Corrective Action Plans

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Finding 1224913 (2025-001)
Material Weakness 2025
Finding Number 2025-001 – Special Tests and Provisions (Rent Reasonableness) Corrective Action: What we've already been doing to correct the issue LifeWire has strengthened oversight within Services by consolidating the Services and Rapid Rehousing programs under a single Director, creating clearer ...
Finding Number 2025-001 – Special Tests and Provisions (Rent Reasonableness) Corrective Action: What we've already been doing to correct the issue LifeWire has strengthened oversight within Services by consolidating the Services and Rapid Rehousing programs under a single Director, creating clearer accountability and consistency in implementation. Additionally, we have expanded our approval workflow to include multiple levels of review: Advocate → Manager → Director → Finance. This structured, multi-tiered review process increases oversight and enhances our ability to identify and address issues related to rent reasonableness documentation prior to payment. As part of this enhanced workflow, we require that internal audit practices occur at each level of approval, ensuring that rent reasonableness and comparable unit analysis documentation is reviewed for completeness, accuracy, and timeliness — and that review and approval occur prior to tenant move-in — before advancing to the next stage. At each level, reviewers will audit a minimum of 5% of files or 5 files per month, whichever is greater. What else we are putting in place LifeWire will continue to provide comprehensive training for all Services staff, including advocates, managers, and directors, focused on rent reasonableness requirements and the timing of comparable unit analysis completion and review. The Services Director is responsible for delivering and overseeing this training. This training will address the specific requirements outlined in 24 CFR §578.49 and §578.51 and reinforce expectations that documentation is completed, reviewed, andapproved prior to tenant move-in. All staff will be required to formally acknowledge completion ofthe training and their understanding of the updated requirements. Responsible Staff: Olivia Montgomery •Advocates (initial preparation of rent reasonableness and comparable unit analysisdocumentation) •Services Managers (first-level supervisory review and approval prior to move-in) •Services Director (program oversight and secondary review) •Executive Director (internal audit of Services Director approvals) •Finance Director / Finance Department (final review, approval, and payment oversight) Anticipated Completion Date: Enhancements are currently in progress, with full implementation and demonstrated compliance expected by Q3 2026.
Finding 2025-004: Inadequate Financial Reporting Expertise Resulting in Incorrect Submission of Required Federal Reports Type of Finding: Significant Deficiency in Internal Control and Nonmaterial Noncompliance Corrective Action Narrative: Spectrum Generations will strengthen federal compliance repo...
Finding 2025-004: Inadequate Financial Reporting Expertise Resulting in Incorrect Submission of Required Federal Reports Type of Finding: Significant Deficiency in Internal Control and Nonmaterial Noncompliance Corrective Action Narrative: Spectrum Generations will strengthen federal compliance reporting procedures so required reports are prepared accurately, reviewed before submission, and supported by documentation. Planned Corrective Actions: Written procedures will be developed for recurring federal compliance reports. Submission checklists will be created and retained with each filing. All federal reports will receive documented Controller review before submission. Supporting schedules and source documentation will be maintained for all reported amounts. Responsible Officials: Controller, CFO and Program Management Expected Outcome: Federal compliance reporting will be more consistent, accurate, documented and independently reviewed before submission.
Finding 2025-003: Late Submission of Data Collection Form Type of Finding: Federal Single Audit Reporting Finding Corrective Action Narrative: This finding appears to result from audit completion delays associated with unresolved MaineCare Fee-for-Service AR balances. The underlying reconciliation i...
Finding 2025-003: Late Submission of Data Collection Form Type of Finding: Federal Single Audit Reporting Finding Corrective Action Narrative: This finding appears to result from audit completion delays associated with unresolved MaineCare Fee-for-Service AR balances. The underlying reconciliation issues are addressed through the corrective actions for Findings 2025-001 and 2025-002. Planned Corrective Actions: Management will establish an annual audit preparation calendar. Key balance sheet reconciliations will be completed and reviewed before audit fieldwork begins. Controller and CFO will monitor Single Audit reporting deadlines quarterly. Federal filing deadlines will be incorporated into the agency finance and compliance calendar. Responsible Officials: Controller and CFO Expected Outcome: Improved audit readiness and deadline monitoring will support timely future federal reporting package submissions.
Finding 2025-002: Account Reconciliations Type of Finding: Material Weakness in Internal Control Over Financial Reporting and Internal Control Over Compliance Corrective Action Narrative: Spectrum Generations will strengthen the balance sheet reconciliation process and supervisory review controls ac...
Finding 2025-002: Account Reconciliations Type of Finding: Material Weakness in Internal Control Over Financial Reporting and Internal Control Over Compliance Corrective Action Narrative: Spectrum Generations will strengthen the balance sheet reconciliation process and supervisory review controls across significant accounts. Planned Corrective Actions: Controller will prepare monthly reconciliations for all significant balance sheet accounts, including cash, AR, prepaid expenses, refundable advances, deferred revenue, notes payable and other material accounts. Each reconciliation will include the general ledger balance, supporting detail, reconciling items, preparer name, and date prepared. CFO will perform and document secondary review, including date of review and follow-up on unresolved items. A standardized reconciliation template and balance sheet close checklist will be used agency-wide. Responsible Officials: Controller and CFO Expected Outcome: Formal monthly reconciliations and documented supervisory review will improve financial reporting accuracy and strengthen compliance oversight.
The Commision will submit its fiscal year 2025 Single Audit reporting package to the Federal Audit Clearinghouse prompty upon issuance of the final audit reports. To prevent a recurrence. the Commission will implement a annual process for monitoring the completion and submission of its Single Audit....
The Commision will submit its fiscal year 2025 Single Audit reporting package to the Federal Audit Clearinghouse prompty upon issuance of the final audit reports. To prevent a recurrence. the Commission will implement a annual process for monitoring the completion and submission of its Single Audit. The designated responsible official will formal maintain a compliance calendar identifying the applicable Federal Audit Clearinghouse submission deadline. The Commission will initiate the annual audit process sufficiently in advance of the filing deadline and will monitor the audit's progress at least quarterly. Outstanding requests or matters that could delay completion will be promptly addressed and communicated to the appropriate members of managment and Commission. The Commission will also review the filing status and verify that the reporting package has been submitted and accepted by the Federal Audit Clearhouse within the required time frame. Documentation supporting submission and acceptance will be retained.
Management plans to review policies and procedures and revise them as needed to include procedures related to procurement, suspension, and debarment.
Management plans to review policies and procedures and revise them as needed to include procedures related to procurement, suspension, and debarment.
Finding Summary: Material noncompliance was noted in reporting as reported amounts did not agree to underlying supporting documentation. Responsible Individuals: Kim Clay, Corporate Controller and Paul DiTomasso, Site`2 Controller Corrective Action Plan: Management will review and improve internal c...
Finding Summary: Material noncompliance was noted in reporting as reported amounts did not agree to underlying supporting documentation. Responsible Individuals: Kim Clay, Corporate Controller and Paul DiTomasso, Site`2 Controller Corrective Action Plan: Management will review and improve internal controls over reporting to ensure that reported amounts agree to underlying supporting documentation. Anticipated Completion Date: June 30, 2026
FINDING 2025-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Internal Controls Contact Person Responsible for Corrective Action: Melinda Amstutz (Office Manager) Contact Phone Number and Email Address: (260) 657-1552 Views of Responsible Officials: We concur with ...
FINDING 2025-001 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Internal Controls Contact Person Responsible for Corrective Action: Melinda Amstutz (Office Manager) Contact Phone Number and Email Address: (260) 657-1552 Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: When preparing the Monthly Project Spending Reports, Melinda Amstutz, office manager will be signing the report and initial as the preparer and dating it. Then another employee or Board member will review the report and initial the review box. Anticipated Completion Date: The projected date of completion of major tasks for the planned corrective actions described above will be completed on July 15, 2026.
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The Organization utilized an informal practice to address processing timing di􀆯erences for rental assistance payments; however, the practice was not formally documented and was not applied consistently. Management recog...
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The Organization utilized an informal practice to address processing timing di􀆯erences for rental assistance payments; however, the practice was not formally documented and was not applied consistently. Management recognizes the need for written policies and adequate supporting documentation when adjustments are made a􀆯ecting the timing of rental assistance payments and will review and revise its current policies and procedures to ensure appropriate documentation when future programs of similar nature exist. Additionally, this federal funding program has come to an end. ii. Actions Taken on the Finding – We will review our internal processes and procedures to ensure adequate and consistent processes and procedures are followed for programming and appropriate supervisory review exists across program areas.
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The reporting di􀆯erences resulted from inadequate reconciliation between the programmatic report and the Organization's accounting records prior to submission. Communication between operations and finance sta􀆯 have been...
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The reporting di􀆯erences resulted from inadequate reconciliation between the programmatic report and the Organization's accounting records prior to submission. Communication between operations and finance sta􀆯 have been strengthened to improve accuracy, completeness, and consistency of future reporting in other programs. Additionally, this federal funding program has come to an end. We have further changed our processes and procedures as it relates to reporting on grants in that all financial reporting will be done directly by the Finance department. This is a practice that was previously in place for most of the organization but not fully implemented in the Housing and Financial Wellness department. ii. Actions Taken on the Finding – Finance will take over reporting on grants directly in areas that it has not and plans to complete an internal review to verify that it is not overlooking any areas of reporting.
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The errors identified resulted from inaccurate calculations of rental assistance amounts under the Emergency Rental Assistance program. Management has reviewed the a􀆯ected cases and evaluated the circumstances contribut...
i. Comments on the Finding and Each Recommendation – We acknowledge the finding. The errors identified resulted from inaccurate calculations of rental assistance amounts under the Emergency Rental Assistance program. Management has reviewed the a􀆯ected cases and evaluated the circumstances contributing to the errors. Additional review procedures, calculation checklists, and supervisory verification steps have been implemented to improve the accuracy of assistance determinations and reduce the risk of future overpayments. Additionally, this federal funding program has come to an end. We further plan to implement similar review procedures, calculation checklists and supervisory verification steps on future programs to avoid similar overpayments. ii. Actions Taken on the Finding – While this program has ended, we plan to implement the steps noted above in future programs as necessary to avoid any similar errors in processes.
Finding type: Significant deficiency. Federal awards: 84.328 Special Education Parent Information Centers (Direct Funding). 84.421 Disability Innovation Fund (Passed through Vermont Department of Aging and Independent Living). Criteria: Organizations spending more than the minimum amount of Federal ...
Finding type: Significant deficiency. Federal awards: 84.328 Special Education Parent Information Centers (Direct Funding). 84.421 Disability Innovation Fund (Passed through Vermont Department of Aging and Independent Living). Criteria: Organizations spending more than the minimum amount of Federal awards must submit an audit reporting package to the Federal Audit Clearinghouse within nine months of the end of the fiscal year per the requirements of the Uniform Guidance. Condition: Vermont Family Network, Inc. did not submit the required audit reporting package by the due date for the year ended June 30, 2025. Management concurrence: Management concurs with this finding. Corrective action plan: In fiscal year 2026, new procedures and shared leadership roles were implemented to prevent this from happening again. Name of responsible official: Michelle Kessler, Interim Executive Director. Projected completion date: December 31, 2026.
Finding 2025-004: Material Weakness and Noncompliance: Special Tests and Provisions (Revenue Diversion) Finding: The City’s Airport Improvement Program has special tests and provisions requirements applicable to revenue diversion requirements of the grant. The City did not have processes and control...
Finding 2025-004: Material Weakness and Noncompliance: Special Tests and Provisions (Revenue Diversion) Finding: The City’s Airport Improvement Program has special tests and provisions requirements applicable to revenue diversion requirements of the grant. The City did not have processes and controls in place to ensure compliance with federal requirements related to the prevention of revenue diversion, along with other regulatory matters identified by the FAA. The City did not also have sufficient processes and controls in place for monitoring the execution and performance of agreements and lessees and FBO. Corrective Actions Taken or Planned: The City has and continues to perform a legal and management review of the FAA’s concerns associated with the Airport Improvement Program requirements. After consultation with the City’s legal counsel, our analysis shows that corrections are necessary and revenue diversion may not have occurred, or not to the extent originally asserted. This ongoing matter will be addressed with additional consultation with the FAA and City airport managers. The issues identified pertain to compliance with grant assurance obligations, specifically the need for strengthened processes to ensure ongoing adherence to federal program requirements. The City’s review is ongoing with assistance from counsel specializing in airport operations and federal regulatory compliance. As this work advances, the City will collaborate closely with the Airport Manager and Executive Leadership to design, formalize, and implement the necessary internal controls to ensure compliance with FAA grant assurances. This could include and is not limited to procedures for: 1. Monitoring and documenting compliance with grant assurance requirements; 2. Strengthening oversight of agreements, leases, and FBO operations; 3. Establishing systematic controls for revenue diversion monitoring and periodic testing; 4. Ensuring timely reporting and documentation to detect and prevent noncompliance. Contact Person: Melissa Sieben, Toni Wheeler, Rachelle Mathews Anticipated Completion Date: December 31, 2026
Finding 2025-003: Significant Deficiency and Noncompliance: Reporting Finding: The City’s Airport Improvement Program has reporting requirements that are applicable to the program and that should be submitted to the federal government throughout the project. SF-271 and SF-425 reports are required to...
Finding 2025-003: Significant Deficiency and Noncompliance: Reporting Finding: The City’s Airport Improvement Program has reporting requirements that are applicable to the program and that should be submitted to the federal government throughout the project. SF-271 and SF-425 reports are required to be submitted by December 31st each year when the grant is open. In addition, form 5370-1 (construction projects) or 5100-400 (non-construction projects) is required to be submitted within 30 days of the end of the quarter. The City did not submit in a timely manner all the required reports stipulated in the grant agreements. Corrective Actions Taken or Planned: The City of Lawrence, Municipal Services and Operations Department will undertake the following corrective action plan to ensure all required reports comply with the provisions of these grant agreements for which the City has entered. 1. All required documents for 2025 and 2026 will be completed and submitted by the anticipated completion date listed below. 2. In the future, MSO management staff and the Airport Manager will monitor, and remind, the contracted project engineers of their assigned responsibilities to prepare and submit the required reports to the respective contacts at the US Department of Transportation within the timeframes stated in the grant agreements. 3. MSO management staff will ensure that the required documents, and proof of their submissions, are filed in the City of Lawrence’s internal document management system to ensure the Finance Department and external auditors have access to the required documents. The Finance Department will notify the MSO Director of any late or missing federal reports. Contact Person: Shaun Cookson, Rachelle Mathews Anticipated Completion Date: December 31, 2026
Finding 2025-001: Significant Deficiency and Noncompliance: Cut-off Errors in Preparing the SEFA Finding: The City’s reported expenditures on the fiscal year 2025 SEFA that were incurred in other fiscal years. For two grants that were closed out and finalized during fiscal year 2025, the City includ...
Finding 2025-001: Significant Deficiency and Noncompliance: Cut-off Errors in Preparing the SEFA Finding: The City’s reported expenditures on the fiscal year 2025 SEFA that were incurred in other fiscal years. For two grants that were closed out and finalized during fiscal year 2025, the City included certain expenditures incurred prior to January 1, 2025, on its 2025 SEFA, representing adjustment of amounts previously reported on the 2023 and 2024 SEFA to account for the finalized grant numbers. The adjustment amounts on the 2025 SEFA for these two grants do represent any actual expenditures incurred in 2025. Therefore, they were not reported on the SEFA in a manner consistent with the fiscal year in which they were recognized as expenditures in the financial statements. This resulted in a net effect of $32,815 of allowable costs reported on the fiscal year 2025 SEFA which were incurred in previous fiscal years. Corrective Actions Taken or Planned: The City has reviewed the circumstances noted in Finding 2025‑001 regarding the reporting of expenditures on the fiscal year 2025 SEFA for two federal airport grants that had already been closed and finalized. These grants required no additional programmatic or financial activity in fiscal year 2025, and the amounts appearing on the 2025 SEFA represented adjustments of expenditures originally recognized and reported in prior fiscal years. Because the grants are fully closed, no further corrective actions are required related to these specific awards beyond the correction already noted in the audit finding. To strengthen controls and ensure accurate reporting periods for all future federal airport grants, the City will implement a dual review process for annual grant expenditure reporting. Both the Airport Manager, MSO Management Analyst and the Finance Grant Accountant will independently review and validate the recording period for all federally funded airport grant expenditures prior to SEFA preparation. This additional verification step will help ensure proper cut off, alignment with the period of recognition in the financial statements, and continued compliance with federal reporting requirements. Contact Person: Shaun Cookson, Rachelle Mathews Anticipated Completion Date: To be completed by December 31st, 2026
ACDJFS will strengthen its internal controls and documentation practices related to the allocation of direct expenses and the completion of Random Moment Sampling (RMS) observations, particularly for programs serving both eligible and non eligible participants. 1. Strengthening Cost Allocation Contr...
ACDJFS will strengthen its internal controls and documentation practices related to the allocation of direct expenses and the completion of Random Moment Sampling (RMS) observations, particularly for programs serving both eligible and non eligible participants. 1. Strengthening Cost Allocation Controls ACDJFS will revise and reinforce its cost allocation procedures to ensure all direct expenses are properly assigned, consistently treated, and supported by clear documentation. Updated procedures will include supervisory review checkpoints and periodic reconciliation to ensure costs are charged in proportion to the benefit received by each program. 2. RMS Compliance and Documentation Standards ACDJFS provides a dedicated RMS Coordinator to maintain clear RMS compliance and documentation standards to ensure activities are coded accurately, consistently, and in accordance with state and federal requirements. Staff are expected to provide complete and accurate RMS responses that clearly describe the activity performed, its purpose, and the population served. Attention will be given to activities that support both eligible and non-eligible populations to ensure proper classification and allocation of costs. Allocation errors will be corrected promptly and documented. Incorrect RMS responses will be corrected and retrained immediately. All RMS responses are currently being reviewed. Supporting documentation must be maintained and readily available to substantiate RMS activities and demonstrate compliance during monitoring, audit, or review processes. Supervisors and management will routinely review RMS documentation and coding practices to ensure consistency, identify areas requiring clarification, and maintain the integrity of the agency's cost allocation methodology. The coding of direct expenses are reviewed prior to the processing month end to ensure that they are coded correctly. These standards help ensure RMS results accurately reflect agency operations and support the appropriate claiming of administrative costs. 3. Staff Training and Capacity Building ACDJFS will conduct targeted training for program and fiscal staff to ensure a consistent understanding of cost allocation principles, RMS documentation requirements, and compliance standards for programs serving mixed-eligibility populations. Annual refresher training will be incorporated into ongoing professional development efforts to reinforce expectations, maintain compliance, and support accurate coding practices. The RMS Coordinator will work closely with agency leadership and the Ohio Department of Job and Family Services (ODJFS) to monitor policy updates, guidance, and best practices related to Random Moment Sampling. The coordinator will obtain and disseminate updated information as quickly as possible to ensure staff receive timely communication, training, and technical assistance when changes occur. In addition, the RMS Coordinator will provide weekly reviews and updates to agency management, creating multiple levels of oversight and accountability. This ongoing review process allows leadership to identify trends, address potential concerns early, verify compliance, and ensure consistent application of RMS requirements across all programs. Through training, communication, and regular management review, ACDJFS strengthens internal controls and promotes the accuracy and integrity of its RMS activities. 4. Monitoring and Continuous Improvement ACDJFS leadership will conduct quarterly monitoring of allocation patterns, RMS samples, and documentation quality. Findings will be used to make timely corrections and guide additional staff training. Monitoring results will be retained and used to support continuous improvement. 5. Implementation Timeline All corrective actions, including updated procedures, training, and monitoring mechanisms—will be implemented within 90 days and maintained on an ongoing basis. Annual RMS training was completed in July 2025. ODJFS provided RMS training to all staff in December of 2025. ODJFS will provide annual RMS training scheduled for September 2, 2026. ODJFS will provide RMS Coordinator training on August 6, 2026. RMS training for Management/Fiscal is scheduled for July 7, 2026. Written documentation of fiscal procedures and policies is being reviewed and will be implemented by September 1, 2026.
Management’s Response/Corrective Action Plan: MSAD 15 will update its federal procurement checklist to ensure that all future federally funded construction, alteration, or repair contracts in excess of $2,000 explicitly incorporate Davis-Bacon Act wage rate requirement clauses.
Management’s Response/Corrective Action Plan: MSAD 15 will update its federal procurement checklist to ensure that all future federally funded construction, alteration, or repair contracts in excess of $2,000 explicitly incorporate Davis-Bacon Act wage rate requirement clauses.
Finding No. 2025-001 – Suspension and Debarment In April 2024, GMHA began requiring the Certificate Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion for Covered Contracts and Grants for Invitation for Bids and Request for Proposals. To ensure the suspension and debarment verif...
Finding No. 2025-001 – Suspension and Debarment In April 2024, GMHA began requiring the Certificate Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion for Covered Contracts and Grants for Invitation for Bids and Request for Proposals. To ensure the suspension and debarment verifications are performed for all federal expenditures, the Accounting Department and Materials Management Department will ensure invoices that are later converted to federal funding contain the certificate. Name of Contact Person(s) Responsible for Corrective Action: Amacris Legaspi, General Accounting Supervisor Audrey Paulino, Hospital Materials Management Assistant Administrator, Acting Anticipated Completion Date: Completed.
Condition: the District did not provide an updated capital asset report including additions, deletions, and depreciation expense which is to be reported as a direct expense. Recommendation: The District's capital asset accounting and reporting system be updated to reflect additions, deletions and de...
Condition: the District did not provide an updated capital asset report including additions, deletions, and depreciation expense which is to be reported as a direct expense. Recommendation: The District's capital asset accounting and reporting system be updated to reflect additions, deletions and depreciation expense on an annual basis Method of Implementaton: Capital asset records will be reviewed annually and updated to reflect all additions, deletions, and depreciation. The inventory will be reconciled to the general ledger before year-end financial reporting.
Telluride Regional Airport Authority (“TRAA”) respectfully submits the following corrective action plan for the year ended December 31, 2025. Reference Number: 2025-001 Finding: TRAA’s 2025 Single Audit brought forth finding(s) which required a corrective action letter or Plan. The following item re...
Telluride Regional Airport Authority (“TRAA”) respectfully submits the following corrective action plan for the year ended December 31, 2025. Reference Number: 2025-001 Finding: TRAA’s 2025 Single Audit brought forth finding(s) which required a corrective action letter or Plan. The following item related to the Airport’s federal grant reimbursements: - Program 20.106 revenues were underreported by $1,092,801 in 2025. This underreporting stems from expenditures being incurred in 2025 but the corresponding reimbursement request, and revenue recognition, was not recorded until 2026, partially attributed to delays in submitting reimbursement requests. Corrective Action: TRAA agrees that the finding is correct. Moving forward, management will review grant expenditures at year-end to verify that the related revenues have been accrued, and management will work to file reimbursement requests for outstanding grants on a more timely basis. Personnel Responsible for Corrective Action: Linda Soucie, Business Manager Anticipated Completion Date: December 31, 2026 for fiscal year 2026
Recommendation: We recommend that the Foundation get caught up and hold meetings with each Principal Investigator to answer any questions they have. The goal would be to make sure they are comfortable with the reporting that is being done timely going forward. We also recommend that policies and pro...
Recommendation: We recommend that the Foundation get caught up and hold meetings with each Principal Investigator to answer any questions they have. The goal would be to make sure they are comfortable with the reporting that is being done timely going forward. We also recommend that policies and procedures in place be reviewed and updated to ensure that this issue doesn’t recur in the future. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: 1. The ongoing comprehensive financial review of Principal Investigator (PI) projects will be completed to ensure all project accounts are current and accurate. As PI account reconciliation is completed, PIs will be offered the opportunity to meet with members of the accounting team to review their project financial statements. 2. A Project Financial Reporting policy will be developed for Board approval which will dictate the required frequency and format of financial reports, and which will comply with applicable policies. Templates for PI financial reporting will be improved to provide accurate, easily comprehensible and actionable information to enable PIs to make informed financial management decisions. The Finance Committee will monitor the timeliness of statement delivery. Name(s) of the contact person(s) for corrective action: Alicia Swan, Board Chair Completion date for corrective action plan: 12/31/26
2025-002 Procurement Suspension and Debarment Name of Contact Person: Chief Financial Officer: Ahmed Zibare Corrective Action: Community Medical Wellness Centers USA will develop a system that maintains the required documentation for procurements in a centralized location. Proposed Completion Date: ...
2025-002 Procurement Suspension and Debarment Name of Contact Person: Chief Financial Officer: Ahmed Zibare Corrective Action: Community Medical Wellness Centers USA will develop a system that maintains the required documentation for procurements in a centralized location. Proposed Completion Date: September 30, 2026
2025-001 Sliding Fee Discount Determination Name of Contact Person: Chief Financial Officer: Ahmed Zibare Corrective Action: Community Medical Wellness Centers USA: • Is providing immediate re-training to staff on issues identified. • Continues to provide ongoing training to current and new staff in...
2025-001 Sliding Fee Discount Determination Name of Contact Person: Chief Financial Officer: Ahmed Zibare Corrective Action: Community Medical Wellness Centers USA: • Is providing immediate re-training to staff on issues identified. • Continues to provide ongoing training to current and new staff involved in Sliding Fee Discount Program (SFDP) on program requirements and proper implementation of sliding fee determination and billing. • Will continue ongoing Sliding Fee Audits to assess staff knowledge, provide feedback, and offer guidance, as needed. Proposed Completion Date: September 30, 2026
Views of Responsible Officials: The District will implement formal internal control procedures requiring review and documented approval of all SNP Claim for Reimbursement Summary reports prior to submission in PEARS. The following procedures will be implemented: 1. The Director of Food Services will...
Views of Responsible Officials: The District will implement formal internal control procedures requiring review and documented approval of all SNP Claim for Reimbursement Summary reports prior to submission in PEARS. The following procedures will be implemented: 1. The Director of Food Services will prepare the monthly SNP Claim for Reimbursement Summary report and compile all supporting meal count documentation. 2. Prior to submission, the Administrative Assistant to the Director of Food Services or another designated individual independent of the preparation process will: a. Review the claim for mathematical accuracy; b. Verify meal counts against supporting documentation; c. Confirm claims are submitted within required timelines; and 3. Evidence of the review and approval will be documented through: a. Signature or electronic approval on the reimbursement summary report; and b. Retention of supporting documentation in accordance with federal and state record retention requirements. 4. A written standard operating procedure (SOP) outlining these review and approval responsibilities will be developed and communicated to applicable personnel. The Business Manager will periodically monitor compliance with the procedure to ensure controls remain effective.
City of Maumelle, Arkansas Corrective Action Plan Contact Name: Brad Ashford Contact Phone Number: 501-851-2500 Audit Firm: Forvis Mazars, LLP Audit Period: December 31, 2025 Finding #2025-002 – Statement of Condition: The City's policies and procedures did not include requirements related to suspen...
City of Maumelle, Arkansas Corrective Action Plan Contact Name: Brad Ashford Contact Phone Number: 501-851-2500 Audit Firm: Forvis Mazars, LLP Audit Period: December 31, 2025 Finding #2025-002 – Statement of Condition: The City's policies and procedures did not include requirements related to suspension and deparment. Additionally, the City did not perform procedures to ensure vendors used in covered transactions were not suspended, debarred, or otherwise excluded. Response: The City concurs with the finding. Management will implement additional controls related to suspension and deparment. The completion date for the above-mentioned corrective action was December 2026.
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