Corrective Action Plans

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Finding Type: Material Weakness. Name of Contact Person: Greg Goins, Superintendent. Recommendation: We recommend that the District check the Excluded Parties List System or collect certifications from any vendor that the District expects to spend more than $25,000 for the year. Corrective Act...
Finding Type: Material Weakness. Name of Contact Person: Greg Goins, Superintendent. Recommendation: We recommend that the District check the Excluded Parties List System or collect certifications from any vendor that the District expects to spend more than $25,000 for the year. Corrective Action: The District will begin making all significant vendors sign a certification. Proposed Completion Date: Immediately.
Views of Responsible Officials and Planned Corrective Actions: We know that current procedures capture all required documentation necessary for substantiation of every CACFP expense. We changed Accounts Payable Clerks during this fiscal year and this issue arose because of a filing error. All docume...
Views of Responsible Officials and Planned Corrective Actions: We know that current procedures capture all required documentation necessary for substantiation of every CACFP expense. We changed Accounts Payable Clerks during this fiscal year and this issue arose because of a filing error. All documentation existed, and was found after audit request, but was filled incorrectly. Accounts Payable Clerk will continue to work closely with CACFP Program Director to ensure proper documentation is presented and is an allowable cost.
Views of Responsible Officials and Planned Corrective Actions: There were two organizational changes that happened in the fiscal year that impacted this issue. First, the Executive Director retired and was replaced. Secondly the Program Director was replaced mid-year. Both are now acutely aware that...
Views of Responsible Officials and Planned Corrective Actions: There were two organizational changes that happened in the fiscal year that impacted this issue. First, the Executive Director retired and was replaced. Secondly the Program Director was replaced mid-year. Both are now acutely aware that the agency timesheet policies must be followed at all times. Timesheet policy will be reviewed with all Program Directors in the agency. Moreover, the agency is implementing a new payroll system that incorporates an electronic time record that supervisor, and the executive director, approval must be verified before payroll will be processed. The new system and review of current policy with all staff and program directors will ensure this internal control is followed.
New York State agrees that enhanced subrecipient monitoring policies, procedures and internal control will help ensure the State’s compliance with 45 CFR 75.352(d) and 45 CFR 75.352(e). While monitoring activities are currently performed – the State will improve the documentation of the activities p...
New York State agrees that enhanced subrecipient monitoring policies, procedures and internal control will help ensure the State’s compliance with 45 CFR 75.352(d) and 45 CFR 75.352(e). While monitoring activities are currently performed – the State will improve the documentation of the activities performed – including keeping a written list of all factor considerations used to determine which subrecipients are subject to additional monitoring procedures. Corrective Action Required: New York State will continue to use a “priority list” to record high-risk subrecipients subject to additional monitoring. Additionally, Office of Addiction Services and Supports (OASAS) will provide a written description of all of the factors and considerations used to compile the priority list to the New York State Division of the Budget for review and approval prior to March 31, 2025.
New Yok State acknowledges the finding and recommendation regarding Federal Funding Accountability and Transparency Act (FFATA) noted during the Uniform Grant Guidance audit. Associated policies will be updated accordingly and all first-tier subrecipients will receive the required notification of FF...
New Yok State acknowledges the finding and recommendation regarding Federal Funding Accountability and Transparency Act (FFATA) noted during the Uniform Grant Guidance audit. Associated policies will be updated accordingly and all first-tier subrecipients will receive the required notification of FFATA applicability per CFR 200.311 and FFATA Subaward Reporting System (FSRS) will be updated for grant obligations. With regard to the Possible Asserted Effect that failure to submit FFATA reporting may result in reporting inaccurate and incomplete amounts to the federal government – New York State is committed to producing accurate and complete grant spending amounts annually to the federal government outside of the FFATA system via the Federal Financial Report (FFR), due in December. OASAS will review and enhance its policies, procedures, and internal controls to ensure that all amounts passed through to subrecipients and subcontractors under subawards as defined in 45 CFR 75.2 are reported in accordance with the FFATA federal regulations. All OASAS first-tier subrecipients will receive the required notification of FFATA applicability per CFR 200.311. FSRS will be updated for obligations under the FFY20 award and forward.
Office of Mental Health (OMH) acknowledges that there was an oversight in payments being passed through to a single subrecipient without an executed contract. This single event occurred during the Statewide transition from Grants Gateway to the Grants Management Module of the Statewide Financial Sys...
Office of Mental Health (OMH) acknowledges that there was an oversight in payments being passed through to a single subrecipient without an executed contract. This single event occurred during the Statewide transition from Grants Gateway to the Grants Management Module of the Statewide Financial System (SFS). The data transfer when the system switch occurred was not 100% accurate. The contract in question was incorrectly read and transmitted the contract to the new grants management module in SFS as executed. OMH is currently working on a contract amendment to support this payment which will be submitted for approval and signature by all required parties. The business owners of the SFS were informed of the error and it is OMH’s understanding that the issue has been addressed in SFS.
View Audit 334898 Questioned Costs: $1
The Office of Mental Health (OMH) has updated the federal certification forms in March of 2022 for the MHBG COVID Relief and ARPA awards to include the following award identification information: federal fiscal year of award, federal award period, federal award identification number (FAIN), and fede...
The Office of Mental Health (OMH) has updated the federal certification forms in March of 2022 for the MHBG COVID Relief and ARPA awards to include the following award identification information: federal fiscal year of award, federal award period, federal award identification number (FAIN), and federal award document number. The federal certification forms for the annual MHBG awards are created to align with each new Notice of Award (NOA) and include the same award identification information noted above. Due to the timing of when we received the Federal NOA’s in comparison to when the federal certification forms were distributed to sub-recipients, not all sub-recipients may have received the updated form in fiscal year end March 31, 2024. These revised forms were used for all subrecipients in SFY 2024-25. OMH will continue to amend the certification and applicable policies, procedures, and internal controls to incorporate all required identifying characteristics outlined in 45 CFR 75 Section 352 (a) in SFY 2024-25. Additionally, OMH initiated an expense report process to review award specific expense reports for all COVID Relief and ARPA federal grant subrecipients to ensure provider expenditures are following federal guidelines. This process will be rolled out to the other MHBG awards in SFY 2024-25. While a formalized risk assessment was not conducted, one has been developed to assess subrecipient risk of non-compliance. This risk assessment will be used in conjunction with the review of reward specific expense reports to determine those subrecipients that need additional monitoring. Applicable policies and procedures will be updated as appropriate upon completion. Lastly, OMH has adopted a tracking mechanism that will be used to track and review all subrecipients single audit submissions during the upcoming review cycle.
View Audit 334898 Questioned Costs: $1
Office of Mental Health (OMH) agrees with this recommendation and acknowledges that there was an oversight in reporting amounts passed through to subrecipients as required by Federal Funding Accountability and Transparency Act (FFATA). OMH is in the process of updating policies, procedures, and/or i...
Office of Mental Health (OMH) agrees with this recommendation and acknowledges that there was an oversight in reporting amounts passed through to subrecipients as required by Federal Funding Accountability and Transparency Act (FFATA). OMH is in the process of updating policies, procedures, and/or internal controls to ensure the agency’s awareness of this requirements and will report on the amounts passed through to subrecipients and subcontractors in SFY 2024-25.
The Office of Mental Health (OMH) agrees with this recommendation. While OMH ensures that the source data is maintained and has updated internal procedures accordingly, a formalized policy and procedure will be implemented in SFY 2024-25.
The Office of Mental Health (OMH) agrees with this recommendation. While OMH ensures that the source data is maintained and has updated internal procedures accordingly, a formalized policy and procedure will be implemented in SFY 2024-25.
The Office of Children and Family Services (OCFS) has reviewed current monitoring procedures and has determined changes are needed to strengthen programmatic oversight in determining if participants were eligible to receive services under the Social Services Block Grant (SSBG), and Temporary Assista...
The Office of Children and Family Services (OCFS) has reviewed current monitoring procedures and has determined changes are needed to strengthen programmatic oversight in determining if participants were eligible to receive services under the Social Services Block Grant (SSBG), and Temporary Assistance for Needy Families (TANF) transfer funds. To accomplish this task the Division of Child Welfare and Community Services will revise their current SSBG monitoring procedures to include a random sample of individuals who received services paid with funds from the TANF transfer. Eligibility reviews for received goods and services will begin during the first quarter of 2025. In addition, the Title XX Monitoring unit in the Bureau of Financial Operations has expanded their review to include expenses for goods and services paid with the funds from the TANF transfer.
The Office of Temporary and Disability Assistance (OTDA) and the State will review, develop, and enhance the subrecipient monitoring policies and procedure, which include monitoring procedures over local districts. These policies and procedures would include verification of the source of the local d...
The Office of Temporary and Disability Assistance (OTDA) and the State will review, develop, and enhance the subrecipient monitoring policies and procedure, which include monitoring procedures over local districts. These policies and procedures would include verification of the source of the local district’s cost sharing or match to determine that the source is appropriate and in accordance with 45 CFR 75.306(b).
View Audit 334898 Questioned Costs: $1
New York State Education Department’s Adult Career and Continuing Education Services-Vocational Rehabilitation (ACCES-VR) will update RSA 911 Reporting Data Validation policies and procedures. This updated policy and procedure will address the input of information provided through supporting documen...
New York State Education Department’s Adult Career and Continuing Education Services-Vocational Rehabilitation (ACCES-VR) will update RSA 911 Reporting Data Validation policies and procedures. This updated policy and procedure will address the input of information provided through supporting documentation, the storing of supporting documents and review protocols of the RSA 911 data elements.
New York State Education Department will update the payment processing procedures and provide training to staff involved in preparing or processing payment forms to understand the appropriate application of cost centers to align with the Period of Performance for Federal awards, including the VR gra...
New York State Education Department will update the payment processing procedures and provide training to staff involved in preparing or processing payment forms to understand the appropriate application of cost centers to align with the Period of Performance for Federal awards, including the VR grant. Additional controls will be explored to ensure that the accounting details on the payment form are accurate and entered correctly into the Statewide Financial System.
View Audit 334898 Questioned Costs: $1
Finding 516971 (2024-002)
Significant Deficiency 2024
Internal controls will be reviewed and modified as needed to ensure compliance with federal statutes, regulations and the terms and conditions of the federal award. DED will increase future communication with the Office of the State Comptroller when reporting expenditures of the SSBCI program to ins...
Internal controls will be reviewed and modified as needed to ensure compliance with federal statutes, regulations and the terms and conditions of the federal award. DED will increase future communication with the Office of the State Comptroller when reporting expenditures of the SSBCI program to insure proper categorization of technical assistance expenditures.
Finding 516971 (2024-002)
Significant Deficiency 2024
Office of the State Comptroller will review the instructions provided to State Agencies with the Sub-Schedules and consider changes to make them clearer that State Agencies should review and include all Federal expenditures for their Agency. OSC will also review the process used for determining if a...
Office of the State Comptroller will review the instructions provided to State Agencies with the Sub-Schedules and consider changes to make them clearer that State Agencies should review and include all Federal expenditures for their Agency. OSC will also review the process used for determining if any additional programs should be included on State Agency Sub-schedules.
FINDINGS— FEDERAL AWARD PROGRAMS AUDIT Department of Health and Human Services 2024-002 Department of Health and Human Services – Assistance Listing No. 93.129 Recommendation: CLA recommends that a process is put in place to ensure the Federal Financial Reporting (FFR) deadline is met in future yea...
FINDINGS— FEDERAL AWARD PROGRAMS AUDIT Department of Health and Human Services 2024-002 Department of Health and Human Services – Assistance Listing No. 93.129 Recommendation: CLA recommends that a process is put in place to ensure the Federal Financial Reporting (FFR) deadline is met in future years. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Program managers will verify and validate that the FFR is submitted. Completed FFR reports are sent to the program managers, verifying submission. A secondary staff member has now been given access to submit reports as a backup. Name of the contact person responsible for corrective action: Lisa Allen, CFO Planned completion date for corrective action plan: December 31, 2024 If the Department of Health and Human Services has questions regarding this plan, please call Lisa Allen, CFO at 803-788-2778.
2. Finding 2024-002: Waiting List - Significant Deficiency a. Audit Finding Description and Root Cause • Description: During testing of Waiting List and Moving List, it was noticed that the Authority did not follow admission policies for two tenants out of our sample of nine. • Recommendation: Provi...
2. Finding 2024-002: Waiting List - Significant Deficiency a. Audit Finding Description and Root Cause • Description: During testing of Waiting List and Moving List, it was noticed that the Authority did not follow admission policies for two tenants out of our sample of nine. • Recommendation: Provide training to all relevant staff members on the admission policies. Ensure that staff understand the importance of adhering to these policies and the potential consequences of non-compliance. b. Corrective Actions and Implementation • Action: VHA will review the ACOP with the public housing staff reinforcing the requirement to pull applicants from the waiting list in the proper order. VHA will set up necessary steps to ensure compliance is being met. o Responsible Person: Tammy Emerson, Executive Director o Anticipated Completion Date: January 31, 2025. • Steps to Implement: VHA will review the ACOP with the public housing staff, thoroughly review waiting list management. VHA will print the waiting list weekly to identify applicants at the top of the list. VHA will create an excel spreadsheet to correspond with the waiting list to track the progress of applicants and ertinent notes necessary.
1. Finding 2024-001: Tenant Files - Material Weakness a. Audit Finding Description and Root Cause • Description: During testing of Tenant Files, the Authority was unable to find the file for one tenant out of our sample of forty. • Recommendation: We recommend the Authority to do a thorough review o...
1. Finding 2024-001: Tenant Files - Material Weakness a. Audit Finding Description and Root Cause • Description: During testing of Tenant Files, the Authority was unable to find the file for one tenant out of our sample of forty. • Recommendation: We recommend the Authority to do a thorough review of tenant files to identify any other missing or incomplete files. b. Corrective Actions and Implementation • Action: VHA will audit all tenant files to ensure there are no missing files. o Responsible Person: Tammy Emerson, Executive Director; Arelecia Ross, Deputy Executive Director o Anticipated Completion Date: January 31, 2025 • Steps to Implement: VHA will print a tenant register and Ms. Emerson and Ms. Ross will go through all files to ensure they are present and accounted for.
Controls have been strengthened to ensure that front desk accurately enters applicant's income and family size into ECW for determining eligibility for the sliding fee schedule. A new policy and procedure will be implemented as follows: To esnure that all staff are properly trained and following Pol...
Controls have been strengthened to ensure that front desk accurately enters applicant's income and family size into ECW for determining eligibility for the sliding fee schedule. A new policy and procedure will be implemented as follows: To esnure that all staff are properly trained and following Policy 02-02-013 Patients applying for a sliding fee. A mandatory training will be done January 14th and 15th to include all site managers, operations managers, CFO, and COO. The compliance officer will perform a monthly audit. The audit will be submitted to the risk manager quarterly. The front desk trainer will provide additional training to any person who receives a fail on the audit. This training will be signed off by the employee, front desk trainer, and their supervisor. Discipline will be the following: 1st occurrence one on one training 2nd occurrence a verbal warning and additional training 3rd occurrence a written warning 4th occurrence up to termination
Finding 2024-001 - Housing Choice Voucher Tenant Files - Eligibility- Internal Control over Tenant Files - Noncompliance and Significant Deficiency Housing Choice Voucher Program CFDA #14.871 & #14.EHV Corrective Action Plan: 1) SCCHA will be structured into two separate functions: eligibility and v...
Finding 2024-001 - Housing Choice Voucher Tenant Files - Eligibility- Internal Control over Tenant Files - Noncompliance and Significant Deficiency Housing Choice Voucher Program CFDA #14.871 & #14.EHV Corrective Action Plan: 1) SCCHA will be structured into two separate functions: eligibility and verifications and rent calculations. New staff will concentrate on completing verification tasks, whereas experienced team members will manage the rent calculation processes. 2) SCCHA will enhance its monitoring and evaluation of HCVP files to boost accuracy and ensure adherence to regulatory and statutory standards concerning income projections and tenant rent calculations. The Compliance Officer will conduct one-on-one meetings to discuss the audit findings and address all identified discrepancies. Both an employee and the Compliance Officer will sign off on the review. 3) SCCHA will have scheduled monthly peer-to-peer audits with all Program Assistants to collectively review identified errors. This approach aims to facilitate continuous training and encourages active participation from all staff members, enhancing their understanding of the errors. 4) SCCHA has strengthened its disciplinary measures to Identify staff members who may lack the motivation or capability to meet the requirements of the role. If a staff member fails to maintain consistently successful audits of files for three consecutive months of 80% or above, a 90-day improvement plan will be initiated. Anticipated Completion Date: June 30, 2025 1) On-going. 2) On-going. 3) On-going. 4) On-going. Persons Responsible: Vera Jones, Executive Director Pam Jackson, Programs Director Suellen Riley-Keen, Program Integrity & Compliance Coordinator
View Audit 334861 Questioned Costs: $1
Finding 2024·002 - Low Rent Public Housing Tenant Files - Eligibility- Rent Calculations Noncompliance & Material Weakness Low Rent Public Housing-ALN #14.850 Corrective Action Plan: 1) SCCHA plans to engage ap industry consultant to assess its internal processes and procedures concerning eligibilit...
Finding 2024·002 - Low Rent Public Housing Tenant Files - Eligibility- Rent Calculations Noncompliance & Material Weakness Low Rent Public Housing-ALN #14.850 Corrective Action Plan: 1) SCCHA plans to engage ap industry consultant to assess its internal processes and procedures concerning eligibility and tenant rent calculations, particularly focusing on the computation of adjusted annual income, to enhance accuracy and streamline the overall process. 2) The Compliance & Integrity Coordinator will examine the audited files and conduct individual meetings with each team member to discuss any identified errors, as well as to clarify the procedures and policies that contribute to the recurrence of these mistakes. The Compliance Officer, the employee, and the Program Director will sign the documentation, which will be added to the employee's file. 3) Monthly peer-to-peer audits will be conducted, accompanied by a staff meeting to collectively review identified errors. This approach aims to facilitate continuous training and encourages active participation from all staff members, enhancing their understanding of the errors. 4) SCCHA has strengthened its disciplinary measures to identify staff members who may lack the motivation or capability to meet the requirements of the role. If a staff member fails to maintain consistently successful audits of files for three consecutive months of 80% or above, a 90-day improvement plan will be initiated. Anticipated Completion Date: June 30, 2025 1. Within six months 2. On-going. 3. On-going. 4. On-going. Persons Responsible: Vera Jones, Executive Director Meisha Kerby, Director of Asset Management Suellen Riley-Keen, Program Integrity & Compliance Coordinator
View Audit 334861 Questioned Costs: $1
Federal Awards Findings And Recommendations 2024-001 Special Tests and Provisions - Enrollment Reporting View of Responsible Officials and Corrective Action Plan The Financial Aid and Admissions and Records departments in collaboration with the district, contracted with an outside consultant to he...
Federal Awards Findings And Recommendations 2024-001 Special Tests and Provisions - Enrollment Reporting View of Responsible Officials and Corrective Action Plan The Financial Aid and Admissions and Records departments in collaboration with the district, contracted with an outside consultant to help identify why the enrollment reporting process was not accurately reporting students' enrollment levels. It was identified that a system setting was not set to capture chnage sof enrollment levels within the specific terms. Based on the consultant recommendation, the district agreed to update system settings to accurately report student enrollment level changes throughout the term. These adjustments to the system settings will allow for the accurate and timely reporting of information to the National Student Loan Database System (NSLDS). This ongoing change to system settings is in place beginning with the Fall 2024 term. Additionally, the district has implemented internal controls to include: Developed additional training and Information Technology support structures to maintain data integrity associated with the National Student Clearinghouse (NSC) data submission, Developed pre data submission audit report to check for accuracy prior to the upload of required data to the NSC, and Created an internal work group consisting of financial aid and admissions and records professionals to review information associated with NSC reports prior to the scheduled submission of requested information. Implementation Date September 2024
Moving to Work Demonstration Program -Assistance Listing No. 14.881 Recommendation: We recommend the authority should evaluate their procedures over payroll processes and perform training with the managers who are approving the hours. Explanation of disagreement with audit finding: There is no dis...
Moving to Work Demonstration Program -Assistance Listing No. 14.881 Recommendation: We recommend the authority should evaluate their procedures over payroll processes and perform training with the managers who are approving the hours. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The WPBHA has made a change to the payroll software settings that will prevent managers from inadvertently coding hours as overtime. If hours for some reason need to be coded overtime, the HR manager will be the only one able to apply this code. In addition, refresher training will be provided to all Directors and Managers on the proper processing of payroll. Name(s) of the contact person(s) responsible for corrective action: Henrietta Copeland, HR Manager Planned completion date for corrective action plan: December 31, 2024.
View Audit 334817 Questioned Costs: $1
Moving to Work Demonstration Program -Assistance Listing No. 14.881 Recommendation: We recommend management should designate one person to ensure that income is correctly calculated, and housing specialists have adequate training on income calculations in accordance with HUD and the Authority's adm...
Moving to Work Demonstration Program -Assistance Listing No. 14.881 Recommendation: We recommend management should designate one person to ensure that income is correctly calculated, and housing specialists have adequate training on income calculations in accordance with HUD and the Authority's administrative plan. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The WPBHA plans on providing all HCV Specialist with in depth refresher Rent Calculation training. Name(s) of the contact person(s) responsible for corrective action: Teresa Gonzalez & Darrell McIver Planned completion date for corrective action plan: March 2025
View Audit 334817 Questioned Costs: $1
Views of Responsible Officials and Planned Corrective Actions: The county understands and concurs with this
Views of Responsible Officials and Planned Corrective Actions: The county understands and concurs with this
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