manner and numerous adjustments were needed in order to correct account balances. Criteria: Material adjusting journal entries not prepared by the City before the audit are considered an internal control weakness. Recommendation: Policies and procedures should be implemented to ensure account balances are properly recorded in a timely manner. Response: The City will establish policies and procedures to reduce the number of adjusting journal entries proposed by the auditor in future years. Contact Person: David Kurihara, Clerk/Treasurer Anticipated Completion: Summer 2026
Finding Number: 2025-001 Compliance Requirement: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Corrective Action Plan In March 2026, following the recognition of the issue, APS immediately conducted a comprehensive review of all payroll related charges, and promptly corrected t...
Finding Number: 2025-001 Compliance Requirement: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Corrective Action Plan In March 2026, following the recognition of the issue, APS immediately conducted a comprehensive review of all payroll related charges, and promptly corrected the accounting records and updated the SEFA to remove all duplicated costs. In response to this finding, APS implemented additional policies, procedures, and controls to strengthen oversight of payroll processing and grant expenditure reporting. Specifically, APS established a documented review process to identify and investigate duplicate payroll postings prior to and following the upload of payroll data to the general ledger and grant accounting records. In addition, APS enhanced its system change management procedures to ensure that future modifications or upgrades to payroll and grants management systems include validation testing of key controls before implementation. APS will continue to review payroll charges and grant expenditures regularly and maintain documentation of all review and reconciliation activities to ensure costs charged to federal awards are accurate, allowable, properly supported, and recorded only once. APS implemented the corrective action plan on April 30, 2026. Management's contact responsible for the implementation of the Corrective Action Plan: Name: Jane Hopkins Gould Position: Chief Financial & Operating Officer Telephone number: 301-209-3276
Finding Number: 2025-002 Compliance Requirement: Subrecipient Monitoring Corrective Action Plan APS acknowledges the finding and has reviewed its procedures related to NSF prior-approval requirements for post-award subawards. In the instances identified, the subawards were not identified at the prop...
Finding Number: 2025-002 Compliance Requirement: Subrecipient Monitoring Corrective Action Plan APS acknowledges the finding and has reviewed its procedures related to NSF prior-approval requirements for post-award subawards. In the instances identified, the subawards were not identified at the proposal stage and arose after the NSF award had already been issued. APS notes that the NSF Proposal and Award Policies and Procedures Guide (PAPPG) does not explicitly state that grantees must obtain separate prior written approval for post-award subawards that were not identified in the original proposal. As a result, APS personnel did not recognize that additional NSF authorization was required under these circumstances. APS has strengthened its grant administration procedures to ensure compliance with sponsor requirements. APS has implemented additional review procedures requiring grant administration personnel and Principal Investigators to assess prior-approval requirements before executing any post-award subaward. APS will document this review and, when required, obtain and retain written sponsor authorization prior to issuing a subaward. In addition, APS has enhanced training for grants management personnel regarding NSF award administration requirements and will maintain documentation evidencing compliance with all applicable prior-approval requirements. APS will continue to monitor subaward activity throughout the life of each award to ensure that sponsor approvals are obtained and retained timely and that all federal award requirements are met. APS will implement the corrective action plan on August 31, 2026. Management's contact responsible for the implementation of the Corrective Action Plan: Name: Jane Hopkins Gould Position: Chief Financial & Operating Officer Telephone number: 301-209-3276
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