Corrective Action Plans

Finding 1165703 (2023-005)

Material Weakness 2023

Eldred Borough

NY

Internal Control / Segregation of Duties Reporting § 200.303

Internal Control over Schedule of Expenditures of Federal Awards Year Ended December 31, 2023 Segregation of Duties Auditor’s Recommendations: We recommend that Eldred Borough assess the current structure and implement compensating controls where full segregation of duties is not feasible due to sta...

Internal Control over Schedule of Expenditures of Federal Awards Year Ended December 31, 2023 Segregation of Duties Auditor’s Recommendations: We recommend that Eldred Borough assess the current structure and implement compensating controls where full segregation of duties is not feasible due to staffing limitations. These may include enhanced supervisory review, periodic oversight by the board or executive leadership, documentation of independent reviews, and rotation of duties when possible. Borough’s Response: Eldred Borough has board oversight and will continue to do so. The Borough employees do cover duties of the other employee when necessary and will continue to do so. Bank Reconciliations will be signed by Council. Pay Requisitions are signed by Council and will continue to do so.

View Audit 376427

Finding 1165699 (2023-004)

Material Weakness 2023

Eldred Borough

NY

Procurement, Suspension & Debarment Reporting Internal Control / Segregation of Duties § 200.512

Compliance and Other Matters Year Ended December 31, 2023 Untimely Single Audit Filing Auditor’s Recommendations: The Borough should establish a system to closely monitor Single Audit deadlines, designate clear responsibilities for the audit process, and proactively communicate with the auditor to e...

Compliance and Other Matters Year Ended December 31, 2023 Untimely Single Audit Filing Auditor’s Recommendations: The Borough should establish a system to closely monitor Single Audit deadlines, designate clear responsibilities for the audit process, and proactively communicate with the auditor to ensure timely completion and submission of the report. Borough’s Response: Eldred Borough was unable to contract a CPA to perform the single audit. This process included months of phone calls and emails to over 30 CPA and Accounting Forms across the State of Pennsylvania. The Borough has since contracted with a CPA firm to perform the 2024 single audit and do not anticipate it being delayed in submission.

View Audit 376427

Finding 1165695 (2023-003)

Material Weakness 2023

Eldred Borough

NY

Procurement, Suspension & Debarment Reporting Internal Control / Segregation of Duties § 200.512

Compliance and Other Matters Year Ended December 31, 2023 Untimely Single Audit Filing Auditor’s Recommendations: The Borough should establish a system to closely monitor Single Audit deadlines, designate clear responsibilities for the audit process, and proactively communicate with the auditor to e...

Compliance and Other Matters Year Ended December 31, 2023 Untimely Single Audit Filing Auditor’s Recommendations: The Borough should establish a system to closely monitor Single Audit deadlines, designate clear responsibilities for the audit process, and proactively communicate with the auditor to ensure timely completion and submission of the report. Borough’s Response: Eldred Borough was unable to contract a CPA to perform the single audit. This process included months of phone calls and emails to over 30 CPA and Accounting Forms across the State of Pennsylvania. The Borough has since contracted with a CPA firm to perform the 2024 single audit and do not anticipate it being delayed in submission.

View Audit 376427

Finding 1165680 (2023-022)

Material Weakness 2023

City of Jackson, Mississippi

MS

Cash Management Subrecipient Monitoring Significant Deficiency

Action Taken: The City has implemented new policies and procedures regarding grant reimbursements including, but not limited to, the creation of a grants unit. All activities regarding reimbursements are required to be reviewed and approved by a designee of the City’s CFO and other employees as iden...

Action Taken: The City has implemented new policies and procedures regarding grant reimbursements including, but not limited to, the creation of a grants unit. All activities regarding reimbursements are required to be reviewed and approved by a designee of the City’s CFO and other employees as identified. In addition, any project associated with outside funding has gone through or will go through a reconciliation process to evaluate its current standing, including all related receivables and payables, and will continue to do so monthly. The City is working to ensure all invoices are paid within a timely manner of the related award advances and according to application of Federal and State regulations.

View Audit 376388

Finding 1165368 (2023-002)

Material Weakness 2023

Town of Twisp

WA

Procurement, Suspension & Debarment Subrecipient Monitoring § 200.318

Finding ref number: 2023-002 Finding caption: The Town did not have adequate internal controls for ensuring compliance with federal procurement requirements. Name, address, and telephone of Town contact person: Randy Kilmer, Clerk/Treasurer PO Box 278 Twisp, WA 98856 Corrective action the auditee pl...

Finding ref number: 2023-002 Finding caption: The Town did not have adequate internal controls for ensuring compliance with federal procurement requirements. Name, address, and telephone of Town contact person: Randy Kilmer, Clerk/Treasurer PO Box 278 Twisp, WA 98856 Corrective action the auditee plans to take in response to the finding: Town of Twisp has since been working to draft updated federal award/purchasing/reporting policy, not only to address processes for procurement, but to establish federal purchasing policy in compliance with the recommendation of the recent audit findings including discipline for non-adherence to the policy. This Policy was adopted in October of 2024 and will alleviate any further issues with Federal procurement requirements. Anticipated date to complete the corrective action: Completed

View Audit 375935

Finding 1165274 (2023-002)

Material Weakness 2023

Argus Community, INC

NY

Allowable Costs / Cost Principles § 200.430

Corrective Action Planned: In July 2023, the Organization implemented ADP Work Force Now to systematically capture hours worked, the supervisor’s approval and audit trail to reflect the work performed. Budget and Grants in conjunction with the program and Human Resources will implement a hindsight r...

Corrective Action Planned: In July 2023, the Organization implemented ADP Work Force Now to systematically capture hours worked, the supervisor’s approval and audit trail to reflect the work performed. Budget and Grants in conjunction with the program and Human Resources will implement a hindsight review of employee working hours with a certification by the employee and supervisor. Name(s) of Contact Person(s) Responsible for Corrective Action: Betsey Knapp, Director of Budgets and Contracts; Alvin Sinckler, Chief Financial Officer Anticipated Completion Date: November 15, 2025.

View Audit 375786

Finding 1165075 (2023-005)

Material Weakness 2023

West Bonner County School District No. 83

ID

Subrecipient Monitoring Reporting Significant Deficiency

There is no disagreement with the audit finding. All federal programs will have a federal programs director/coordinator and the Business Office will work closely with the federal programs director/coordinator to ensure that all federal compliance measures are met. A calendar of all federal reporting...

There is no disagreement with the audit finding. All federal programs will have a federal programs director/coordinator and the Business Office will work closely with the federal programs director/coordinator to ensure that all federal compliance measures are met. A calendar of all federal reporting requirements will be developed and maintained. This calendar will be reviewed monthly to ensure all federal compliance timelines are met. A federal program grant activity report will be shared monthly with the district leadership team. This report will keep financial monitoring to the forefront of the leadership team. All federal program reporting will be reviewed with the Business Office prior to submission. Business Office will complete federal program management and reporting training by December 31st by working with the federal program specialists at the State Department of Education and reading and retaining for future reference any grant specific guidance.

View Audit 375239

Finding 1165072 (2023-004)

Material Weakness 2023

West Bonner County School District No. 83

ID

Equipment & Real Property Management

There is no disagreement with the audit finding. All federal programs will have a federal programs director/coordinator and the Business Office will work closely with the federal programs director/coordinator to ensure that all federal compliance measures are met. The Business Office will develop an...

There is no disagreement with the audit finding. All federal programs will have a federal programs director/coordinator and the Business Office will work closely with the federal programs director/coordinator to ensure that all federal compliance measures are met. The Business Office will develop and implement an accurate inventory tracking system for items purchased with federal funds. The board will review board policy to ensure it meets the uniform guidance as required for purchasing equipment with federal funds. Inventory records will be maintained by the federal program director and shared in entirety at the end of each fiscal year with the business manager. The business manager will review the inventory for accuracy and completeness. Inventory record management must track at a minimum the following: description of item, serial number or other identifying numbers, funding source, acquisition date, cost of the item, location of the item, disposal date and useful life. The tagging system will be developed to accurate track each inventory item within the district.

View Audit 375239

Finding 1164964 (2023-001)

Material Weakness 2023

Able-Disabled Advocacy, INC

CA

Reporting

Condition: The Organization did not submit required program reports within the timeframes stipulated in the Community-Based Violence Intervention and Prevention Initiative grant agreement. Criteria: Per the grant agreement and financial reporting compliance requirements, recipients must submit perfo...

Condition: The Organization did not submit required program reports within the timeframes stipulated in the Community-Based Violence Intervention and Prevention Initiative grant agreement. Criteria: Per the grant agreement and financial reporting compliance requirements, recipients must submit performance and financial reports timely. Cause of condition: The delay was due to internal administrative challenges and competing priorities during the reporting period. Potential effect of condition: Late reporting may hinder the grantor’s ability to monitor program performance and compliance, potentially affecting future funding decisions. Recommendation: Implement stronger internal controls and calendar-based tracking to ensure timely submission of all required reports. Management response: The Organization is working to catch up on the outstanding invoices and have implemented adjustments to their process to help ensure timely submission going forward. Action Taken: The Organization has implemented process adjustments to its workflow to catch up on outstanding invoices and ensure timely submission of current invoices. As of November 14, 2025, all outstanding invoices have been submitted.

View Audit 374945

Finding 1164903 (2023-004)

Material Weakness 2023

City of Berlin, New Hampshire

NH

Allowable Costs / Cost Principles

Corrective Action Plan: Accounts Payable Specialist will send a series of follow up emails to grant managers for, but not limited to IDEA, Title I, & 21 st Century Grants and will file in designated location for each respective grant. Business Administrator will follow up on a semi-annual basis. Nam...

Corrective Action Plan: Accounts Payable Specialist will send a series of follow up emails to grant managers for, but not limited to IDEA, Title I, & 21 st Century Grants and will file in designated location for each respective grant. Business Administrator will follow up on a semi-annual basis. Name of Responsible Person: Business Administrator - Evan Arsenault Anticipated Implementation Date of Corrective Action: July I, 2024

View Audit 374845

Finding 1164723 (2023-004)

Material Weakness 2023

Chrysalis Center

CA

Reporting

Description: Management should ensure that Uniform Guidance regarding time tracking related to federal grants is fully implemented. Auditors review of employee timesheets lacked evidence of review and approval, and certain employees did not prepare timesheets. Recommendation: Management should revie...

Description: Management should ensure that Uniform Guidance regarding time tracking related to federal grants is fully implemented. Auditors review of employee timesheets lacked evidence of review and approval, and certain employees did not prepare timesheets. Recommendation: Management should review the requirements of CFR 200.430 and ensure that current processes, whether digital or hard-copy driven, are consistent with the requirements of the Uniform Guidance. In addition, management should consider adding additional staff to its accounting and/or grants management team. Responsible Contact: Laura McQuay, Vice President & Chief Financial Officer Corrective Action Planned: Management will evaluate systems and processes to ensure time tracking procedures meet the standards outlined in the Uniform Guidance. Anticipated Completion Date: December 31, 2025

View Audit 374440

Finding 1164722 (2023-003)

Material Weakness 2023

Chrysalis Center

CA

Allowable Costs / Cost Principles Internal Control / Segregation of Duties § 200.302 § 200.403 § 200.430

Description: Management’s schedule of Expenditures of Federal Awards was incomplete, resulting in lack of identification of the need for a Single Audit and the delay in its completion. The State funder indicated that no Federal Single Audit was required. Management had not implemented a formal proce...

Description: Management’s schedule of Expenditures of Federal Awards was incomplete, resulting in lack of identification of the need for a Single Audit and the delay in its completion. The State funder indicated that no Federal Single Audit was required. Management had not implemented a formal process for preparation of the SEFA. Recommendation: Management should prepare a master tracking schedule for government grants which includes the source of funding and audit and reporting requirements. The schedule should be prepared by someone with knowledge of the grant agreements and reviewed by a leader in the accounting department to ensure completeness. Responsible Contact: Laura McQuay, Vice President & Chief Financial Officer Corrective Action Planned: Management has implemented a master tracking schedule for government grants that includes the source of funding and audit and reporting requirements. This tracker is a joint effort between finance and grants management teams. Anticipated Completion Date: December 31, 2025

View Audit 374440

Finding 1164721 (2023-002)

Material Weakness 2023

Chicago Recovery Alliance

IL

Allowable Costs / Cost Principles § 200.430

Since January of 2024, CRA has done the following: Created a Human Resources Department, which did not exist before. Hired a Full Time Human Resources Director to oversee the department. Initiated a comprehensive Human Resources system where staff can review their pay, track their time, and review b...

Since January of 2024, CRA has done the following: Created a Human Resources Department, which did not exist before. Hired a Full Time Human Resources Director to oversee the department. Initiated a comprehensive Human Resources system where staff can review their pay, track their time, and review benefits. Initiated the process of uploading personnel information to our new system, while keeping backups secured in our Google Nonprofit workspace - including hiring documentation and change of status forms for employees.

View Audit 374435

Finding 1164634 (2023-004)

Material Weakness 2023

Northeast Treatment Centers, Inc.

PA

Internal Control / Segregation of Duties

Recommendation: We recommend that management ensures that there is documented approval for all employees’current pay rates and that a copy of all employee’s work documents (I-9, W4, background checks) are kept on file in line with the Centers’ policies Explanation of Disagreement with Audit Finding:...

Recommendation: We recommend that management ensures that there is documented approval for all employees’current pay rates and that a copy of all employee’s work documents (I-9, W4, background checks) are kept on file in line with the Centers’ policies Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has implemented a new payroll system and new policies within the HR department to ensure documentation is maintained electronically to support pay rates as well as maintaining all employee documents, including I-9, W4 and background checks. Name of the contact person responsible for corrective action: Regan Kelly, CEO of NorthEast Treatment Centers, Inc. (215) 451-7000

View Audit 374237

Finding 1164633 (2023-003)

Material Weakness 2023

Net Treatment Services, Inc. D/b/a Net Community Care

PA

Questioned Costs Student Financial Aid Cash Management

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Foster Care Title IV-E & Stephanie Tubbs Jones Child Welfare Services Program Assistance Listing Numbers: 93.658 & 93.645 Federal Award Identification Number and Year: 21-20016 (2023) & 21-20017 (2023) Award Period: J...

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Foster Care Title IV-E & Stephanie Tubbs Jones Child Welfare Services Program Assistance Listing Numbers: 93.658 & 93.645 Federal Award Identification Number and Year: 21-20016 (2023) & 21-20017 (2023) Award Period: July 1, 2022 through June 30, 2023 Type of Finding: Material Weakness in Internal Control over Compliance and Cash Management Recommendation: We recommend that management ensure that all invoices are based on actual expenses incurred and that there is a review an approval process of invoices before submission. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. Aciton take in response to finding: Management has implemented a policy which requires each invoice to be based only on actual expenses incurred for the period and prohibits the use of a straight-line calculation to draw down funds. Invoices are also approved by the CFO prior to submission for reimbursement. Name of contact person responsible for corrective action: Regan Kelly, CEO of NorthEast Treatment Cetners, Inc. (215) 451-7000 Planned completion date for corrective action plan: January 31, 2024

View Audit 374235 Questioned Costs: $1

Finding 1164572 (2023-001)

Material Weakness 2023

Strategic Capacity Group, Inc.

VA

STRATEGIC CAPACITY GROUP CORRECTIVE ACTION PLAN For the Year Ended December 31, 2023 U.S. DEPARTMENT OF STATE Strategic Capacity Group (SCG) submits the following corrective action plan for the year ended December 31, 2023. Independent Public Accounting Firm: CBIZ CPAs P.C. 1899 L Street NW, Suite 8...

STRATEGIC CAPACITY GROUP CORRECTIVE ACTION PLAN For the Year Ended December 31, 2023 U.S. DEPARTMENT OF STATE Strategic Capacity Group (SCG) submits the following corrective action plan for the year ended December 31, 2023. Independent Public Accounting Firm: CBIZ CPAs P.C. 1899 L Street NW, Suite 850 Washington, DC 20036 Audit Period: The finding from the December 31, 2023 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the numbers assigned in the schedule. FINDING - FINANCIAL STATEMENT FINDINGS Finding No. 2023-001: Late Filing of Data Collection Form – Compliance Finding – All Federal Awards Criteria In accordance with the Uniform Guidance, the audit package and the Data Collection Form must be submitted within 30 days after receipt of the auditors’ report or nine months after the end of the fiscal year, whichever comes first. Condition and Context The Data Collection Form for the year ended December 31, 2023 was not submitted to the Federal Audit Clearinghouse by the September 30, 2024 deadline. Recommendation It was recommended that management continue its efforts to ensure that all filing requirements under federal awards are met. Views of Responsible Officials and Planned Corrective Actions SCG has consistently ensured that all audits preceding fiscal year 2023 were completed by the annual September 30 deadline. As this was a singular occurrence arising from SCG’s appeal to the U.S. Department of State on December 20, 2023 concerning differing interpretations surrounding the configuration and application of the Negotiated Indirect Cost Rate Agreement (NICRA), SCG believes no corrective action is warranted. SCG received a response to its appeal only on September 24, 2024. Had it not been for this unique circumstance and the timing of the U.S. Department of State’s appeal determination, SCG’s 2023 audit would have been completed and submitted by the required deadline of September 30, 2024. Contact Person Responsible for Corrective Action: Querine Hanlon, President _______________ If the US Department of State has questions regarding this plan, please call Querine Hanlon, President, (202) 746-7317. Sincerely, Querine Hanlon President Strategic Capacity Group

View Audit 374156

Finding 1164380 (2023-004)

Material Weakness 2023

Biddeford-Saco-Old Orchard Beach Transit Committee

ME

Procurement, Suspension & Debarment § 200.318

2023-004 Procurement, Suspension and Debarment The Committee acknowledges that certain procurement procedures were not followed, leading to a finding of noncompliance. To remedy this, on July 1, 2025 we put new workflow controls in place within our new integrated accounting software. These workflows...

2023-004 Procurement, Suspension and Debarment The Committee acknowledges that certain procurement procedures were not followed, leading to a finding of noncompliance. To remedy this, on July 1, 2025 we put new workflow controls in place within our new integrated accounting software. These workflows support compliance with our procurement policies and ensure all required supporting documentation, including forms for micro and small purchases, are secured and archived for capital purchases and grant expenditures. This will ensure that all procurement policies, which are in compliance with all FTA guidelines, are consistently followed.

View Audit 373784

Finding 1164368 (2023-003)

Material Weakness 2023

Biddeford-Saco-Old Orchard Beach Transit Committee

ME

Allowable Costs / Cost Principles Procurement, Suspension & Debarment § 200.302

2023-003 Allowable Costs/Cost Principles: Written Financial Policies The Biddeford-Saco-Old Orchard Beach Transit Committee acknowledges the need to formally adopt certain written financial management policies as outlined in federal regulations. The new finance manager is currently working to draft ...

2023-003 Allowable Costs/Cost Principles: Written Financial Policies The Biddeford-Saco-Old Orchard Beach Transit Committee acknowledges the need to formally adopt certain written financial management policies as outlined in federal regulations. The new finance manager is currently working to draft and formalize these policies and procedures with a targeted completion date of March 31, 2026. We will present them to the Board of Directors for review and official adoption.

View Audit 373784

Finding 1164356 (2023-002)

Material Weakness 2023

Biddeford-Saco-Old Orchard Beach Transit Committee

ME

Allowable Costs / Cost Principles Procurement, Suspension & Debarment § 200.303

2023-002 Activities Allowed and Allowable Costs To address the finding regarding missing backup documentation for cash disbursements, the Biddeford-Saco-Old Orchard Beach Transit Committee has implemented new workflow controls in our new integrated accounting software. Starting July 1, 2025 all empl...

2023-002 Activities Allowed and Allowable Costs To address the finding regarding missing backup documentation for cash disbursements, the Biddeford-Saco-Old Orchard Beach Transit Committee has implemented new workflow controls in our new integrated accounting software. Starting July 1, 2025 all employees are now required to create a purchase order (PO) and obtain approvals before payments can be made. This process controlled by the finance manager creates a complete audit trail for every transaction, ensuring that all disbursements are properly documented.

View Audit 373784

Finding 1164330 (2023-001)

Material Weakness 2023

JXN Water

MS

Internal Control / Segregation of Duties

JXN Water, Inc. hired Horne LLP to assist with grant management in May 2024. Additionally, EPA instituted new procedures in March 2024, requiring all grant funded invoices be submitted and approved by EPA prior to releasing funds from the two grants. Going forward JXN Water, Inc. is looking to hire ...

JXN Water, Inc. hired Horne LLP to assist with grant management in May 2024. Additionally, EPA instituted new procedures in March 2024, requiring all grant funded invoices be submitted and approved by EPA prior to releasing funds from the two grants. Going forward JXN Water, Inc. is looking to hire a construction contract manager to review and approve all construction related invoices prior to payment. Non construction invoices will be approved by the JXN Water, Inc. Administrative Manager prior to payment in BILL.COM. These changes should be in place by December 31, 2024.

View Audit 373772

Finding 1164324 (2023-005)

Material Weakness 2023

Consolidated Public Water Supply District No 1 of Clark County Mo

MO

Internal Control / Segregation of Duties

Subsequent to year-end, the District’s Board approved a written policy on internal controls over grant funds.

View Audit 373746

Finding 1164323 (2023-004)

Material Weakness 2023

Consolidated Public Water Supply District No 1 of Clark County Mo

MO

There were extenuating circumstances and problems with the District’s accounting system software conversion that prevented timely completion of the audit. The data collection form was completed as soon as the information was available.

View Audit 373746

Finding 1164322 (2023-003)

Material Weakness 2023

Consolidated Public Water Supply District No 1 of Clark County Mo

MO

Internal Control / Segregation of Duties HUD Housing Programs

The Board and management are aware of the inadequate separation of accounting duties when reviewing the monthly operations and financial results of the District. As an ongoing mitigating control, at the board meetings management and the board members review the monthly check register of disbursement...

The Board and management are aware of the inadequate separation of accounting duties when reviewing the monthly operations and financial results of the District. As an ongoing mitigating control, at the board meetings management and the board members review the monthly check register of disbursements, interim financial reports, summary of cash and certificates of deposits held, and contract pay applications and construction project status as presented by the project engineer for review and approval by the Board.

View Audit 373746

Finding 1164321 (2023-002)

Material Weakness 2023

Consolidated Public Water Supply District No 1 of Clark County Mo

MO

Subrecipient Monitoring

Management is aware that significant year-end adjustments are required for accrual basis financial statement presentation and does not believe the adjustments indicate a misstatement or error in financial reporting although material in amount. Management has the skill, knowledge and experience regar...

Management is aware that significant year-end adjustments are required for accrual basis financial statement presentation and does not believe the adjustments indicate a misstatement or error in financial reporting although material in amount. Management has the skill, knowledge and experience regarding the District operations to understand and take responsibility for the adjusting journal entries. The District has also engaged an external CPA to come to the office on a monthly basis to assist with monthly reconciliations and adjustments

View Audit 373746

Finding 1164320 (2023-001)

Material Weakness 2023

Consolidated Public Water Supply District No 1 of Clark County Mo

MO

Management has the skill, knowledge and experience regarding the District operations to understand and take responsibility for the financial statements.

View Audit 373746

Corrective Action Plans

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