Corrective Action Plans

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Views of Responsible Officials: Over the past two (2) years, the organization has increased the skill set and capacity among teams for risk assessment and awards management. Subaward policies have been reviewed and all subaward recipients are required to complete pre-award surveys (which include the...
Views of Responsible Officials: Over the past two (2) years, the organization has increased the skill set and capacity among teams for risk assessment and awards management. Subaward policies have been reviewed and all subaward recipients are required to complete pre-award surveys (which include the risk assessment unless the subrecipients are pre-approved by USAID and exempted from such policies). The Associate Director of Grants and Compliance continues to work with members of the Program team to monitor all subrecipient awards for full compliance with 2 CFR 200.516(a).After the FY2022 findings, Astraea sought documentation from Federal agencies where risk assessment exemptions applied. The inception for some of these subawards predated FY2022 and for these, new retroactive risk assessments will be performed.
Views of Responsible Officials: All Astraea staff members are required to complete timesheets. Astraea’s internal processes were reviewed and overhauled in December 2021 (midway through FY2022) with department heads determining how their direct reports would spend time on various Astraea work stream...
Views of Responsible Officials: All Astraea staff members are required to complete timesheets. Astraea’s internal processes were reviewed and overhauled in December 2021 (midway through FY2022) with department heads determining how their direct reports would spend time on various Astraea work streams and projects.This information is detailed in a level of effort (LOE) spreadsheet tracked against timesheets and budgets regularly. However, the processes for instituting regular updates to the LOE spreadsheet and timesheet allocations remained time-consuming and highly manual in FY2023 – which we believe resulted in misallocations. Astraea is currently reviewing internal processes to ensure, 1) that review and revision of the LOE spreadsheet and timesheet allocations can happen in a timely manner with less administrative burden, and 2) allowance of a more detailed review of the payroll allocation approval and entry process. As of November 2024, the Astraea Finance team was in the process of transitioning to a more sophisticated finance and accounting system. This system will allow for automation of the processes. Since this system is expected to be live starting in January of 2025, the anticipated completion date remains January 31, 2025.
Actions Planned: The Organization has contracted with a healthcare consulting firm and has outsourced the financial reporting function in its entirety. They are responsible for general ledger reconciliations to the appropriate subsidiary ledgers and/or supporting documentation. They will also be r...
Actions Planned: The Organization has contracted with a healthcare consulting firm and has outsourced the financial reporting function in its entirety. They are responsible for general ledger reconciliations to the appropriate subsidiary ledgers and/or supporting documentation. They will also be responsible for all internal and external financial reporting.
Finding ref number: 2023-001 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Debbie Zabell, Deputy City Manager/Finance 818 East Edison Avenue Sunnyside,...
Finding ref number: 2023-001 Finding caption: The City did not have adequate internal controls for ensuring compliance with federal suspension and debarment requirements. Name, address, and telephone of City contact person: Debbie Zabell, Deputy City Manager/Finance 818 East Edison Avenue Sunnyside, WA 98944 (509) 837-3268 Corrective action the auditee plans to take in response to the finding: The Finance staff will work more closely with all departments to continue to ensure that employees are responsible for understanding and complying with applicable state and/or federal laws when purchasing and contracting on behalf of the City. The City’s current Purchasing and Contracting Policies will be updated to include additional information and checklists to help in ensuring the City meets all applicable state and/or federal laws, specifically: • The city’s project lead will verify and provide documentation that all applicable contractors and/or vendors are not suspended or debarred. • Applicable city contracts will include a clause or condition that states the contractor is not suspended or debarred. Anticipated date to complete the corrective action: January 2, 2025
Finding 2023-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Section 8 Housing Choice Vouchers Program Federal Catalog Numbers: 14.871 Noncompliance – E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Defici...
Finding 2023-002 Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Section 8 Housing Choice Vouchers Program Federal Catalog Numbers: 14.871 Noncompliance – E. Eligibility - Tenant Files Non Compliance Material to the Financial Statements: No Significant Deficiency in Internal Control over Compliance for Eligibility Criteria: Tenant Files. The PHA must do the following: As a condition of admission or continued occupancy, require the tenant and other family member to provide necessary information, documentation, and releases for the PHA to verify income eligibility (24 CFR sections 5.230, 5.609, and 982.516). These files are required to be maintained and available for examination at the time of audit. Condition: Based upon inspection of the Authority’s files and on discussion with management, there were documents that were unavailable for examination at the time of audit. Context: Of a sample size of twenty-two (22) tenant files, the following information was unavailable for examination at the time of audit: • Biennial inspection reports were missing in two (2) files Our sample size is statistically valid. Known Questioned Costs: $21,520 Cause: There is a significant deficiency in internal controls over the compliance for the eligibility type of compliance related to the maintenance of tenant files. The Authority has not properly considered, designed, implemented, maintained, and monitored a system of internal controls that reasonably assures the program is in compliance. Effect: The Section 8 Housing Choice Vouchers program is in non-compliance with the eligibility type of compliance related to the maintenance of tenant files. Recommendation: We recommend the Authority design and implement internal control procedures that will reasonably assure compliance with the Uniform Guidance and the compliance supplement. Views of responsible officials and planned corrective action: The Authority accepts the recommendation of the auditor. The Authority will increase oversight in the Section 8 Housing Choice Vouchers program to ensure that established internal control policies are being followed on a timely basis. Adam Bovilsky, Executive Director, is responsible for implementing this corrective action by March 31, 2024.
View Audit 337205 Questioned Costs: $1
Finding: 2023-003
Finding: 2023-003
Name of contact person: Sue Polston, Executive Director
Name of contact person: Sue Polston, Executive Director
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will formalize and implement written policies that comply with Uniform Guidance standards and will present the policies to the Board of Directors to be approved and adopted.
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will formalize and implement written policies that comply with Uniform Guidance standards and will present the policies to the Board of Directors to be approved and adopted.
Proposed Completion Date: May 15, 2024
Proposed Completion Date: May 15, 2024
Name of contact person: Sue Polston, Executive Director
Name of contact person: Sue Polston, Executive Director
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will file all required reports in a timely manner going forward.
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will file all required reports in a timely manner going forward.
Proposed Completion Date: Immediately
Proposed Completion Date: Immediately
Finding: 2023-001
Finding: 2023-001
Name of contact person: Sue Polston, Executive Director
Name of contact person: Sue Polston, Executive Director
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will continue to further segregate incompatible job functions that will benefit the Organization. The Finance Director has been given some duties that have been delegated to her that will assist with segregation of in...
Corrective Action: Management of Sunrise Community for Recovery and Wellness, Inc. will continue to further segregate incompatible job functions that will benefit the Organization. The Finance Director has been given some duties that have been delegated to her that will assist with segregation of incompatible job functions. In addition, review and approval processes will be formalized by documentation of review and approval. Policies and procedures will be formalized as well.
Proposed Completion Date: Immediately
Proposed Completion Date: Immediately
2023-002 – Controls over Reporting (previously 2022-005): Material Weakness. Federal Programs: AL 21.023 – Emergency Rental Assistance Program. AL 14.231 – Emergency Solutions Grant. Auditors Notes: As a part of the administering federal funds, the Organization should have internal controls over co...
2023-002 – Controls over Reporting (previously 2022-005): Material Weakness. Federal Programs: AL 21.023 – Emergency Rental Assistance Program. AL 14.231 – Emergency Solutions Grant. Auditors Notes: As a part of the administering federal funds, the Organization should have internal controls over compliance in place to ensure that reporting deadlines are met. The Organization experienced delays in the completion of the financial statement audit, and therefore the single audit was delayed until after the required submission date. The Organization is relatively new to the single audit process and requirements, there were various versions of guidance received and unclear identification of responsibilities until later into the program year that resulted in delays. The effect was a delay in the finalization of the single audit and inappropriate reporting to the related granting agencies. We recommend that the Organization develop a process to track and ensure that reporting deadlines are met. Management’s Response: Inland Southern California United Way and Subsidiaries are currently catching up on both financial audits and single audits for the Organization, therefore deadlines that have already passed could not have been met. However, the Accounting Manager and Executive Director of Finance will be responsible for ensuring that any future deadlines, effective FY24, for program reporting requirements as well as both financial audits and single audits are completed and submitted in a timely manner.
2023-001 – Reporting Requirements (previously 2022-004) Noncompliance. Federal Programs: AL 21.023 – Emergency Rental Assistance Program. AL 14.231 – Emergency Solutions Grant. Auditors Notes: As required by 2 CFR 200.512, the single audit report must be submitted to the federal audit clearinghouse ...
2023-001 – Reporting Requirements (previously 2022-004) Noncompliance. Federal Programs: AL 21.023 – Emergency Rental Assistance Program. AL 14.231 – Emergency Solutions Grant. Auditors Notes: As required by 2 CFR 200.512, the single audit report must be submitted to the federal audit clearinghouse within the earlier of 30 calendar days after the receipt of the auditor's report, or nine months after the end of the audit period. The Organization experienced delays in the completion of the financial statement audit, and therefore the single audit was delayed until after the required submission date. The Organization is relatively new to the single audit process and requirements, there were various versions of guidance received and unclear identification of responsibilities until later into the program year that resulted in delays. The effect was a delay in the finalization of the single audit and inappropriate reporting to the related granting agencies. We recommend that the Organization develop a process to track and ensure that reporting deadlines are met. Management’s Response: Inland Southern California United Way and Subsidiaries are currently catching up on both financial audits and single audits for the Organization, therefore deadlines that have already passed could not have been met. However, the Accounting Manager and Executive Director of Finance will be responsible for ensuring that any future deadlines, effective FY24, for program reporting requirements as well as both financial audits and single audits are completed and submitted in a timely manner.
Finding 518701 (2023-007)
Significant Deficiency 2023
2023-007 Assistance Listing No. 96.001 , 96.006 and Social Security Disability lnsurance Cluster Type of Compliance Requirement: Period of Performance lnternal controls over period of performance were not consistentlv performed Response: Of the five instances noted in the auditor's "Period of Perfor...
2023-007 Assistance Listing No. 96.001 , 96.006 and Social Security Disability lnsurance Cluster Type of Compliance Requirement: Period of Performance lnternal controls over period of performance were not consistentlv performed Response: Of the five instances noted in the auditor's "Period of Performance" test work, we concur with four. With one of the sample items, however, we argue that since the service was invoiced on a State Fiscal Year, it was impractical to further split the invoice into the various appropriate Federal periods of performance, especially given the way those specific invoices are allocated between other shared program areas within our agency, etc. Corrective Action Plan: Our agency takes these findings seraously and will continue to evaluate ways of improving controls. At a minimum, it is our intent to increase and provide additional training to the staff overseeing and approving these types of transactions so that they can accurately apply transactions to the appropriate periods. This was something we had already begun (i.e. provrding additional guidance and training to stafD during the current fiscal year. So, we hope our agency is already on a corrective path. But, we will continue to push for more training in the immediate future and strive for improvement in all other aspects. We also think it is important to note that, of the findings identifled by the auditors related to "Period of Performance," those items were discovered out of a total sample size oI 120 items (i.e. 60 sample items related to thejr "Period of Performance" test work and 60 sample items related to "General Disbursements" test work). So, a slightly larger sample size than that of the 60 referenced in the auditor's schedule of flndings. Additionally, the auditor's sample appeared to selectively target the specific periods and transactions that would have been most susceptible to these types of potential errors. And, although we are not objecting to the way in which the sample was selected, we would.just point out that this approach of sample selection may not be truly reflective of a purely random sample covering all transactions across the entire fiscal year. Therefore, although we ultimately concur with the findings here, we do not necessarily believe these results paint the fairest picture on the overall effectiveness of our agency's controls across the more than '100,000 transactions that would have been processed during the period of audit for this program. Again, we take these findings seriously. But, based on the audit test work and results, we feel the controls we have in place are ultimately working adequately enough to mitigate the potential for material misstatements. Regardless, we will continue to monitor and evaluate our controls to help further reduce the risk of these types of issues moving forward. Planned completion date for corrective action plan: lmmediately. But, additional training for managers to be provided by September 30, 2024.
View Audit 337153 Questioned Costs: $1
Finding 518700 (2023-008)
Significant Deficiency 2023
2023-008 Assistance Listing No. 96.001, 96.006 and Social Security Disability lnsurance Cluster Type of Compliance Requirement: Allowable Costs lnternal Controls gtver glant disbursements were not consistently performed Response: There is no disagreement with the audit finding. Corrective Action Pla...
2023-008 Assistance Listing No. 96.001, 96.006 and Social Security Disability lnsurance Cluster Type of Compliance Requirement: Allowable Costs lnternal Controls gtver glant disbursements were not consistently performed Response: There is no disagreement with the audit finding. Corrective Action Plan: Item is isolated and immaterial. And, we feel effective controls are in place to mitigate the likelihood of this type of error. We have also, since, reached out to the vendor to redeem the $14 associated with this transaction. However, we will continue to monitor and reinforce, with our managers, the importance of being vigilant during their review and approval processes for this type of situatlon. Planned completion date for corrective action plan: lmmediately Name(s) of the contact person(s) responsible for corrective actions: Andy Salin Finance Director 601-853-5220.
View Audit 337153 Questioned Costs: $1
93.767 Children's Health Insurance Program (CHIP) 93.778 Medical Assistance Program (Medicaid; Title XIX) Eligibility 2023-024 Strengthen Controls to Ensure Compliance with Eligibility Requirements of the Children's Health Insurance Program (CHIP) and the Medical Assistance Program DOM Response: Use...
93.767 Children's Health Insurance Program (CHIP) 93.778 Medical Assistance Program (Medicaid; Title XIX) Eligibility 2023-024 Strengthen Controls to Ensure Compliance with Eligibility Requirements of the Children's Health Insurance Program (CHIP) and the Medical Assistance Program DOM Response: Use of Tax Return Resources Seven MAGI beneficiaries - DOM did not verify self-employment income reported on tax return DOM Does Not Concur. OSA compared eligibility data to state income tax returns. DOM is prohibited from accessing state income tax records per Mississippi Code Annotated §27-3-73 and currently, is not allowed to have access to federal income tax records. DOM maintains that for determining eligibility, it has complied with the CMS-approved state plan. Using the approved CMS MAGI Based Verification plan in effect during the audit time period, the state sought to verify the reported income to the standard of reasonable compatibility, as defined by CMS, through all available electronic data sources. Further, DOM is required to accept the information provided by the applicant and utilize the available verification methods as detailed in the CMS-approved state plan to evaluate the accuracy of the information provided. If an applicant does not report self-employment income, and the tools available to DOM do not reveal such, DOM has performed its due diligence in the eligibility process and complied with the requirements of CMS, DOM's federal regulatory and oversight agency. Additionally, tax return information is outdated and not deemed applicable to DOM. Four of the 180 MAGI beneficiaries - Income was not verified through Mississippi Department of Employment Security DOM Concurs. This oversight was reviewed with the employees. Additionally, DOM Eligibility staff will be reminded of the MOES response time to ensure that when a MOES request is generated the adequate response time is waited prior to processing an application. Two of the 300 beneficiaries - The beneficiary's case file did not contain a completed application. DOM Concurs. This file could not be located. One of the 300 beneficiaries - DOM could not provide a case file. DOM Concurs. This file could not be located. Fifteen ABD beneficiaries - Resources were not verified through A VS at the time of redetermination. DOM Concurs. This was a previous finding that DOM concurred with. In June 2022, the eligibility system change request list was updated to include asset checks within the system processing workflow to eliminate the manual request process and facilitate asset verification through A VS. This process was implemented June of 2022 for redetermination contacts. Application contacts are a manual process. DOM did not perform resource verification through A VS for the beneficiaries in question prior to this implementation. However, after being notified DOM ran A VS for all applicants, which resulted in no change in the eligibility determination. One hundred ninety-five beneficiaries were not included on all of the required quarterly Public Assistance Reporting Information System (PARIS) me transmissions for fiscal year 2023. Of the 195 beneficiaries, one beneficiary was not included on any quarterly PARIS me transmissions during fiscal year 2023. DOM Does not Concur. PARIS jobs run on February 1, May 1, August 1, and November 1. PARIS will not be pulled on a beneficiary if the case is closed at the time the file is generated or if there is no SSN on file. Additionally, while the records are sent, not all the cases return a match. Our vendor confirmed that a PARIS request was sent for the open cases with SSN numbers on file with one exception. One case was in COE 29-Family Planning. The omission was identified in a previous audit and was corrected in late 2023. DOM Corrective Action Plan: a. All issues identified will be reviewed with regional office staff. Examples of these issues will be included in annual training sessions performed by Eligibility staff. Further, DOM is implementing an electronic storage system to house all documents associated with applicants/beneficiary files. b. Cindy Bradshaw c. December 31, 2024
View Audit 337153 Questioned Costs: $1
SUBRECIPIENT MONITORING ALN Number 2023-017 Response: 93.568 Low Income Home Energy Assistance (LIH EAP) 93.489, 93.575, and 93 .596 Child Care Deve lopment Fund (CCDf-') Strenl.!.lhen Controls Over Onsite Monitorirw for the Low-Income Home Enerl.!.v Assistance Program ( LI HEAP). MOHS Concurs that ...
SUBRECIPIENT MONITORING ALN Number 2023-017 Response: 93.568 Low Income Home Energy Assistance (LIH EAP) 93.489, 93.575, and 93 .596 Child Care Deve lopment Fund (CCDf-') Strenl.!.lhen Controls Over Onsite Monitorirw for the Low-Income Home Enerl.!.v Assistance Program ( LI HEAP). MOHS Concurs that cont ro ls should be strengthened over On-Site monitoring for the LIHEAP and CCDF. Corrective Action Plan: I. Strengthen cont ro ls over the subrec ipienl monitoring process: A. The Office of Compliance, Division of Monitoring has made sign ifi cant strides in strength ening cont ro ls over the subreci pient monitor ing process. The Division continues to rev iew and update the processes and procedures as necessary to ensure processes are adeq uate and effective. Staff are constantly notified/trained on updates to poli cies, procedures, and regulations to ensure continued compliance with monitoring the agency's subgrant agreem ents. Additionally, the Division is in the process of implementing a case management system to ass ist in better track ing the status of monitoring reviews. B. Responsible Party: Kameron Harri s, Chief Compliance Officer, Director of Monitoring, Laketha Gilmore C. Completion Date: This corrective action has been implemented and is ongoi ng.
SUBRECIPIENT MONITORING ALN Number 93.558 Temporary Assistance for Needy Families (TANF) 93.489, 93.575, 93.596 Child Care Development Fund (CCDF) 93.568 Low Income Household Energy Ass istance Program (LIHEAP) 2023-018 Strengthen Controls over Subrecipient to Ensure Compliance with Uniform Guidance...
SUBRECIPIENT MONITORING ALN Number 93.558 Temporary Assistance for Needy Families (TANF) 93.489, 93.575, 93.596 Child Care Development Fund (CCDF) 93.568 Low Income Household Energy Ass istance Program (LIHEAP) 2023-018 Strengthen Controls over Subrecipient to Ensure Compliance with Uniform Guidance Auditing Requirements. Response: MOHS concurs that it needs to strengthen controls over subrecipient monitoring for the Child Care Development Fund (CCDF) and Temporary Assistance for Needy f amilies (TANF) programs to conform with Uniform Guidance. Corrective Action Plan: I . Strengthen cont rol over the subrecipient to ensure compliance with Uniform Guidance Requirements: A. The Office of Compliance, Division of Monitoring has made significant strides in strengthening controls over the subrecipient monitoring process. The Division continues to review and update the processes and procedures as necessary to ensure processes are adequate and effective. Staff are constantly notified/trained on updates to policies, procedures. and regulations to ensure continued compliance with monitoring the agency's subgrant agreements. Additionally, the Division is in the process of implementing a case management system to assist with this process. 8. Responsible Parties: Kameron Harris, Chief Compliance Officer, Director of Monitoring, Laketha Gilmore C. Anticipated Completion Date: This corrective action has been implemented and is ongoing.
REPORTING ALN Number 2023-016 Response: 93.558 Temporary Assistance for Needy Families (TANI') 93.568 Low Income Home Energy Assistance (LIH EAP) 93.489, 93.596 and 93.575 Child Care Development Fund (CCDF) Strengthen Controls to Ensure Compliance with l'ecleral Fundinl.!. Accountabi litv and Transp...
REPORTING ALN Number 2023-016 Response: 93.558 Temporary Assistance for Needy Families (TANI') 93.568 Low Income Home Energy Assistance (LIH EAP) 93.489, 93.596 and 93.575 Child Care Development Fund (CCDF) Strengthen Controls to Ensure Compliance with l'ecleral Fundinl.!. Accountabi litv and Transparency Act ffF AT A) req uirements. MOHS concurs that controls should be strengthened over FF AT A reporting requirements. Corrective Action Plan: I. Strengthen controls to ensure compliance with FFATA reporting requirements. A. MOHS implemented a process as of January I. 2023, to ensure that FFATA reporting is being clone and verified on a periodic basis. After doing an initial submission of reports the first year and completing the process, Standard Operating Procedures were deve loped to ensure that the reports are entered, rev iewed and submitted within the required tim efram e. B. Responsible Parties: Debra Dixon, Deputy of Finance and Samuel Cole, Director of Procurement Services C. Anticipated Completion Date: This correct ive action has been implemented.
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