Corrective Action Plans

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During the Risk Assessment quarterly meetings, I will be addressing the need to design and implement a policy that denotes procedures to accurately account for all federal receipts and expenditures. The Budget Board will conduct a meeting to discuss and create a policy for federal grants that is dis...
During the Risk Assessment quarterly meetings, I will be addressing the need to design and implement a policy that denotes procedures to accurately account for all federal receipts and expenditures. The Budget Board will conduct a meeting to discuss and create a policy for federal grants that is disseminated among all applicable offices. We will conduct meetings to design policies to ensure compliance.
The BOCC will review the SEFA's going forward and will request supporting documentation from the Treasurer and County Clerk's offices to determine if federal expenditures and receipts are reported correctly. We will partner with the BOCC during the next Risk Assessment meeting to implement a policy ...
The BOCC will review the SEFA's going forward and will request supporting documentation from the Treasurer and County Clerk's offices to determine if federal expenditures and receipts are reported correctly. We will partner with the BOCC during the next Risk Assessment meeting to implement a policy to ensure that we are collecting, expending, and reporting federal grants in the correct manner.
This has been corrected with the new management. We have updated our poticies to have more oversight over procurement requirements and ensure we are getting the best prices or terms for the goods and services we purchase.
This has been corrected with the new management. We have updated our poticies to have more oversight over procurement requirements and ensure we are getting the best prices or terms for the goods and services we purchase.
This has been corrected with the new Director of Finance. We are making sure that all reports are filed on time and correctly.
This has been corrected with the new Director of Finance. We are making sure that all reports are filed on time and correctly.
Corrective Action Planned: The business office will train new and existing staff to include the funding source on the capital asset depreciation schedule. Action has been taken to add columns to the spreadsheet with the capital assets depreciation schedule to note the funding sources for newly acqui...
Corrective Action Planned: The business office will train new and existing staff to include the funding source on the capital asset depreciation schedule. Action has been taken to add columns to the spreadsheet with the capital assets depreciation schedule to note the funding sources for newly acquired items. Effort will be made in the next month to locate the funding sources for assets already listed on the schedule. Person responsible for corrective action: District Clerk, Breezy Stipe
Corrective Action Planned: The Dixon Board of Trustees has updated policies and procedures in order to comply with the Davis-Bacon Act by ensuring any upcoming contracts include prevailing wage requirements to verify contractors submit weekly payroll reports or compliance statements. Action has been...
Corrective Action Planned: The Dixon Board of Trustees has updated policies and procedures in order to comply with the Davis-Bacon Act by ensuring any upcoming contracts include prevailing wage requirements to verify contractors submit weekly payroll reports or compliance statements. Action has been taken and the person responsible for corrective action: Principal/Federal Programs Director, Ryon Noland
Finding Reference #: 2023-001 Description of Finding: Significant Deficiency in Internal Controls over Compliance. Identification of the Federal Program: U.S. Department of Health and Human Services; ALN 93.268 Criteria or Specific Requirement: Recipients of federal awards must establish internal co...
Finding Reference #: 2023-001 Description of Finding: Significant Deficiency in Internal Controls over Compliance. Identification of the Federal Program: U.S. Department of Health and Human Services; ALN 93.268 Criteria or Specific Requirement: Recipients of federal awards must establish internal controls over reports that are prepared and submitted. Finding/Condition: Pursuant to the reporting requirement set forth by the Department of Health and Human Services, the Organization is required to submit the single audit to the Federal Audit Clearinghouse within the sooner of 30 days of the issuance of the audit report or nine months after the end of the Organization’s fiscal year. During our reporting period, the audit was not completed and filed timely. Corrective Action: As of FY2023, the Organization has continued to build on the financial and operational restructuring initiated in early 2023. With a stabilized leadership team and an experienced finance staff in place, the Organization has made significant strides in strengthening its internal controls, audit preparedness, and compliance oversight. Despite these improvements, the FY2023 Single Audit was not submitted within the required timeframe due to overlapping audit cycles and the residual impact of resource constraints during the prior year. In response, the Organization has implemented a formalized audit calendar with internal deadlines and check-ins to track progress across key milestones. It has also enhanced existing monthly financial close procedures to better support audit readiness and year-end reporting, while increasing coordination with its external auditors to streamline engagement and scheduling of fieldwork. These steps are intended to ensure timely submission of all future audits. The Organization is currently finalizing the FY2023 Single Audit and is on track to submit it by September 30, 2025. Name of Responsible Person: Emogene Nelson, Executive Director 559-485-1416 Projected Completion Date: Completed at time of report. Cause: The audit filing deadline was missed due to a continuation of challenges stemming from the prior year’s audit cycle. The concurrent preparation of both FY2022 and FY2023 Single Audits placed significant pressure on staff capacity and delayed coordination with the external audit firm. Although the finance team had stabilized, the dual workload created procedural bottlenecks that impacted audit readiness and response times. Additionally, internal systems and workflows, while improved, were still being refined to fully support the demands of federal audit compliance. These factors collectively contributed to the delay. The Organization has since implemented process improvements, reinforced staff capacity, and is on track to submit the 2023 Single Audit by September 30, 2025. Questioned Cost: None
The City will review the process for identifying federal awards to minimize the likelihood of errors in preparing the schedule of expenditures of federal awards to minimize the likelihood of errors in preparing the schedule of expenditures of federal awards. This will include inquiries of the Engine...
The City will review the process for identifying federal awards to minimize the likelihood of errors in preparing the schedule of expenditures of federal awards to minimize the likelihood of errors in preparing the schedule of expenditures of federal awards. This will include inquiries of the Engineer’s Office.
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account ...
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
Management will amend each subaward agreement to include all required identifying award information, including the allocation of state and federal funds to the award.
Management will amend each subaward agreement to include all required identifying award information, including the allocation of state and federal funds to the award.
As previously stated, NCAAA has hired another Finance Director coupled with a Consultant an expert in the Accounting system being utilized to ensure full use. In addition, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are prop...
As previously stated, NCAAA has hired another Finance Director coupled with a Consultant an expert in the Accounting system being utilized to ensure full use. In addition, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account ...
NCAAA has hired a full-time Finance Director coupled with a Consultant who is an expert in the Accounting system being utilized to ensure the system is being for its full intent. Inclusive of financial activities. As previously mentioned, procedures will be implemented to formalized monthly account reconciliations and year end closed to ensure transactions are properly recorded in the appreciate account and correct period.
We recommend that the auditee work with its independent auditor to ensure timely completion and submission of future Single Audits in accordance with Uniform Guidance. Management agrees with the finding and will monitor audit timelines more closely, while setting earlier deadlines.
We recommend that the auditee work with its independent auditor to ensure timely completion and submission of future Single Audits in accordance with Uniform Guidance. Management agrees with the finding and will monitor audit timelines more closely, while setting earlier deadlines.
SHLNFB will ensure that all Federal Awards are carefully reviewed to confirm that the Federal Assistance Listing Number is accurately stated, the pass-through entity identifying numbers are correct, and are included in the correct Cluster.
SHLNFB will ensure that all Federal Awards are carefully reviewed to confirm that the Federal Assistance Listing Number is accurately stated, the pass-through entity identifying numbers are correct, and are included in the correct Cluster.
SHNLFB contracted with a new accounting firm in September 2024 to provide Controller/CFO level of service to improve the timeliness of reporting, monitoring financial reporting and compliance. The new accounting firm is now completing monthly reconciliations by the 20th of each month and will have y...
SHNLFB contracted with a new accounting firm in September 2024 to provide Controller/CFO level of service to improve the timeliness of reporting, monitoring financial reporting and compliance. The new accounting firm is now completing monthly reconciliations by the 20th of each month and will have year end close completed timely. These actions ensure our proactive management and accuracy over reporting, monitoring financial reporting and compliance.
The Accountant prepares reimbursement requests and the Contracted Controller reviews and approves reimbursement before submission is submitted.
The Accountant prepares reimbursement requests and the Contracted Controller reviews and approves reimbursement before submission is submitted.
SHNLFB annually runs all vendors through Verify Comply to ensure there are no vendors who are suspended or disbarred. Before a new vendor is paid, the vendor is ran through Verify Comply to ensure there is no suspension and debarment and the paperwork is retained with the Vendor’s W-9.
SHNLFB annually runs all vendors through Verify Comply to ensure there are no vendors who are suspended or disbarred. Before a new vendor is paid, the vendor is ran through Verify Comply to ensure there is no suspension and debarment and the paperwork is retained with the Vendor’s W-9.
SHLNFB will draft a “Federal Grants Management Policy Manual” and implements related procedures which will be in compliance with Uniform Guidance (2 CFR 200.320) for micro-purchases. As of April 2025, there is a Procurement Policy in place and contracted vendors and staff are required to follow the ...
SHLNFB will draft a “Federal Grants Management Policy Manual” and implements related procedures which will be in compliance with Uniform Guidance (2 CFR 200.320) for micro-purchases. As of April 2025, there is a Procurement Policy in place and contracted vendors and staff are required to follow the policy. For food purchases that are in relation to federal funding, due to multiple smaller purchases, the requester must obtain 3 quotes and complete a spreadsheet indicating why the vendor was selected. It is then approved by the Director of Operations to move forward with the purchase.
View Audit 366283 Questioned Costs: $1
Finding 2023-009 AL No.: 93.658 Program Title: Foster Care – Title IV-E Federal Agency: U.S. Department of Health and Human Services Pass-through Agencies: Wisconsin Department of Children and Families Award Number/Year 3413, 3561, 3681, 3645 / 2023 Condition/Context: There were 13 reports for submi...
Finding 2023-009 AL No.: 93.658 Program Title: Foster Care – Title IV-E Federal Agency: U.S. Department of Health and Human Services Pass-through Agencies: Wisconsin Department of Children and Families Award Number/Year 3413, 3561, 3681, 3645 / 2023 Condition/Context: There were 13 reports for submission for the County. Three reports were selected for testing. There was no documentation of a review control by someone independent of the preparer for all three reports tested. Our sample was not statistically valid. Management's Response: The finance department staff will work with departmental management and fiscal staff to review current documented and/or undocumented procedures, adopting and/or updating written procedures as necessary to ensure: • All assembled reports (typically prepared by fiscal staff) are reviewed for completeness and accuracy by independent personnel (typically a department head.) • Reports be submitted on a timely basis. • Reconciliation of data on each submitted reports to the financial statements. • Reconciliation of grant period-to-date cumulative data totals to the financial statements. Additionally, the county finance team will assemble and maintain a centralized file for all county grants, requiring grant administrators (fiscal staff or department heads) to report completion dates for mandated report filings. The county finance team will also maintain a centralized data file for all county grant filings and grant documents.
Finding 2023-005 AL No.: 93.667 Program Title: Social Services Block Grant Federal Agency: U.S. Department of Health and Human Services Pass-through Agencies: Wisconsin Department of Children and Families and Wisconsin Department of Health Services Award Number/Year 561, 3561, 3681 / 2023 Condition/...
Finding 2023-005 AL No.: 93.667 Program Title: Social Services Block Grant Federal Agency: U.S. Department of Health and Human Services Pass-through Agencies: Wisconsin Department of Children and Families and Wisconsin Department of Health Services Award Number/Year 561, 3561, 3681 / 2023 Condition/Context: There were 13 reports for submission for UCS and 26 reports for the County. Nine reports were selected for testing. There was no documentation of a review control by someone independent of the preparer for all 9 reports tested. In additions, the final County GEARS report was not submitted. Our sample was not statistically valid. Management's Response: The finance department staff will work with departmental management and fiscal staff to review current documented and/or undocumented procedures, adopting and/or updating written procedures as necessary to ensure: • All assembled reports (typically prepared by fiscal staff) are reviewed for completeness and accuracy by independent personnel (typically a department head.) • Reports be submitted on a timely basis. • Reconciliation of data on each submitted reports to the financial statements. • Reconciliation of grant period-to-date cumulative data totals to the financial statements. Additionally, the county finance team will assemble and maintain a centralized file for all county grants, requiring grant administrators (fiscal staff or department heads) to report completion dates for mandated report filings. The county finance team will also maintain a centralized data file for all county grant filings and grant documents.
Finding 2023-004 AL No.: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency: U.S. Department of Treasury Award Number/Year: 1505-0271 / 2021 Condition/Context: The County was unable to provide a transaction listing that reconciled to the amount of expendi...
Finding 2023-004 AL No.: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency: U.S. Department of Treasury Award Number/Year: 1505-0271 / 2021 Condition/Context: The County was unable to provide a transaction listing that reconciled to the amount of expenditures reported in the annual report for this program. The listing of eligible costs provided exceeded the reported amount by $487,765. Our sample was not statistically valid. Management's Response: The finance department staff will work with departmental management and fiscal staff to review current documented and/or undocumented procedures, adopting and/or updating written procedures as necessary to ensure: • All assembled reports (typically prepared by fiscal staff) are reviewed for completeness and accuracy by independent personnel (typically a department head.) • Reports be submitted on a timely basis. • Reconciliation of data on each submitted reports to the financial statements. • Reconciliation of grant period-to-date cumulative data totals to the financial statements. Additionally, the county finance team will assemble and maintain a centralized file for all county grants, requiring grant administrators (fiscal staff or department heads) to report completion dates for mandated report filings. The county finance team will also maintain a centralized data file for all county grant filings and grant documents.
Finding 2023-003 AL No.: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency: U.S. Department of Treasury Award Number/Year: 1505-0271 / 2021 Condition/Context: During testing, it was noted that five of the 17 expenditures selected for testing were not rev...
Finding 2023-003 AL No.: 21.027 Program Title: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Agency: U.S. Department of Treasury Award Number/Year: 1505-0271 / 2021 Condition/Context: During testing, it was noted that five of the 17 expenditures selected for testing were not reviewed by management before being processed. Our sample was not statistically valid. Management's Response: The finance department staff will work with departmental management and fiscal staff to review current documented and/or undocumented procedures, adopting and/or updating written procedures as necessary to ensure: • All assembled reports (typically prepared by fiscal staff) are reviewed for completeness and accuracy by independent personnel (typically a department head.) • Reports be submitted on a timely basis. • Reconciliation of data on each submitted reports to the financial statements. • Reconciliation of grant period-to-date cumulative data totals to the financial statements. Additionally, the county finance team will assemble and maintain a centralized file for all county grants, requiring grant administrators (fiscal staff or department heads) to report completion dates for mandated report filings. The county finance team will also maintain a centralized data file for all county grant filings and grant documents.
Finding 2023-053 Program Information Program Name: Children’s Health Insurance Program (CHIP) CFDA Number: 93.767 Summary of Finding Eligibility Material Weakness in Internal Control over Compliance Agency Response The agency agrees with this finding. Corrective Action Plan DSS has enhanced internal...
Finding 2023-053 Program Information Program Name: Children’s Health Insurance Program (CHIP) CFDA Number: 93.767 Summary of Finding Eligibility Material Weakness in Internal Control over Compliance Agency Response The agency agrees with this finding. Corrective Action Plan DSS has enhanced internal controls to ensure CHIP applications are accurately processed and properly documented. Procedures have been reinforced to require that all applications and supporting documentation are consistently reindexed to the correct case file when a pseudo-SSN is updated, that each application carries a clear date stamp, and that records are fully maintained in DIS. In addition, DSS relies on its Quality Control (QC) unit to conduct post-eligibility reviews, validate determinations, and identify corrective actions when necessary. Together, these measures ensure that applications are complete, accessible, and compliant with program requirements. Contact Person(s) Responsible Karen Stoycoff, Social Services Program Specialist Phone: 775-684-7436 Email: kstoycoff@dss.nv.gov Anticipated Completion Date September 30th, 2025.
Finding 576439 (2023-052)
Significant Deficiency 2023
Date: September 5, 2025 Program: U.S. Department of Health and Human Services Foster Care – Title IV-E, CFDA 93.658 Corrective Action Plan Finding Number: 2023-052 Finding: The assistance listing number was not identified at the time of disbursement. Corrective Action Taken or To Be Taken Corrective...
Date: September 5, 2025 Program: U.S. Department of Health and Human Services Foster Care – Title IV-E, CFDA 93.658 Corrective Action Plan Finding Number: 2023-052 Finding: The assistance listing number was not identified at the time of disbursement. Corrective Action Taken or To Be Taken Corrective Action for previous year finding 2022-058 was completed in April 2024 with subaward policy revision and staff training of policy revision. An internal audit of assistance listing numbers (ALNs) on subrecipient disbursements in December 2025 verified that ALNs are included on disbursements. If already taken, date of completion: April 2024 (FY24) If to be taken, estimated date of completion: Agency Response Does the Agency agree with finding? The Nevada Division of Child and Family Services agrees with this finding. If no or partial, please explain reason(s) why: Additional Comments: Prior year finding 2022-058 Division Responsible for Corrective Action Name, Title Kelsey McCann-Navarro, Administrative Services Officer IV Address 4126 Technology Way Suite 300 City, State, Zip Code Carson City, NV 89706 Phone Number 775-684-4431 Email Kelsey.Navarro@dcfs.nv.gov
Finding 576438 (2023-051)
Significant Deficiency 2023
Date: September 5, 2025 Program: U.S. Department of Health and Human Services Foster Care – Title IV-E, CFDA 93.658 Corrective Action Plan Finding Number: 2023-051 Finding: Required subaward information was not reported timely in the FFATA Subaward Reporting System (FSRS). Corrective Action Taken or...
Date: September 5, 2025 Program: U.S. Department of Health and Human Services Foster Care – Title IV-E, CFDA 93.658 Corrective Action Plan Finding Number: 2023-051 Finding: Required subaward information was not reported timely in the FFATA Subaward Reporting System (FSRS). Corrective Action Taken or To Be Taken Internal controls have been reviewed and updated to ensure subaward information is submitted in accordance with the FFATA. If already taken, date of completion: Internal control updated in SFY23. If to be taken, estimated date of completion: Agency Response Does the Agency agree with finding? The Nevada Division of Child and Family Services agrees with this finding. If no or partial, please explain reason(s) why: Additional Comments: Prior year finding 2022-057 Division Responsible for Corrective Action Name, Title Yaraseth Anaya-Lugo, Social Services Chief III Address 4126 Technology Way Suite 300 City, State, Zip Code Carson City, NV 89706 Phone Number 775-684-7587 Email Yaraseth.Anaya-lugo@dcfs.nv.gov
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