Corrective Action Plans

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Finding 1238221 (2025-001)
Material Weakness 2025
Timing of remediation completion: Finance Director, Richele Center, will complete by December 31, 2025, with Board of Directors approval.
Timing of remediation completion: Finance Director, Richele Center, will complete by December 31, 2025, with Board of Directors approval.
The Accountant is working closely with departments to make sure end of year invoices are properly paid in the correct fiscal year before soft closing the fund. This includes having departments reach out to vendors for invoices to make sure expenses are correctly booked prior to year-end cutoff.
The Accountant is working closely with departments to make sure end of year invoices are properly paid in the correct fiscal year before soft closing the fund. This includes having departments reach out to vendors for invoices to make sure expenses are correctly booked prior to year-end cutoff.
The Foundation pursued legal action because the way in which the IMPI withdrew from our agreement was found to be illegal. The Mexican court agreed with our position, and by the end of 2021, the Foundation had received a favorable resolution on the 2020 lawsuit. This led to initial meetings with IMP...
The Foundation pursued legal action because the way in which the IMPI withdrew from our agreement was found to be illegal. The Mexican court agreed with our position, and by the end of 2021, the Foundation had received a favorable resolution on the 2020 lawsuit. This led to initial meetings with IMPI's renewed top management, but unfortunately, we were unable to reset the funds. In June 2022, the Foundation formally requested that the IMPI reset the funds in order to continue functioning under the agreement, as a legally developed addendum had been created to supplement the original agreement. There were hectic changes in top management at the Mexican Ministry of Economy and the IMPI in 2022, resulting in unproductive efforts from previous negotiations. Then, in July 2023, the Foundation submitted a second lawsuit to enforce the one won in 2021, which was accepted by the court. On 13 September 2024, the Foundation was notified by the court of a favorable resolution regarding this second lawsuit. The IMPI still has one final opportunity to contest this resolution, although the probability of changing the outcome is minimal. Consequently, the Foundation's executives and its Board of Governors resumed communication with the IMPI's legal team to accelerate the resetting of the funds and the collaboration agreement. This was unsuccessful. Although the final ruling generally favored the Foundation, FUMEC filed a direct appeal for constitutional protection, claiming that the returns generated should not be limited to December 2022 but should instead be accumulated and calculated until IMPI actually made the payment; that is, until the month of 2024 in which IMPI complied with the ruling handed down on July 1, 2024. The court revoked the contested trial of July 1, 2024, and issued a new ruling, reiterating the considerations regarding the period and the amounts that IMPI is obliged to pay to FUMEC, in order to fully restore FUMEC's infringed subjective right. On September 8, 2025, a federal court issued a new ruling ordering the IMPI to do the following: 1. Within four months, return $5 million USD to FUMEC's endowment (matching funds). 2. Submit a financial expert report to determine the amount of accrued earnings that the IMPI must pay to FUMEC from August 2020 until the funds are returned. Between October 2025 and April 2026 (7 months), IMPI filed eight different appeals in an attempt to overturn the new ruling; all were rejected. However, IMPI succeeded in extending the deadline by four months to comply with the ruling. On May 20, the court certified that its ruling of September 8, 2025, had become definitive and informed IMPI that the four-month deadline to comply with the ruling will end on September 29, 2026; and that if IMPI fails to demonstrate compliance with the ruling within the granted period, the complaint procedure provided for by law will be initiated. Proposed completion date – 4Q2026. Contact person – Eugenio Marin, Executive Director
Management has implemented procedures internally to track HUD filing deadlines and monitor and submit the REAC FDS timely. Management has ensured multiple individuals within the organization have appropriate access to HUD systems to ensure appropriate coverage is available as needed in the future.
Management has implemented procedures internally to track HUD filing deadlines and monitor and submit the REAC FDS timely. Management has ensured multiple individuals within the organization have appropriate access to HUD systems to ensure appropriate coverage is available as needed in the future.
Condition: During our audit, we identified material errors in the financial records used to prepare and submit required federal financial reports (SF-425). Specifically, the Organization failed to record certain allowable expenditures, accrued liabilities, related grant receivables, and federal reve...
Condition: During our audit, we identified material errors in the financial records used to prepare and submit required federal financial reports (SF-425). Specifically, the Organization failed to record certain allowable expenditures, accrued liabilities, related grant receivables, and federal revenue associated with federal awards. As a result, expenditures reported on previously submitted SF-425 reports were materially understated. Additionally, the Organization did not submit drawdown requests for certain allowable expenditures incurred during the award period. Consequently, federal expenditures reported to the awarding agency did not agree to the underlying accounting records after correction of the identified errors.Recommendation: Management should strengthen controls over federal reporting by: • Implementing procedures to identify and record all allowable federal expenditures on a timely basis. • Performing periodic reconciliations between grant expenditures, reimbursement requests, general ledger balances, and SF-425 reports. • Establishing documented supervisory review of all federal reports prior to submission. • Monitoring unreimbursed grant expenditures and submitting reimbursement requests promptly. • Providing additional training to personnel responsible for federal grant accounting and reporting requirements. Action Taken: Since the date of receipt of the draft audit, Lanai Community Health Center has reviewed existing policies, specifically, “Federal Award Fund Management” and is committed to adhering to the procedures dictated therein which would address the recommendations above. Further, Lanai Community Health Center will enhance their policy to include a four-way reconciliation between grant expenditures, reimbursement requests, general ledger and SF-425 reports at least quarterly.
Management concurs with the finding. Due to an administrative error, JCMC included certain ineligible patient clinical laboratory testing costs, recorded as bad debt expense, in federal grant expenditures. Although management consulted with the Program administrator, the County of Hudson, prior to s...
Management concurs with the finding. Due to an administrative error, JCMC included certain ineligible patient clinical laboratory testing costs, recorded as bad debt expense, in federal grant expenditures. Although management consulted with the Program administrator, the County of Hudson, prior to seeking reimbursement and received approval to include these costs, JCMC acknowledges its responsibility to ensure federal funds are not used to reimburse unallowable services. Going forward, JCMC will strengthen its review process to exclude unallowable bad debt costs from grant expenditures. Management has reviewed the applicable Uniform Guidance cost principles with Program grant personnel and supporting analysts to reinforce compliance. Responsible Official: Alexander Filipak, VP Finance, Jersey City Medical Center Email: Alexander. Filipiak@rwjbh.org. Anticipated Completion Date: December 31, 2026
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-004 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-...
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-004 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-2340, clerk@townofwheatland.in Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: To ensure federal procurement requirements are being followed the town board will establish a policy to ensure state and federal procurement regulations are met. We realize internal controls were not implemented to ensure compliance requirements for suspension and debarment were not met on covered transactions. We will establish controls for future covered transactions that the clerk/treasurer and town board will review contracts to ensure certification of not being suspended or debarred is included. Anticipated Completion Date: 8/2026
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Internal Controls Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-2340, c...
Craig Jones, Town Clerk/Treasurer 400 E Adams St., Wheatland, Indiana, 47597 FINDING 2025-003 Finding Subject: Coronavirus State and Local Fiscal Recovery Funds - Internal Controls Contact Person Responsible for Corrective Action: Craig Jones Contact Phone Number and Email Address: (812) 321-2340, clerk@townofwheatland.in Views of Responsible Officials: We concur with the findings. Description of Corrective Action Plan: We understand the importance of internal controls over federal funds and for the future we will establish the following procedures for advanced grants. The board will be presented with a plan for expenditures of the grant and the clerk treasurer will account for the grant in a separate fund. Before payment is made the board will be presented with all invoices for review to ensure it meets all activities allowed, allowable costs/cost principles and period of performance. We will establish the following procedures for future reimbursable grants. The reimbursement request prepared by the clerk/treasurer office with supporting documentation will be reviewed by the Town Board for activities allowed, allowable costs/cost principles and period of performance. and approved for submission. Any reports required by grantor agency will be prepared by the clerk/treasures office and reviewed by the town board before submission Anticipated Completion Date: 08/2026
Beneficiary Reporting Auditor’s Recommendation: We recommend that a responsible employee review and approve all HOME Program Housing Beneficiary Reports for accuracy prior to their submission to the applicable oversight agency. The review should contain procedures to match the income amounts per the...
Beneficiary Reporting Auditor’s Recommendation: We recommend that a responsible employee review and approve all HOME Program Housing Beneficiary Reports for accuracy prior to their submission to the applicable oversight agency. The review should contain procedures to match the income amounts per the HOME Program Housing Beneficiary Reports with the specific tenant income certification forms and the rent roll. We recommend that the reviewer document the date of the income certification form for each unit as well as the initials of the reviewer. Action Taken: The Organization has hired a new Director of Compliance, who will implement internal controls and documentation of those controls over the review process of the HOME Program Housing Beneficiary Reports for accuracy prior to their submission to the applicable oversight agency. The review process will include reviewing of each tenant income certification form and the rent roll. A package with the supporting documentation included on the HOME Program Housing Beneficiary Reports will be maintained to document the review process.
Management acknowledges the delay and has taken steps to improve the timeliness of the audit and reporting process, including implementing a formal audit timeline, increasing oversight of audit progress, and enhancing coordination with external auditors.
Management acknowledges the delay and has taken steps to improve the timeliness of the audit and reporting process, including implementing a formal audit timeline, increasing oversight of audit progress, and enhancing coordination with external auditors.
FINDING 2025-004 Finding Subject: Federal Transit Cluster – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Responsible Officials: We concur with the ...
FINDING 2025-004 Finding Subject: Federal Transit Cluster – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: We will be implementing a system where an employee double checks all invoice dates. We will also ask our FE Representative if they can create a report to add invoice dates. Anticipated Completion Date: 10/31/2026
FINDING 2025-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Respo...
FINDING 2025-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Period of Performance Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The City will reclass the expense. Anticipated Completion Date: 10/31/2026
FINDING 2025-002 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Re...
FINDING 2025-002 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Jessica Thome, Controller Contact Phone Number and Email Address: (812) 244-2360 and Jessica.Thome@terrehaute.in.gov Views of Responsible Officials: We concur with the finding, although we disagree with the cause: “The city had not implemented an effectively designed system of internal controls for suspension and debarment.” The City does have a system in place, however a vendor was missed. Description of Corrective Action Plan: The City will have the missed vendor sign the suspension and debarment agreement. Anticipated Completion Date: 10/31/2026
Management acknowledged the importance of reporting grants properly for all accounting matters, especially Federal grants, to be compliant with Government agency, and accounting principles. Management has reviewed and revised our internal control for grant management. As such, new grants and contrac...
Management acknowledged the importance of reporting grants properly for all accounting matters, especially Federal grants, to be compliant with Government agency, and accounting principles. Management has reviewed and revised our internal control for grant management. As such, new grants and contracts will be reviewed by branch/program managers as well as COO for compliance purposes. The project team, including project manager, support staff, financial staff and COO, will hold a kick-off meeting to go over the project type, the project's goals, expected outcomes and reporting. For any missing CFDA, the COO is responsible for identifying and searching using government database and other resources to find the information for reporting. All steps of verification are reflected in project briefs with initials by Project Manager, COO, Finance and HR team. Everyone is accountable for the accuracy and completeness of the information. A grant tracking sheet will also be reviewed per quarter.
Accounting staff will be trained to record monthly lease expenses according to their lease schedules and cash payments. These accounts will be reviewed quarterly, including year end and signed off by a qualified accountant. Management will create a tracking sheet to monitor the renewal, termination,...
Accounting staff will be trained to record monthly lease expenses according to their lease schedules and cash payments. These accounts will be reviewed quarterly, including year end and signed off by a qualified accountant. Management will create a tracking sheet to monitor the renewal, termination, expiration dates, and review of their schedules. It will be reviewed quarterly by COO and finance department. Branch manager is required to update COO for any changes related to lease. A copy of the lease along with all other relevant items will be sent to finance department either by COO or branch manager.
To prevent similar issues from occurring in the future, management will strengthen its lease identification and review procedures. Specifically, management will require all departments and personnel responsible for entering into, renewing, or modifying lease agreements to provide executed agreements...
To prevent similar issues from occurring in the future, management will strengthen its lease identification and review procedures. Specifically, management will require all departments and personnel responsible for entering into, renewing, or modifying lease agreements to provide executed agreements to Accounting on a timely basis. Accounting will maintain a centralized lease schedule and will review new and renewed agreements to determine the appropriate accounting treatment.
Finding 2025.003 - Procurement, Suspension and Debarment - Material Weakness Recommendation The Organization should develop a written procedure to review all employees in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the approp...
Finding 2025.003 - Procurement, Suspension and Debarment - Material Weakness Recommendation The Organization should develop a written procedure to review all employees in accordance with the Uniform Guidance requirements for suspension and debarment. This procedure should be reviewed with the appropriate staff to ensure compliance with the requirement. Repeat Finding No Action Taken The Organization will develop a written procurement policy that includes a required suspension and debarment verification step for all covered transactions, consistent with 2 CFR 200. Prior to entering into a covered contract or procurement, staff will verify that the vendor/contractor is not suspended, debarred, or otherwise excluded, using SAM.gov, and will retain documentation of that verification in the procurement file. This policy will be approved by the Board at the September 2026 Board of Directors Meeting and reviewed with all relevant procurement staff. Verification will be performed for every covered procurement going forward.
Finding 2025-001: CFDA #93.658 Foster Care, Title IV-E CFDA #93.659 Adoption Assistance Corrective Action: Management intends to implement procedures to improve document retention, electronic record storage, supervisory review, and overall monitoring controls for the Foster Care and Adoption Assista...
Finding 2025-001: CFDA #93.658 Foster Care, Title IV-E CFDA #93.659 Adoption Assistance Corrective Action: Management intends to implement procedures to improve document retention, electronic record storage, supervisory review, and overall monitoring controls for the Foster Care and Adoption Assistance programs. Contact: Randy Lozier, County Treasurer Anticipated Completion Date: By December 31, 2026
FINDING 2025-003 Finding Subject: Drinking Water State Revolving Fund – Procurement Contact Person Responsible for Corrective Action: Beth Stocking, Clerk-Treasurer Contact Phone Number and Email Address: 574-223-2510 clerk@rochester.in.us Views of Responsible Officials: “We concur with the finding....
FINDING 2025-003 Finding Subject: Drinking Water State Revolving Fund – Procurement Contact Person Responsible for Corrective Action: Beth Stocking, Clerk-Treasurer Contact Phone Number and Email Address: 574-223-2510 clerk@rochester.in.us Views of Responsible Officials: “We concur with the finding.” Description of Corrective Action Plan: The City concurs with the finding. The City will adopt and use written procurement procedures for purchases made with federal award funds that incorporate applicable 2 CFR Part 200 requirements and the terms of each federal award. Before a purchase or contract is initiated, the City will identify whether federal funds are involved and determine the required procurement method based on the applicable threshold and type of procurement. The City will use required competitive procedures, public advertising, and formal procurement methods when applicable. Architectural and engineering professional services will follow applicable qualifications-based competitive proposal requirements. Any permitted noncompetitive procurement will include documented justification. Procurement files will retain solicitations, quotations or proposals, evaluations, approvals, contracts, and documentation supporting the method and selection. The Clerk-Treasurer will coordinate review of federal procurement requirements with the responsible department and professional advisors before federally funded contracts are executed, and personnel involved in federal awards will be instructed on the procedures. Anticipated Completion Date: December 31, 2026, with the procedures to be applied immediately to new procurements involving federal award funds.
The Franklin County Department of Jobs and Family Services (FCDJFS) will revise its internal processes by or before July 1, 2026, to ensure proper communication of all referral, program, and documentation requirements. The FCDJFS Management Team members will be trained on the revised internal proced...
The Franklin County Department of Jobs and Family Services (FCDJFS) will revise its internal processes by or before July 1, 2026, to ensure proper communication of all referral, program, and documentation requirements. The FCDJFS Management Team members will be trained on the revised internal procedure by August 1, 2026. In October, FCDJFS will be having an additional training at its full managers meeting to go over the revised procedure.
A Corrective Improvement Plan (CIP) has been submitted, and the subrecipient is actively working to complete the outstanding annual audits for fiscal years 2019 through 2025. Additionally, the current risk assessment process is being revised to place greater emphasis on the completion of required an...
A Corrective Improvement Plan (CIP) has been submitted, and the subrecipient is actively working to complete the outstanding annual audits for fiscal years 2019 through 2025. Additionally, the current risk assessment process is being revised to place greater emphasis on the completion of required annual audits for the preceding year. If an audit has not been completed when applicable, the subrecipient will be classified as high risk. As a result, the subrecipient will be subject to an annual monitoring review conducted by our monitoring team.
Franklin County Department of Job and Family Services will revise all subaward and contract boilerplates issued post July 1, 2026, to reflect that any deviations from the stated invoice submission schedule must be authorized in writing by FCDJFS. Additionally, internal process and training documents...
Franklin County Department of Job and Family Services will revise all subaward and contract boilerplates issued post July 1, 2026, to reflect that any deviations from the stated invoice submission schedule must be authorized in writing by FCDJFS. Additionally, internal process and training documents will be revised to align with this process. FCDJFS staff responsible for federal subawards and contracts will be trained on the new process by or before July 1, 2026.
2025-002 Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria....
2025-002 Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: PHA identified weaknesses in a new operating model, and has continued to fine-tune tracking and transparencies towards improved compliance. SEMAP reports are pulled monthly, and internal file audits are being conducted. Standard operating procedures have been updated along with file checklists to ensure files are fully compliant. Name(s) of the contact person(s) responsible for corrective action: Katie Kasprzak, Executive Director Planned completion date for corrective action plan: 12/31/2026
2025-001 Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria....
2025-001 Housing Choice Voucher Cluster – Assistance Listing No. 14.871 and 14.879 Recommendation: We recommend that the Authority review its system of internal control related to the policies and procedures in place to mitigate the risk of noncompliance with the requirements of the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: PHA identified weaknesses in a new operating model, and has continued to fine-tune tracking and transparencies towards improved compliance. SEMAP reports are pulled monthly, and internal file audits are being conducted. Standard operating procedures have been created along with file checklists to ensure files are fully compliant. Name(s) of the contact person(s) responsible for corrective action: Katie Kasprzak, Executive Director Planned completion date for corrective action plan: 12/31/2026
2025-001 - Corrective Action Plan - VMS not reconciled with FDS and receivable from HUD. Contact person - Executive Director, Billie Shelburn, 512-756-4745. Corrective action planned - The PHA will work with its fee accountant to reconcile the VMS with the FDS. Anticipated completion date - Within t...
2025-001 - Corrective Action Plan - VMS not reconciled with FDS and receivable from HUD. Contact person - Executive Director, Billie Shelburn, 512-756-4745. Corrective action planned - The PHA will work with its fee accountant to reconcile the VMS with the FDS. Anticipated completion date - Within the next year.
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