Corrective Action Plans

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Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 20...
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2024 Item 2024-002 – Reporting (Significant Deficiency) The Project did not maintain documentation evidencing management's review of the Federal Financial Report (SF-425) prior to submission. Although the reports were submitted timely, there were no indication of formal review procedures to validate the accuracy, completeness, or consistency of reported financial data with the accounting records. Recommendation We recommend that the Project establish and implement a formal review process over the Federal Financial Report (SF-425); we also recommend that evidence of the review be documented and approval be kept on file. Action Taken Management agrees with the finding and will be implementing formal review procedures including documented evidence of review and approval prior to submission. Effective Date: September 1, 2025
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 20...
Health Resources and Services Administration Mary Zelazny, Finger Lakes Migrant Health Care Project, Inc.’s CEO respectfully submits the following corrective action plan for the year ended December 31, 2024: CohnReznick LLP 1301 Avenue of the Americas New York, NY 10019 Audit Period: December 31, 2024 Item 2024-001 – Procurement, Suspension and Debarment (Material Weakness) During our audit, we noted that there is no evidence that any exclusion search was conducted in 2024 for all sample employees tested. Recommendation We recommend that the Project train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Action Taken Management agrees with the finding. As of the effectivity date below, procedures have been revised and personnel have been trained to help ensure the accuracy, completeness and timeliness of exclusion searches. The Compliance department has added periodic internal auditing of the process to their calendar. Effective Date: January 1, 2025
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management ...
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management tools to automate approvals and ensure a complete audit trail. In addition, our new global hub structure, with dedicated HR support functions, will provide greater oversight and consistency across entities. These measures will enhance compliance and reduce the risk of recurrence going forward.
View Audit 366660 Questioned Costs: $1
Direction Home of Eastern Ohio, Inc. Fiscal Year End: December 31, 2024 UEI: QJ6CKKSN3A94 Finding: 2024-001
Direction Home of Eastern Ohio, Inc. Fiscal Year End: December 31, 2024 UEI: QJ6CKKSN3A94 Finding: 2024-001
Fiscal Year End: December 31, 2024
Fiscal Year End: December 31, 2024
UEI: QJ6CKKSN3A94
UEI: QJ6CKKSN3A94
Finding: 2024-001
Finding: 2024-001
Assistance Listing Number: 21.027
Assistance Listing Number: 21.027
Compliance Requirement: Subrecipient Monitoring
Compliance Requirement: Subrecipient Monitoring
Description of Finding: For federal awards received under assistance listing number 21.027, the audit found that Direction Home of Eastern Ohio, Inc. (DHEO) provided subrecipients with written agreements that did not contain all of the required elements of a federal subaward. DHEO also failed to con...
Description of Finding: For federal awards received under assistance listing number 21.027, the audit found that Direction Home of Eastern Ohio, Inc. (DHEO) provided subrecipients with written agreements that did not contain all of the required elements of a federal subaward. DHEO also failed to conduct risk assessments of subrecipient noncompliance risks and did not perform ongoing monitoring during the subaward period.
Root Cause Analysis: The noncompliance was due to insufficient internal controls over subrecipient risk assessments, as required by 2 CFR § 200.332(b) which resulted in incorrect subaward agreements and failure to monitor subrecipients.
Root Cause Analysis: The noncompliance was due to insufficient internal controls over subrecipient risk assessments, as required by 2 CFR § 200.332(b) which resulted in incorrect subaward agreements and failure to monitor subrecipients.
Planned Corrective Actions:
Planned Corrective Actions:
Review and update the Organization’s policies and procedures to include formal risk assessment policy and procedures that include periodic internal control evaluations.
Review and update the Organization’s policies and procedures to include formal risk assessment policy and procedures that include periodic internal control evaluations.
Establish and document subrecipient risk assessment criteria.
Establish and document subrecipient risk assessment criteria.
Document annual risk assessment covering operational, financial, and compliance risks related to all grant programs and subrecipients.
Document annual risk assessment covering operational, financial, and compliance risks related to all grant programs and subrecipients.
Train relevant staff on risk assessment and internal control.
Train relevant staff on risk assessment and internal control.
Design the subrecipient monitoring plan based on the risk assessment of the subrecipient.
Design the subrecipient monitoring plan based on the risk assessment of the subrecipient.
Regular monitoring will be performed to assess adherence to the new policy and procedures.
Regular monitoring will be performed to assess adherence to the new policy and procedures.
The anticipated completion date of the Corrective Action is November 14, 2025.
The anticipated completion date of the Corrective Action is November 14, 2025.
Contact person for Corrective Action Plan:
Contact person for Corrective Action Plan:
Chief Financial Officer
Chief Financial Officer
330-505-2438
330-505-2438
jdeflin@dheo.org
jdeflin@dheo.org
September 15, 2025 Cognizant or Oversight Agency for Audit Combined Community Action, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent certified public accounting firm: Jarred, Gilmore & Phillips, PA, P.O. Box 779, 1...
September 15, 2025 Cognizant or Oversight Agency for Audit Combined Community Action, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent certified public accounting firm: Jarred, Gilmore & Phillips, PA, P.O. Box 779, 1815 S Santa Fe, Chanute, Kansas 66720. Audit period: Year ended December 31, 2024. The findings from the September 15, 2025 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Finding: 2024-001: Noncompliance with Tri-Partite Board Composition Requirements Auditor’s Recommendation: The Organization should implement procedures to ensure that vacancies in the tri-partite board are filled in a timely manner so that compliance with board composition requirements is continuously maintained. Views of responsible officials and planned corrective action: In April 2025, the Organization appointed a new board member representing the low-income sector, restoring compliance with the tri-partite board composition requirement. The State of Texas, as the pass-through entity, accepted the Organization’s corrective action plan and deemed the matter resolved. If the Oversight Agency for Audit has questions regarding this plan, please call Kelly Franke, Executive Director, at (979) 540-2980. Sincerely, Combined Community Action, Inc. Combined Community Action, Inc.
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