Corrective Action Plans

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Finding 2025-002 Department of the Treasury, Passed Through the State of Michigan Federal Financial Assistance Listing 21.029, CPFFN0190, 2025 COVID-19 – Coronavirus Capital Projects Fund Procurement, Suspension, and Debarment Material Weakness in Internal Control over Compliance Finding Summary: Co...
Finding 2025-002 Department of the Treasury, Passed Through the State of Michigan Federal Financial Assistance Listing 21.029, CPFFN0190, 2025 COVID-19 – Coronavirus Capital Projects Fund Procurement, Suspension, and Debarment Material Weakness in Internal Control over Compliance Finding Summary: Corrective Action Plan: Responsible Individuals: During the course of the engagement, it was identified that the Cooperative’s written policy did not address the requirements of 2 CFR sections 200.318 through 200.327. The Cooperative will update its written policy to include the requirements of 2 CFR sections 200.318 through 200.327. Denne’ Smith, Chief Financial Officer Anticipated Completion Date: December 31, 2026
Finding 2025-001 Department of the Treasury, Passed Through the State of Michigan Federal Financial Assistance Listing 21.029, CPFFN0190, 2025 COVID-19 – Coronavirus Capital Projects Fund Preparation of Schedule of Expenditures of Federal Awards Material Weakness in Internal Control over Compliance ...
Finding 2025-001 Department of the Treasury, Passed Through the State of Michigan Federal Financial Assistance Listing 21.029, CPFFN0190, 2025 COVID-19 – Coronavirus Capital Projects Fund Preparation of Schedule of Expenditures of Federal Awards Material Weakness in Internal Control over Compliance Finding Summary: During our audit procedures, Eide Bailly identified errors in the preparation of the SEFA. Specifically, certain 2025 federal expenditures incurred during the year were omitted from the original SEFA provided for audit, while certain expenditures related to 2024 activity were included in the 2025 SEFA. The Cooperative subsequently reconciled the schedule and revised the SEFA to correct these errors. Corrective Action Plan: The Cooperative will add SEFA preparation procedures by performing a reconciliation of reported federal expenditures to the underlying grant activity, including a review of year-end accounts payable, retainage balances, and other cutoff-related items, to ensure all federal expenditures are reported within the SEFA in the appropriate fiscal year. Responsible Individuals: Denne’ Smith, Chief Financial Officer Anticipated Completion Date: December 31, 2026
Finding 2025-002 Procurement, and Suspension and Debarment Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: Management will provide additional training to individuals performing vendor compliance checks and establish internal controls to monitor that vendor...
Finding 2025-002 Procurement, and Suspension and Debarment Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: Management will provide additional training to individuals performing vendor compliance checks and establish internal controls to monitor that vendor compliance checks are being completed accurately and timely. Names of the contact persons responsible for corrective action: Belen Pena, Finance Director. Planned completion date for corrective action plan: November 15, 2026
CLIENT TO PROVIDE
CLIENT TO PROVIDE
Auditee’s Response and Planned Corrective Action: The Housing Authority of the City of Woonsocket acknowledges the finding regarding the late submission of the unaudited Financial Data Schedule (FDS). The delay was primarily due to converting the Authority’s general ledger system. The delay occurred...
Auditee’s Response and Planned Corrective Action: The Housing Authority of the City of Woonsocket acknowledges the finding regarding the late submission of the unaudited Financial Data Schedule (FDS). The delay was primarily due to converting the Authority’s general ledger system. The delay occurred during the Authority’s transition to a new general ledger and financial management system. The system conversion affected the timely completion and reconciliation of financial information necessary to complete the FDS submission. Going forward, the Authority will establish a year-end schedule to ensure financial reconciliations and required audit documentation are completed and submitted on time. Management will monitor the year-end process and work with the fee accountant to ensure future FDS submissions are completed by HUD’s required deadline. Planned Implementation Date: December 31, 2026 Person Responsible for Corrective Action: Katherine Candelario, Deputy Executive Director
As part of the corrective action plan, beginning January 1, 2026 the County has implemented procedures to document and capture time-and-effort according to federal award requirements. Further, the County has included in its procedures going forward to have subrecipient risk assessment and subrecipie...
As part of the corrective action plan, beginning January 1, 2026 the County has implemented procedures to document and capture time-and-effort according to federal award requirements. Further, the County has included in its procedures going forward to have subrecipient risk assessment and subrecipient monitoring performed as required by the terms of the federal awards.
Controls are in place to ensure federal requirements are followed. All Specification Documents will undergo a mandatory compliance review by the contracting Division’s Contract Administrator and the Funding Coordinator prior to advertisement. This review will verify federal funding designation, conf...
Controls are in place to ensure federal requirements are followed. All Specification Documents will undergo a mandatory compliance review by the contracting Division’s Contract Administrator and the Funding Coordinator prior to advertisement. This review will verify federal funding designation, confirm which federal terms apply based on funding source, and ensure that all required federal wage provisions are included.
We are working with our HUD field office to correct our VMS reporting. We are also working with our fee accountant and have switched our software to HAPPY so we can get better reporting.
We are working with our HUD field office to correct our VMS reporting. We are also working with our fee accountant and have switched our software to HAPPY so we can get better reporting.
Management concurs with the finding. The Organization will strengthen grant management and financial oversight procedures by maintaining centralized grant files containing approved budgets, budget revisions, amendments, and supporting approvals. Additional review procedures will be established to en...
Management concurs with the finding. The Organization will strengthen grant management and financial oversight procedures by maintaining centralized grant files containing approved budgets, budget revisions, amendments, and supporting approvals. Additional review procedures will be established to ensure all budget modifications receive appropriate authorization and documentation is retained in accordance with federal grant requirements. The Finance Director will provide oversight of grant budgeting, compliance monitoring, and documentation controls to ensure consistency across all funding sources.
Management concurs with the finding and recognizes the importance of maintaining consistent documentation supporting compliance with federal procurement, suspension, and debarment requirements. While WRTP|BIG STEP has procedures in place intended to ensure that it is in compliance with procurement r...
Management concurs with the finding and recognizes the importance of maintaining consistent documentation supporting compliance with federal procurement, suspension, and debarment requirements. While WRTP|BIG STEP has procedures in place intended to ensure that it is in compliance with procurement requirements for federally funded activities, management acknowledges that documentation supporting those procedures was not maintained in a manner sufficient to satisfy audit requirements. During 2026, Management will establish standardized compliance checklists and procedures to ensure procurement requirements are being met. The planned hiring of a Finance Director will further strengthen oversight and accountability related to federal grant compliance and documentation requirements. The Finance Director will be responsible for overseeing grant financial management, federal and state grant compliance, implementation of internal controls, maintenance of supporting grant documentation, development and monitoring of compliance procedures, audit coordination, and ongoing verification that required documentation is maintained in accordance with federal regulations and Uniform Guidance requirements. Management believes these enhancements will strengthen internal controls over federal grant compliance and ensure adequate support is maintained for future audits.
View of Responsible Officials and Planned Corrective Actions. Management agrees with and will implement corrective action. The following corrective actions will be implemented: strengthening budget monitoring by requiring monthly budget-to-actual reviews for all active grants; standardizing grant al...
View of Responsible Officials and Planned Corrective Actions. Management agrees with and will implement corrective action. The following corrective actions will be implemented: strengthening budget monitoring by requiring monthly budget-to-actual reviews for all active grants; standardizing grant allocation procedures through the development and documentation of formal cost allocation methodologies; enhancing review and approval processes by conducting quarterly internal audits of grant expenditures; and improving reconciliation practices by performing monthly reconciliations of each grant account, requiring sign-off by both finance and program managers, and investigating and resolving variances within 10 business days.
Management acknowledges the need for appropriate segregation of duties and documented independent review of match calculations and supporting documentation. Management plans to establish written procedures that assign preparation, review, and approval responsibilities and require the completed match...
Management acknowledges the need for appropriate segregation of duties and documented independent review of match calculations and supporting documentation. Management plans to establish written procedures that assign preparation, review, and approval responsibilities and require the completed match calculation and supporting records to be independently reviewed and approved by an individual who was not involved in their preparation before the match report is submitted.
Management acknowledges the need to complete and document rent-reasonableness assessments before rental assistance is approved or provided and, when required by the Organization’s procedures, before lease execution. Management plans to implement a standardized checklist requiring staff to document t...
Management acknowledges the need to complete and document rent-reasonableness assessments before rental assistance is approved or provided and, when required by the Organization’s procedures, before lease execution. Management plans to implement a standardized checklist requiring staff to document the assessment date, the comparable-unit and applicable fair-market-rent review, and supervisory approval before assistance is finalized. Management also plans to provide refresher training on the timing, documentation, and review requirements for rent-reasonableness assessments.
Management acknowledges the need to maintain complete documentation supporting participant income determinations, reassessments, and related rent calculations and to complete required procedures in the prescribed order. Management plans to implement a standardized checklist identifying required docu...
Management acknowledges the need to maintain complete documentation supporting participant income determinations, reassessments, and related rent calculations and to complete required procedures in the prescribed order. Management plans to implement a standardized checklist identifying required documents and sequencing, require supervisory review and sign-off before each reassessment and rent determination is finalized, and provide refresher training on documentation and procedural requirements.
2025-002 Policies and Procedures for Food Inventory Management Corrective action planned: Anticipated completion date: Contact person responsible for corrective action: Pmtners INW will formalize the procedures we have in place as a Board approved policy. The policy will cover the treatment for all ...
2025-002 Policies and Procedures for Food Inventory Management Corrective action planned: Anticipated completion date: Contact person responsible for corrective action: Pmtners INW will formalize the procedures we have in place as a Board approved policy. The policy will cover the treatment for all types of inventories, including federal non-cash programs. We will provide a draft policy to the Financial Committee at the 9/22 meeting prior to board-wide approval afterward. The policy will be acknowledged at least annually and after key staff turnover. Target: 9/24/2026 Justin Carlile JustinC@partnersinw.org
2025-001 Reporting on USDA Foods Corrective action planned: Anticipated completion date: Contact person responsible for corrective action: Pmtners INW will implement a monthly reporting procedure requiring a documented inventmy reconciliation of each USDA program to the provided bills of lading prio...
2025-001 Reporting on USDA Foods Corrective action planned: Anticipated completion date: Contact person responsible for corrective action: Pmtners INW will implement a monthly reporting procedure requiring a documented inventmy reconciliation of each USDA program to the provided bills of lading prior to submission to WSDA. Each invent tory reconciliation will be reviewed and signed by a staff member who did not prepare the repmt. These reconciliations will be retained alongside monthly program inventmy repmts. Target: October 31 st . We will begin immediately with the first dual verification repmt being completed for the month of September. Justin Carlile JustinC@partnersinw.org
HQS Enforcement and Annual HQS Inspections Housing Choice Voucher Cluster - Assistance Listing No. 14.874 Recommendation: We recommend that the Authority continue to strengthen its 24-hour LT deficiency inspection procedures to ensure compliance with HUD requirements. Additionally, the Authority sho...
HQS Enforcement and Annual HQS Inspections Housing Choice Voucher Cluster - Assistance Listing No. 14.874 Recommendation: We recommend that the Authority continue to strengthen its 24-hour LT deficiency inspection procedures to ensure compliance with HUD requirements. Additionally, the Authority should provide training to personnel involved in the inspection process to reinforce their understanding of and adherence to applicable HUD regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: MHA has made progress in the timely enforcement of all aspects of HQS enforcement. Regarding 24-hour Life Threating (LT) items, MHA has now informed all landlords that they are expected to provide MHA with photos or completed workorders confirming that said LT repairs were completed. This conforms with all HUD related inspection protocol in the affordable housing industry making it easier for all parties to quickly comply. Further, MHA has designated staff to immediately send an email to the landlord once a LT item is identified. Additionally, a supervisor level employee checks behind staff to ensure timely compliance. Name(s) of the contact person(s) responsible for corrective action: Charletta Speights and Tunka Shinholster.
Legal Services Corporation 09.744060 Basic Field Grant Grant Period: 1/1/2025 – 12/31/2025 Contract Number: 744060 U.S Department of Justice 16.575 Victims of Crime Act Grant Periods: 10/1/24-9/30/25 and 10/1/25 – 9/30/26 Contract Number: 4055105; 4055106 Supreme Court of Texas Basic Civil Legal Ser...
Legal Services Corporation 09.744060 Basic Field Grant Grant Period: 1/1/2025 – 12/31/2025 Contract Number: 744060 U.S Department of Justice 16.575 Victims of Crime Act Grant Periods: 10/1/24-9/30/25 and 10/1/25 – 9/30/26 Contract Number: 4055105; 4055106 Supreme Court of Texas Basic Civil Legal Services Program Grant Period: 9/1/2023 – 8/31/2026 Contract Number: 26030 2025-001 Internal Controls over Compliance - Allowable Activities and Costs – Payroll (Significant Deficiency) Recommendation: We recommend the Organization review its timekeeping policies and procedures to ensure time sheets are retained for all payroll transactions to support the allocation of compensation between cost objectives and that these are provided timely to the Director of Finance to reconcile the allocation of personnel costs charged on the time sheets to the budget estimates used to bill grantors. This should be done in conjunction with monthly or quarterly billings (or other determined regular interval), at fiscal year-end, and at the end of the grant year (if different from the Organization’s fiscal year). Corrective Action: • AVDA will revise and formally approve its written timekeeping and payroll-allocation procedures. Every employee whose compensation is charged in whole or in part to a grant must submit a complete and accurate timesheet for each pay period. • Timesheets will reflect actual activity and identify the appropriate program, grant, or cost objective. Budget estimates will not serve as final support for payroll charges unless permitted by the applicable award and reconciled to actual activity. • Each employee and the employee's supervisor will approve the timesheet by the established deadline. Finance will maintain an exception log for late, missing, incomplete, or corrected timesheets and will follow up before grant billing or reimbursement requests are finalized. • The Finance Department will complete and retain a payroll-compliance checklist for each pay period. Payroll costs lacking required support or approval will not be charged to a grant and will remain charged to unrestricted funds unless and until adequate documentation is obtained and reviewed. • The Director of Finance will update employee pay rates and grant allocations promptly after each compensation, funding, or assignment change. Finance will verify current pay rates before grant billing and will document the review. • At least monthly, the Director of Finance will reconcile payroll-allocation records to the payroll register and general ledger. The reconciliation will confirm that employee allocations do not exceed 100 percent, rates agree with actual payroll, charges are supported by approved timesheets, and charges do not exceed applicable grant budgets. • A reviewer who did not prepare the reconciliation will document review and approval. The CEO will document review of organizational payroll. Payroll information relating to the CEO will be reviewed under the Board-approved process for executive compensation and payroll oversight. • Management will provide and document training for employees, supervisors, and Finance personnel regarding timekeeping, payroll allocation, allowable-cost requirements, approvals, and record retention. • AVDA will maintain timesheets, approvals, payroll registers, reconciliations, exception logs, and supporting allocation records in a centralized electronic location consistent with federal and grant-specific retention requirements. Responsible Parties: - Lisa Mikosh, Director of Finance - Marcello Gonzalez, Bookkeeper - Maisha Colter, CEO Date to be Corrected: December 31, 2026
Auditee’s Response and Planned Corrective Action Peabody Housing Authority hired two new employees to manage and operate the HCV Program in late 2025. These two employees replaced the prior employees who completed the recertifications noted with findings. While the new employees came with strong pri...
Auditee’s Response and Planned Corrective Action Peabody Housing Authority hired two new employees to manage and operate the HCV Program in late 2025. These two employees replaced the prior employees who completed the recertifications noted with findings. While the new employees came with strong prior experience, they have participated in many trainings and classes since they have been hired. Together with continued education, better oversight, and clear requirements, these issues should not be repeated. Quality control measures, such as secondary reviews and engagement with participants, will result in fewer recertification missteps and errors. Planned Implementation Date of Corrective Action: June 30, 2026 Person Responsible for Corrective Action: Eric Cronin, Executive Director
Auditee’s Response and Planned Corrective Action The Executive Director will work with the Fee Accountant in order to review and enhance year end close processes to ensure accuracy and timeliness of reporting. Planned Implementation Date of Corrective Action: June 30, 2026 Person Responsible for Cor...
Auditee’s Response and Planned Corrective Action The Executive Director will work with the Fee Accountant in order to review and enhance year end close processes to ensure accuracy and timeliness of reporting. Planned Implementation Date of Corrective Action: June 30, 2026 Person Responsible for Corrective Action: Eric Cronin, Executive Director
Management acknowledges the finding. The Organization has made significant improvements to the administration and monitoring of its Sliding Fee Discount Program; however, management recognizes that continued improvement is necessary to ensure consistent application of the approved sliding fee discou...
Management acknowledges the finding. The Organization has made significant improvements to the administration and monitoring of its Sliding Fee Discount Program; however, management recognizes that continued improvement is necessary to ensure consistent application of the approved sliding fee discount schedule at the point of registration. The exceptions identified were associated with front-desk processing and occurred during a period that included onboarding and training of new staff. Since that time, the Organization has continued to update front-desk procedures, strengthen oversight, and provide additional education regarding eligibility documentation, income and family-size requirements, and proper application of the approved sliding fee discount schedule. The Chief Operating Officer and clinical management, in collaboration with the Revenue Cycle team, will continue to provide training and monitor front-desk processes to improve consistency and compliance. The Revenue Cycle team will also conduct ongoing reviews of sliding fee activity to identify errors, provide timely corrective education, and ensure that the Organization's Sliding Fee Discount Program is administered in accordance with board-approved policies and applicable Health Center Program requirements.
Management acknowledges the finding related to the timing of federal cash drawdowns. The January 2025 drawdowns occurred during a period of significant uncertainty regarding federal funding and potential changes in federal funding availability. Based upon guidance and recommendations received from t...
Management acknowledges the finding related to the timing of federal cash drawdowns. The January 2025 drawdowns occurred during a period of significant uncertainty regarding federal funding and potential changes in federal funding availability. Based upon guidance and recommendations received from the Michigan Primary Care Association during this period, the Organization drew available federal funding to mitigate the potential risk of disruption in access to awarded funds. This action was specific to the circumstances and federal funding environment that existed during 2025 and was not the Organization's standard cash management practice. Management recognizes the importance of ensuring that federal drawdowns are aligned with immediate cash requirements and applicable federal cash management requirements. The Organization has subsequently strengthened its federal drawdown procedures. Grant drawdowns are reconciled to eligible expenditures and the general ledger, supporting documentation is maintained electronically, and additional management review has been incorporated into the process. The Chief Financial Officer will continue monitoring federal cash management procedures to ensure future drawdowns are appropriately supported, documented, and timed in accordance with applicable federal requirements.
OCDC has implemented the following corrective actions: 1. Implement a secondary review control Eligibility determinations will include documented evidence of review, such as reviewer name/initials and date, to demonstrate that eligibility has been verified prior to or as part of the applicable claim...
OCDC has implemented the following corrective actions: 1. Implement a secondary review control Eligibility determinations will include documented evidence of review, such as reviewer name/initials and date, to demonstrate that eligibility has been verified prior to or as part of the applicable claiming process. 2. Reinforce Staff Training and Procedures Staff responsible for determining, reviewing, or maintaining CACFP eligibility will receive a refresher training on the procedures, documentation requirements, review responsibilities, and record retention expectations. 3. Conduct periodic monitoring Program leadership will periodically review a sample of eligibility files to confirm that required documentation is present, eligibility determinations are supported, and evidence of review is documented. Identified exceptions will be corrected promptly and recurring issues addressed through additional training or process improvements. Name(s) of the contact people responsible for correction action: Melissa Buxton, Chief Financial Officer and CACFP Program Leadership Plan completion date for corrective action plan: Corrective actions began in spring 2026 after OCDC self-identified the weakness. Initial corrective measures have been implemented, with periodic monitoring continuing as an ongoing internal control with training reinforcement completed by October 31, 2026.
Reference: 2025-003 Corrective Action: The City will work on updating the procurement policy to include clearer expectations. Responsible Person: Kristopher Hanus, Mayor; Adam Gitter, Interim City Administrator; Wendi Bixby, Finance Director/Treasurer Anticipated Completion Date: 12/31/2026
Reference: 2025-003 Corrective Action: The City will work on updating the procurement policy to include clearer expectations. Responsible Person: Kristopher Hanus, Mayor; Adam Gitter, Interim City Administrator; Wendi Bixby, Finance Director/Treasurer Anticipated Completion Date: 12/31/2026
Housing Voucher Cluster - Assistance Listing No. No. 14.871 and 14.879 Recommendation: We recommend the Authority implements controls to ensure abatement is timely for units that do not correct the cited HQS deficiencies within the required timeframe. Explanation of disagreement with audit finding: ...
Housing Voucher Cluster - Assistance Listing No. No. 14.871 and 14.879 Recommendation: We recommend the Authority implements controls to ensure abatement is timely for units that do not correct the cited HQS deficiencies within the required timeframe. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: HAKC has reviewed its inspection and HAP abatement procedures and implemented additional controls to ensure that HAP is abated timely when required HQS deficiencies are not corrected within the applicable timeframe. Inspection staff are responsible for documenting deficiencies, establishing the applicable correction/reinspection timeframe, and monitoring the status of required repairs. HAKC has strengthened supervisory oversight to ensure that units failing to correct deficiencies within the required timeframe are identified and referred for appropriate HAP abatement. The corrective controls include: • Tracking of failed inspections and required correction dates; • Monitoring of reinspection results; • Identification of units that remain in failed status after the applicable correction period; • Supervisory review of outstanding failed inspections; • Verification that HAP abatement is initiated when required; • Documentation of the effective date of abatement and subsequent restoration of HAP when deficiencies are corrected; and • Periodic quality-control review of failed inspections and abatement activity• HAKC will continue to monitor inspection and abatement reports to identify potential delays and ensure corrective action is taken timely. Name(s) of the contact person(s) responsible for corrective action: Director of HCV, Assistant Directors of HCV, HCV staff, and HCV Inspection Manager. Planned completion date for corrective action plan: 12/31/2026.
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