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Corrective Action Plans

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Finding 1166017 (2025-001)
Material Weakness 2025
Wheeler Clinic, Inc.
CT
Reporting Significant Deficiency Internal Control / Segregation of Duties
Wheeler Clinic, Inc. has reviewed the current approval processes. As of October 9, 2025, Wheeler Clinic, Inc. has formally implemented a process change removing any universal approval practices effective immediately. Wheeler Clinic, Inc. has also implemented a process that requires all managers/supe...
Wheeler Clinic, Inc. has reviewed the current approval processes. As of October 9, 2025, Wheeler Clinic, Inc. has formally implemented a process change removing any universal approval practices effective immediately. Wheeler Clinic, Inc. has also implemented a process that requires all managers/supervisors to authorize timesheets by a designated time on the subsequent Monday of the payroll cycle prior to payroll processing in order for payroll to be processed.
View Audit 376842
Finding 1165916 (2025-002)
Material Weakness 2025
Pcc Community Wellness Center
IL
Subrecipient Monitoring
Recommendation: Management should consider increasing the frequency of its self-reviews of sliding fee encounters, increasing the frequency of when patient portal updates are being reviewed and approved, and/or provide additional training for front desk staff regarding the collection and verificatio...
Recommendation: Management should consider increasing the frequency of its self-reviews of sliding fee encounters, increasing the frequency of when patient portal updates are being reviewed and approved, and/or provide additional training for front desk staff regarding the collection and verification of patient information for each patient. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: See matrix below Name(s) of the contact person(s) responsible for corrective action: Hiren Patel, CFO Planned completion date for corrective action plan: See matrix below Finding 2025-002 / ACTION STEP 1 / ACTION STEP 2 / ACTION STEP 3 / ACTION STEP 4 Assigned / RCM Leaders / Executive Leaders / Patient Care Reps (PCRs) / Practice Managers / Enrollment Specialist/RCM Leaders Resources needed / Annual Federal Poverty Level (FPL) update issued no later than February of each year, given by federal government / Supporting financial documentation for all patients/applications / Athena (EHR system) / Audit tracking tools, EHR reports Actions to be taken / Audit EHR system to ensure timely update by EHR each year; updated internal QRG and distribute to Operations front-staff leaders and Compliance Update patient level amounts based on approval by Executive Leaders- as needed / Complete review of supporting financial documentation for each patient/application Upload documentation in EHR to support approval/disapproval-update EHR accordingly 85% collections of patient levels at time of service / Practice Manager Audits 25 SFS claims to ensure all documentation has been received, uploaded and reviewed accurately / Enrollment Specialist reviews patient account during self-pay collection efforts for all that have outstanding balances; ensures all have supporting documents aligning with approval, notifies RCM leaders monthly of inaccurate findings RCM Leaders audit 50-60 accounts quarterly to cover all sites Progress indicated at benchmark / Implement workflow / Implement workflow / Implement **NEW**Workflow / Implement workflow Completion date / February of each year / February 2026 / February 2026 / February 2026 Evidences of improvement / Reporting to ensure alignment / Monthly audit / Monthly audit / Monthly/Quarterly audit
View Audit 376823
Finding 1165914 (2025-001)
Material Weakness 2025
School District U-46
IL
Internal Control / Segregation of Duties
The District will review year-end adjustments as part of the audit preparation process and work to reduce the number of entries proposed by the auditors and prepare fully adjusted financial statements prior to audit fieldwork. The District is aware and will be reviewing and amending monthly and year...
The District will review year-end adjustments as part of the audit preparation process and work to reduce the number of entries proposed by the auditors and prepare fully adjusted financial statements prior to audit fieldwork. The District is aware and will be reviewing and amending monthly and year-end procedures.
View Audit 376820
Finding 1165913 (2025-001)
Material Weakness 2025
Natchitoches Parish Housing Authority
LA
HUD Housing Programs
HOUSING AUTHORITY OF NATCHITOCHES PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2025 NATCHITOCHES PARISH HOUSING AUTHORITY 525 4th St. Natchitoches, LA 71457 Phone No. (318) 357-0553 Fax No. (318) 352-2086 Corrective Action Plan Finding: Finding 2025-001-Administrative Equity Deficit,...
HOUSING AUTHORITY OF NATCHITOCHES PARISH, LOUISIANA CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2025 NATCHITOCHES PARISH HOUSING AUTHORITY 525 4th St. Natchitoches, LA 71457 Phone No. (318) 357-0553 Fax No. (318) 352-2086 Corrective Action Plan Finding: Finding 2025-001-Administrative Equity Deficit, and Related Large Interfund Payable Condition: At June 30, 2025, the Housing Choice Voucher (HCV) Fund owes the General Fund $1 Corrective Action Planned: I am Rhonda Kay, Executive Director and Designated Person to answer this finding. We will carefully review them again, as the auditor recommends. Person responsible for corrective action: Rhonda Kay, Executive Director Telephone: (318) 357-0553 Housing Authority of Natchitoches Parish Fax: (318) 352-2086 525 4th St Natchitoches, LA 71457 Anticipated Completion Date: June 30, 2026
View Audit 376818
Finding 1165912 (2025-002)
Material Weakness 2025
Otto-Eldred School District
PA
Internal Control / Segregation of Duties Cash Management
Adjusting Journal Entries, Required Disclosures, and Draft Financial Statements, Year ended June 30, 2025. Auditor's Recommendation: Although auditors may continue to provide such assistance both now and, in the future, under the new pronouncement, the District should continue to review and accept b...
Adjusting Journal Entries, Required Disclosures, and Draft Financial Statements, Year ended June 30, 2025. Auditor's Recommendation: Although auditors may continue to provide such assistance both now and, in the future, under the new pronouncement, the District should continue to review and accept both propsed adjusting journal entries and footnore disclosures, along with the draft financial statements. District's Response: The District has received, reviewed and accepted all journal entries, footnote disclosures and draft financial statements proposed for the current year audit and will continue to review similar information in future years. Further, the District believes it has a thorough understanding of these financial statements and the ability to make informed judgements based on these financial statements.
View Audit 376816
Finding 1165891 (2025-001)
Material Weakness 2025
Shenandoah Valley School District
PA
Internal Control / Segregation of Duties School Nutrition Programs
Corrective Action Plan The Shenandoah Valley School District respectfully submits the following corrective action plan for the year ended June 30, 2025. The findings from the Single Audit Report Year Ended June 30, 2025 included in the schedule of findings and questioned costs are discussed below. F...
Corrective Action Plan The Shenandoah Valley School District respectfully submits the following corrective action plan for the year ended June 30, 2025. The findings from the Single Audit Report Year Ended June 30, 2025 included in the schedule of findings and questioned costs are discussed below. Finding 2025-001: Activities Allowed – Child Nutrition Cluster Contact Person: Anthony Demalis, Business Manager Recommendation: The District should follow its established internal control procedures over activities allowed requirements. Action: Since this was an inadvertent clerical error, District will continue to review its’ internal control procedures over payroll and established procedures to ensure employee pay rates show signs of approval prior to payroll being processed. Date for Completion: December 1, 2025
View Audit 376814
Finding 1165886 (2025-002)
Material Weakness 2025
Huntingdon Area School District
PA
Material Weakness School Nutrition Programs Internal Control / Segregation of Duties
Finding 2025-002 Child Nutrition Cluster #10.555 & #10.553 Condition: The District did not have internal control over compliance procedures designed and implemented for the compliance of Paid Lunch Equity requirements. Views of Responsible Officials: The district's Business Manager is the responsibl...
Finding 2025-002 Child Nutrition Cluster #10.555 & #10.553 Condition: The District did not have internal control over compliance procedures designed and implemented for the compliance of Paid Lunch Equity requirements. Views of Responsible Officials: The district's Business Manager is the responsible official for federal programs. The Business Manager stated that they understand and agree with the finding. Planned Corrective Action: A documented process will be designed and implemented for the review of the Paid Lunch Equity calculation. Person Responsible for Corrective Action Plan: Business Manager Anticipated Completion Date: January 2, 2026
View Audit 376810
Finding 1165883 (2025-001)
Material Weakness 2025
Friends of the North Country, Inc.
NY
Internal Control / Segregation of Duties
Name of auditee: Friends of the North Country, Inc. TIN: 14-1626314 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: March 31, 2025 CAP prepared by: Crystal Narducci Executive Director (518) 293-5045 Current Finding on the Schedule of Findings and Questioned Costs and Recommendati...
Name of auditee: Friends of the North Country, Inc. TIN: 14-1626314 Name of audit firm: EFPR Group, CPAs, PLLC Period covered by audit: March 31, 2025 CAP prepared by: Crystal Narducci Executive Director (518) 293-5045 Current Finding on the Schedule of Findings and Questioned Costs and Recommendations (1) Finding 2025-001 (a) Comments on the findings and recommendation - Management agrees with the finding. Management also agrees with the recommendation, please see below for action taken. (b) Action taken - Management has certified and submitted the Form SF-SAC to the Federal Audit Clearinghouse for the year ended March 31, 2024 on February 21, 2025. Management will submit the Form SF-SAC to the Federal Audit Clearinghouse within 30 days after the receipt of the auditor’s report for future submissions.
View Audit 376804
Finding 1165874 (2025-003)
Material Weakness 2025
City of Elizabeth City
NC
Procurement, Suspension & Debarment
Training for grant manager and all employees of the purchasing division will be mandatory. Grant manager to review all City grants, ensuring that the City complies with each grant agreement's terms. Purchasing Manager will review current purchase order procedures to ensure purchase orders are not ap...
Training for grant manager and all employees of the purchasing division will be mandatory. Grant manager to review all City grants, ensuring that the City complies with each grant agreement's terms. Purchasing Manager will review current purchase order procedures to ensure purchase orders are not approved when formal contracts are required.
View Audit 376797
Finding 1165867 (2025-002)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Views of Responsible Officials and Planned Corrective Action
Views of Responsible Officials and Planned Corrective Action
View Audit 376771
Finding 1165867 (2025-002)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
The HCJDC will add to its subrecipients procedures to verify an active SAM.gov registration and that the
The HCJDC will add to its subrecipients procedures to verify an active SAM.gov registration and that the
View Audit 376771
Finding 1165867 (2025-002)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
subrecipient is not suspended or debarred prior to executing a memorandum of agreement for subaward
subrecipient is not suspended or debarred prior to executing a memorandum of agreement for subaward
View Audit 376771
Finding 1165867 (2025-002)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
funding. A copy of the verification will be kept in the subrecipient’s file.
funding. A copy of the verification will be kept in the subrecipient’s file.
View Audit 376771
Finding 1165866 (2025-001)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Subrecipient Monitoring
Views of Responsible Officials and Planned Corrective Action
Views of Responsible Officials and Planned Corrective Action
View Audit 376771
Finding 1165866 (2025-001)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Subrecipient Monitoring
The Hawaii Criminal Justice Data Center (the HCJDC) will perform a desk review for its two
The Hawaii Criminal Justice Data Center (the HCJDC) will perform a desk review for its two
View Audit 376771
Finding 1165866 (2025-001)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Subrecipient Monitoring
subrecipients for grant number 202-NS-BX-K004 by June 30, 2026. The desk reviews will be performed
subrecipients for grant number 202-NS-BX-K004 by June 30, 2026. The desk reviews will be performed
View Audit 376771
Finding 1165866 (2025-001)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Subrecipient Monitoring
virtually and will include a risk assessment and review of project performances and outcomes.
virtually and will include a risk assessment and review of project performances and outcomes.
View Audit 376771
Finding 1165865 (2025-003)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
Views of Responsible Officials and Planned Corrective Action
Views of Responsible Officials and Planned Corrective Action
View Audit 376771
Finding 1165865 (2025-003)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
The HCJDC will add to its subrecipients procedures to verify an active SAM.gov registration and that the
The HCJDC will add to its subrecipients procedures to verify an active SAM.gov registration and that the
View Audit 376771
Finding 1165865 (2025-003)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
subrecipient is not suspended or debarred prior to executing a memorandum of agreement for subaward
subrecipient is not suspended or debarred prior to executing a memorandum of agreement for subaward
View Audit 376771
Finding 1165865 (2025-003)
Material Weakness 2025
State of Hawaii Department of the Attorney General
HI
funding. A copy of the verification will be kept in the subrecipient’s file.
funding. A copy of the verification will be kept in the subrecipient’s file.
View Audit 376771
Finding 1165862 (2025-002)
Material Weakness 2025
Steel City Academy, Inc.
IN
Reporting Significant Deficiency Internal Control / Segregation of Duties
Finding 2025-002 – Maintenance of Effort Significant Deficiency | Federal Program: Title I, Part A (84.010) Response Steel City Academy recognizes that Maintenance of Effort (MOE) calculations rely on accurate cash-basis expense data reported on the Form 9 and that prior inaccuracies could impact ID...
Finding 2025-002 – Maintenance of Effort Significant Deficiency | Federal Program: Title I, Part A (84.010) Response Steel City Academy recognizes that Maintenance of Effort (MOE) calculations rely on accurate cash-basis expense data reported on the Form 9 and that prior inaccuracies could impact IDOE’s calculations. 24 Beginning July 1, 2025, the School implemented comprehensive corrective actions to improve Form 9 reporting, fund balance accuracy, and expense classification by consolidating all financial activity into QuickBooks Online. All expenses are now recorded by the Finance Coordinator using fund, program, and object codes aligned with IDOE reporting guidelines, ensuring Form 9 expenses are fully supported by underlying financial records. To ensure accurate fund balances, audited reconciliation worksheets are used to validate beginning-of-year balances prior to Form 9 submission. Grant expenditures and remaining balances are reviewed monthly to ensure proper classification and alignment between expenses and recognized revenue. The School has also engaged directly with the IDOE Form 9 team for technical guidance. The Executive Director provides direct oversight and performs a final review of Form 9 submissions to ensure compliance with reporting guidelines. These corrective actions are designed to ensure accurate, reliable Form 9 reporting and to prevent recurrence of this deficiency in future reporting periods.
View Audit 376759
Finding 1165860 (2025-001)
Material Weakness 2025
Neighborhood Housing Services of Chicago, Inc. and Related Entities
IL
Allowable Costs / Cost Principles Cash Management Material Weakness § 200.303
Condition: The Organization did not review period end reimbursement requests for costs that had been expended and requested in prior months. The lack of proper review resulted in the Organization charging duplicate costs of $95,294. Planned Corrective Action: The CFO maintains a payout tracker which...
Condition: The Organization did not review period end reimbursement requests for costs that had been expended and requested in prior months. The lack of proper review resulted in the Organization charging duplicate costs of $95,294. Planned Corrective Action: The CFO maintains a payout tracker which is updated every time a vendor payout is made and tracks that payment to the reimbursement request and the final payment by the pass-through agency. This process ensures that a payout is not included in a payout request multiple times. The Staff Accountant also maintains a tracker of all reimbursement requests to track with the program budgets and for inclusion in the MIP accounting system. In addition, new personnel are involved in the process with a more formal approval and authorization process implemented. The Organization’s staff has communicated these duplicate requests to the appropriate personnel at the granting agency and are coordinating the repayment of the excess funds as determined by the granting agency. Contact person responsible for corrective action: Tom Sakos, Chief Financial Officer, and Jenny Cuitiva, Accounting Manager Anticipated Completion Date: May 1, 2025 for implementing controls and November 30, 2025 for communicating with the granting agency.
View Audit 376751
Finding 1165859 (2025-002)
Material Weakness 2025
American Film Institute
CA
Student Financial Aid Eligibility Significant Deficiency
Corrective action has been completed. The Institute determined at the start of Academic Year 24-25 that transitioning to a third-party provider of financial aid solutions would be in its best interest. This engagement provides a team of professional financial aid operations and student service speci...
Corrective action has been completed. The Institute determined at the start of Academic Year 24-25 that transitioning to a third-party provider of financial aid solutions would be in its best interest. This engagement provides a team of professional financial aid operations and student service specialists, allowing for enhanced loan counseling and processing services, implementing additional checks and balances, and mitigating the potential for errors such as this incident. The error resulting in the finding was actually identified by the third-party provider, following which AFI immediately returned the erroneously awarded federal funds to G5. Individuals responsible for corrective action: Lang Fredrickson, Chief Financial Officer 323.856.8429
View Audit 376737
Finding 1165846 (2025-001)
Material Weakness 2025
YWCA Evanston/north Shore
IL
Cash Management Reporting
Condition: YWCA Evanston/North Shore did not submit its fiscal year 2024 Data Collection Form and single audit reporting package to the Federal Audit Clearinghouse within the earlier of nine months following its fiscal year end, or 30 days after receipt of the auditors' report. Corrective Action Tak...
Condition: YWCA Evanston/North Shore did not submit its fiscal year 2024 Data Collection Form and single audit reporting package to the Federal Audit Clearinghouse within the earlier of nine months following its fiscal year end, or 30 days after receipt of the auditors' report. Corrective Action Taken or Planned: Management concurs and plans to submit the June 30, 2024 data collection form and single audit reporting package on or before December 31, 2025. Anticipated Date of Completion: December 31, 2025 Name of Contact Person: Laura Moorehead, Vice President of Finance and Operations Management Response: Management concurs with the finding.
View Audit 376711
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