Corrective Action Plan
1. Identify the Root Cause
• Monthly Deposits: Continue to investigate why the monthly deposits were less than the required amount. This involves reviewing financial records, deposit schedules, and communication with the finance team and the team from CLA.
• Replacement Reserve Withdrawal: Determine why and how the withdrawal was made without HUD approval. Review the documentation and approval process to identify any gaps or misunderstandings.
2. Immediate Actions
• Reconcile Deposits: Calculate the total shortfall in monthly deposits for 2024 and make the necessary deposits to meet HUD requirements.
• Replacement Reserve Documentation: Gather all relevant documentation for the withdrawal and submit it to HUD for retroactive approval, if possible.
3. Strengthen Internal Controls
• Deposit Procedures: Implement a more robust tracking system to ensure monthly deposits meet HUD requirements. This will include automated Outlook reminders and quarterly reviews led by the Controller. The first quarterly review for the 3 months ending 3/31/2025 will occur in April of 2025.
• Approval Process: Enhance the approval process for withdrawals from the replacement reserve. Ensure all withdrawals are documented and approved by HUD before funds are accessed. The Controller will verify and document HUD approval.
4. Training and Communication
• Staff Training: Conduct training sessions for staff involved in financial management to ensure they understand HUD requirements and the importance of compliance. First training will be in April 2025.
• Regular Updates: Utilize weekly one on one meetings to review compliance with HUD requirements and address any issues promptly.
5. Monitoring and Reporting
• Monthly Reviews: Embed steps in our monthly review process to monitor deposits and withdrawals, ensuring they comply with HUD requirements.
• Reports: Prepare detailed reports on compliance status and corrective actions taken and share these with relevant stakeholders.
6. Follow-Up
• HUD Communication: Maintain open communication with HUD to ensure all corrective actions are satisfactory and to address any further concerns.
• Continuous Improvement: Regularly review and update procedures to prevent recurrence of similar issues.
Person(s) Responsible: Kelly Johnson, Siphi Nkosi, LuAnn Meinholz
Timing for Implementation: April 1, 2025 through June 30, 2025.