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Corrective Action Plans

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Aroostook Mental Health Services, Inc.
ME
Cash Management
2024-001 Other Matter – Financial assistance listing number 93.912 – HRSA ACORP – Cash management Name of contact person: Christy Daggett Corrective Action: The Organization will ensure that future grant draws through the payment management system are performed accurately. Additional training ...
2024-001 Other Matter – Financial assistance listing number 93.912 – HRSA ACORP – Cash management Name of contact person: Christy Daggett Corrective Action: The Organization will ensure that future grant draws through the payment management system are performed accurately. Additional training will be provided to staff to deter errors from occurring in the future. Proposed implementation date: The corrective action plan will be implemented immediately.
View Audit 357393
Finding 561746 (2024-003)
Significant Deficiency 2024
Autauga County Board of Education
AL
Questioned Costs Procurement, Suspension & Debarment § 200.318
We now have a better understanding of what is considered public works versus equipment. Public Works bids will be let for all items that fall under the Public Works definition. We have since conducted internal training on Public Works definitions.
We now have a better understanding of what is considered public works versus equipment. Public Works bids will be let for all items that fall under the Public Works definition. We have since conducted internal training on Public Works definitions.
View Audit 357383 Questioned Costs: $1
Finding 561728 (2024-001)
Material Weakness 2024
City of Coachella
CA
Subrecipient Monitoring Reporting
City to correct the noted deficiencies through additional review process: • The Finance Department and Grants Management will train additional staff to mitigate the effect of the staff turnover.
City to correct the noted deficiencies through additional review process: • The Finance Department and Grants Management will train additional staff to mitigate the effect of the staff turnover.
View Audit 357365
West Chicago Elementary School - District 33
IL
Reporting
The District will implement a process to track the submission time of the data collection form and audit package.
The District will implement a process to track the submission time of the data collection form and audit package.
View Audit 357364
Finding 561719 (2024-001)
Significant Deficiency 2024
Point Park University
PA
Student Financial Aid Matching / Level of Effort / Earmarking Subrecipient Monitoring
Point Park University submits the following corrective action plan for the year ended August 31, 2024. Finding 2024-001 - Enrollment Reporting Management Response: Management concurs with the finding Views of Responsible Officials and Corrective Action Plan: Point Park University uses the National S...
Point Park University submits the following corrective action plan for the year ended August 31, 2024. Finding 2024-001 - Enrollment Reporting Management Response: Management concurs with the finding Views of Responsible Officials and Corrective Action Plan: Point Park University uses the National Student Clearinghouse (NSC) to transmit enrollment information to the National Student Loan Data System (NSLDS). The University determined that students reported with incorrect status’s, students reported late, and students not reported; were due to incorrect formatting on an internally generated system report causing the status information to be incorrect. In addition, a final review of the information submitted to the NSC and the NSLDS did not take place. The following procedures have been implemented to ensure accurate reporting in the future. The internally generated report submitted to the NSC was modified to properly include all students enrolled and to correct all formatting errors which affected the student enrollment status. Once the report is submitted to the NSC, the Registrar will verify the total required enrolled students agrees with the total number of students received by the NSC. The Registrar will then correct any errors the NSC reports back to Point Park before submission to the NSLDS. After every submission, the Registrar performs a sample audit from Point Park’s system information and compares it to both the final information submitted to both the NSC and the NSLDS to make any final necessary corrections. The audit procedure is verified by management. Anticipated Completion Date: April 15, 2025 Name of Responsible Person: George Santucci, Director of Financial Aid
View Audit 357358
The Chamber Foundation
ND
Subrecipient Monitoring Internal Control / Segregation of Duties § 200.331
2024-003 – Subrecipient Monitoring Compliance Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation has subsequently requested ...
2024-003 – Subrecipient Monitoring Compliance Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation has subsequently requested all audit reports from all subrecipients. Additionally, the Chamber Foundation has changed subaward formatting to ensure that all required information is included within the award. Planned implementation date of corrective action: May 27, 2025
View Audit 357357
Finding 561717 (2024-002)
Material Weakness 2024
The Chamber Foundation
ND
Subrecipient Monitoring
2024-002 – Subrecipient Monitoring Controls Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation has a comprehensive monitorin...
2024-002 – Subrecipient Monitoring Controls Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation has a comprehensive monitoring plan to monitor all grant supported activities in accordance with program rules relative to EDA program including rules established by the program, those established by EDA, and by 2 CFR Part 200. Planned implementation date of corrective action: Ongoing
View Audit 357357
Finding 561712 (2024-001)
Significant Deficiency 2024
The Chamber Foundation
ND
Reporting
2024-001 - Reporting Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation will ensure records are reconciled and available for...
2024-001 - Reporting Person responsible for corrective action: Nicole Meland, Vice President of Finance and Operations Responsible official’s response: Management is in agreement with this finding. Corrective action planned: The Chamber Foundation will ensure records are reconciled and available for audit within a timely manner of year end. Planned implementation date of corrective action: May 27, 2025
View Audit 357357
Finding 561708 (2024-001)
Material Weakness 2024
Global Community Charter School
NY
School Nutrition Programs Cash Management Material Weakness
Global Community Charter School recognizes the management deficiencies cited by MMB+CO as finding 2024-001 in the FY2024 Audited Financial Statements. The following procedures have been implemented to mitigate and/or eliminate further process deficiencies. ● Beginning in August 2024, all participati...
Global Community Charter School recognizes the management deficiencies cited by MMB+CO as finding 2024-001 in the FY2024 Audited Financial Statements. The following procedures have been implemented to mitigate and/or eliminate further process deficiencies. ● Beginning in August 2024, all participating operations staff were retrained and given clarity on the importance of accurate and timely count management. ● At the elementary and middle school, one operations person has been designated as responsible for the monthly count. This individual coordinates all personnel involved in the process and is further responsible for ensuring coverage and accuracy when personnel are shifted around or absent. ● This designated individual also meets with the food preparer weekly to check the provider’s meal count against the school's. ● The designated individual also annotates the weekly/monthly count on a digital worksheet that compares the food providers' count against the schools. ● The Director of Finance audits the worksheet monthly for “reasonability”, accuracy, and consistency. ● Post-audit, the CFO does a final review. If anything anomalous or inconsistent is found, the team will meet to confirm if the changes reflect actual student utilization. If no changes are required, the CFO takes the monthly data and uploads it to the template provided by the NSLP consultant who submits the voucher. In addition to the process outlined above, an ongoing review of student utilization is being conducted to reduce the waste and cost to the school created when too many meals are produced and students do not consume them. This process should allow meals produced to mirror consumption going forward. We implemented this process in mid-August and expect positive realignment and consistency from November 2024 onward.
View Audit 357332
Finding 561699 (2024-002)
Significant Deficiency 2024
Seattle Indian Health Board
WA
Procurement, Suspension & Debarment § 200.213
Planned Corrective Action: It is the policy of the Seattle Indian Health Board to retain documentation that a new vendor is not debarred from doing business with the federal government. In certain circumstances, due to the age of the vendor or other reasons, the documentation was not maintained. M...
Planned Corrective Action: It is the policy of the Seattle Indian Health Board to retain documentation that a new vendor is not debarred from doing business with the federal government. In certain circumstances, due to the age of the vendor or other reasons, the documentation was not maintained. Management has engaged the accounts payable team to perform a review of all vendors accounts to assure all required documentation is on file and to continue this review on an annual basis. Name of Responsible Party: Brian Jonas., Controller Anticipated Completion Date: September 30, 2025
View Audit 357322
Finding 561695 (2024-001)
Significant Deficiency 2024
Seattle Indian Health Board
WA
Eligibility Significant Deficiency Internal Control / Segregation of Duties
Planned Corrective Action: The Seattle Indian Health Board has adopted a sliding fee program that provides discounts to eligible patients and Indian tribes. To address the auditors' concerns and further strengthen our internal controls, we are implementing a comprehensive corrective action plan. Fir...
Planned Corrective Action: The Seattle Indian Health Board has adopted a sliding fee program that provides discounts to eligible patients and Indian tribes. To address the auditors' concerns and further strengthen our internal controls, we are implementing a comprehensive corrective action plan. Firstly, we will ensure that all personnel involved in eligibility checks, including front desk staff and benefits specialists, are fully trained and aware of federal regulations and internal policies. This will be achieved through comprehensive training sessions and the development of a detailed training manual outlining eligibility criteria, documentation requirements, and procedural steps. Periodic refresher training sessions will reinforce adherence to these policies. Secondly, we will establish a robust internal audit system to regularly review and verify compliance with eligibility requirements. This includes integrating a monthly audit of eligibility determinations into the month-end reporting process, conducted by the clinical operations team. The clinical operations team will use a standardized checklist during these audits to ensure consistency and thoroughness. They will document findings and follow up on any issues or discrepancies with the relevant personnel to ensure timely corrections and adherence to procedures. Management believes that we have adequate internal control systems to safeguard the organization's assets and comply with federal and local regulations. However, we remain committed to further strengthening our controls and processes where necessary. Name of Responsible Party: Mary Kelley, Director of Revenue Cycle Anticipated Completion Date: September 30, 2025
View Audit 357322
Finding 561686 (2024-004)
Material Weakness 2024
Wilsona School District
CA
Questioned Costs Allowable Costs / Cost Principles Subrecipient Monitoring § 200.439
Corrective Action Plan and Views of Responsible Officials The project was identified in District plans and executed immediately prior to the change in administrative leadership. After review it was noticed that prior capital approval was not obtained prior execution of the project. Applications were...
Corrective Action Plan and Views of Responsible Officials The project was identified in District plans and executed immediately prior to the change in administrative leadership. After review it was noticed that prior capital approval was not obtained prior execution of the project. Applications were subsequently submitted and under review by the CDE at the time of this report preparation. The District acknowledges and has provided professional development with staff, so all are aware of dealing with items that are obtained with federal funds. Pending final answer regarding the prior approval by the CDE will determine the next action of the District.
View Audit 357316 Questioned Costs: $1
Finding 561685 (2024-003)
Material Weakness 2024
Wilsona School District
CA
Subrecipient Monitoring Material Weakness Reporting
Corrective Action Plan and Views of Responsible Officials There was confusion as to what the data point should be used in regarding reporting FTE count within this federal reporting module by past District staff. Clarity has been provided a strategy has been created and professional development has ...
Corrective Action Plan and Views of Responsible Officials There was confusion as to what the data point should be used in regarding reporting FTE count within this federal reporting module by past District staff. Clarity has been provided a strategy has been created and professional development has been provided. The annual reporting period is currently now open and correct FTE counts will be corrected for all reporting years.
View Audit 357316
Finding 561680 (2024-005)
Significant Deficiency 2024
Jericho Road Ministries D/b/a Jericho Road Community Health Center
NY
§ 200.512
In July 2024, the Chief Financial Officer, Veronica Koller, was hired, along with an Accounting Manager, Nicole Sullivan in September 2024. The staffing of these two positions, along with the Controller, Hannah Pawlowski, will ensure that the completion of the financial statements and single audits ...
In July 2024, the Chief Financial Officer, Veronica Koller, was hired, along with an Accounting Manager, Nicole Sullivan in September 2024. The staffing of these two positions, along with the Controller, Hannah Pawlowski, will ensure that the completion of the financial statements and single audits for the period of June 30, 2025 will occur in time necessary to submit the data collection form within the earlier of 30 days after receipt of the auditor’s report or nine months after the end of the audit period
View Audit 357305
Finding 561679 (2024-004)
Significant Deficiency 2024
Jericho Road Ministries D/b/a Jericho Road Community Health Center
NY
Cash Management
During the fiscal year June 30, 2025, a process for drawing down federal funds was established. Veronica Koller, CFO requests approval for drawdown of the funds from either the COO, Magdalena Nichols or Controller, Hannah Pawlowski. Once approval is provided, the CFO draws down the federal funds.
During the fiscal year June 30, 2025, a process for drawing down federal funds was established. Veronica Koller, CFO requests approval for drawdown of the funds from either the COO, Magdalena Nichols or Controller, Hannah Pawlowski. Once approval is provided, the CFO draws down the federal funds.
View Audit 357305
Finding 561678 (2024-003)
Significant Deficiency 2024
Jericho Road Ministries D/b/a Jericho Road Community Health Center
NY
Procurement, Suspension & Debarment Allowable Costs / Cost Principles
During the fiscal year June 30, 2025, the finance department and purchasing department led by Veronica Koller, CFO will work together to revise the current procurement policy to ensure it complies with Uniform Guidance.
During the fiscal year June 30, 2025, the finance department and purchasing department led by Veronica Koller, CFO will work together to revise the current procurement policy to ensure it complies with Uniform Guidance.
View Audit 357305
Finding 561677 (2024-002)
Significant Deficiency 2024
Jericho Road Ministries D/b/a Jericho Road Community Health Center
NY
Eligibility
Previously, all sliding fee scale applications were reviewed and processed by the billing manager. Effective September 10, 2024, the Center assigned a specific billing specialist (Stephanie Rivera Rivera) to process the sliding fee scale applications. Billing managers’ responsibilities now include a...
Previously, all sliding fee scale applications were reviewed and processed by the billing manager. Effective September 10, 2024, the Center assigned a specific billing specialist (Stephanie Rivera Rivera) to process the sliding fee scale applications. Billing managers’ responsibilities now include auditing the applications that are processed by the billing specialist. The auditing process completed by the billing manager, Yeny Roggie, is to ensure that the application is complete and that the proper sliding fee scale was offered to the patient.
View Audit 357305
Aurora Charter School
MN
Reporting § 200.512
REPORTABLE NONCOMPLIANCE WITH FEDERAL REPORTING REQUIREMENTS – ALL FEDERAL PROGRAMS AWARDED UNDER THE UNIFORM GUIDANCE 2024-002 Federal Reporting Deadline Finding Summary 2 CFR Part 200, Subpart F, § 200.512(a)(1) requires the School’s audited Schedule of Expenditures of Federal Awards (SEFA) an...
REPORTABLE NONCOMPLIANCE WITH FEDERAL REPORTING REQUIREMENTS – ALL FEDERAL PROGRAMS AWARDED UNDER THE UNIFORM GUIDANCE 2024-002 Federal Reporting Deadline Finding Summary 2 CFR Part 200, Subpart F, § 200.512(a)(1) requires the School’s audited Schedule of Expenditures of Federal Awards (SEFA) and federal reporting package to be submitted to the federal audit clearinghouse within the earlier of 30 calendar days after the receipt of the auditor’s report(s), or 9 months after the end of the audit period. The School’s audited SEFA and federal reporting package for the fiscal year ended June 30, 2024, were not submitted to the federal audit clearinghouse within 9 months after the end of the audit period. Corrective Action Plan Actions Planned – The audit of the School’s SEFA for the year ended June 30, 2024, was not completed within the 9-month reporting period. The completion of the School’s audited annual SEFA for the year ended June 30, 2024, which is a required component of the federal reporting package, was delayed beyond the 9-month deadline pending sufficient audit evidence. School management will ensure that all information required to comply with federal reporting requirements will be completed and submitted in a timely manner going forward. Official Responsible – The School’s Executive Director, Matthew Cisewski. Planned Completion Date – June 30, 2025. Disagreement With or Explanation of Finding – The School agrees with this finding. Plan to Monitor – The School’s Executive Director, Matthew Cisewski, will monitor the year-end financial closing and reporting process to ensure all federal and state reporting requirements are complied with in the future.
View Audit 357302
Finding 561667 (2024-001)
Material Weakness 2024
Aurora Charter School
MN
Procurement, Suspension & Debarment Internal Control / Segregation of Duties § 200.318
MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE – U.S. DEPARTMENT OF EDUCATION – PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, COMPREHENSIVE LITERACY DEVELOPMENT, FEDERAL ALN 84.371 2024-001 Internal Control Over Compliance With Suspension and Debarment Requirements Finding Summary 2 C...
MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE – U.S. DEPARTMENT OF EDUCATION – PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, COMPREHENSIVE LITERACY DEVELOPMENT, FEDERAL ALN 84.371 2024-001 Internal Control Over Compliance With Suspension and Debarment Requirements Finding Summary 2 CFR § 180 and 2 CFR § 200.318-327 requires Aurora Charter School (the School) to establish and maintain effective internal control over compliance with requirements applicable to federal program expenditures, including suspension and debarment requirements applicable to the comprehensive literacy development federal program. During our audit, we noted the School did not have sufficient controls in place within its Comprehensive Literacy Development federal program to ensure compliance with federal procurement requirements related to suspension and debarment and to assure that it was not contracting for goods or services with parties that are suspendded or debarred, or whose principals are suspended or debarred from participating in contracts involving the expenditures of federal program funds. Corrective Action Plan Actions Planned – The School has updated its policies and procedures relating to suspension and debarment for its federal programs to ensure compliance with the Uniform Guidance in the future. The updated procedures include steps so that School personnel are following the requirements of the Uniform Guidance related to suspension and debarment requirements including maininging appropriate documentation. Official Responsible – The School's Executive Director, Matthew Cisewski. Planned Completion Date – June 30, 2025. Disagreement With or Explanation of Finding – The School agrees with this finding. Plan to Monitor – The School’s Executive Director, Matthew Cisewski, will monitor the updating of policies and procedures related to suspension and debarment to ensure these requirements are complied with in the future.
View Audit 357302
Finding 561666 (2024-001)
Material Weakness 2024
Granger-Hunter Improvement District
UT
Special Tests & Provisions Internal Control / Segregation of Duties
Corrective Action GHID will: 1. Contact consultant and contractor to provide the necessary information to verify that Wage Rate Requirements were met during the project 2. Verify that other consultants and contractors who are working on the projects associated with the Grant are collecting Wage Rate...
Corrective Action GHID will: 1. Contact consultant and contractor to provide the necessary information to verify that Wage Rate Requirements were met during the project 2. Verify that other consultants and contractors who are working on the projects associated with the Grant are collecting Wage Rate Requirements during the project 3. Update current agreements to include explicit language that requires consultants and contractors to collect Wage Rate Requirements during the project 4. For new federal award projects after the contract has been awarded, the project committee will meet to discuss the specific requirements that have been outlined in the Uniform Guidance and assign committee members responsibility to make sure those guidelines are followed 5. When reimbursement requests are submitted, the Controller will request the necessary documentation from the project committee to verify that project is following the Uniform Guidance outlined in the award agreement Contact person responsible for corrective action: • Jason Helm, General Manager • Todd Marti, Assistant General Manager – District Engineer • Austin Ballard, Controller Anticipated Completion Date: 1. 4/17/2025 2. 4/17/2025 3. 5/31/2025 4. Ongoing for Future Projects 5. Ongoing for Future Projects
View Audit 357301
Finding 561665 (2024-002)
Significant Deficiency 2024
Adams County, Illinois
IL
Reporting § 200.328
The County’s management will seek out assistance from the US Department of Treasury about correcting their access to the SLFRF quarterly reports. Management anticipates the completion of this item by November 30, 2025.
The County’s management will seek out assistance from the US Department of Treasury about correcting their access to the SLFRF quarterly reports. Management anticipates the completion of this item by November 30, 2025.
View Audit 357297
Finding 561663 (2024-002)
Material Weakness 2024
Marysville School District No. 25
WA
Allowable Costs / Cost Principles Subrecipient Monitoring
The district understands the importance of internal controls regarding time and effort reporting using federal funds. The district has implemented stronger internal controls in order to reconcile and comply with federal and OSPI time and effort requirements. The Executive Director of Finance & Opera...
The district understands the importance of internal controls regarding time and effort reporting using federal funds. The district has implemented stronger internal controls in order to reconcile and comply with federal and OSPI time and effort requirements. The Executive Director of Finance & Operations will review Time & Effort required to ensure accuracy. Anticipated date to complete the corrective action: 08/31/2025
View Audit 357294
Finding 561662 (2024-001)
Significant Deficiency 2024
Capital Region Transportation Planning Agency
FL
Matching / Level of Effort / Earmarking Allowable Costs / Cost Principles Cash Management
The City of Tallahassee is committed to ensuring compliance with all grant requirements associated with the awards received from both Federal and State of Florida partners. The City was awarded $15 million from the Federal Transit Authority and $1 million from the State of Florida for the construc...
The City of Tallahassee is committed to ensuring compliance with all grant requirements associated with the awards received from both Federal and State of Florida partners. The City was awarded $15 million from the Federal Transit Authority and $1 million from the State of Florida for the construction of the Southside Transit Center (STC). An additional $4 million was included from local sources. The issue noted came to light when the State directed City staff to request reimbursement at 5% of total costs rather than the original method of direct charging certain costs. As a result, the allocations across funding sources were updated to reflect this change in methodology. City staff immediately began the recalculation of expenditures and future budget allocations tasks and is in the process of adjusting the grant project accounting. The 3/31/25 quarterly performance and financial reports will reflect the adjustments. The next draw down of funds will include adjustments for the over reimbursement that occurred as of 9/30/24. We anticipate this process to completed by 5/30/25. Finally, the Grants Management Division has added steps to its business process to ensure compliance with match requirements and staff have begun implementation of the new process.
View Audit 357287
Finding 561661 (2024-003)
Material Weakness 2024
Village of Rothschild
WI
Procurement, Suspension & Debarment § 200.320
2024-003 Suspension and Debarment – Assistance Listing Number 66.468 Recommendation: We recommend the Village evaluate its existing policies and procedures to determine where additional enhancements should be made or new policies created. Explanation of disagreement with audit finding: There is no ...
2024-003 Suspension and Debarment – Assistance Listing Number 66.468 Recommendation: We recommend the Village evaluate its existing policies and procedures to determine where additional enhancements should be made or new policies created. Explanation of disagreement with audit finding: There is no disagreement with the finding. Action planned in response to finding: The Village immediately began reviewing its policy related to suspension and debarment and is reviewing procedures to ensure that requirements are consistently followed in future years. Name(s) of the contact person(s) responsible for corrective action: Ryan VanDeWalle, Village Administrator and Melanie Wiskow, Finance Director/Treasurer Planned completion date for corrective action plan: The Village immediately began evaluating procedures and will implement as soon as possible.
View Audit 357285
Horizon Health Care, Inc.
SD
2024-001 – Noncompliance – Application of SFS Discount Federal Programs – 93.224 & 93.527 Health Center Cluster Person responsible for corrective action – Wade Erickson, Chief Executive Officer Responsible official’s response – Management is in agreement with this finding. Corrective action planned ...
2024-001 – Noncompliance – Application of SFS Discount Federal Programs – 93.224 & 93.527 Health Center Cluster Person responsible for corrective action – Wade Erickson, Chief Executive Officer Responsible official’s response – Management is in agreement with this finding. Corrective action planned – Our current process for reviewing and approving SFS applications was trained upon and implemented with our Patient Enrollment Services staff. Additional internal reviews will be completed to ensure these new processes are being followed by Patient Enrollment Services staff members. Planned implementation date of corrective action – December 2025
View Audit 357279
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