EIN: 770418201
UEI: W62RJ6TQ6VL5
Data as of August 25, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 20, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by August 20, 2026 (6 days ago).
What is a management decision? →The Organization did not fully comply with federal subrecipient monitoring requirements for REO grants. Specifically, risk assessments procedures were not performed prior to first payments to subrecipient, and certain follow up procedures for monitoring were not done timely. Additionally, payment requests from subrecipients were not processed within the required 30-day timeframe. Cause: The Organization lacked a formalized monitoring plan and sufficient staffing resources to ensure timely reviews and follow-up on identified deficiencies. Effect: The grantee could not perform necessary subrecipient monitoring procedures timely. Context: The Organization provided payments to four subrecipients during the year. All four subrecipients had risk assessments performed after payments were made. As a result, the Organization could not provide documentation showing that it met compliance requirements for subrecipient monitoring, such as verifying eligibility (including confirming subrecipients were not suspended or debarred) or appropriately assessing subrecipient risk. Further, one subrecipient out of the four submitted their Corrective Action Plan response to the Site Visit Report after the 30 day deadline and there was no extension granted. As a result, the Organization did not comply with internal monitoring policies to follow up/ensure that Corrective Action Plans be submitted within 30 days. For the 24 subawardee payments selected, none of the payments were processed within the required 30-day rule. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization clearly define roles and responsibilities for tracking compliance with unique requirements of Federal contracts. This includes implementing a system of review and approval to ensure the compliance surrounding subrecipient monitoring has been done. Views of responsible officials of the auditee: The Organization concurs with the finding. The Organization has taken and continues to take corrective actions to strengthen its subrecipient monitoring framework and ensure full compliance with federal requirements under 2 CFR 200. Specifically, the Organization has implemented the following actions: revised subaward agreements, formalized subrecipient monitoring policies and procedures, implemented pre-award risk assessments prior to payment, enhanced post-award monitoring, and improved payment processing controls.
Show full finding ▾Hide full finding ▴Assistance Listing Number and Title: ALN 17.270, Reentry Employment Opportunities Federal Agency: U.S. Department of Labor Federal Award Numbers: YF-39537-23-60-A-4 Grant period: February 1, 2023 through July 31, 2026 Criteria: The Organization's Reentry Employment Opportunities (REO) grants are subject to subrecipient monitoring requirements. As a result, the Organization must conduct risk assessments, monitor subrecipients, follow up on any identified deficiencies, and ensure compliance with the 30-day rule for processing subrecipient payment requests. Condition: The Organization did not fully comply with federal subrecipient monitoring requirements for REO grants. Specifically, risk assessments procedures were not performed prior to first payments to subrecipient, and certain follow up procedures for monitoring were not done timely. Additionally, payment requests from subrecipients were not processed within the required 30-day timeframe. Cause: The Organization lacked a formalized monitoring plan and sufficient staffing resources to ensure timely reviews and follow-up on identified deficiencies. Effect: The grantee could not perform necessary subrecipient monitoring procedures timely. Context: The Organization provided payments to four subrecipients during the year. All four subrecipients had risk assessments performed after payments were made. As a result, the Organization could not provide documentation showing that it met compliance requirements for subrecipient monitoring, such as verifying eligibility (including confirming subrecipients were not suspended or debarred) or appropriately assessing subrecipient risk. Further, one subrecipient out of the four submitted their Corrective Action Plan response to the Site Visit Report after the 30 day deadline and there was no extension granted. As a result, the Organization did not comply with internal monitoring policies to follow up/ensure that Corrective Action Plans be submitted within 30 days. For the 24 subawardee payments selected, none of the payments were processed within the required 30-day rule. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization clearly define roles and responsibilities for tracking compliance with unique requirements of Federal contracts. This includes implementing a system of review and approval to ensure the compliance surrounding subrecipient monitoring has been done. Views of responsible officials of the auditee: The Organization concurs with the finding. The Organization has taken and continues to take corrective actions to strengthen its subrecipient monitoring framework and ensure full compliance with federal requirements under 2 CFR 200. Specifically, the Organization has implemented the following actions: revised subaward agreements, formalized subrecipient monitoring policies and procedures, implemented pre-award risk assessments prior to payment, enhanced post-award monitoring, and improved payment processing controls.
Condition: The Organization did not fully document compliance with certain federal subrecipient monitoring requirements, including completion of pre-award risk assessments prior to initial payments, timely follow-up on monitoring deficiencies, and processing subrecipient payments within the required 30-day timeframe. Response: The Organization concurs with the finding. Corrective Action Plan: The Organization has taken and continues to take corrective actions to strengthen its subrecipient monitoring framework and ensure full compliance with federal requirements under 2 CFR 200. Specifically, the Organization has implemented the following actions: 1. Revised Subaward Agreements The Organization has revised its subaward agreements to ensure compliance with 2 CFR 200.332(a), including all required federal award identification elements, flow-down provisions, performance requirements, and administrative controls. Revised agreements have been executed with subrecipients as required. 2. Formalized Subrecipient Monitoring Policies and Procedures The Organization has adopted a comprehensive Subrecipient Selection, Evaluation, Award, and Post-Award Oversight Policy, which establishes a risk-based lifecycle approach to subrecipient management. The policy addresses pre-award risk assessment, subaward issuance, post-award monitoring, corrective actions, and closeout procedures in accordance with 2 CFR 200.332 and related requirements. 3. Pre-Award Risk Assessments Implemented Prior to Payment Prior to the start of subrecipient enrollments and program operations, the Organization collected narrative and qualitative information regarding subrecipient capacity, experience, and readiness. However, this information had not yet been formally documented using a standardized evaluation and risk rating tool. As part of the corrective action, the Organization has now formalized these practices through a structured pre-award risk assessment template that results in an actionable risk rating (Low, Moderate, or High) and directly informs monitoring intensity and oversight activities. The Organization has implemented standardized pre-award risk assessments for all subrecipients, and risk assessments have been completed for each current subaward using the new template. Suspension and debarment status is verified through SAM.gov prior to subaward execution and documented in the organization records. 4. Enhanced Post-Award Monitoring and Follow-Up Procedures The Organization has strengthened post-award monitoring practices using monitoring plans informed by assigned risk levels. Monitoring activities include scheduled site visits, desk reviews, and documented follow-up on identified deficiencies. During the second half of FY 2024–2025, the Organization further enhanced its follow-up processes by implementing a more structured Corrective Action Plan (CAP) tracking system, including formal email reminders to subrecipients regarding CAP submission deadlines, written acknowledgment upon receipt of CAPs, and documented review and resolution of submitted CAPs. These improvements have resulted in more timely follow-up and clearer documentation of compliance activities. 5. Improved Payment Processing Controls The Organization has implemented internal controls to improve the timeliness of subrecipient payment processing, including clearer review workflows, tracking mechanisms, and staffing adjustments to support compliance with the 30-day payment rule. Responsible Official: Gloria Meridew, Director of Finance Anticipated Completion Date: Corrective actions have been fully implemented as of the date of this letter. The Organization will continue to monitor compliance and maintain documentation to support sustained adherence to federal subrecipient monitoring and payment requirements.
The Organization has policies and procedures in place that require a Change of Status (COS) form to be completed and approved when an employee's job changes, the allocation of their time between various projects changes, and other payroll modifications. However, based on our testing, we noted multiple instances where these forms are not completed and provided to the payroll department timely. As a result, the labor distribution reports generated from the payroll system did not have the accurate information. We noted that the grants were not overbilled, and the allocations used for billing were reflective of the time spent on the program due to the biller detecting the error in the labor distribution reports in their review; however, having incorrect or untimely COS forms creates additional risks in the grant billing and financial reporting. Cause: The Organization did not promptly update project allocations when employees began working across multiple projects, resulting in inaccurate payroll data relative to the Change of Status (COS) form requirements. Effect: There was a variance between amounts reported and billed to the grant and the labor distribution report. Context: Out of a sample of 40 payroll disbursements, four were selected from an employee who works across multiple federal grant programs. Of the four selected payroll disbursements for this employee, there was a variance on two payroll transactions between amounts reported and billed to the grant and the labor distribution report. Questioned costs: None Repeat Finding: No Recommendation: We recommend that the Organization review in policies and procedures surrounding COS forms and perform additional training to relevant staff to ensure COS forms are prepared, approved, and entered into the system in advance of the effective date of a payroll change. We also recommend the Organization perform regular time studies for employees who split their time between multiple projects to determine that allocations are accurate. Views of responsible officials of the auditee: The Organization agrees with the findings and has implemented procedures to ensure timely receipt of the change of status form by the payroll department. A tracking log of all requested COS’s is maintained by the payroll department to ensure all changes have been entered into the payroll system in the proper period.
Show full finding ▾Hide full finding ▴Assistance Listing Number and Title: ALN 17.270, Reentry Employment Opportunities Federal Agency: U.S. Department of Labor Federal Award Numbers: YF-39537-23-60-A-4 Grant period: February 1, 2023 through July 31, 2026 Criteria: The Uniform Guidance requires recipients to establish and maintain effective internal controls that provide reasonable assurance costs charged to federal awards are allowable, allocable, and properly documented in accordance with the terms of the award. Condition: The Organization has policies and procedures in place that require a Change of Status (COS) form to be completed and approved when an employee's job changes, the allocation of their time between various projects changes, and other payroll modifications. However, based on our testing, we noted multiple instances where these forms are not completed and provided to the payroll department timely. As a result, the labor distribution reports generated from the payroll system did not have the accurate information. We noted that the grants were not overbilled, and the allocations used for billing were reflective of the time spent on the program due to the biller detecting the error in the labor distribution reports in their review; however, having incorrect or untimely COS forms creates additional risks in the grant billing and financial reporting. Cause: The Organization did not promptly update project allocations when employees began working across multiple projects, resulting in inaccurate payroll data relative to the Change of Status (COS) form requirements. Effect: There was a variance between amounts reported and billed to the grant and the labor distribution report. Context: Out of a sample of 40 payroll disbursements, four were selected from an employee who works across multiple federal grant programs. Of the four selected payroll disbursements for this employee, there was a variance on two payroll transactions between amounts reported and billed to the grant and the labor distribution report. Questioned costs: None Repeat Finding: No Recommendation: We recommend that the Organization review in policies and procedures surrounding COS forms and perform additional training to relevant staff to ensure COS forms are prepared, approved, and entered into the system in advance of the effective date of a payroll change. We also recommend the Organization perform regular time studies for employees who split their time between multiple projects to determine that allocations are accurate. Views of responsible officials of the auditee: The Organization agrees with the findings and has implemented procedures to ensure timely receipt of the change of status form by the payroll department. A tracking log of all requested COS’s is maintained by the payroll department to ensure all changes have been entered into the payroll system in the proper period.
Condition: The Organization has policies and procedures in place that require a Change of Status (COS) form to be completed and approved when an employee's job changes, the allocation of their time between various projects changes, and other payroll modifications. However, the auditors noted multiple instances where these forms are not completed and provided to the payroll department timely. As a result, the labor distribution reports generated from the payroll system did not have accurate information. The grants were not overbilled, and the allocations used for billing were reflective of the time spent on the program due to the biller detecting the error in the labor distribution reports in their review; however, having incorrect or untimely COS forms creates additional risks in the grant billing and financial reporting. Response: The Organization concurs with the finding. Corrective Action Plan: The Organization agrees with the findings and has implemented procedures to ensure timely receipt of the change of status form by the payroll department. A tracking log of all requested COS’s is maintained by the payroll department to ensure all changes have been entered into the payroll system in the proper period Responsible Official: Gloria Meridew, Director of Finance Anticipated Completion Date: End of FY 2026
The Organization did not properly submit required reports timely in compliance with the terms of the grant agreements. Cause: The Organization had a misunderstanding regarding the requirements and deadlines of the reports. Effect: The Organization was out of compliance with specific reporting requirements that are required per the grant agreements. Context: The March 2025 Quarterly ETA-9130 report was submitted three days late without an approved extension. Of the four quarters tested, this was the only instance of a late submission that had no extension period granted. The Quarterly ETA-9130 reports for September 2024, December 2024, and March 2025 were submitted using quarterly financial information rather than the required cumulative financial information. Further, one grant agreement specified match requirements, and match expenditures were not reported on the quarterly reports. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization increase its training on grant reporting requirements to ensure timelines are met and all required elements per the grant agreements are reported. Views of responsible officials of the auditee: The Organization agrees with the findings and has implemented written procedures to ensure timely submission of reports and training of staff.
Show full finding ▾Hide full finding ▴Assistance Listing Number and Title: ALN 17.270, Reentry Employment Opportunities Federal Agency: U.S. Department of Labor Federal Award Numbers: YF-39537-23-60-A-4 and 24A60PE000026-01-00 Grant period: February 1, 2023 through July 31, 2026 and July 1, 2024 to December 31, 2027 Criteria: The Uniform Guidance requires recipients to maintain accurate and complete reporting systems. Financial management systems must provide accurate, current, and complete disclosure of financial results in accordance with the requirements of the federal award and grant agreement. In addition, the grant agreement requires submission of quarterly ETA-9130 Financial Reports and quarterly narrative reports no later than 45 days after the end of each quarter. Quarterly ETA-9130 Financial Reports are required to report cumulative amounts. All reports must reconcile to official accounting records and comply with prescribed content and format requirements, which includes reporting match expenditures. Condition: The Organization did not properly submit required reports timely in compliance with the terms of the grant agreements. Cause: The Organization had a misunderstanding regarding the requirements and deadlines of the reports. Effect: The Organization was out of compliance with specific reporting requirements that are required per the grant agreements. Context: The March 2025 Quarterly ETA-9130 report was submitted three days late without an approved extension. Of the four quarters tested, this was the only instance of a late submission that had no extension period granted. The Quarterly ETA-9130 reports for September 2024, December 2024, and March 2025 were submitted using quarterly financial information rather than the required cumulative financial information. Further, one grant agreement specified match requirements, and match expenditures were not reported on the quarterly reports. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization increase its training on grant reporting requirements to ensure timelines are met and all required elements per the grant agreements are reported. Views of responsible officials of the auditee: The Organization agrees with the findings and has implemented written procedures to ensure timely submission of reports and training of staff.
Condition: The Organization did not properly submit required reports timely in compliance with the terms of the grant agreements. Response: The Organization concurs with the finding. Corrective Action Plan: The Organization has implemented written procedures to ensure timely submission of reports and training of staff. Responsible Official: Gloria Meridew, Director of Finance Anticipated Completion Date: End of FY 2026
FAC accepted this audit on February 28, 2025 — management decision was due August 28, 2025.
Certified payroll were not obtained timely from the general contractor on the project. Cause: The Organization had miscommunication between employees regarding responsibility for obtaining the certified payrolls. Effect: The Organization could not verify the contractor complied with the wage rate requirements. Context: Out of a sample of 25, 6 were selected from the general contractor, and the Organization had not obtained the certified payrolls for any of the selected payrolls from the general contractor. All remaining selected payroll from subcontractors were obtained by the Organization. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization clearly define roles and responsibilities for tracking compliance with unique requirements of Federal contracts. This includes implementing a system of review and approval to ensure the compliance has been done. Views of responsible officials of the auditee: The Organization agrees with the finding and has started requesting the certified payrolls weekly from the general contractor.
Show full finding ▾Hide full finding ▴Assistance Listing Number and Title: ALN 14.218, Community Development Block Grants/Entitlement Grants Federal Agency: U.S. Department of Housing and Urban Development Federal Award Numbers: B-19-MC-06-0523 Grant period: November 21, 2019 through June 30, 2037 Criteria: Community Development Block Grants are subject to the Wage Rate Requirements. As a result, contractors and subcontractors are required to submit to a nonfederal entity weekly, for each week in which any contract work is performed, a copy of their payroll and a statement of compliance. Condition: Certified payroll were not obtained timely from the general contractor on the project. Cause: The Organization had miscommunication between employees regarding responsibility for obtaining the certified payrolls. Effect: The Organization could not verify the contractor complied with the wage rate requirements. Context: Out of a sample of 25, 6 were selected from the general contractor, and the Organization had not obtained the certified payrolls for any of the selected payrolls from the general contractor. All remaining selected payroll from subcontractors were obtained by the Organization. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization clearly define roles and responsibilities for tracking compliance with unique requirements of Federal contracts. This includes implementing a system of review and approval to ensure the compliance has been done. Views of responsible officials of the auditee: The Organization agrees with the finding and has started requesting the certified payrolls weekly from the general contractor.
Epidaurus dba Amity Foundation respectfully submits the following corrective action plan for the year ended June 30, 2024. Name and address of independent public accounting firm: BeachFleischman PLLC 1985 E. River Road, Suite 201 Tucson, AZ 85718 Audit Period: Year ending June 30, 2024 The finding from the June 30, 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Findings – Major Federal Award Programs Audit 2024-001 Wage Rate Requirements: Recommendation: We recommend the Organization clearly define roles and responsibilities for tracking compliance with unique requirements of Federal contracts. This includes implementing a system of review and approval to ensure the compliance has been done. Auditee response: The Organization agrees with the finding and has started requesting the certified payrolls weekly from the general contractor. If you have any questions regarding this plan, please call John Hagen, at 213-880-6152 or jhagen@amityfdn.org.
FAC accepted this audit on November 28, 2023 — management decision was due May 28, 2024.
The Organization was adequately procuring items under the Uniform Guidance, however, certain language required by 2 CFR Part 200 was not included in the Organization's written policies. Cause: Implementation of compliance with Federal requirements was incomplete. Effect: The Organization does not have adequate written policies and procedures. Context: Procurement is direct and material to the grant purchases. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization implement changes to their procurement policies so they contain all the requirements of 2 CFR Part 200. Views of responsible officials of the auditee: Management is working on improving the documentation of their procurement policies, and will ensure any updated policies are in line with the requirements of 2 CFR Part 200.
Show full finding ▾Hide full finding ▴Assistance Listing Number and Title: Coronavirus State and Local Fiscal Recovery Funds, ALN 21.027 Federal Agency: U.S. Department of the Treasury Federal Award Numbers: ARP-C4C-03 Grant period: February 22, 2022 - June 30, 2023 Criteria: Procurement - The Organization is required to maintain a written policy for procurement under a federal award. The policies should refer to 2 CFR Part 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Condition: The Organization was adequately procuring items under the Uniform Guidance, however, certain language required by 2 CFR Part 200 was not included in the Organization's written policies. Cause: Implementation of compliance with Federal requirements was incomplete. Effect: The Organization does not have adequate written policies and procedures. Context: Procurement is direct and material to the grant purchases. Questioned costs: None Repeat Finding: No Recommendation: We recommend the Organization implement changes to their procurement policies so they contain all the requirements of 2 CFR Part 200. Views of responsible officials of the auditee: Management is working on improving the documentation of their procurement policies, and will ensure any updated policies are in line with the requirements of 2 CFR Part 200.
Epidaurus dba Amity Foundation respectfully submits the following corrective action plan for the year ended June 30, 2023. Name and address of independent public accounting firm: BeachFleischman PLLC 1985 E. River Road, Suite 201 Tucson, AZ 85718 Audit Period: Year ending June 30, 2023 The finding from the June 30, 2023 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Findings - Major Federal Award Programs Audit 2023-001 Procurement Recommendation: We recommend the Organization implement changes to their procurement policies so they contain all the requirements of 2 CFR Part 200. Auditee response: Management is working on improving the documentation of their procurement policies, and will ensure any updated policies are in line with the requirements of 2 CFR Part 200. Management expects to have the policies updated by the end of December 2023. If you have any questions regarding this plan, please call Gloria Meridew, at 520-622-6489 or gmeridew@amityfdn.org.
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