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Corrective Action Plans

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Finding 1170539 (2023-002)
Material Weakness 2023
County of Delaware
PA
Subrecipient Monitoring Allowable Costs / Cost Principles Material Weakness
The County Human Services department has requested approval from PA DHS of its 2021-2022 fiscal year re-submission in September 2024. Following approval of the 2021-2022 submission and re-investment the County Human Services department will complete the submission of the 2022-2023 fiscal year report...
The County Human Services department has requested approval from PA DHS of its 2021-2022 fiscal year re-submission in September 2024. Following approval of the 2021-2022 submission and re-investment the County Human Services department will complete the submission of the 2022-2023 fiscal year report. The County Human Services department will reconcile the underlying expenditure detail in the accounting system to the expenditures reported. Internal approvals prior to submission and underlying records for reports will be maintained by the County Human Services department.
View Audit 383805
Finding 1170532 (2023-006)
Material Weakness 2023
County of Delaware
PA
Subrecipient Monitoring § 200.332
The County Child and Youth Services department started requiring a corrective action plan for all subrecipients with findings as a result of their on-site monitoring in 2023 that include the entity’s plan to correct the errors noted, individual responsible and timeline for corrections to be implemen...
The County Child and Youth Services department started requiring a corrective action plan for all subrecipients with findings as a result of their on-site monitoring in 2023 that include the entity’s plan to correct the errors noted, individual responsible and timeline for corrections to be implemented. Finding noted are for monitoring completed in January and March 2023, prior to the requirement of written corrective action plans being implemented.
View Audit 383805
Finding 1170506 (2023-006)
Material Weakness 2023
Survivor Advocacy Outreach Program
OH
Internal Control / Segregation of Duties Reporting Significant Deficiency § 200.303
SAOP will establish a rocedure to track reporting due dates and implement a process for verifying the accuracy and completeness of required reports before submission.
SAOP will establish a rocedure to track reporting due dates and implement a process for verifying the accuracy and completeness of required reports before submission.
View Audit 383712
Finding 1170505 (2023-005)
Material Weakness 2023
Survivor Advocacy Outreach Program
OH
Allowable Costs / Cost Principles § 200.403
SAOP will establish more robust internal contols to guarantee that all non-payoll charges are incurred within the tauthoized period of performance. This should involve consistent monitoring of gran periods, providing staff training on the perfoormance period, and conducting periodic reviews of expen...
SAOP will establish more robust internal contols to guarantee that all non-payoll charges are incurred within the tauthoized period of performance. This should involve consistent monitoring of gran periods, providing staff training on the perfoormance period, and conducting periodic reviews of expenditure documentation.
View Audit 383712
Finding 1170504 (2023-004)
Material Weakness 2023
Survivor Advocacy Outreach Program
OH
Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking § 200.303
SAOP will enhance the internal controls over the payroll allocation process by conducting regular reviews and reconiliations to ensure the accuracy of payroll allocations.
SAOP will enhance the internal controls over the payroll allocation process by conducting regular reviews and reconiliations to ensure the accuracy of payroll allocations.
View Audit 383712
Finding 1170503 (2023-003)
Material Weakness 2023
Survivor Advocacy Outreach Program
OH
Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking § 200.303
SAOP shall establish a procedure to securely store payment support, ensuring all transactions are supported by proper documentation.
SAOP shall establish a procedure to securely store payment support, ensuring all transactions are supported by proper documentation.
View Audit 383712
Finding 1170502 (2023-002)
Material Weakness 2023
Survivor Advocacy Outreach Program
OH
Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties § 200.303
SAOP shall implement a policy to secure approvals for charges related to the federal program.
SAOP shall implement a policy to secure approvals for charges related to the federal program.
View Audit 383712
Finding 1170476 (2023-003)
Material Weakness 2023
Bedford Stuyvesant Restoration Corporation and Affiliates
NY
Reporting Equipment & Real Property Management
Single Audit Reporting for June 30, 2023 Finding: The Restoration did not follow the process in place for ensuring that the Single Audit reporting requirements were satisfied on a timely manner. The audit of the Restoration’s basic financial statements was not completed prior to the Single Audit rep...
Single Audit Reporting for June 30, 2023 Finding: The Restoration did not follow the process in place for ensuring that the Single Audit reporting requirements were satisfied on a timely manner. The audit of the Restoration’s basic financial statements was not completed prior to the Single Audit reporting deadlines. Contact Person: Leah M. Sparrow, WAP Director Marrolin Beauzile, Accountant Corrective Actions Taken or Planned: Restoration has implemented changes in staff that will lead the audit and lead the reporting of the program activities and program management. We are determined to complete the next two audit years (FY24 and FY25) expeditiously. We believe that these changes will lead to positive results within the next year. Anticipated completion date: December 31, 2026
View Audit 383646
Finding 1170475 (2023-002)
Material Weakness 2023
Bedford Stuyvesant Restoration Corporation and Affiliates
NY
HUD Housing Programs Reporting
Reporting Finding: We noted that for the year ended June 30, 2023, monthly reports for Weatherization Assistance Program (WAP) ending 12/31/22, 01/31/23 and 04/30/23 which are due on the 20th day of the following month were submitted on 01/24/23, 02/21/23 and 05/22/23, respectively and the final CFR...
Reporting Finding: We noted that for the year ended June 30, 2023, monthly reports for Weatherization Assistance Program (WAP) ending 12/31/22, 01/31/23 and 04/30/23 which are due on the 20th day of the following month were submitted on 01/24/23, 02/21/23 and 05/22/23, respectively and the final CFR dated 06/30/23 was submitted on 09/25/23. While for American Rescue Plan Act (ARPA), monthly report ending 01/31/23 which is due on the 20th day of the following month was submitted on 02/21/23. Contact Person: Leah M. Sparrow, WAP Director Marrolin Beauzile, Accountant Corrective Actions Taken or Planned: In the later part of 2025 the agency has placed a new Program Director to oversee the program in 2025. Therefore, it was only until then that major changes began to show in our records. We plan to review the process of submitting monthly reports. We will conduct meetings with the staff responsible for submission to understand the reason for late submissions. Anticipated Completion Date: March 31, 2026.
View Audit 383646
Finding 1170351 (2023-001)
Material Weakness 2023
New Directions, Inc.
CA
Internal Control / Segregation of Duties Subrecipient Monitoring Reporting
Management concurs that there were staffing and turnover challenges for the Organization. Adequate policies and procedures are in place to ensure timeliness of data requested. Additionally, we will establish milestones to ensure future audits progress within the Uniform Guidance timeline.
Management concurs that there were staffing and turnover challenges for the Organization. Adequate policies and procedures are in place to ensure timeliness of data requested. Additionally, we will establish milestones to ensure future audits progress within the Uniform Guidance timeline.
View Audit 383444
Finding 1169875 (2023-004)
Material Weakness 2023
City of Reedsburg
WI
Procurement, Suspension & Debarment
Corrective Action Plan: When purchasing inventory materials that may be used in the ARPA projects, RUC purchasing staff will request certification from the vendor that they are not suspended or debarred from federally funded projects and also request material country of origin documentation or Build...
Corrective Action Plan: When purchasing inventory materials that may be used in the ARPA projects, RUC purchasing staff will request certification from the vendor that they are not suspended or debarred from federally funded projects and also request material country of origin documentation or Build America, Buy America (BABA) qualifications when receiving quotes. Planned Completion Date for the Corrective Action: On-going Contact Persons Responsible for the Corrective Action Plan: The following Reedsburg Utility staff members are responsible for items outlined above in the Corrective Action Plan: • Brett Schuppner, Reedsburg Utility General Manager • Ken Las, Communications System Supervisor
View Audit 383031
Finding 1169874 (2023-003)
Material Weakness 2023
City of Reedsburg
WI
Internal Control / Segregation of Duties Subrecipient Monitoring Reporting § 200.303
Corrective Action Plan: The Utility Commission General Manager or Communications System Supervisor will review the quarterly progress reports prepared by someone else. Section II of the Project Status Report instructions states “Answer each question to the best of your ability.” The work orders do n...
Corrective Action Plan: The Utility Commission General Manager or Communications System Supervisor will review the quarterly progress reports prepared by someone else. Section II of the Project Status Report instructions states “Answer each question to the best of your ability.” The work orders do not include all costs related to labor benefits and taxes, and also the electronics and customer premise equipment associated with the projects. These costs are calculated and added in when the project is completed and is being closed out. Estimating these items for the quarterly Project Status Report is providing the project costs spent through the respective quarter to the best of our ability due to the limitations of the work order reporting process. Planned Completion Date for the Corrective Action: On-going Contact Persons Responsible for the Corrective Action Plan: The following Reedsburg Utility staff members are responsible for items outlined above in the Corrective Action Plan: • Brett Schuppner, Reedsburg Utility General Manager • Ken Las, Communications System Supervisor
View Audit 383031
Finding 1169792 (2023-007)
Material Weakness 2023
Temenos Community Development Corporation
TX
Procurement, Suspension & Debarment Significant Deficiency § 200.303
2023-007 Internal Controls over Systems for Award Management (SAM Debarment) (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to suspe...
2023-007 Internal Controls over Systems for Award Management (SAM Debarment) (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to suspension and debarment are consistently implemented. Corrective Action: 1. SAM Debarment Registration: Under new leadership, we became compliant with SAM Debarment Registration in March 2025. 2. Compliance Tracking: We have implemented systems to ensure that registration will be completed annually and on time, supported by a robust compliance tracking system. 3. Vendor Vetting: 1. All new vendors will be vetted through the SAM (System for Award Management) Department prior to the initiation of services. 2. Continuous service providers will undergo an annual vetting process to ensure ongoing compliance and quality. Responsible Parties: Sandra Robicheaux – ED Madelyn Wages – Director of Operation Date to be Corrected: March 2025
View Audit 382882
Finding 1169787 (2023-006)
Material Weakness 2023
Temenos Community Development Corporation
TX
Special Tests & Provisions HUD Housing Programs Significant Deficiency § 200.303
2023-006 Internal Controls and Compliance over Special Tests and Provisions – Reasonable Rental Rates (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that ...
2023-006 Internal Controls and Compliance over Special Tests and Provisions – Reasonable Rental Rates (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to special tests and provisions – reasonable rental rates are consistently implemented including maintaining documentation of the verification of rental reasonableness in the program participant's file. Corrective Action: In response to the findings from the 2023 audit regarding the annual requirement for rent reasonableness, we developed the following action plan to ensure compliance with HUD regulations: 1. Annual Schedule: We established that annual rent reasonableness assessments for Temenos TCDC would be conducted each January, as required by HUD. This included comprehensive assessments for all scatter site properties. 2. Staff Reminders: A systematic reminder protocol was implemented for all staff involved in the rent reasonableness process. This included: 1. Calendar alerts 2. Email notifications 3. Regular team meetings to discuss timelines and responsibilities 3. Monitoring and Compliance: The Executive Director (ED) and Director of Operations closely monitored the compliance process to ensure assessments were completed accurately and on time. By implementing this action plan, Temenos TCDC aimed to address the 2023 audit findings effectively and ensure compliance with HUD's annual rent reasonableness requirements, including assessments for all TCDC site properties. Responsible Parties: Sandra Robicheaux – ED Ramona Edwards – Property Manager Wanda Williams – Case Manager Damita Gardner – Case Manager Terence Gomes – Case Manager Date to be Corrected: Implemented in January of 2025
View Audit 382882
Finding 1169782 (2023-005)
Material Weakness 2023
Temenos Community Development Corporation
TX
Subrecipient Monitoring Significant Deficiency Matching / Level of Effort / Earmarking § 200.303
2023-005 Compliance and Internal Controls over Program Income (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to program income are c...
2023-005 Compliance and Internal Controls over Program Income (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to program income are consistently implemented. In addition, documentation should be included in each participant's files to support income calculations and the participant's share of rent payable to the program. Corrective Action: We would like to clarify our approach to income documentation within client files: 1. Income Documentation: While not all clients have income, we will ensure that clients without income provide a zero-income affidavit (also known as a non-income affidavit) to document their status. 2. Stabilized Case Management: Our current case managers have been with Temenos CDC (TCDC) for over a year, providing stability and experience in verifying client income. 3. Policy and Procedure Updates: Recent updates to our policies and procedures have introduced standardized forms that clearly differentiate between households with income and those without. 1. Households with income will include the mandatory TCDC income calculation sheet. 2. Households without income will be required to submit the zero-income affidavit. 4. File Checklists: We have created file checklists to ensure uniformity across all client files, enhancing our documentation process. 5. Annual Audits: All client files will be audited by a supervisor at least once a year to ensure compliance with our policies. 6. HMIS Training: Case managers are required to complete mandatory HMIS training, which supports effective compliance in file management and income verification. These measures are designed to strengthen our documentation practices and ensure compliance with audit requirements. Responsible Parties: Sandra Robicheaux – ED Ramona Edwards – Property Manager Wanda Williams – Case Manager Damita Gardner – Case Manager Terence Gomes – Case Manager Date to be Corrected: Mandatory Training Implemented 01/2025 Updated Document Requirements 11/2025
View Audit 382882
Finding 1169777 (2023-004)
Material Weakness 2023
Temenos Community Development Corporation
TX
Matching / Level of Effort / Earmarking § 200.303
2023-004 Compliance and Internal Controls over Earmarking (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program Contract No. TX0425L6E002106 Recommendation: The Organization should establish procedures to ensure that controls related to earmarki...
2023-004 Compliance and Internal Controls over Earmarking (Significant Deficiency) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program Contract No. TX0425L6E002106 Recommendation: The Organization should establish procedures to ensure that controls related to earmarking are consistently implemented which should include reconciling the administrative costs to all drawn funds on individual grants. Corrective Action: In response to the findings from the 2023 audit, we are implementing several corrective actions to enhance our financial management processes, ensuring compliance and preventing future discrepancies. 1. Monthly Reporting: The Director of Operations is required to send monthly ELLOC (HUD account balances) reports to both Your Part Time Controller (YPTC) and the Executive Director (ED). This ensures transparent tracking of funds. 2. Expenditure Budgets: Monthly expenditure budgets have been established for each grant to maximize the use of grant funds and prevent shortages in administrative expenditures. 3. Regular Reviews: Balances are reviewed monthly in conjunction with drawdown preparations. YPTC will provide recommendations for any necessary adjustments to expenditures, which will be communicated to the ED during monthly drawdown closeouts. 4. Budget Adjustments: For the 2025 NOFO budgets, adjustments will be made to align with the grant history from the past three years. This historical analysis highlights areas of both funding shortages and overages, allowing for more accurate future budgeting. 5. HUD Notification: Notifications for adjustments to the 2024 NOFO will be sent to HUD to prevent the recurrence of findings in the upcoming 2024 audit. Through these measures, we aim to strengthen our financial oversight and ensure compliance with HUD requirements. Responsible Parties: Sandra Robicheaux – ED Madelyn Wages – Director of Operations Tyler Starkel - YPTC Date to be Corrected: 1. Implementation of drawdown process began 06/01/2024 2. HUD budget adjustment to be submitted by 01/31/2026
View Audit 382882
Finding 1169776 (2023-003)
Material Weakness 2023
Temenos Community Development Corporation
TX
Matching / Level of Effort / Earmarking § 200.303 § 200.403
2023-003 Compliance and Internal Controls over Matching (Material Weakness) Internal Controls over Period of Performance and Earmarking (Material Weakness) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: We recommend that part of the r...
2023-003 Compliance and Internal Controls over Matching (Material Weakness) Internal Controls over Period of Performance and Earmarking (Material Weakness) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: We recommend that part of the review process for payroll include verification that the cost charged to the grant does not exceed the grant hours reported on employee timesheet. Corrective Action: In response to the first finding, we have implemented a comprehensive payroll review process that addresses both the initial concern and the subsequent finding. The new payroll process that has been established will ensure that costs charged to the grant do not exceed the hours reported on employee timesheets, effectively eliminating both issues: Responsible Parties: Sandra Robicheaux – Executive Director Claudia Dixon – CFO Tyler Starkel - YPTC Date to be Corrected: Implementation for above changes went into effect 6/01/2024
View Audit 382882
Finding 1169771 (2023-002)
Material Weakness 2023
Temenos Community Development Corporation
TX
Procurement, Suspension & Debarment Subrecipient Monitoring Material Weakness § 200.303 § 200.320
2023-002 Compliance and Internal Controls over Procurement (Material Weakness and Noncompliance) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to procuremen...
2023-002 Compliance and Internal Controls over Procurement (Material Weakness and Noncompliance) U.S. Department of Housing and Urban Development 14.267 – Continuum of Care Program 2023 Funding Recommendation: The Organization should establish procedures to ensure that controls related to procurement are consistently implemented and that all written records are maintained to support that the compliance requirement is met. Corrective Action: In alignment with the recent leadership transition, a comprehensive policy and procedure manual has been established to ensure our procurement practices meet HUD guidelines. The following outlines our updated procurement policy: 1. Compliance with Standards: All procurement of property (goods, supplies, or equipment) and services must adhere to the standards of conduct and conflict-of-interest requirements outlined in 2 CFR 200.317 and 200.318. 2. Micro Purchases (Under $9,999): Temenos CDC (TCDC) will document the reasonableness of costs for all micro purchases to ensure appropriate spending practices. 3. Small Purchases ($10,000 and above): For small purchases exceeding $10,000, TCDC will solicit a minimum of three bids for services to promote competitive pricing. 4. Vendor Vetting: 1. All new vendors will be vetted through the SAM (System for Award Management) Department prior to the initiation of services. 2. Continuous service providers will be subject to an annual vetting process to ensure ongoing compliance and quality. These measures are designed to reinforce our commitment to transparency, accountability, and compliance with HUD requirements. Responsible Parties: Sandra Robicheaux - Executive Director Madelyn Wages – Director of Supportive Services Ramona Edwards – Property Manager Date to be Corrected: Implementation for above changes went into effect 6/01/2024
View Audit 382882
Finding 1169759 (2023-003)
Material Weakness 2023
City of Bay St. Louis, Mississippi
MS
Procurement, Suspension & Debarment
The City will create a check-list of required documentation for Federal Grants to ensure all requirements are met. The Administration has already required added language in the contract that has the required language so the contractor can sign for this requirement.
The City will create a check-list of required documentation for Federal Grants to ensure all requirements are met. The Administration has already required added language in the contract that has the required language so the contractor can sign for this requirement.
View Audit 382844
Finding 1169758 (2023-004)
Material Weakness 2023
City of Bay St. Louis, Mississippi
MS
The City will continue to work with the auditing firm to make sure audits are completed by required deadlines. This includes providing requested information to the auditing firm in a timely manner.
The City will continue to work with the auditing firm to make sure audits are completed by required deadlines. This includes providing requested information to the auditing firm in a timely manner.
View Audit 382844
Finding 1169749 (2023-002)
Material Weakness 2023
City of Bay St. Louis, Mississippi
MS
Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking Subrecipient Monitoring
The City will continue to work with the grant administrator who is managing the grant for the funding agency. The Administration will only submit invoices once for reimbursement and identify which invoices are local funding versus grant funding to avoid this in the future.
The City will continue to work with the grant administrator who is managing the grant for the funding agency. The Administration will only submit invoices once for reimbursement and identify which invoices are local funding versus grant funding to avoid this in the future.
View Audit 382844
Finding 1169574 (2023-004)
Material Weakness 2023
First Choice Community Healthcare, Inc.
NM
Reporting § 200.512
2023-004 – Late Audit Report Corrective Action: FCCH leadership inherited a situation in which the organization was woefully behind in its accounting records. The existing team has relentlessly pursued getting caught up. Turnover has hampered our efforts, yet we remain committed to the task. We are ...
2023-004 – Late Audit Report Corrective Action: FCCH leadership inherited a situation in which the organization was woefully behind in its accounting records. The existing team has relentlessly pursued getting caught up. Turnover has hampered our efforts, yet we remain committed to the task. We are committed to continuing the effort to become fully compliant and to submit our 2025 audit on time. The FCCH Board of Directors shall ensure accountability for completing all audits in the future on time. Person Responsible: Shawna Gonzales, Chief Financial Officer Completion Date: September 30, 2026
View Audit 382567
Finding 1169562 (2023-004)
Material Weakness 2023
LUTI R-VI SCHOOL DISTRICT
MO
Subrecipient Monitoring Internal Control / Segregation of Duties
Internal Control over Major Federal Program Compliance Program: Education Stabilization Fund (CFDA 84.425) Condition: Lack of policies and procedures for verifying and monitoring Wage Rate Requirements. Material Weakness Corrective Action Plan: The District will adopt policies to require prevailing ...
Internal Control over Major Federal Program Compliance Program: Education Stabilization Fund (CFDA 84.425) Condition: Lack of policies and procedures for verifying and monitoring Wage Rate Requirements. Material Weakness Corrective Action Plan: The District will adopt policies to require prevailing wage payments for contractor employees working an federally funded projects. The District will adopt policies and implement procedures requiring contractors on federally funded projects provide certified payroll reports to the District to ensure compliance with Wage Rate Requirements. The District will implement verification procedures to ensure contractor compliance with prevailing wage payments to employees. Planned Completion Date: March 20, 2024 Responsible Contact Perosn: Kathalee Cole, Superintendent (417) 273-4274
View Audit 382546
Finding 1169561 (2023-003)
Material Weakness 2023
LUTI R-VI SCHOOL DISTRICT
MO
Equipment & Real Property Management
Internal Control over Major Federal Program Compliance Program: Education Stabilization Fund (CFDA 84.425) Condition: Lack of policies and procedures for asset inventory management. Material Weakness Corrective Action Plan: The District will adopt policies and implement procedures to ensure asset ph...
Internal Control over Major Federal Program Compliance Program: Education Stabilization Fund (CFDA 84.425) Condition: Lack of policies and procedures for asset inventory management. Material Weakness Corrective Action Plan: The District will adopt policies and implement procedures to ensure asset physical inventories are completed and inventory records are completed and updated in accordance with federal program requirements. The District will provide training to responsible personnel. Planned Completion Date: March 20, 2024 Responsible Contact Perosn: Kathalee cole, Superintendent (417) 273-4274
View Audit 382546
Finding 1169560 (2023-002)
Material Weakness 2023
LUTI R-VI SCHOOL DISTRICT
MO
Compliance over Major Federal Program Program: Education Stabilization Fund (CFDA 84.425) Compliance Requirement: Wage Rate Requirements. Condition: Prevailing Wage payments byo contractors not verified and documented. Material Noncompliance Corrective Action Plan: The District will request certifie...
Compliance over Major Federal Program Program: Education Stabilization Fund (CFDA 84.425) Compliance Requirement: Wage Rate Requirements. Condition: Prevailing Wage payments byo contractors not verified and documented. Material Noncompliance Corrective Action Plan: The District will request certified payroll reports from the contractor of the roofing project. The District will determine if prevailing wage payments were paid to the contractor employees. The District will consult legal counsel if under payments are discovered. Planned Completion Date: March 31, 2024 Responsible Contact Person: Kathalee Cole, Superintendent, (417) 273-4274
View Audit 382546
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