Corrective Action Plans

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Finding 2024-005 Utility Allowance Material Weakness/Non-Compliance – Special Tests and Provisions I agree with finding I have reached out to several companies that provide this service; however, the cost has either been too high, or this HA is to small for them to provide this service. As a sugges...
Finding 2024-005 Utility Allowance Material Weakness/Non-Compliance – Special Tests and Provisions I agree with finding I have reached out to several companies that provide this service; however, the cost has either been too high, or this HA is to small for them to provide this service. As a suggestion from another HA, I have again reached out to our software company requesting information or a quote. As of today’s date, I have made three requests with no answer back.
Finding 2024-004 HQS Quality Control Inspections Housing Choice Voucher, 14.871 Material Weakness/Non-Compliance – Special Tests and Provisions Repeat Finding 2023-2024 I agree with these findings After the 2023 Finding it was the intention of the GLRHA to partner with the city Building Director to...
Finding 2024-004 HQS Quality Control Inspections Housing Choice Voucher, 14.871 Material Weakness/Non-Compliance – Special Tests and Provisions Repeat Finding 2023-2024 I agree with these findings After the 2023 Finding it was the intention of the GLRHA to partner with the city Building Director to assist in follow up HQS Inspections. However, the city charges $50 per inspection in addition to the schedules of the director any HA staff are difficult to line up. I have requested a neighboring HA partner with this office to do the HQS Inspections, it is unknown at this time if this will be approved, or a charge associated with these inspections.
Finding 2024-003 HUD Depository Agreement Material Weakness/Non-Compliance – Special Tests and Provisions Repeat Finding 2023-003 I agree with finding Correcting this finding has been in development since the 2023 Audit. Notes on actions taken and the delay can be submitted upon request. As of Augu...
Finding 2024-003 HUD Depository Agreement Material Weakness/Non-Compliance – Special Tests and Provisions Repeat Finding 2023-003 I agree with finding Correcting this finding has been in development since the 2023 Audit. Notes on actions taken and the delay can be submitted upon request. As of August 2024, this correction is in its final steps. Once the fully completed Depository Agreement is received a copy will be submitted.
Finding 2024-002 Internal Control Structure Material Weakness – Eligibility, Reporting and Special Tests and provisions Repeat Finding 2023-002 I agree with finding The Authority is small with limited administrative staff. Further, the Board of Commissioners is a volunteer oversight board and not a...
Finding 2024-002 Internal Control Structure Material Weakness – Eligibility, Reporting and Special Tests and provisions Repeat Finding 2023-002 I agree with finding The Authority is small with limited administrative staff. Further, the Board of Commissioners is a volunteer oversight board and not a managing board and does not have the time or expertise to provide the necessary services to correct the internal control deficiencies noted. The Board has reviewed the issue and determined that there are no additional procedures which can be done to eliminate the deficiencies and accepts them at this time.
2024-001 Replacement Reserve Deposits 14.571 Supportive Housing for the Elderly Responsible Official Ellen Mason, Executive Director Plan Detail During December 2023, the Organization formerly requested an increase in rents from HUD in order for the rents to be more consistent with approved rents in...
2024-001 Replacement Reserve Deposits 14.571 Supportive Housing for the Elderly Responsible Official Ellen Mason, Executive Director Plan Detail During December 2023, the Organization formerly requested an increase in rents from HUD in order for the rents to be more consistent with approved rents in the area, as well as increase the rents based on the Project’s budget. This increase in rental income will help the Organization fund its annual budget and required deposits to the replacement reserve. Anticipated Completion Date: October 2024.
Corrective Action – Palms Medical Group accepts the recommendation of the auditors. Palms Medical Group will review the current purchasing policy and modify it to ensure it conforms to the Universal Guidance Requirements. Palms Medical group when making “small purchases” for services and property ...
Corrective Action – Palms Medical Group accepts the recommendation of the auditors. Palms Medical Group will review the current purchasing policy and modify it to ensure it conforms to the Universal Guidance Requirements. Palms Medical group when making “small purchases” for services and property in aggregate of $10,000 or more will obtain adequate number of quotes from qualified sources. This will be done by reviewing our current services and property purchased now and identifying which qualify as “small purchases”. Palms Medical Group will then identify qualified suppliers for each service or property that is deemed “small purchases” in aggregate of the $10,000 amount. Palms Medical Group will then ask for price sheets, bids, and service quotes from an adequate number of qualified suppliers. The number of adequate quotes will generally be two, unless otherwise determined there are not enough qualified suppliers. If there are not enough qualified suppliers, it will document the reasoning for this determination. For inventory-based supplies, such as medical supplies, vaccines, facility supplies, medical record supplies, and dental supplies, price lists and formulary quotes will be updated and documented every two years. For service purchases that qualify, if recurring, bids and quotes for services provided will be requested and documented every two years. For intermittent purchases related to projects, bids, quotes and price lists will be documented at project commencement. Documentation of suppliers and their bids, quotes, price lists will be documented and kept in the company share drive in a folder called “Procurement Documentation”. Within the Procurement Documentation folder there will be subfolders for our identified services and properties purchased. Exceptions to the policy will be documented by the VP of Business Continuity and approved by the CEO. The CFO and VP of Business Continuity will meet quarterly to assure compliance with the policies and procedures.
Person Responsible for Corrective Action: VP of Business Continuity and Chief Financial Officer
Person Responsible for Corrective Action: VP of Business Continuity and Chief Financial Officer
Anticipated Completion Date for Corrective Action: The process of reviewing and updating our procurement policy will take place immediately. It will be submitted to the board for review and approval by October of 2024.
Anticipated Completion Date for Corrective Action: The process of reviewing and updating our procurement policy will take place immediately. It will be submitted to the board for review and approval by October of 2024.
Finding #2024-002 – Material Weakness and Other Noncompliance. Applicable federal program: U. S. Department of Health and Human Services, Family Planning Services, Assistance Listing #93.217, Contract Number: FPHPA006521-02-00, Contract Year: 04/01/23 – 03/31/24. Condition and context: The find...
Finding #2024-002 – Material Weakness and Other Noncompliance. Applicable federal program: U. S. Department of Health and Human Services, Family Planning Services, Assistance Listing #93.217, Contract Number: FPHPA006521-02-00, Contract Year: 04/01/23 – 03/31/24. Condition and context: The finding reported as finding #2024-001 includes adjustments for the year ended March 31, 2024 to increase federal expenditures by $220,388. Recommendation: See finding #2024-001. Planned corrective action: WHFPT will strengthen its policies and procedures by documenting the subrecipient reconciliation process in greater detail and will add a requirement for additional reviews. Responsible officer: Kathie Nixon, CEO. Estimated completion date: October 31, 2024
Finding Number: 2024-001 Condition: On April 4, 2024, the Corporation had a Management and Occupancy Review (MOR) physical inspection at the property and received a rating of 60. Planned Corrective Action: Management acknowledges noncompliance in the current fiscal year and has addressed all of th...
Finding Number: 2024-001 Condition: On April 4, 2024, the Corporation had a Management and Occupancy Review (MOR) physical inspection at the property and received a rating of 60. Planned Corrective Action: Management acknowledges noncompliance in the current fiscal year and has addressed all of the compliance issues and all other findings identified during the MOR inspection by June 2024. Contact person responsible for corrective action: Jill Kolb, Vice President – Housing Accounting Completion Date: June 30, 2024
Assistance Listing No.: 14.155 Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects - Section 207/223f Corrective Action Plan: In response to the findings regarding unsigned documents, we confirm that we have made multiple attempts to have tenant sign the HUD r...
Assistance Listing No.: 14.155 Mortgage Insurance for the Purchase or Refinancing of Existing Multifamily Housing Projects - Section 207/223f Corrective Action Plan: In response to the findings regarding unsigned documents, we confirm that we have made multiple attempts to have tenant sign the HUD required documents such as the Recertification Verification, Asset Verification, Enterprise Income Verification (EIV) and Notice and Consent for the Release of the Tenant's Information (HUD 9887 Form). Unfortunately, we have been unable to secure the tenant’s signature due to her current medical situation. The tenant has been in and out of the hospital, which has limited her availability for in_x0002_person meetings. Additionally, the tenant has difficulty walking, which has further complicated the process of arranging a convenient time to sign the necessary paperwork. To prevent similar occurrences in the future, we will continue our efforts to have a robust monitoring and review process and improve our coordination with the tenants. We will explore alternative methods to ensure the HUD documentation is completed as required. Completion Date: Immediately Contact Person: Angie Pearson, Site Manager
View Audit 323747 Questioned Costs: $1
Finding 501689 (2024-001)
Significant Deficiency 2024
Student Financial Assistance – Assistance Listing No. 84.063, 84.268 Recommendation: CLA recommends that the College update their procedures to identify changes in breaks for purposes of R2T4 calculations. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...
Student Financial Assistance – Assistance Listing No. 84.063, 84.268 Recommendation: CLA recommends that the College update their procedures to identify changes in breaks for purposes of R2T4 calculations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Corrective action was taken immediately. R2T4 calculations for 2024-25 include a five-day break for fall semester (Thanksgiving Break November 27 – December 1). Name(s) of the contact person(s) responsible for corrective action: Jenae Schmidt Planned completion date for corrective action plan: September 1, 2024 If the Department of Education has questions regarding this plan, please call Jenae Schmidt at 651-696-6214.
View Audit 323740 Questioned Costs: $1
Management’s Action Management has resumed inspections.
Management’s Action Management has resumed inspections.
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 2025
Inaccurate and Untimely Return of Title IV Funds (R2T4): Planned Corrective Action: The Financial Aid Department corrected the current year errors by completing the R2T4s for the students identified. In addition to those corrections, a full file review was done to ensure that no other students were...
Inaccurate and Untimely Return of Title IV Funds (R2T4): Planned Corrective Action: The Financial Aid Department corrected the current year errors by completing the R2T4s for the students identified. In addition to those corrections, a full file review was done to ensure that no other students were missed. To prevent the recurrence of this issue going forward, the Financial Aid Office will pull a 0 credit hour report at the end of each module to ensure that all unofficial withdrawals are followed up on and that all R2T4s are filed in a timely manner. Persons Responsible for Corrective Action Plan: Veronica L. Hamblin, Director of Accounting Anticipated Date of Completion: The corrections for the 2023-2024 Academic year have already been completed, and the new process will be implemented by October 18, 2024 following the completion of the August online module.
#2024-002 – Material Weakness – Eligibility Coronavirus State and Local Fiscal Recovery Funds, ALN #21.027 Recommendation We recommend verifying each applicant’s enrollment status with all universities prior to disbursement of scholarship funding. View of responsible officials and planned corrective...
#2024-002 – Material Weakness – Eligibility Coronavirus State and Local Fiscal Recovery Funds, ALN #21.027 Recommendation We recommend verifying each applicant’s enrollment status with all universities prior to disbursement of scholarship funding. View of responsible officials and planned corrective action The Foundation receives information directly from PASSHE universities to verify enrollment status of applicants. Universities submit information to the Foundation on an electronic form, which includes Student Name, Student ID, Scholarship Amount, Student Enrollment Status, etc. Authorized officials enter their approval by changing “Pending Review” to either “Scholarship Eligible” or “Not Eligible” on the form and keying in the scholarship amount the student is eligible for based on their verified enrollment status, for example: $1,000 for a part time student or $2,000 for a full-time student. For 4 of the 40 applicants sampled during the audit, a PASSHE university created an inconsistency on the form, having not completed or updated the enrollment status column to be consistent with the final amount they verified approved for payment. The key control, i.e. the University’s entry and approval of the eligible amount, prevented any errors from occurring. The Foundation verified the enrollment status for the four applicants identified in the audit, noting that the scholarships were properly disbursed. Going forward the Foundation has updated its verification process with the universities to ensure proper classification of the applicant’s enrollment status is verified in accordance with the eligibility requirements of the grant.
#2024-001 – Material Weakness – Operating Deficiency – Classification of expenses Coronavirus State and Local Fiscal Recovery Funds, ALN #21.027 Recommendation We recommend that administrative expenses be recorded in accordance to the natural classification of the underlying expense, but be allocate...
#2024-001 – Material Weakness – Operating Deficiency – Classification of expenses Coronavirus State and Local Fiscal Recovery Funds, ALN #21.027 Recommendation We recommend that administrative expenses be recorded in accordance to the natural classification of the underlying expense, but be allocated to the grant award by reclassifying the expense to the correct class within the accounting system. View of responsible officials and planned corrective action Management acknowledges deficiencies in the process of recording administrative expenses. The Foundation records expenses in their natural classification at the time of initial recognition. In the current period, management later reclassified certain expenses (e.g. Payroll) from natural class to functional class (e.g. program expenses) to address an accounting recommendation made by the auditor during the prior audit. Upon identifying the error, management restored the impacted expenses to their natural classifications. The adjustment had no effect on net assets or total expenses and did not impact any disbursement of federal grant funds. The Foundation will continue to record expenses by natural classification at point of entry and will not make any subsequent reclassifications to the underlying expense.
Implementation plan of action: The Business Manager will review these requirements with the Account Clerk responsible for tracking fixed assets to ensure that purchases made with federal dollars are recorded in the database with all the necessary information to meet the compliance requirements. In...
Implementation plan of action: The Business Manager will review these requirements with the Account Clerk responsible for tracking fixed assets to ensure that purchases made with federal dollars are recorded in the database with all the necessary information to meet the compliance requirements. In addition, we will establish a process to perform a physical inventory as required every two years. Person Responsible for Implementation: Jodi Birch, Business Manager and Kristie Smith, Account Clerk Anticipated Completion Date: June 30, 2025
Plan: A second staff member will review certifications and annual certifications to ensure accuracy based on the required back up documentation. Contact: Christina Morin, Program Director. Anticipated completion date: September 1, 2025.
Plan: A second staff member will review certifications and annual certifications to ensure accuracy based on the required back up documentation. Contact: Christina Morin, Program Director. Anticipated completion date: September 1, 2025.
Inaccurate Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: To ensure that both accurate and timely enrollment reporting is transmitted to the National Student Loan Data System (NSLDS) an NSC / NSLDS enrollment confirmation process will be established and ...
Inaccurate Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: To ensure that both accurate and timely enrollment reporting is transmitted to the National Student Loan Data System (NSLDS) an NSC / NSLDS enrollment confirmation process will be established and implemented by Student Financial Services. For official withdrawals, an additional processing step will be added to the SFS Withdrawal Tracker. The Student Financial Services rep will confirm that the correct withdrawal date has been accurately reported to the National Student Clearinghouse (NSC) by the Registrar’s office and then correctly transmitted to the National Student Loan Data System (NSLDS). If the reported enrollment date does not align with the Last Date of Academic Related Activity, the SFS Representative will notify either the Director of Student Financial Services (Michelle Baker) or the Chief Student Finance Officer (David Burney) to manually adjust the dates in NSLDS. The SFS office will then notify the Registrar’s office that the dates have been manually updated. For unofficial withdrawals, if a student is identified as an unofficial withdrawal (e.g. lack of attendance in a course resulting in an R2T4 calculation being performed) once the withdrawal list has been reported at the end of each semester by the Registrar’s office, the Student Financial Services Representative will confirm that the correct withdrawal date has been accurately reported to the National Student Clearinghouse (NSC) by the Registrar’s office and then correctly transmitted to the National Student Loan Data System (NSLDS). If the reported enrollment date does not align with the Last Date of Academic Related Activity, the SFS Representative will notify either the Director of Student Financial Services (Michelle Baker) or the Chief Student Finance Officer (David Burney) to manually adjust the dates in NSLDS. The SFS office will then notify the Registrar’s office that the dates have been manually updated. Person Responsible for Corrective Action Plan: David Burney, Chief Student Finance Officer Anticipated Date of Completion: Implementation of process will begin 9/30/2024
Untimely and Inaccurate Returns of Title IV Funds (R2T4) Planned Corrective Action: In addition to the Withdrawal Tracker created last year to document the withdrawal process and communicate across the department, the SFS team will now also pull official withdrawal lists (including unofficial withdr...
Untimely and Inaccurate Returns of Title IV Funds (R2T4) Planned Corrective Action: In addition to the Withdrawal Tracker created last year to document the withdrawal process and communicate across the department, the SFS team will now also pull official withdrawal lists (including unofficial withdrawals) every semester with assistance from the Director of Institutional Research and Assessment –Lynette Duncan. We will also work with her to create a report which will pull that data directly from Colleague SIS rather than relying on communication from the registrar’s office or professor. We have several new arrangements that will improve our R2T4 processes and ensure accuracy. Firstly, the registrar’s office has created a new automated withdrawal form detailing all elements pertaining to LDA dates that will produce automated email notifications to our office. This form will pull data from BlackBoard listing the last interaction date the student had with the BB system. This will encourage our tracking processes to run more swiftly. In addition, we will still track each withdrawal in real time on the SFS Withdrawal Tracker, but the information will be cross-referenced against the system generated withdrawal data from the Director of Institutional Research and Assessment to ensure precision and compliance. After the Director of Student Financial Services processes an R2T4 calculation, the Chief Student Finance Officer will review the work to ensure accuracy on a weekly basis. Finally, we will move the R2T4 process into Colleague rather than doing this process on the COD website. This will add another layer of checks and balances for correct data and greatly increase the speed with which the Director of Student Financial Services can perform R2T4s. Person Responsible for Corrective Action Plan: Michelle Baker McFadden, Director of Student Financial Services Anticipated Date of Completion: Implementation of process will begin 9/30/2024
MANAGEMENT AGREES WITH THE FINDING. THE EXCESS FUNDS WERE ACCRUED TO OFFSET FUTURE SECTION 8 HAP REQUESTS.
MANAGEMENT AGREES WITH THE FINDING. THE EXCESS FUNDS WERE ACCRUED TO OFFSET FUTURE SECTION 8 HAP REQUESTS.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS DEFICIENCY WAS FUNDED ON OCTOBER 4, 2023 IN THE AMOUNT OF $311,802. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS DEFICIENCY WAS FUNDED ON OCTOBER 4, 2023 IN THE AMOUNT OF $311,802. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT HUD'S APPROVAL IS OBTAINED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. MANAGEMENT WILL ENSURE THAT HUD'S APPROVAL IS OBTAINED IN THE FUTURE.
View Audit 323673 Questioned Costs: $1
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON FEBRUARY 6, 2024 IN THE AMOUNT OF $13,640. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
MANAGEMENT AGREES WITH THE FINDING. THE RESIDUAL RECEIPTS ACCOUNT DEFICIENCY WAS FUNDED ON FEBRUARY 6, 2024 IN THE AMOUNT OF $13,640. MANAGEMENT WILL ENSURE THAT THE RESIDUAL RECEIPTS ACCOUNT IS PROPERLY FUNDED IN THE FUTURE.
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