Corrective Action Plans

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Finding #2025-001 – Preparation of Consolidated Financial Statements and Schedule of Expenditures of Federal Awards (SEFA) and Audit Adjustments Responsible Individuals: Mike Walker (CEO) and Kathleen Burnham (Accountant) Corrective Action Plan: It is more cost effective for the Organization to hire...
Finding #2025-001 – Preparation of Consolidated Financial Statements and Schedule of Expenditures of Federal Awards (SEFA) and Audit Adjustments Responsible Individuals: Mike Walker (CEO) and Kathleen Burnham (Accountant) Corrective Action Plan: It is more cost effective for the Organization to hire Ketel Thorstenson, LLP, a public accounting firm, to prepare the full disclosure consolidated financial statements as a part of the annual audit process. Management of the Organization has reviewed the consolidated financial statements and SEFA prepared by Ketel Thorstnson, LLP. The consolidated financial statements and SEFA have been compared and reconciled to the internal records maintained by the Organization. Management and the board of directors have been given adequate opportunity to ask questions regarding the consolidated financial statements and note disclosures and have received sufficient response from the auditors prior to final publication of the audited consolidated financial statements and SEFA. Management is satisfied that appropriate actions have been taken to allow them to take responsibility for the consolidated financial statements. Anticipated Completion Date: Ongoing
WMMHC issued additional review procedures for grant expenditures to all WMMHC employees on July 27, 2026, to ensure timely filing and compliance with federal requirements.
WMMHC issued additional review procedures for grant expenditures to all WMMHC employees on July 27, 2026, to ensure timely filing and compliance with federal requirements.
SIGNIFICANT DEFICIENCY 2025-001 Inadequate Internal Controls Over Monthly Grant Billings and Allowable Costs Recommendation: Monthly grant billings should be prepared by the CEO and reviewed by the Director of Operations prior to submission. This will establish segregation of duties and reduce the r...
SIGNIFICANT DEFICIENCY 2025-001 Inadequate Internal Controls Over Monthly Grant Billings and Allowable Costs Recommendation: Monthly grant billings should be prepared by the CEO and reviewed by the Director of Operations prior to submission. This will establish segregation of duties and reduce the risk of billing errors. In addition, management should implement a quarterly oversight review by the board to confirm that allowable cost requirements are being followed. The Manchester Community Resource Center, Inc recognizes that during the 28 years of operation, this is the first audit finding for the agency. The total overbilling was less than 3% of the overall contract. The agency acknowledges the overbilling resulted from inadequate internal controls over the invoicing process. Specifically, the existing procedures does not define the segregation of duties. Management review controls were not adequate to identify billing errors before invoices were sent to the contracting agency. Corrective Actions: The organization has taken immediate and long-term corrective actions to address this finding and strengthen its financial management system. Immediate Actions: • Management will conduct a comprehensive review of all invoices submitted under the affected contract to identify any additional discrepancies. • Immediately following the completion of the financial audit, the contracting agency will be notified of the error, and arrangements will be made to reimburse the overpayment. • Staff responsible for contract billing received immediate instruction regarding allowable costs, billing requirements, and contract compliance. Internal Control Improvements: The Board of Directors will work with management to review and revise the organization's written financial policies and internal controls related to contract billing. Revised procedures will include: • A standardized invoice preparation checklist. • Verification that all billed costs are supported by accounting records and source documentation. • A reconciliation of invoices to the general ledger and contract budget before submission. • Documentation of all calculations supporting each invoice. • Written supervisory approval of every invoice prior to submission. Maintain a grant billing file containing all supporting documentation for each invoice. • Have the finance committee review federal grant billing as part of its regular meetings. Segregation of Duties: To the greatest extent possible, billing responsibilities will be separated among multiple individuals. The employee preparing the invoice will not be the sole individual responsible for reviewing and approving the invoice prior to submission. When staffing limitations prevent full segregation of duties, an independent management review will be documented. Management Oversight: The Chief Executive Officer will prepare all invoice packets that will include supporting documentation. The Director of Operations will perform and document a secondary review of each invoice before it is submitted to the funding agency. This review will verify: • Mathematical accuracy. • Compliance with contract requirements. • Accuracy of supporting documentation. • Proper allocation of costs. • Consistency with the approved budget and contract terms. Board Oversight: The Board of Directors will enhance its financial oversight by: • Reviewing, revising, and approving the financial policies and internal controls. • Receiving periodic reports regarding grant and contract billing compliance. • Reviewing the results of any internal monitoring activities and ensuring corrective actions remain effective. Staff Training All employees involved in grant administration, accounting, payroll allocation, and invoicing will receive annual training on: • Federal grant requirements. • Uniform Guidance financial management requirements. • Contract-specific billing procedures. • Internal control responsibilities. • Documentation standards. Training will also be provided whenever significant changes occur in funding requirements or internal procedures. Ongoing Monitoring: Management will implement quarterly internal compliance reviews of a sample of invoices to verify adherence to the revised procedures. Any deficiencies identified will be corrected immediately, and additional staff training will be provided as needed. The organization will also conduct an annual review of its financial policies and internal controls to ensure they remain effective and compliant with applicable federal requirements. Ongoing Responsible Parties: • Chief Executive Officer • Director of Operations • Board Treasurer • Board of Directors Expected Completion Date: The revised policies, staff training, and implementation of the new internal control procedures will be completed within 90 days of the audit report issuance. Ongoing monitoring and Board oversight will continue thereafter. The contracting agency will be notified of overbilling and arrangements for reimbursement will be completed immediately upon the filing of the annual financial audit.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
See Corrective Action Plan table/chart.
Views of Responsible Officials and Planned Corrective Actions: Current staff and new staff will be trained on the importance of keeping accurate records. A checklist will be developed for quarterly internal audits to cross-verify names between applications and attendance records, plus other applicab...
Views of Responsible Officials and Planned Corrective Actions: Current staff and new staff will be trained on the importance of keeping accurate records. A checklist will be developed for quarterly internal audits to cross-verify names between applications and attendance records, plus other applicable records. If discrepancies are identified in the internal audits, they will be corrected promptly.
Submission of Required Forms Condition - During the audit, we noted that the HUD-53001 form was not completed or filed with HUD as required. Cause - The Authority thought this was already submitted for the grant years, but there was Miscommunication Plan of Action - The Housing Authority will implem...
Submission of Required Forms Condition - During the audit, we noted that the HUD-53001 form was not completed or filed with HUD as required. Cause - The Authority thought this was already submitted for the grant years, but there was Miscommunication Plan of Action - The Housing Authority will implement procedures to ensure compliance with the above regulations as it relates to all federal awards. Person Responsible: Ms. Rosemary Steele (Executive Director) Period of Action: The review will ensure compliance with the above regulations as it relates to all federal awards. If you have any further questions, please advise.
Condition: The City did not maintain risk assessments to evaluate each subrecipients risk of noncompliance and level of monitoring required and did not maintain any documentation indicating that monitoring occurred for five subrecipients. Corrective Action Planned: Management agrees with the finding...
Condition: The City did not maintain risk assessments to evaluate each subrecipients risk of noncompliance and level of monitoring required and did not maintain any documentation indicating that monitoring occurred for five subrecipients. Corrective Action Planned: Management agrees with the finding. Although staffing changes affected overall grant oversight, responsibility for monitoring these subrecipients had been assigned; however, the required risk assessments and monitoring activities were not completed or documented. The city has clarified responsibility for subrecipient oversight and will require documented risk assessments, monitoring procedures, and supervisory review for all future federal subawards. Anticipated Completion Date: June 2027 Contact: Alex Koppelman, Community Development Director
Auditor's Recommendation: Strengthen controls over eligibility determinations by requiring Program Managers to document and retain evidence of review and approval of all intake forms/applications before services are provided. Management should also implement periodic monitoring procedures to ensure ...
Auditor's Recommendation: Strengthen controls over eligibility determinations by requiring Program Managers to document and retain evidence of review and approval of all intake forms/applications before services are provided. Management should also implement periodic monitoring procedures to ensure review approvals are consistently documented and maintained for audit purposes. Management Response: ODI is diligent in understanding and implementing the steps necessary to review and collect the required documentation to determine client eligibility for programs. Due to the large number of clients serviced and the volume of documents collected and reviewed, many of the programs track eligibility via proprietary on line portals provided by the funders to capture and document the steps performed to determine eligibility. These portals automatically determine whether a client is eligible based on the information provided. The Program Managers see the client eligibility on the portal when they assign caseworkers to the clients, but there is no formal Program Manager signature provided or captured in the portal. Corrective Action: • Regarding the specific program 90ZQ(l}011-01-0 Support for Trauma-Affected Refugees (STAR} referenced in this finding, client eligibility is determined by requirements established by the Office of Refugee Resettlement (ORR} that apply to other programs administered by ODI. To address the auditor's recommendation regarding this program, ODI will set up a procedure to review and retain documentation for clients entering the STAR program or who were referred from other ORR programs showing they are eligible to receive the STAR services. •Regarding the specific program ALSP23-0001 Afghan Legal Services Project (ALSP}, ODI has serviced, and is still servicing, approximately 500 clients. Although ODI asserts that it has and retains the documentation to demonstrate client eligibility for this program, to address the auditor's recommendation, ODI will set up a procedure to track and document that the program manager will approve. Responsible Personnel: Mao Vang, Health & SOT Program Director; Alyssa Eckels, ILS Program Director Implementation Date: Immediate implementation
Auditor's Recommendation: Strengthen controls over reporting by implementing formal procedures to (1} document and retain evidence of supervisory review and approval, (2) maintain copies of all submitted reports and supporting documentation in a centralized location, and (3) establish monitoring pro...
Auditor's Recommendation: Strengthen controls over reporting by implementing formal procedures to (1} document and retain evidence of supervisory review and approval, (2) maintain copies of all submitted reports and supporting documentation in a centralized location, and (3) establish monitoring procedures to ensure reports are submitted timely and submission evidence is retained for audit purposes. Management Response: While the findings do not result in any questioned costs, ODI does not disagree and appreciates the recommendation. Corrective Action: These findings are largely a result of staff turnover. In addition to the auditor's recommendations above, ODI will implement a plan to cross-train staff and prepare desk procedures to document the steps required to prepare, review, submit, and retain the reports. Responsible Personnel: Mark Dawson, COO Implementation Date: Immediate implementation
In the future all public housing files for both the Section 8 Voucher Program and Public Housing Program will have a checklist of required items. The checklist will be verified and documented by either the Executive Director or qualified employee. This will include who performed the review, the date...
In the future all public housing files for both the Section 8 Voucher Program and Public Housing Program will have a checklist of required items. The checklist will be verified and documented by either the Executive Director or qualified employee. This will include who performed the review, the date, and items reviewed.
To properly ensure internal controls, all segregation of duties will be documented beyond what is currently being done. For additional oversight of monthly reconciliation, it will be documented that this has had a secondary review. Additionally, a board member or another individual will review month...
To properly ensure internal controls, all segregation of duties will be documented beyond what is currently being done. For additional oversight of monthly reconciliation, it will be documented that this has had a secondary review. Additionally, a board member or another individual will review monthly bank statements, invoices, and related documentation. The board will review policy and focus on stricter internal controls to prevent any form of fraud.
NNEDV management and the finance team have reviewed the current policies regarding sole-source procurement. NNEDV’s leadership team has received training on procurement requirements and the policy manual will be updated to ensure NNEDV’s procurement policy is in line with 2 CFC 200. Anticipated Comp...
NNEDV management and the finance team have reviewed the current policies regarding sole-source procurement. NNEDV’s leadership team has received training on procurement requirements and the policy manual will be updated to ensure NNEDV’s procurement policy is in line with 2 CFC 200. Anticipated Completion Date: 7/31/2026, Responsible Contact Person: Ellen Yin-Wycoff, Assistant VP of Programs & Operations.
NNEDV management have received training on the importance of sub-recipient monitoring, along with how and when it is to be performed. The outsourced CPA will work with program directors to ensure all subrecipient monitoring is completed by the end of summer. Anticipated Completion Date: 8/31/2026. R...
NNEDV management have received training on the importance of sub-recipient monitoring, along with how and when it is to be performed. The outsourced CPA will work with program directors to ensure all subrecipient monitoring is completed by the end of summer. Anticipated Completion Date: 8/31/2026. Responsible Contact Person: Ellen Yin-Wycoff, Assistant VP of Programs & Operations
Identifying Number: 2025-001 Subrecipient Monitoring Controls Finding: During fiscal year 2025, iDE passed federal funds to subrecipients under active federal awards that remained operational during a portion of the year prior to the termination of the underlying grant agreements. Although iDE revie...
Identifying Number: 2025-001 Subrecipient Monitoring Controls Finding: During fiscal year 2025, iDE passed federal funds to subrecipients under active federal awards that remained operational during a portion of the year prior to the termination of the underlying grant agreements. Although iDE reviewed subrecipient liquidation reports and reimbursement requests supporting expenditures incurred prior to award termination, iDE did not perform or document formal subrecipient risk assessments. Further, because risk assessments were not performed, iDE did not establish or implement monitoring procedures commensurate with assessed risk, such as documented reviews of performance information, follow-up on compliance matters, review of Single Audit reports, or other monitoring activities required by Uniform Guidance. Corrective Actions Taken or Planned: Name of Responsible Official: Melanie Mackintosh, Controller Anticipated Completion Date: December 31, 2026 Views of Responsible Officials and Planned Corrective Action: 1. Following the 2024 subrecipient monitoring finding, iDE created an updated subrecipient monitoring policy and sponsored global trainings. 2. There was no opportunity for correction of subrecipient monitoring of USAID grants in 2025 due to the USAID shutdown.
2025-001 – ALN 14.871 – Housing Voucher Cluster – Eligibility – Payment Standards Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Mr. D. Steele, Chief Executive...
2025-001 – ALN 14.871 – Housing Voucher Cluster – Eligibility – Payment Standards Management acknowledged the finding and will follow the Auditor's recommendations as listed in the Schedule of Findings and Questioned Costs. Person Responsible for Correction of Finding: Mr. D. Steele, Chief Executive Officer Projected Completion Date: December 31, 2026
This error resulted from staff turnover and transition of the draw process to new accounting personnel. We will review the allocation of allowable costs and strengthen controls to ensure accurate cost accounting for future submissions. The error will be corrected in the August 2026 draw submission. ...
This error resulted from staff turnover and transition of the draw process to new accounting personnel. We will review the allocation of allowable costs and strengthen controls to ensure accurate cost accounting for future submissions. The error will be corrected in the August 2026 draw submission. The Controller and CFO are responsible for implementing and monitoring these corrective actions.
Implemented in November 2025. The Controller prepares the monthly draw, and the CFO reviews, approves, and submits it. The approval email is retained with the payment submission documentation. Responsibility for maintaining this process rests with the Controller and CFO.
Implemented in November 2025. The Controller prepares the monthly draw, and the CFO reviews, approves, and submits it. The approval email is retained with the payment submission documentation. Responsibility for maintaining this process rests with the Controller and CFO.
Corrective Action Plan: Management is in the process of working with HHS to renew the Provisional Rate agreements. The anticipation is that the agreement will be completed by the end of 2026. Anticipated Completion Date: December 31, 2026
Corrective Action Plan: Management is in the process of working with HHS to renew the Provisional Rate agreements. The anticipation is that the agreement will be completed by the end of 2026. Anticipated Completion Date: December 31, 2026
Finding 2025-002: Insufficient Documentation of Management Review of Section 3 Quarterly and Annual Reporting Planned Corrective Action: Management concurs with the finding. Although the related grant concluded during fiscal year 2025, the City will implement procedures to ensure that future federal...
Finding 2025-002: Insufficient Documentation of Management Review of Section 3 Quarterly and Annual Reporting Planned Corrective Action: Management concurs with the finding. Although the related grant concluded during fiscal year 2025, the City will implement procedures to ensure that future federal program reports, including any applicable Section 3 or similar compliance reports, are subject to documented management review and approval prior to submission. The procedures will require the preparer to provide each report and supporting documentation to City management for review, and evidence of approval, such as a signed review checklist, email approval, or electronic sign-off, will be retained in the grant files. The City Secretary will be responsible for ensuring that documented review and approval procedures are applied to future federal reporting requirements. Anticipated Completion Date: July 2026
The prior year documents were not submitted by the due date due to delays in the finalization of the prior year audit. With the FY25 audit completed timely, management will review requirements for uploading the FY25 audit to the FAC to ensure timely upload in the current year.
The prior year documents were not submitted by the due date due to delays in the finalization of the prior year audit. With the FY25 audit completed timely, management will review requirements for uploading the FY25 audit to the FAC to ensure timely upload in the current year.
While management was unable to locate full documentation for certain staff, those staff were generally hired before the current management team was in place. For individuals hired under current management, documentation was readily available. Management will review its policies over document retenti...
While management was unable to locate full documentation for certain staff, those staff were generally hired before the current management team was in place. For individuals hired under current management, documentation was readily available. Management will review its policies over document retention with an emphasis on employee files to ensure documents are completed timely and saved in readily available locations.
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