Corrective Action Plan (CAP) – FY 2023 Single Audit
Finding 1: Material Adjustments to Recognize Balances in Accordance with U.S. GAAP
Planned Corrective Action / Views of Responsible Officials:
Management acknowledges the need for a formalized process to ensure that all general ledger balances are...
Corrective Action Plan (CAP) – FY 2023 Single Audit
Finding 1: Material Adjustments to Recognize Balances in Accordance with U.S. GAAP
Planned Corrective Action / Views of Responsible Officials:
Management acknowledges the need for a formalized process to ensure that all general ledger balances are reviewed and accurate prior to audit. A third-party accounting firm has been engaged to conduct quarterly reviews and reconciliations of the general ledger to ensure proper documentation and recognition in accordance with U.S. GAAP.
Management plans to develop and implement a structured internal review process before submitting the General Ledger balance for audit to ensure alignment with U.S. GAAP.
We recognize that this may continue as a finding in the FY 2024 audit; however, the corrective action is in place as of this Single Audit in July 2025.
Expected Completion Date: In progress with full implementation as of October 2025 or expected prior to commencement of FY 2025 Single Audit.
Responsible Official: Amee Ivie, MSW Chief Executive Officer
Finding 2: Completeness of SEFA and Data Collection Form Filing Timeliness
Planned Corrective Action / Views of Responsible Officials:
We recognize the deficiencies in our prior SEFA submission process. As of July 2025, the organization has engaged a third-party accounting firm to conduct quarterly reconciliations of federal grant activity and maintain a rolling SEFA throughout the fiscal year.
Management turnover has stabilized, and processes are now in place to maintain an up-to-date general ledger with accuracy to support a complete and timely SEFA.
A documented checklist and timeline have been implemented to ensure timely and accurate reporting.
Expected Completion Date: In progress, with full implementation expected prior to commencement of FY 2025 Single Audit.
Responsible Official: Amee Ivie, MSW Chief Executive Officer
Finding 3: Employee Loan Documentation
Planned Corrective Action / Views of Responsible Officials:
New leadership has implemented a strict no-loan policy. Any loan or advance to staff must now receive prior written approval from the Executive Board.
A formal Employee Loan and Advance Policy is being adopted to ensure any future considerations are properly documented, authorized, and compliant with internal controls.
Payment-processing staff will be trained to enforce the new policy and ensure all reimbursements and advances meet approval requirements.
Expected Completion Date: September 30, 2025 or expected prior to commencement of FY 2025 Single Audit.
Responsible Official: Amee Ivie, MSW Chief Executive Officer
Finding 4: Internal Controls Over Compliance – Timesheet Approval and Allowable Costs
Planned Corrective Action / Views of Responsible Officials:
As of April 2024, the organization implemented a new electronic timekeeping system (SwipeClock) in partnership with a third-party payroll provider. This system includes:
• Supervisor approval of all time entries.
• A final review by a member of the executive team (CEO, Operations Manager, or Accounting Coordinator).
This three-tiered approval process ensures accuracy and accountability in payroll allocation to federal grants.
Expected Completion Date: Fully implemented as of April 2024
Responsible Official: Amee Ivie, MSW Chief Executive Officer, AmeeI@cssnv.org