Corrective Action Plans

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Planned Corrective Actions The District has experienced a large amount of turnover in various administrative positions. These positions include grant directors, business official, and superintendent. With new perman...
Planned Corrective Actions The District has experienced a large amount of turnover in various administrative positions. These positions include grant directors, business official, and superintendent. With new permanent staff in place, the business official (Assistant Superintendent for Operations and Finance) will be working closely with the grant director (Assistant Superintendent for Instruction) to ensure all expenses being reported are allowable. Those procedures were implemented on July 8, 2024 with immediate effect.
View Audit 326752 Questioned Costs: $1
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: For the special tests and provisions compliance requirement testing, of the ...
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: For the special tests and provisions compliance requirement testing, of the 49 disbursements tested, eleven payments were made outside of the 30-day requirement. Responsible Individuals: Denise Albertson, ESG Administrator Amy Eldridge – Director of Rental Housing Development Corrective Action Plan: The ESG Administrator will track the days between receipt and disbursement to be able to meet the 30-day requirement. Anticipated Completion Date: September 30, 2024
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: In three instances, the amount reimbursed to subrecipients were paid out bas...
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: In three instances, the amount reimbursed to subrecipients were paid out based on the persons paycheck stub showing allocation of hours which did not match backup provided for hours worked under the program, Responsible Individuals: Denise Albertson, ESG Administrator Amy Eldridge – Director of Rental Housing Development Corrective Action Plan: The ESG Administrator will review the timesheet information to ensure the hours and amounts for payroll costs are correctly allocated by the subrecipient to the program. Any differences in the allocation between the timesheets and paycheck stubs will be reviewed prior to disbursements. Anticipated Completion Date: September 30, 2024
Condition: Of the thirty-seven employees charged to the grant, two employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the...
Condition: Of the thirty-seven employees charged to the grant, two employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the approved grant budget. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure semi-annual certificated are completed and are reviewed for each employee being charged to the Title 1 grant. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
2024-001 Condition: The District did not timely file expenditure reports for all federal awards within the Education Stabilization Fund. Recommendation: The District should timely file all expenditure reports to stay compliant with federal awards. Management Response: The District will take the...
2024-001 Condition: The District did not timely file expenditure reports for all federal awards within the Education Stabilization Fund. Recommendation: The District should timely file all expenditure reports to stay compliant with federal awards. Management Response: The District will take the necessary steps to ensure that expenditure reports are timely filed going forward. Anticipated Date of Completion: June 30, 2025
Condition: Of the thirty-six employees charged to the grant, five employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the ...
Condition: Of the thirty-six employees charged to the grant, five employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the approved grant budget. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure semi-annual certificates are completed and reviewed for each employee being charged to the Title 1 grant. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: Of the thirty-three employees charged to the grant, eleven employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in ...
Condition: Of the thirty-three employees charged to the grant, eleven employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the approved grant budget. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure semi-annual certificated are completed and are reviewed for each employee being charged to the Title 1 grant. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Return of Title IV (R2T4) Calculations Planned Corrective Action: The financial aid office has developed a checklist that the aid administrators will use to determine if aid sources have been posted/disbursed to student accounts prior to completing R2T4 calculations. The Financial Aid Office will m...
Return of Title IV (R2T4) Calculations Planned Corrective Action: The financial aid office has developed a checklist that the aid administrators will use to determine if aid sources have been posted/disbursed to student accounts prior to completing R2T4 calculations. The Financial Aid Office will maintain the checklist record of this verification for audit purposes and to track compliance. The Senior Financial Aid Counselor will complete the R2T4 calculations and one of our Financial Aid Counselors will monitor the completion of all checklist records as part of a check and balance process. Person Responsible for Corrective Action Plan: Cindi Patterson, Director for Financial Aid Anticipated Date of Completion: 10/01/24
View Audit 326717 Questioned Costs: $1
The Corporation deposited the surplus cash in the Residual Receipts account as of June 17, 2024
The Corporation deposited the surplus cash in the Residual Receipts account as of June 17, 2024
Contact person: Katherine Dannenfelser, Director of Finance Recommendation: The Project should review the HUD agreement and approved budget to obtain a better understanding of the type of costs that are allowable, and ensure they are only using HUD funds for allowable costs. Corrective Action: A f...
Contact person: Katherine Dannenfelser, Director of Finance Recommendation: The Project should review the HUD agreement and approved budget to obtain a better understanding of the type of costs that are allowable, and ensure they are only using HUD funds for allowable costs. Corrective Action: A formal scheduled training and study session would benefit staff as there is a need to understand allowable costs. As Senior Management reviews the disbursements, the final review before check signing, a top level review can also be done. At this point, the best approach seems there should be formal purchase orders written for the HUD homes - differentiating High Street Homes from Five Rivers Homes - expenses that should be attached to the invoices before approval. This additional layer of review will benefit the situation as staff can easily see if an item is approved.
View Audit 326671 Questioned Costs: $1
Contact person: Katherine Dannenfelser, Director of Finance Recommendation: Replacement reserve account should be reconciled monthly and reviewed to ensure all required deposit activity is made. Corrective Action: The projects Replacement Reserve monthly deposit Is now made every month starting in...
Contact person: Katherine Dannenfelser, Director of Finance Recommendation: Replacement reserve account should be reconciled monthly and reviewed to ensure all required deposit activity is made. Corrective Action: The projects Replacement Reserve monthly deposit Is now made every month starting in March 2024 and continuing into the present. Staff are now compliant on this topic. (All HUD bank reconciliations are fairly current at this time as an additional PRN employee has been hired to help with project work. This PRN employee works on Saturdays. Again, a formal internal monthly meeting with a checklist will help with the HUD review process. Access to a CPA firm for or other provider of training would also help.)
2024-001 Department of the Treasury Federal Financial Assistance Listing #21.027 Coronavirus State and Local Relief Funds, Workforce Housing Procurement, Suspension, and Debarment Significant Deficiency in Internal Control over Compliance Finding Summary: As part of the testing, the auditors selec...
2024-001 Department of the Treasury Federal Financial Assistance Listing #21.027 Coronavirus State and Local Relief Funds, Workforce Housing Procurement, Suspension, and Debarment Significant Deficiency in Internal Control over Compliance Finding Summary: As part of the testing, the auditors selected a sample of 3 subrecipients for the Workforce Housing program. Of the 3 subreceipients, there was one instance where one of the required documents indicating the approved recipient was not debarred was not retained. Responsible Individuals: Cory Phelps, VP Project Finance Corrective Action Plan: IHFA has updated its WFH checklist (as of October 2, 2024) to include OFAC checks needing to be printed to the file. Although this was being done in practice, the checklist did not previously reflect or list this as an individual step. IHFA employees involved in WFH have received the updated checklist and have received training to clarify when OFAC and debarment checks need to be completed. Before funds of WFH are dispersed, a second reviewer will verify that all required documentation was printed to the WFH folder and will initial the checklist. Anticipated Completion Date: December 31, 2024
To Health Resources and Services Administration United Methodist Western Kansas Mexican-American Ministries, Inc. d/b/a Genesis Family Health respectfully submits the following corrective action plan for the year ended April 30, 2024. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Perio...
To Health Resources and Services Administration United Methodist Western Kansas Mexican-American Ministries, Inc. d/b/a Genesis Family Health respectfully submits the following corrective action plan for the year ended April 30, 2024. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: April 30, 2024 The findings from the April 30, 2024, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Financial Statement Findings: Finding 2024.001 - Sliding Fee Scale Documentation Recommendation The Organization should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income. Action Taken GFH implemented an O&E Department (Onboarding and Enrollment) July 2023. This has been a timely process, but we now have it implemented at all clinic sites. The purpose of this department is to make sure all required documentation is current, accurate, scanned in chart and applied to patients EMR. This process includes current registration, slide application, POIs, IDs and insurance verification for coverage. When adding or updating charges with the GFH Fee Schedule, a new process has been implemented to run a report “CPT’s in Multiple Groups” to verify the charge (CPT Code) is not duplicated within another CPT group. This report will be run by the Billing Director and reviewed for accuracy. If there are any question regarding this plan, please e-mail Amanda Vaughan at Amanda.Vaughan@GenesisFH.org. Sincerely, Amanda Vaughan (electronically signed 10/10/2024) Amanda Vaughan Chief Financial Officer
We will make deposits to the reserve as funds are available.
We will make deposits to the reserve as funds are available.
We have only managed this property since June 1 of 2023. This was an error in the management fee calculation that has since been corrected. And the funds have been returned to the property.
We have only managed this property since June 1 of 2023. This was an error in the management fee calculation that has since been corrected. And the funds have been returned to the property.
We have only managed this property since June 1 of 2023. This was an error in the management fee calculation that has since been corrected. And the funds have been returned to the property.
We have only managed this property since June 1 of 2023. This was an error in the management fee calculation that has since been corrected. And the funds have been returned to the property.
Finding 2024-001- Housing Choice Voucher Tenant Files – Eligibility - Rent Calculations Noncompliance & Significant Deficiency Section 8 Housing Choice Voucher Cluster - ALN 14.871 and 14.EHV Corrective Action Plan: The six files found to have calculation errors have all been corrected. A one-on­ ...
Finding 2024-001- Housing Choice Voucher Tenant Files – Eligibility - Rent Calculations Noncompliance & Significant Deficiency Section 8 Housing Choice Voucher Cluster - ALN 14.871 and 14.EHV Corrective Action Plan: The six files found to have calculation errors have all been corrected. A one-on­ one meeting was held with the staff members who made these calculation errors. How to read a check stub and the importance of establishing the pay-date sequence was further discussed at the September 18, 2024, Staff Meeting. Additional Quality Control file reviews are being conducted with special focus on the staff who made the errors. The remaining five files were cited for lack of the quarterly Enterprise Income Verification (EIV) Report for tenants who reported zero income. Although this was added to the last Administrative Plan update, it is not something that HAS is accustomed to doing. Our Administrative Plan states that all income changes must be reported by participants within 10 business days. HAS strongly adheres to this policy and will be removing the required EIV Report as the burden of reporting belongs on the participant, not on the housing authority. The Administrative Plan will be revised prior to the end of HAS fiscal year to remove this policy. In the meantime, a Zero Income Report has been run and distributed to Case Managers to review for further action. Person Responsible: Lynn Coleman Anticipated Completion Date: Implementation regarding additional Quality Control file reviews has already begun and will continue. The anticipated completion for the Administrative Plan revision is March 31, 2025 or sooner.
View Audit 326631 Questioned Costs: $1
Finding 2024-003 - Public Housing Internal Control over Waiting list- Eligibility Noncompliance and Significant Deficiency low Rent Public Housing- Subsidy ALN 14.850 Corrective Action Plan: As previously mentioned above, the Housing Authority recently transitioned its property management f...
Finding 2024-003 - Public Housing Internal Control over Waiting list- Eligibility Noncompliance and Significant Deficiency low Rent Public Housing- Subsidy ALN 14.850 Corrective Action Plan: As previously mentioned above, the Housing Authority recently transitioned its property management functions from TenMast to Yardi Voyager. During this conversion, we encountered data compatibility issues, including anomalies with waiting list data not included in each applicant's household. Additionally, at the time of the review, we were purging the previous waiting list data that had been converted to Voyager, resulting in the loss or purging of some of the waiting list data. To address this conversion issue, staff has been instructed to include a note in the resident's file for instances where applicant information and data are missing or may have been lost due to the conversion. We have also recently opened our waiting list using our newly onboarded resident portal. Applicants can now easily apply for available public housing units and track their status using Rent Cafe. With the ability to track applicants in our newly implemented Voyager and Rent Cafe systems, we do not foresee this issue recurring, especially since Yardi provides an audit trail for all applications entered using the software. Below are some key features for Rent Cafe as part of our application and waiting list process: 1. Online Applications: Prospective tenants can easily apply for available housing units online, streamlining the application process. 2. Resident Portal: Current residents can access a portal to pay rent, submit maintenance requests, and communicate with property management. 3. Real·Time Availability: Users can view real-time availability of units. 4. Tracking and Reporting: Property managers can generate reports and track various aspects of property management, including lease expirations and maintenance requests. 5. Audit Trails: The system provides an audit trail for all applications and transactions, ensuring transparency and accountability. Person Responsible: Phillip Taylor Anticipated Completion Date: The corrective action involves implementing an improved process, which is currently ongoing, completed no later than March 31, 2025.
Finding 2024-002 - Low Rent Public Housing Tenant Files – Eligibility - Rent Calculations Noncompliance & Significant Deficiency Low Rent Public Housing - ALN 14.850 Corrective Action Plan: Our property management staff will ensure that inspections for occupied units are conducted and documented an...
Finding 2024-002 - Low Rent Public Housing Tenant Files – Eligibility - Rent Calculations Noncompliance & Significant Deficiency Low Rent Public Housing - ALN 14.850 Corrective Action Plan: Our property management staff will ensure that inspections for occupied units are conducted and documented annually. Inspections will also be conducted and documented when a potential deficiency is reported. This requirement has been communicated to the property management staff via email, emphasizing the mandate for annual inspections. Additionally, the inspection results notification letter for residents has been updated to comply with the requirement to notify them of deficiencies found in the unit within a reasonable time frame. The property management team has also been instructed to collaborate with their designated maintenance team members to ensure that any deficiencies identified during inspections are addressed within the required time based on the severity of the deficiency. To ensure units remain clean and well-maintained, preventing failed inspections, the Housing Authority of Savannah will promptly address resident-caused issues beyond normal wear and tear. Moving forward, all annual inspections will be conducted and documented as required. Regarding the missing 50058, the Housing Authority of Savannah attributes this error to the conversion of our property management system from TenMast to Yardi Voyager beginning in July 2023. During the conversion, some data fields and elements did not convert correctly, causing anomalies in some household data. Yardi Voyager now provides the capability to conduct internal audits on completed or incomplete 50058s and to generate reports for residents missing 50058s in the system. These reports are now generated monthly to ensure property managers are aware of residents' 50058 completion status in Voyager. Future issues with missing 50058s are not anticipated due to the system upgrades. The EIV report issue occurred because a new hire did not have access to the EIV system. To address this, we have updated our EIV policies for public housing staff. As well, property management staff have been instructed to contact our in-house EIV Coordinator for assistance if they are unable to log into the system or if their account password is locked. Additionally, since all property staff has access to the EIV system, we have advised that if their personal login information is not established, another staff member will use their account to generate the necessary EIV report. This will ensure that resident EIV reports are accessible when needed. Person Responsible: Phillip Taylor Anticipated Completion Date: These corrective measures have been implemented and will continue on an ongoing basis. We are also in the process of creating procedures related to conducting unit inspections and clarifying processes for initial, annual, and interim reexaminations. Most of these enhancements will involve utilizing our newly upgraded property management software, Yardi Voyager and Rent Cafe, which will provide us with improvements in monitoring and auditing staff work products. The anticipated completion for the ACOP revision and systems policies and procedures is March 31, 2025, or sooner.
RMI will leverage its current processes and policies to remedy the finding. RMI’s current signature authority process requires the Procurement Manager to approve the supplier before any contract is executed. The Procurement Manager or other procurement team member will complete a full vetting of the...
RMI will leverage its current processes and policies to remedy the finding. RMI’s current signature authority process requires the Procurement Manager to approve the supplier before any contract is executed. The Procurement Manager or other procurement team member will complete a full vetting of the supplier before the Procurement Manager or procurement team member provides their sign off to move the contract towards execution. Vetting the supplier includes screening the supplier in ComplyAdvantage (a leading watchlist, AML/CFT, sanction list, and other risk screening database) and is a part of the documented procurement process and checklist. ComplyAdvantage screening meets the 2 CFR 180 requirements and checks the suspension and debarment via the excluded parties listing (EPLS). The Procurement Team is responsible for screening all active suppliers via Comply/Advantage on an annual basis. All screenings will be documented appropriately within the supplier record. The Procurement Team is responsible for completing an audit of all active suppliers as of the date of this action plan. Any active suppliers who have not been screened via ComplyAdvantage since November 2023 will need to be screened by the Procurement Team no later than 12/31/24. All findings will be documented appropriately within the supplier record.
Finding 504168 (2024-002)
Significant Deficiency 2024
Condition: Certain account balances in the School District's books and records for the 2024 fiscal year were not reconciled and reviewed properly for accounts payable cutoff and, thus, an adjustment to the School District's general ledger was discussed with management during our audit process and re...
Condition: Certain account balances in the School District's books and records for the 2024 fiscal year were not reconciled and reviewed properly for accounts payable cutoff and, thus, an adjustment to the School District's general ledger was discussed with management during our audit process and recorded by management as a result. Planned Corrective Action: The School District agrees with the recommendation. The School District will implement procedures and controls to ensure year-end accruals and review of accounts payable cutoff are reconciled and agreed to underlying records. Contact person responsible for corrective action: Leslie Wagner, Assistant Superintendent of Finance and Operations Anticipated Completion Date: 12/31/2024
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