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Corrective Action Plans

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Valley Economic Development Partners, Inc.
OH
Reporting Internal Control / Segregation of Duties § 200.512
Valley Partners agrees with the finding and will work to ensure controls are in place so that the Single Audit reporting package is filed timely going forward.
Valley Partners agrees with the finding and will work to ensure controls are in place so that the Single Audit reporting package is filed timely going forward.
View Audit 357171
Finding 561558 (2024-001)
Significant Deficiency 2024
Sunset Park Health Council, Inc. Dba Family Health Centers at Nyu Lang
NY
Eligibility
Finding 2024-001: Community Health Worker Training Program Eligibility Federal Agency: Department of Health and Human Services Program: Community Health Worker Training Program Assistance Listing #: 93.516 May 27, 2025 ________________________________________ Management Response: Sunset Park Healt...
Finding 2024-001: Community Health Worker Training Program Eligibility Federal Agency: Department of Health and Human Services Program: Community Health Worker Training Program Assistance Listing #: 93.516 May 27, 2025 ________________________________________ Management Response: Sunset Park Health Council Inc. acknowledges the audit finding related to the lack of documented verification for eligibility criterion (2)—proof of U.S. citizenship or permanent residency—for participants in the Community Health Worker Training Program (CHWTP) for the year ended August 31, 2024. While management initially performed a verbal verification, management subsequently began a retroactive verification to obtain documentation supporting that all trainees met eligibility criteria. We also recognize the need for a formalized control process to ensure documentation of compliance at the point of enrollment is maintained.________________________________________ Corrective Action Plan: To prevent recurrence of this issue, the following steps will be implemented: 1. Revised Intake Process A standardized intake form will be implemented and must be completed at the time of screening by the FHC Program Supervisor in collaboration with the participant. This form will: o Attest that all required eligibility documents have been collected, including proof of U.S. citizenship or permanent residency (criterion 2). o Include a checklist for all documentation required for program participation. o Require three signatures: - Participant - FHC Program Supervisor (who conducted the screening and verified eligibility documentation) - Program Director (PD) or Principal Investigator (PI), who will review and approve the documentation to confirm completeness. 2. Privacy and Data Security o All documentation will be redacted to block any sensitive Personally Identifiable Information (PII) to prevent potential identity theft. o Documents will be digitally archived in a secured, access-controlled location with appropriate cybersecurity protocols in place. 3. Training and Oversight o All staff involved in intake and eligibility verification will receive training on the updated intake process, documentation standards, and data privacy requirements. o A quarterly internal review will be conducted by the Program Director to ensure continued compliance.________________________________________ Timeline for Implementation: Sunset Park plans to begin the above actions in May of 2025 and complete implementation in August 2025. Responsible Individual Leonardo Arias - Director of Grants Email : Leonardo.Arias@nyulangone.org
View Audit 357169
Finding 561540 (2024-004)
Material Weakness 2024
Dunseith Public School District No. 1
ND
Internal Control / Segregation of Duties Subrecipient Monitoring Cash Management
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
View Audit 357152
Finding 561531 (2024-005)
Material Weakness 2024
Dunseith Public School District No. 1
ND
Special Tests & Provisions Subrecipient Monitoring Matching / Level of Effort / Earmarking
Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
View Audit 357152
Finding 561529 (2024-007)
Material Weakness 2024
Dunseith Public School District No. 1
ND
Internal Control / Segregation of Duties Subrecipient Monitoring Material Weakness
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
View Audit 357152
Finding 561527 (2024-006)
Material Weakness 2024
Dunseith Public School District No. 1
ND
Reporting Internal Control / Segregation of Duties Special Tests & Provisions
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
View Audit 357152
Finding 561526 (2024-003)
Material Weakness 2024
Dunseith Public School District No. 1
ND
Subrecipient Monitoring Reporting School Nutrition Programs
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
Contact Person Evan Peltier Planned Corrective Action Dunseith Public School Dist. #1 will implement the recommendation from Brady Martz. Planned Completion Date The planned completion date is June 30, 2025.
View Audit 357152
Cedar Tree Public Charter School
DC
Cash Management Reporting
Corrective Action: Contact Name of Responsible Person: Usha Jayanthi. The school staff involved were given training to keep proper record keeping procedures and submission of reimbursable meal counts. We have made the following employees responsible for keeping records stored for the next three (3)...
Corrective Action: Contact Name of Responsible Person: Usha Jayanthi. The school staff involved were given training to keep proper record keeping procedures and submission of reimbursable meal counts. We have made the following employees responsible for keeping records stored for the next three (3) years. a. Jim Kim-Food service manager-Keep track of the production records; b. Stephanie Foo-Aftercare Supervisor-Keep track of the actual snack count of riembursable snack count; c. Usha Jayanthi-CFO-verify the snack count and submits reimbursement reports. Proposed Completion Date-Correction action was completed on January 15, 2024.
View Audit 357139
Cedar Tree Public Charter School
DC
Cash Management Reporting
Corrective Action: Contact Name of Responsible Person: Usha Jayanthi. The school staff involved were given training to keep proper record keeping procedures and submission of reimbursable meal counts. We have made the following employees responsible for keeping records stored for the next three (3)...
Corrective Action: Contact Name of Responsible Person: Usha Jayanthi. The school staff involved were given training to keep proper record keeping procedures and submission of reimbursable meal counts. We have made the following employees responsible for keeping records stored for the next three (3) years. a. Jim Kim-Food service manager-Keep track of the production records; b. Stephanie Foo-Aftercare Supervisor-Keep track of the actual snack count of riembursable snack count; c. Usha Jayanthi-CFO-verify the snack count and submits reimbursement reports. Proposed Completion Date-Correction action was completed on January 15, 2024
View Audit 357139
Finding 561519 (2024-001)
Significant Deficiency 2024
Finley School District No. 53
WA
Procurement, Suspension & Debarment School Nutrition Programs Subrecipient Monitoring § 200.318
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Finley School District No. 53 September 1, 2023, through August 31, 2024 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Fede...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Finley School District No. 53 September 1, 2023, through August 31, 2024 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2024-001 Finding caption: The District did not have adequate internal controls to ensure compliance with procurement requirements related to piggybacking. Name, address, and telephone of District contact person: Terri McGaughey, Business Manager 224606 E Game Farm Rd, Kennewick, WA 99337 (509) 586-3217 Corrective action the auditee plans to take in response to the finding: (If the auditee does not concur with the finding, the auditee must list the reasons for disagreement). The Finley School District has put in place internal controls to ensure compliance with procurement requirements related to piggybacking: The Food Service Director will compare invoices to the monthly price list to ensure contract pricing is used and initial invoices once reviewed. If there are discrepancies, the Food Service Director will contact the vendor for corrections. Quarterly, the Business Manager will select a sample of invoices to review for compliance. Anticipated date to complete the corrective action: May 1, 2025
View Audit 357133
Servicios De La Raza, INC
CO
Allowable Costs / Cost Principles Reporting
In January 2025, management contracted with experienced consultants to support timely reporting of federal grants in the future.
In January 2025, management contracted with experienced consultants to support timely reporting of federal grants in the future.
View Audit 357127
Finding 561513 (2024-001)
Significant Deficiency 2024
Seattle School District No. 1
WA
School Nutrition Programs Allowable Costs / Cost Principles Eligibility
In response to this finding, the Culinary Services department under the guidance of the Operations team in SPS has made the following adjustments and changes to business practices: 1. The PLE tool has been formally integrated into the annual budgeting process to ensure routine compliance with this ...
In response to this finding, the Culinary Services department under the guidance of the Operations team in SPS has made the following adjustments and changes to business practices: 1. The PLE tool has been formally integrated into the annual budgeting process to ensure routine compliance with this guidance and accurate financial planning. 2. If a price increase is deemed necessary, it will undergo a thorough review and approval through the SPS board governance process. This will include a landscape review of meal prices in other districts in the Puget Sound region as well as similarly scaled districts nationally. This structured approach guarantees alignment with strategic objectives while maintaining transparency and accountability. 3. As of May 2025, the Culinary Services department under the direction of the Operations department will be taking action on a price increase for school lunches beginning for the 2025-26 school year with annual reviews scheduled for subsequent years.
View Audit 357117
Finding 561512 (2024-003)
Material Weakness 2024
Stedman-Wade Health Services, Inc.
NC
Allowable Costs / Cost Principles Material Weakness
The organization will conduct a comprehensive reconciliation of all salary expenses claimed under both the Provider Relief Fund (PRF) and the Employee Retention Tax Credit (ERTC). Overlapping or potentially duplicated costs will be adjusted as needed in coordination with legal and compliance advisor...
The organization will conduct a comprehensive reconciliation of all salary expenses claimed under both the Provider Relief Fund (PRF) and the Employee Retention Tax Credit (ERTC). Overlapping or potentially duplicated costs will be adjusted as needed in coordination with legal and compliance advisors.
View Audit 357109
Finding 561511 (2024-002)
Material Weakness 2024
Stedman-Wade Health Services, Inc.
NC
Material Weakness
The organization has addressed this issue by hiring a qualified CFO with the skills and experience necessary to manage the audit process and ensure timely preparation of required documentation. The CFO will implement an annual audit prep calendar and oversee ongoing readiness for year-end close and ...
The organization has addressed this issue by hiring a qualified CFO with the skills and experience necessary to manage the audit process and ensure timely preparation of required documentation. The CFO will implement an annual audit prep calendar and oversee ongoing readiness for year-end close and audit engagement.
View Audit 357109
Finding 561510 (2024-001)
Material Weakness 2024
Stedman-Wade Health Services, Inc.
NC
establish formal monthly reconciliation procedures to align financial data from the Electronic Medical Records (EMR) system with the general ledger.
establish formal monthly reconciliation procedures to align financial data from the Electronic Medical Records (EMR) system with the general ledger.
View Audit 357109
Food Bank of Siouxland, INC
IA
Procurement, Suspension & Debarment
The employees that are responsible for evaluating recipient agencies be trained about the importance of following procedures to verify prior to admission as a recipient agency and each fiscal year thereafter, that the agencies are not debarred or suspended from receiving federal funds.
The employees that are responsible for evaluating recipient agencies be trained about the importance of following procedures to verify prior to admission as a recipient agency and each fiscal year thereafter, that the agencies are not debarred or suspended from receiving federal funds.
View Audit 357104
Finding 561505 (2024-004)
Material Weakness 2024
Western Iowa Housing Corporation
IA
Questioned Costs HUD Housing Programs Internal Control / Segregation of Duties
Section 811 Capital Advance – Assistance Lising Number: 14.181 Recommendation: We recommend the Project deposit the proper amount monthly and maintain the proper amount in the account. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in re...
Section 811 Capital Advance – Assistance Lising Number: 14.181 Recommendation: We recommend the Project deposit the proper amount monthly and maintain the proper amount in the account. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Regular monthly deposits into the repair and replacement escrow account. Name(s) of the contact person(s) responsible for corrective action: Erik Marsh, CFO Planned completion date for corrective action plan: June 30, 2025
View Audit 357103 Questioned Costs: $1
Finding 561504 (2024-003)
Material Weakness 2024
Bcluw Community School District
IA
Internal Control / Segregation of Duties Reporting
The District will continue to review our internal controls to obtain the maximum internal control possible under the circumstances.
The District will continue to review our internal controls to obtain the maximum internal control possible under the circumstances.
View Audit 357100
Finding 561503 (2024-003)
Material Weakness 2024
Village of Lisbon
LA
Internal Control / Segregation of Duties Allowable Costs / Cost Principles Reporting § 200.303
Corrective Action Planned: The accounting records for the federal award revenues and expenditures have been properly maintained for 2025. Person Responsible for Corrective Action: Alisha Middleton, Clerk. Anticipated Completion Date: December 31, 2025.
Corrective Action Planned: The accounting records for the federal award revenues and expenditures have been properly maintained for 2025. Person Responsible for Corrective Action: Alisha Middleton, Clerk. Anticipated Completion Date: December 31, 2025.
View Audit 357080
Finding 561502 (2024-004)
Significant Deficiency 2024
Berlin Retirement Homes, Inc.
MA
HUD Housing Programs Special Tests & Provisions Subrecipient Monitoring
Consideration of an FDIC insured sweep account will be made or the board will ensure proper review of the bank occurs regularly
Consideration of an FDIC insured sweep account will be made or the board will ensure proper review of the bank occurs regularly
View Audit 357074
Finding 561501 (2024-003)
Significant Deficiency 2024
Berlin Retirement Homes, Inc.
MA
Questioned Costs Special Tests & Provisions Matching / Level of Effort / Earmarking
This was an oversight as it was thought that the automatic transfers were set-up but never properly effectuated. Additionally the catch-up contribution from the prior year was misleading as it seemed the account had increased. The catch-up contribution for 2024 was made immediately when the contro...
This was an oversight as it was thought that the automatic transfers were set-up but never properly effectuated. Additionally the catch-up contribution from the prior year was misleading as it seemed the account had increased. The catch-up contribution for 2024 was made immediately when the controller noticed this during year end close.
View Audit 357074 Questioned Costs: $1
Finding 561500 (2024-002)
Significant Deficiency 2024
Berlin Retirement Homes, Inc.
MA
Questioned Costs Allowable Costs / Cost Principles
Three different people were in the role of accounts payable during the year causing added strain to proper invoice review. This position has since been filled and the importance of reviewing invoices for proper allocation has been communicated. Additionally, all inaccurate charges were corrected.
Three different people were in the role of accounts payable during the year causing added strain to proper invoice review. This position has since been filled and the importance of reviewing invoices for proper allocation has been communicated. Additionally, all inaccurate charges were corrected.
View Audit 357074 Questioned Costs: $1
Finding 561499 (2024-003)
Significant Deficiency 2024
Pacific Housing Assistance Corporation
HI
HUD Housing Programs Reporting Internal Control / Segregation of Duties
Action Taken: The Organization replaced the prior property management company on November 1, 2023, and has instructed the new property management company, Hawaii Affordable Properties, Inc., to establish a procedure to ensure that management approvals are documented for unbudgeted expenditures excee...
Action Taken: The Organization replaced the prior property management company on November 1, 2023, and has instructed the new property management company, Hawaii Affordable Properties, Inc., to establish a procedure to ensure that management approvals are documented for unbudgeted expenditures exceeding $2,000, and expenditures shall not exceed the sum of $5,000 in the aggregate per year, unless such expenditure is specifically authorized in writing by the Company. In addition, the Company has instructed Hawaii Affordable Properties, Inc. to review and monitor its internal control policies and procedures over cash disbursements to ensure the necessary internal approvals are documented before being expended.
View Audit 357071
Finding 561475 (2024-001)
Material Weakness 2024
North Mason School District No. 403
WA
Subrecipient Monitoring Allowable Costs / Cost Principles Internal Control / Segregation of Duties
Finding ref number: 2024-001 Finding caption: The District did not have adequate internal controls and did not comply with federal Title I eligibility requirements. Name, address, and telephone of District contact person: Dan King 250 E Campus Dr. Belfair, WA 98528 (360) 277-2107 Corrective actio...
Finding ref number: 2024-001 Finding caption: The District did not have adequate internal controls and did not comply with federal Title I eligibility requirements. Name, address, and telephone of District contact person: Dan King 250 E Campus Dr. Belfair, WA 98528 (360) 277-2107 Corrective action the auditee plans to take in response to the finding: The district is strengthening its internal controls for monitoring the Per Pupil Expenditure (PPE) to match higher poverty concentration in its schools by the following: 1. Developing and utilizing an Excel Spreadsheet as a “PPE Tool” to allocate funds appropriately a. The PPE Tool will be a shared working document between the Business Office, Human Resources, and Title I Coordinator, b. The PPE Tool will be utilized when applying for the 2025-2026 Consolidated Grant and all future Consolidated Grant applications; and, c. The PPE Tool will be used when completing budgetary reviews at cabinet meetings. These measures will be implemented going forward as internal controls for ensuring compliance with eligibility requirements for Title I funding. Anticipated date to complete the corrective action: Beginning July 2025 when the District will be completing the Consolidated Grant application in the Education Grants Management System (EGMS).
View Audit 357060
Finding 561447 (2024-001)
Material Weakness 2024
Fulton County, Illinois
IL
Subrecipient Monitoring Internal Control / Segregation of Duties
Corrective Action Plan To the extent possible, monitoring of monthly financial results and compliance information will continue in the County Courthouse offices and the County Health Department. Anticipated Completion Date The County is not in a financial position to hire additional employees. The...
Corrective Action Plan To the extent possible, monitoring of monthly financial results and compliance information will continue in the County Courthouse offices and the County Health Department. Anticipated Completion Date The County is not in a financial position to hire additional employees. The increased monitoring has already begun. Responsible Parties John Spangler, Fulton County Board Chairman 257 West Lincoln Street Lewistown, Illinois 61542 (309)547-0901 Staci Mayall, County Treasurer 100 North Main Street Lewistown, Illinois 61542 (309)547-3041 Patrick O’Brian, County Clerk 100 North Main Street Lewistown, Illinois 61542 (309)547-3041
View Audit 357044
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