Corrective Action Plans

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The Program Manager for food vouchers will change the dates for availability so none are issued within 60 days of the fiscal year end.
The Program Manager for food vouchers will change the dates for availability so none are issued within 60 days of the fiscal year end.
Child care service providers will receive written notices that no invoices for September services will be paid after the October cut-off date. Program staff will receive mandatory training on cut off dates for child care service providers invoice payment.
Child care service providers will receive written notices that no invoices for September services will be paid after the October cut-off date. Program staff will receive mandatory training on cut off dates for child care service providers invoice payment.
Tribal program sites will reconcile their local vendor accounts monthly so no payments are missed throughout the fiscal year.
Tribal program sites will reconcile their local vendor accounts monthly so no payments are missed throughout the fiscal year.
Program Managers will monitor budgets and work with tribal project partners to identif' expenses that need to be obligated at fiscal year end.
Program Managers will monitor budgets and work with tribal project partners to identif' expenses that need to be obligated at fiscal year end.
Vendor education about the SPIPA procurement system will be shared with all vendors.
Vendor education about the SPIPA procurement system will be shared with all vendors.
The program staff with budget expenditure authority will have monthly meetings with the Executive Director to review budget-to-expenditure reports to improve and increase budget monitoring activities.
The program staff with budget expenditure authority will have monthly meetings with the Executive Director to review budget-to-expenditure reports to improve and increase budget monitoring activities.
The WFD program leadership will meet monthly with the WFD tribal site managers to conduct program/budget monitoring.
The WFD program leadership will meet monthly with the WFD tribal site managers to conduct program/budget monitoring.
2025-004: Equipment Management U.S. Department of Education Passed through Missouri Department of Elementary and Secondary Education Education Stabilization Fund, Assistance Listing No. 84.425D (COVID-19—Elementary and Secondary School Emergency Relief Fund), 84.425U (COVID-19—American Rescue Plan-E...
2025-004: Equipment Management U.S. Department of Education Passed through Missouri Department of Elementary and Secondary Education Education Stabilization Fund, Assistance Listing No. 84.425D (COVID-19—Elementary and Secondary School Emergency Relief Fund), 84.425U (COVID-19—American Rescue Plan-Elementary and Secondary School Emergency Relief), 84.425W (COVID-19—American Rescue Plan-Elementary and Secondary School Emergency Relief-Homeless Children and Youth) Federal award years 2023-2025 Criteria: The Uniform Guidance (2CFR 200.303) requires nonfederal entities receiving federal awards to establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Also, in accordance with 2 CFR section 200.313(d)(1), property records must be maintained that include a description of the property, a serial number of other identification number, the source of funding for the property (including the federal award identification number), who holds title, the acquisition date, cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sales price of the property. In accordance with 2 CFR section 200.313(d)(2), a physical inventory of equipment and property must be taken, and the results reconciled with the property records at least once every two years. Condition: During the fiscal year 2024 audit, it was previously reported that the District’s controls were not operating effectively to reasonably ensure the District had maintained property records with the above required information, nor had it performed the required physical inventory of equipment within the two previous years. During fiscal year 2025, the District incorporated processes and controls over equipment management that met the property record requirements. The District also performed a physical inventory during fiscal year 2025 that included counting and reconciling approximately half of the District’s equipment and property within this grant program. Therefore, the District had not yet met the requirements of performing a physical inventory of all equipment and property within the previous two years. Cause: Given the timing of when the District incorporated its processes and controls, insufficient time remained to perform a physical inventory of all the District’s equipment and property within this grant program, and only approximately half of the items were subject to the physical inventory. Effect or potential effect: The District is not in compliance with federal grant requirements over the physical inventory of equipment. Improper equipment procedures could result in actions taken by oversight agencies which could impact future funding. Questioned costs: None Context: As noted above, the District updated its property records for all its property and equipment, and then approximately half of the District’s property and equipment was subject to a physical inventory. Identification as a repeat finding, if applicable: 2024-004 and 2024-006. Recommendation: We recommend the District continue to perform the processes and controls it added during fiscal year 2025, and complete the inventory count for the remaining items, to be compliance with the federal grant 2 year cycle. View of responsible officials: Management agrees with this finding. Corrective Action: Management plans to continue to keep detailed records and perform physical inventories in accordance with 2 CFR section 200.313(d)(2). Anticipated Completion Date: June 30, 2026 Contact Person: Dominic Accurso, Controller 816-321-5000 Dominic.accurso@nkcschools.org
2025-003: Significant Deficiency, Cut-off Errors in Preparing the SEFA U.S. Department of Education Passed through Missouri Department of Elementary and Secondary Education Education Stabilization Fund, Assistance Listing No. 84.425D (COVID-19—Elementary and Secondary School Emergency Relief Fund), ...
2025-003: Significant Deficiency, Cut-off Errors in Preparing the SEFA U.S. Department of Education Passed through Missouri Department of Elementary and Secondary Education Education Stabilization Fund, Assistance Listing No. 84.425D (COVID-19—Elementary and Secondary School Emergency Relief Fund), 84.425U (COVID-19—American Rescue Plan-Elementary and Secondary School Emergency Relief), 84.425W (COVID-19—American Rescue Plan-Elementary and Secondary School Emergency Relief-Homeless Children and Youth) Federal award years 2023-2025 Criteria: The schedule of expenditures of federal awards (SEFA) is required to be prepared on a basis consistent with the financial statements. Expenditures of federal awards are to be reported on the modified accrual basis of accounting and should be reported on the SEFA when incurred. Condition: The District reported expenditures on the fiscal year 2025 SEFA that were incurred in fiscal year 2024. Therefore, they were not reported on the SEFA in a manner consistent with the fiscal year in which they were reported as expenditures in the financial statements. This resulted in $24,762 of allowable costs reported on the fiscal year 2025 SEFA which were incurred in previous fiscal years. Cause: Inadequate reviews were in place to ensure that expenditures were reported on the SEFA in a manner consistent with the year they were incurred in the financial statements. Effect or potential effect: Inaccurate reporting of expenditures can result in actions taken by oversight agencies, which could impact future funding. Questioned costs: None Context: Approximately $24,762 of the $664,215 total Education Stabilization Funds reported on the fiscal year 2025 SEFA were incurred in a prior fiscal year. Identification as a repeat finding, if applicable: Not a repeat finding. Recommendation: We recommend the District implement procedures to ensure proper cutoff-is achieved in reporting expenditures on the SEFA. View of responsible officials: Management agrees with this finding. Corrective Action: Management is in the process of hiring or procuring an individual or firm with the knowledge, skills, and experience to assist oversite and to serve as additional level of review when needed. Management is also considering changes to current policies and procedures to prevent future incidents. Anticipated Completion Date: June 30, 2026 Contact Person: Dominic Accurso, Controller 816-321-5000 Dominic.accurso@nkcschools.org
Management agrees with the finding and will make it a priority to track spending throughout the year to ensure the requirements are met.
Management agrees with the finding and will make it a priority to track spending throughout the year to ensure the requirements are met.
Award periods (AWPD) were set up in summer 2023 for the 24-25 award year. At that time, official semester start and end dates were unknown therefore the expected start date was entered in Colleague. When the semester start and end dates became official in spring 2024, the financial aid office update...
Award periods (AWPD) were set up in summer 2023 for the 24-25 award year. At that time, official semester start and end dates were unknown therefore the expected start date was entered in Colleague. When the semester start and end dates became official in spring 2024, the financial aid office updated AWPD in Colleague, not realizing students whose FAFSAs had already been received and packaged would not be updated with the official start date. Students who were packaged after the AWPD update were correct. Going forward, the financial aid office will ensure that AWPD is updated before packaging any student financial aid.
Northwestern Oklahoma State University agrees with the auditor's findings. The issue is in relation to how the software (Colleague) is currently setup. Northwestern will work on a correction so that moving forward the dates are accurate with the academic year calendar. Northwestern will work to have...
Northwestern Oklahoma State University agrees with the auditor's findings. The issue is in relation to how the software (Colleague) is currently setup. Northwestern will work on a correction so that moving forward the dates are accurate with the academic year calendar. Northwestern will work to have this done for the next list to be sent to NSLDS.
The Payroll specialist will review all time sheets each week before approving the time sheets.
The Payroll specialist will review all time sheets each week before approving the time sheets.
The senior accountant will review all expenses before posting to the general ledger.
The senior accountant will review all expenses before posting to the general ledger.
Views of Responsible Officials and Corrective Action Plan We concur. The District has filed a bug with IT to have this issue addressed and the programming fixed promptly. Corrections have already been made with NSLDS by the campuses.
Views of Responsible Officials and Corrective Action Plan We concur. The District has filed a bug with IT to have this issue addressed and the programming fixed promptly. Corrections have already been made with NSLDS by the campuses.
Views of Responsible Officials and Corrective Action Plan We concur. Management has revised its procedures for R2T4, as well as added additional monthly review to ensure compliance.
Views of Responsible Officials and Corrective Action Plan We concur. Management has revised its procedures for R2T4, as well as added additional monthly review to ensure compliance.
Finding 2025-002 FFATA reporting Summary of Finding: The Foundation did not report the first-tier subawards funded at $30,000 or more in accordance with FFATA. Name of contact person responsible for corrective action: Jeff Lenberger, lnnovia Foundation Controller Corrective Action Plan: As of the au...
Finding 2025-002 FFATA reporting Summary of Finding: The Foundation did not report the first-tier subawards funded at $30,000 or more in accordance with FFATA. Name of contact person responsible for corrective action: Jeff Lenberger, lnnovia Foundation Controller Corrective Action Plan: As of the audit report date lnnovia Foundation has notified the U.S. Department of Education regarding this reporting issue and is awaiting specific action steps to ensure appropriate reporting is completed. lnnovia Foundation is waiting to regain electronic access to the U.S. Department of Education reporting function through sam.gov since the grant period ended on August 31, 2025. As soon as specific guidance is provided from the U.S. Department of Education lnnovia Foundation will ensure prompt action is taken. Anticipated Completion Date of the Corrective Action: Immediately upon gaining access from the U.S. Department of Education lnnovia will report all required first-tier subawards .
February 19, 2026 Christina Schaub, CPA Roslund, Prestage & Company P. C., CPA's 525 West Warwick Drive, Suite A Alma, Ml 48801 RE: Corrective Action Plan — City of Sault Ste. Marie — Single Audit Fiscal Year: 2025 M unicipality Code: 172010 Finding Number: 2025-001 Ms. Schaub: The City of Sault Ste...
February 19, 2026 Christina Schaub, CPA Roslund, Prestage & Company P. C., CPA's 525 West Warwick Drive, Suite A Alma, Ml 48801 RE: Corrective Action Plan — City of Sault Ste. Marie — Single Audit Fiscal Year: 2025 M unicipality Code: 172010 Finding Number: 2025-001 Ms. Schaub: The City of Sault Ste. Marie was notified of a significant deficiency in its 2025 Federal Awards single audit report. Finding Type: Significant deficiency in internal control over compliance Program: ALN 97.044 — Assistance to Firefighter Grant . Grant Number EMW-2022-FG-01118 • Grant Number EMW-2023-FG-03417 • Grant Number EMW-2023-FG-02529 Criteria: As required by 2 CFR 200.214, Non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180. The regulations in 2 CFR part 180 restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from receiving or participating in Federal awards. Condition: The vendors used for these grants were not checked for suspension and debarment prior to execution of the contract. Cause/Effect: Although a policy has been adopted requiring a check the suspension and debarment status prior to entering into contracts, the internal control over this process was not operating as designed. Questioned Cost: None. Recommendation: We recommend that the City update procedures to ensure that a check of suspension and debarment status is obtained prior to entering into a covered transaction. View of Responsible Official: Management is in agreement with this recommendation. Managements Response/Corrective Action Plan: The City of Sault Ste. Marie has instituted the following measures to remedy this deficiency to be implemented immediately. 1. Management learned of this deficiency in response to a request for documentation of a check for debarment in connection with the single audit field work in October 2024 and again with the current single audit. Upon further inquiry, City staff didn't have documentation of this kind. This task slipped through the cracks because a process was not in place to ensure it was completed. 2. In reference to the City's Uniform Guidance Policies, most recently approved by the City Commission on February 17, 2025, page 44, the City will include a suspension/debarment clause in all written contracts in which the vendor will certify that it is not suspended or debarred. Alternatively, the city may request vendor/contractor sign a certification regarding suspension or debarment. Executed certificates and procurement files will be retained by the City Clerk's office. This language was in the policy but was not implemented. 3. A sample certificate is provided on page 53 of the unform guidance policy. This sample certificate, if completed, would have provided evidence but was not implemented. For future contracts, this certificate will be completed prior to the bid award and documentation that it has been completed will be required for future City contracts that are part of a federal grant award. 4. If for any reason this signed certificate is not available prior to the award bid recommendation, City staff will check the vendor's status on Sam.gov and will document the results in the narrative of the memo. This will be required for all contracts related to federal grants. City staff will be provided instructions about how to check the status as by the State of Michigan in the following link... https://www.michigan.gov/msp/-/media/Proiect/Websites/msp/EM HSD/grants2/instructions for checking for excluded debarred contractors revised 72020.pdf?rev=0a928fb6b4b54253b2a627f1eb70dcd8&hash=31DC61AC1AB1 E38D5A84952C43D27F82 5. Going forward, City staff will add a note to the narrative of the agenda memo in BoardDocs to state whether the City has a certificate or found that the vendor was not suspended or debarred a nd provide documentation to be attached to the memo for all bid award Recommendations. For example, we might indicate that the vendor/contractor was checked on Sam.gov and the contractor was not suspended or debarred and then follow up with a signed certificate when the contract is signed. Alternatively, a copy of the certificate, if separate from the contract, can be attached to the requisition in the P0 module. 6. This updated process will be shared with all project managers and grant administrators, along with staff in Finance and Clerks offices, so that we can ensure it is completed with each contract a nd project managers are supported during the busy construction season. 7. When bid award agenda memos route through Finance, they'll be reviewed to ensure this task has been completed and documentation is provided. This corrective action is being implemented as of this date and is expected to fully resolve the deficiency. Thank you for this opportunity for improvement. Sincerely, Kali Perron Finance Director/Treasurer
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 an...
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
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 multipl...
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
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...
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.
Special Programs for the Aging-Title III, Part C-Nutrition Services – Assistance Listing No. 93.599 Recommendation: We recommend the Organization put procedures in place to retain documentation of supervisory approval of time and effort reports. Explanation of disagreement with audit finding: There ...
Special Programs for the Aging-Title III, Part C-Nutrition Services – Assistance Listing No. 93.599 Recommendation: We recommend the Organization put procedures in place to retain documentation of supervisory approval of time and effort reports. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Program leadership will review and retrain staff of the volunteer hour log requirements, including signatures, matching of hours to digital logs, properly documentation of updates made, and retention of documentation. Program leadership will conduct reviews of documentation for all their locations on a frequent basis to address any deficiencies and address as needed. Finally, administrative staff will conduct rotating reviews of site documentation as a secondary verification. Name(s) of the contact person(s) responsible for corrective action: Drew Erickson Planned completion date for corrective action plan: 02/28/2026
Americorps Seniors Senior Companion Program – Assistance Listing No. 94.016 Recommendation: We recommend that additional review procedures are put in place to ensure the volunteer type is accurate based on their income review. Explanation of disagreement with audit finding: There is no disagreement ...
Americorps Seniors Senior Companion Program – Assistance Listing No. 94.016 Recommendation: We recommend that additional review procedures are put in place to ensure the volunteer type is accurate based on their income review. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Program leadership will review and update existing policies and procedure manuals to ensure provide clear and accurate steps to adhere to funding guidance. The supporting technology will be updated in a manner that will require program coordinators/managers to actively complete a required field to verify current income eligibility. In addition, the program will develop and implement an active review process to monitor and support compliance and accurate record keeping. Name(s) of the contact person(s) responsible for corrective action: Drew Erickson Planned completion date for corrective action plan: 02/28/2026
The University’s procurement policy will be updated to comply with federal requirements. The University will ensure the updated policy will be implemented and followed when acquiring funds to be spent with federal funds. The University will ensure that training and procedures are changed to be in co...
The University’s procurement policy will be updated to comply with federal requirements. The University will ensure the updated policy will be implemented and followed when acquiring funds to be spent with federal funds. The University will ensure that training and procedures are changed to be in compliance with the federal procurement, suspension and debarment requirements.
Finding 2025-001 Material Weakness in Internal Control over Compliance and Other Matters, and Material Noncompliance Corrective Action Plan: The observed finding was the result of inadequate staff training on the proper School Nutrition Procurement (SNP) guidelines. Newly responsible staff have atte...
Finding 2025-001 Material Weakness in Internal Control over Compliance and Other Matters, and Material Noncompliance Corrective Action Plan: The observed finding was the result of inadequate staff training on the proper School Nutrition Procurement (SNP) guidelines. Newly responsible staff have attended multiple training sessions and are now fully aware of proper SNP procurement procedures. Stricter internal controls are being implemented to prevent recurrence and regular planning and forecast meetings will be held with the school nutrition team. Moving forward, The Sr Director of Purchasing and Materials Management will ensure purchases will be forecast and an analysis completed yearly. For all estimated purchases of $50,000 or more in Child Nutrition Programs, new Requests for Proposals (RFPs) will be created, or purchases will be made through a USDA-approved purchasing cooperative RFP, as applicable. New RFPswill be developed after reviewing cost estimates, product requirements, and specifications, in accordance with the approved formal procurement guidelines found in 2 CFR 200.320(b), 7 CFR Part 210.19(e), and Section 17 of the NSLP Administrator’s Reference Manual (ARM). The resulting contract awards will be annual with optional renewals and contracts will be managed and records retained per Sections 16 and 30 of the NSLP ARM to ensure compliance. Responsible Officials: Leander ISD Management Anticipated Date of Completion: November 2025
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