Corrective Action Plans

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The District will reconcile the Human Resources spreadsheet to the Grant Information to the payroll information entered into Skyward. Currently underway checking personnel by personnel, initiating needed updates and changes.
The District will reconcile the Human Resources spreadsheet to the Grant Information to the payroll information entered into Skyward. Currently underway checking personnel by personnel, initiating needed updates and changes.
The District will include checking SAM.gov for suspension and debarment. A spreadsheet will be created tracking all vendors that federal grant dollars are used for. A digital capture of the proof will be stored in a folder for future reference.
The District will include checking SAM.gov for suspension and debarment. A spreadsheet will be created tracking all vendors that federal grant dollars are used for. A digital capture of the proof will be stored in a folder for future reference.
The District will reconcile the Human Resources spreadsheet to the Grant Information to the payroll information entered into Skyward. Currently underway checking personnel by personnel, initiating needed updates and changes.
The District will reconcile the Human Resources spreadsheet to the Grant Information to the payroll information entered into Skyward. Currently underway checking personnel by personnel, initiating needed updates and changes.
Client Response: Since the identification of this in August 2025, our Clinical Manager has reviewed and audited every slide fee patient's information on a monthly basis. Additionally, the individual who has applied the majority of the incorrect discounts is no longer with the organization. Since thi...
Client Response: Since the identification of this in August 2025, our Clinical Manager has reviewed and audited every slide fee patient's information on a monthly basis. Additionally, the individual who has applied the majority of the incorrect discounts is no longer with the organization. Since this was also a finding from last year's audit, FY'23-24, as outlined in 2024-4 (pg.28), moving forward, our CFO will be handling the creation of the Slide Fee scale and will work with management and the Consultants to automate the system so errors rarely occur.
Replacement Reserve Monthly Deposits Not Made Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should made the required deposits monthly. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in res...
Replacement Reserve Monthly Deposits Not Made Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should made the required deposits monthly. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will make the required deposits monthly as cash flow allows. Name(s) of the contact person(s) responsible for corrective action: Mary Gilberts, Management Agent Planned completion date for corrective action plan: June 2026
Segregation of Duties Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should continue to evaluate its staffing in order to segregate incompatible duties whenever possible. Explanation of disagreement with audit finding: There is no disagreement with the...
Segregation of Duties Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should continue to evaluate its staffing in order to segregate incompatible duties whenever possible. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The board of directors will continue to closely monitor the financial operations of the Project. Name(s) of the contact person(s) responsible for corrective action: Mary Gilberts, Management Agent Planned completion date for corrective action plan: June 2026
The District will review all vendors with expenditures of $25,000 or more within the SAM.gov to determine if they are published as ineligible.
The District will review all vendors with expenditures of $25,000 or more within the SAM.gov to determine if they are published as ineligible.
The District will use the Federal Uniform Grant guidance to ensure that the all costs are allowable. Any individual that is charged to a federal grant will keep time and effort reporting documentation.
The District will use the Federal Uniform Grant guidance to ensure that the all costs are allowable. Any individual that is charged to a federal grant will keep time and effort reporting documentation.
The District will review its procedures related to application approvals.
The District will review its procedures related to application approvals.
Failure to submit the FYE 2025 was an administrative oversite. The FYE 2025 SEMAP was completed and presented to the Board at the October board meeting. The Board approved the FYE 2025 SEMAP and recommended it to be submitted. The Executive Director made the attempt to submit the certification. The ...
Failure to submit the FYE 2025 was an administrative oversite. The FYE 2025 SEMAP was completed and presented to the Board at the October board meeting. The Board approved the FYE 2025 SEMAP and recommended it to be submitted. The Executive Director made the attempt to submit the certification. The site will not let the certification be submitted at this time.
Corrective Action Plan 1. Policy and Procedure Review and Update During the first quarter of 2025, GHA conducted a comprehensive review of its Housing Choice Voucher policies and since then, provided staff with ongoing standard operating procedures training related to tenant eligibility, annual rece...
Corrective Action Plan 1. Policy and Procedure Review and Update During the first quarter of 2025, GHA conducted a comprehensive review of its Housing Choice Voucher policies and since then, provided staff with ongoing standard operating procedures training related to tenant eligibility, annual recertifications, income calculations, utility allowance determinations, HUD Form 50058 submissions, and file retention. Policies were adopted and has since been amended as needed to clearly define documentation requirements, timelines, and staff responsibilities. Moving forward, supervisors will conduct 20 percent of active participant files annually, reviewed on a monthly basis, to verify that all required documentation is complete, accurate, and compliant with HUD and federal program requirements. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: March 31, 2027 2. Strengthening Internal Controls and File Management GHA implemented standardized file checklists for move-ins, unit transfers, port-ins, annual recertifications, interim reexaminations, and port-outs to ensure all required documents (including eligibility declarations, signed release forms, income verifications, utility allowance calculations, and HUD Form 50058s) are present and complete prior to file review. Supervisory reviews will be documented on 20 percent of active participant files to confirm compliance. In addition, corrective actions will be taken immediately when deficiencies are identified. Results will also be documented and used to guide additional training or process improvements. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Monthly 3. Timely HUD Form 50058 Reporting GHA will reinforce reporting timelines and establish monitoring controls to ensure HUD Form 50058s are submitted accurately and timely in accordance with HUD requirements. Monthly reconciliation reports will be reviewed by supervisory staff to identify and correct late or missing submissions. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Ongoing, with full implementation within 30 days 4. Staff Training and Technical Assistance All HCV staff will receive refresher training on eligibility determinations, income calculation, utility allowance application, documentation requirements, and HUD Form 50058 reporting. Training will emphasize regulatory compliance, record retention, and the importance of complete and accurate tenant files. Responsible Party: Housing Program Director / Assistant Director Anticipated Completion Date: Within 90 days 5. File Quality Control Reviews GHA will implement periodic internal quality control reviews of tenant files, by the Chief Operating Officer, to ensure ongoing compliance. A sample of 30 participant files will be reviewed quarterly, and corrective actions will be taken immediately when deficiencies are identified. Results will also be documented and used to guide additional training or process improvements. Responsible Party: Chief Operating Officer Anticipated Completion Date: Quarterly, beginning within 60 days Expected Results Implementation of this corrective action plan will strengthen internal controls, improve documentation accuracy and timeliness, ensure compliance with HUD and federal requirements, and reduce the risk of future audit findings related to tenant eligibility and reporting. Status of Finding: Open – Corrective actions in progress
Findings 1: Income calculation Documentation Issue identified: five(5) tenant files did not contain proper documentation supporting income calculations. Corrective action: the Gainesville Housing Authority will identify and/or develop a standardized income calculation worksheet to be incoporated int...
Findings 1: Income calculation Documentation Issue identified: five(5) tenant files did not contain proper documentation supporting income calculations. Corrective action: the Gainesville Housing Authority will identify and/or develop a standardized income calculation worksheet to be incoporated into the tenant file documentation process. until the worksheet is finalized and implemented, Property Managers are required to use calculation tape to clearly document how income was calculated for each household member and each income source. property managers will attach calculation tape to all income verification documents to demonstrate step by step income calculations. once the standardized income calculator sheet is completed, it will be implemented Authority wide and used consstenty for all applicable transactions. Responsible Staff Property Managers Target completion date: implemented immediately, missing documentation and/or proper income calculation resolved within 30 days. ongoing monitoring: supervisory file reviews and periodic internal audits will be conducted to ensure income calculations are clearly documented and comply with program requirements. Responsible Staff Property Managers; assistant director of housing programs monitoring frequency: quarterly file audits. Finding 2: Missed Annual Inspection Issue Identified: One (1) tenant file did not contain documentation of a required annual public housing unit inspection. Corrective Action: The Gainesville Housing Authority (GHA) has hired a full-time Public Housing Inspector to strengthen inspection oversight and ensure timely completion of annual inspections for all public housing units. The addition of a dedicated inspector provides improved accountability and ensures inspections are conducted and documented in accordance with HUD requirements. Going forward, the Public Housing Inspector is responsible for ensuring that all public housing units receive an annual inspection and that inspection results are properly completed, tracked, and maintained in the tenant file. Responsible Staff: Public Housing Inspector; Property Managers Target Completion Date: Implemented immediately; all units brought into compliance within 30 days of CAP submission. Ongoing Monitoring: If the Public Housing Inspector is unable to gain access to a unit, the reason for the missed inspection will be clearly documented, and the Property Manager will be notified to initiate appropriate lease enforcement or follow-up actions. Management will conduct routine reviews of inspection logs to ensure continued compliance. Responsible Staff: Assistant Director of Housing Programs; Property Manager Monitoring Frequency: Monthly review of inspection logs. Findings 3: Proper Citizenship Documentation Issue Identified: Three (3) tenant files did not have proper citizenship verification documentation. Corrective Action: Citizenship verification requirements have been formally incorporated into the File Review Checklist. Property Managers are now required to verify that the following documents are present in each tenant file: • Unexpired photo identification for all household members age 18 and older • Birth certificates for all household members • Completed Citizenship Certification Forms for all household members This process ensures consistent collection and retention of citizenship documentation at admission and during recertification. Responsible Staff: Property Managers; Intake Specialists Target Completion Date: Implemented immediately; missing documentation resolved within 30 days. Ongoing Monitoring: Internal quality control audits will be conducted for each Property Manager to ensure compliance with citizenship documentation requirements. Any missing documentation will be promptly requested and corrected, and staff will receive refresher training as needed. Responsible Staff: Property Manager; Assistant Director of Housing Monitoring Frequency: audit of all new move in files
Name of Contact Person: Paul Taylor, Superintendent. Recommendation: We recommend the District implement internal controls to ensure their procurement policy is followed. We also recommend updating their contracts with all required language, including the Buy American clause. Correction Action: We w...
Name of Contact Person: Paul Taylor, Superintendent. Recommendation: We recommend the District implement internal controls to ensure their procurement policy is followed. We also recommend updating their contracts with all required language, including the Buy American clause. Correction Action: We will implement internal controls to ensure our procurement policy is followed. We will also update our contracts with all required language, including the Buy American clause. Proposed Completion Date: Immediately.
The fiscal year 2025 annual audit identified a material weakness in internal controls regarding documentation of procurement procedures required under federal or State awards, specifically related to suspension/debarment verification and sole-source justification. Public Library of Charlotte and Mec...
The fiscal year 2025 annual audit identified a material weakness in internal controls regarding documentation of procurement procedures required under federal or State awards, specifically related to suspension/debarment verification and sole-source justification. Public Library of Charlotte and Mecklenburg County Material Weakness Finding 2025-002 Corrective Action Plan: Because of the material weakness finding, the following actions have/will be taken: - When utilizing federal funds, the Library will properly document verification that vendors were not suspended or debarred prior to contract execution in accordance with Uniform Grant Guidance procurement standards. - The Library will ensure that all required documentation supporting sole source vendor selection is completed and retained in accordance with the Library’s procurement policy. Each action stated in the corrective action plan will be completed during and by the end of fiscal year 2026. Responsible Parties: Michael Boger, Deputy Finance Director Angie Myers, Interim CEO & Chief Financial and Administrative Officer (CFO)
Condition: The accounts used to record expenditures in the general ledger and the quarterly expenditure report are inconsistent with the budgeted expenses. Recommendation: We recommend reviewing the general ledger to determine that expenses are coded appropriately per the budget. Management Response...
Condition: The accounts used to record expenditures in the general ledger and the quarterly expenditure report are inconsistent with the budgeted expenses. Recommendation: We recommend reviewing the general ledger to determine that expenses are coded appropriately per the budget. Management Response: The District will review the general ledger to the budget before submitting the expenditure reports. Anticipated Date of Completion: June 30, 2026.
Condition: Expenditure repots for the IDEA Cluster was not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the dued dates. Management response: Management will take th...
Condition: Expenditure repots for the IDEA Cluster was not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the dued dates. Management response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated date of completion: June 30, 2026.
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash 56 days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has ackno...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash 56 days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management deposited the surplus cash amount of $39,601 into residual receipts on November 25, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: November 25, 2024
Finding Number: 2025-001 Condition: Withdrawals totaling $13,846 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Mana...
Finding Number: 2025-001 Condition: Withdrawals totaling $13,846 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management has deposited the underfunded amount of $13,846 to the replacement reserve account on July 10, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: July 10, 2025
CORRECTIVE ACTION PLAN (Concerning Finding 2025-001) Contact Person Responsible for Corrective Action: Meghan Butts, Executive Director Corrective Action: The Upper Valley Lake Sunapee Regional Planning Commission will take the following actions to address finding 2025-001: We will revise our existi...
CORRECTIVE ACTION PLAN (Concerning Finding 2025-001) Contact Person Responsible for Corrective Action: Meghan Butts, Executive Director Corrective Action: The Upper Valley Lake Sunapee Regional Planning Commission will take the following actions to address finding 2025-001: We will revise our existing procurement policy to align with the current requirements outlined in 2 CFR 200. Anticipated Completion Date: February 11th, 2026
Finding Number: 2025-001 Condition: The Organization accrued for and expensed an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls to e...
Finding Number: 2025-001 Condition: The Organization accrued for and expensed an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls to ensure the invoice approval process is adequate for professional fees to ensure expenses are charged to the project that incurred the cost. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: June 30, 2025
Finding Number: 2025-002 Condition: During testing of tenant files, it was noted that the EIV report was missing for one tenant. Planned Corrective Action: Management has acknowledged the noncompliance and related internal control deficiency over compliance and will implement proper procedures and c...
Finding Number: 2025-002 Condition: During testing of tenant files, it was noted that the EIV report was missing for one tenant. Planned Corrective Action: Management has acknowledged the noncompliance and related internal control deficiency over compliance and will implement proper procedures and controls to ensure EIV is properly utilized. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: June 30, 2026
Finding Number: 2025-001 Condition: The Organization paid for expenses and an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over co...
Finding Number: 2025-001 Condition: The Organization paid for expenses and an invoice for professional service fees incurred by another project. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management received reimbursement from the other project on September 8, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: September 8, 2025
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash seven days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has ac...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash seven days after the deadline stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management deposited the surplus cash amount of $8,731 into residual receipts on October 7, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: October 7, 2024
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash eight days after the deadline as stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has...
Finding Number: 2025-001 Condition: The Organization deposited prior year surplus cash eight days after the deadline as stated in the Real Estate Assessment Center’s Summary of Financial Reporting and Auditing Guidance for HUD (FRAG Guide) under Section 2.8. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management made the required deposit of surplus cash into residual receipts on October 8, 2024. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: October 8, 2024
Finding Number: 2025-001 Condition: Withdrawals totaling $8,603 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Manag...
Finding Number: 2025-001 Condition: Withdrawals totaling $8,603 were made from the replacement reserve without HUD authorization. Planned Corrective Action: Management has acknowledged noncompliance in the current fiscal year and has taken measures to improve internal controls over compliance. Management has deposited the underfunded amount of $8,603 to the replacement reserve account on September 3, 2025. Contact person responsible for corrective action: Tyler Luce Anticipated Completion Date: September 3, 2025
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