Corrective Action Plans

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The District's management will evaluate the grant monitoring process and ensure all reporting for federal grant requirements is accurate, with a planned implementation date by the Financial Officer of December 13, 2024.
The District's management will evaluate the grant monitoring process and ensure all reporting for federal grant requirements is accurate, with a planned implementation date by the Financial Officer of December 13, 2024.
Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the University implement a procedure moving forward to ensure that all necessary MPN’s are retained for at least three years after payment in accordance with the federal regulation. Explanation of disa...
Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the University implement a procedure moving forward to ensure that all necessary MPN’s are retained for at least three years after payment in accordance with the federal regulation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Item was in reference to Perkins Loans that were assigned to ED. While the University does not disagree with the fact that three MPN’s were unavailable, each were old Perkins Loans, and each were successfully assigned to ED utilizing alternative documentation, as suggested by ED. The University has a current process in place to retain all information in student files for a minimum of three years. Name(s) of the contact person(s) responsible for corrective action: Mark Freed Planned completion date for corrective action plan: 06/30/2025
Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the Institute review its reporting procedures to ensure that students’ statuses are accurately and timely reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: T...
Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the Institute review its reporting procedures to ensure that students’ statuses are accurately and timely reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This process is being reviewed with the Registrar’s Office, as they complete enrollment reporting through the Clearinghouse. The University has found that some delays are happening due to the lack of federal aid at the initial time. For example, one student started in Fall 2023 and the University has documentation to reflect the student was reported to Clearinghouse within the required timeframe. However, the student had not completed Entrance Counseling or a Master Promissory Note, thus they had not received Title IV aid and were not included in the request file from NSLDS to the Clearinghouse. The University will continue to review and make appropriate changes to the current process. Name(s) of the contact person(s) responsible for corrective action: Mark Freed Planned completion date for corrective action plan: 06/30/2025
Federal Agency Name: Department of Housing and Urban Development Program Name: Section 242 – Mortgage Insurance - Hospitals Federal Financial Assistance Listing #: CFDA #14.128 Compliance Requirement: Special Tests and Provisions Finding Summary: During the fiscal year, the Organization entered i...
Federal Agency Name: Department of Housing and Urban Development Program Name: Section 242 – Mortgage Insurance - Hospitals Federal Financial Assistance Listing #: CFDA #14.128 Compliance Requirement: Special Tests and Provisions Finding Summary: During the fiscal year, the Organization entered into a 5-year lease on equipment. A financing lease is identified in the Mortgage Note Insured by HUD as the incurrence of additional indebtedness which, by terms of the agreement, should be approved by HUD in advance of entering into the finance lease agreement. Responsible Individuals: Jay Hodges, Chief Financial Officer Corrective Action Plan: Management will enhance internal controls to ensure additional indebtedness is approved by HUD in advance of entering into the finance lease agreement. Anticipated Completion Date: December 10, 2024
Federal Agency Name: Department of Housing and Urban Development Program Name: Section 242 – Mortgage Insurance - Hospitals Federal Financial Assistance Listing #: CFDA #14.128 Compliance Requirement: Special Tests and Provisions Finding Summary: Eide Bailly LLP observed a lack of documentation r...
Federal Agency Name: Department of Housing and Urban Development Program Name: Section 242 – Mortgage Insurance - Hospitals Federal Financial Assistance Listing #: CFDA #14.128 Compliance Requirement: Special Tests and Provisions Finding Summary: Eide Bailly LLP observed a lack of documentation related to the review and approval of disbursements for a portion of the sample selected. Responsible Individuals: Jay Hodges, Chief Financial Officer Corrective Action Plan: Management will enhance internal controls to ensure the disbursements are properly reviewed and approved. Anticipated Completion Date: January 1, 2025
Planned Corrective Action: The Organization has implemented several measures to enhance its student attendance tracking and withdrawal processes to ensure compliance with federal regulations as of April 2024. Key corrective actions include: 1. Student Attendance Warning (SAW) Forms: Instructors will...
Planned Corrective Action: The Organization has implemented several measures to enhance its student attendance tracking and withdrawal processes to ensure compliance with federal regulations as of April 2024. Key corrective actions include: 1. Student Attendance Warning (SAW) Forms: Instructors will issue a SAW form to any student accumulating four unexcused absences. This form serves as notification that the student may be withdrawn from the class after eight unexcused absences. Signed SAW forms will be submitted to the Registrar to improve documentation and tracking. 2. Bi-Weekly Attendance Review: The Registrar and Financial Aid Counselor will meet bi-weekly to review attendance records and ensure that proper documentation (including SAW forms) is on file for all students with unexcused absences. Instructors will be promptly notified to address any missing documentation. 3. Withdrawal Process and R2T4 Completion: Withdrawn students will receive timely email notifications, and R2T4 forms will be completed on the same day of the withdrawal notification. These forms will be reviewed by the third-party processor, FAME, to ensure accuracy. Funds will be returned via AFA within three business days of the R2T4 review. 4. Monitoring and Compliance: Regular audits will be performed to ensure adherence to this corrective action plan. Ongoing training will be provided to all responsible parties, including Student Services, Admissions, Instructors, the Registrar, and Financial Aid staff, to maintain compliance with attendance tracking and withdrawal processes. Anticipation Date of Completion: Corrective action steps are currently in place, and monitoring is ongoing. Bi-weekly attendance reviews and audits are scheduled moving forward. R2T4 processing improvements are effective immediately.
View Audit 336193 Questioned Costs: $1
Finding 517928 (2024-005)
Significant Deficiency 2024
Finding 2024-004 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-005 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-006 Name of contact person: Corrective Action: Proposed completion date: 12/18/2024 Section IV - State Award Findin...
Finding 2024-004 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-005 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-006 Name of contact person: Corrective Action: Proposed completion date: 12/18/2024 Section IV - State Award Findings and Questioned Costs Corrective Action for Finding 2024-001, 2023-002, 2023-003, 2024-004, and 2024-005 also apply to the State award findings. Corrective Action Plan For the Year Ended June 30, 2024 Section III - Federal Award Findings and Questioned Costs (continue) April Rollins, Medicaid Program Manager Refresher training on child support requirements and policy relating to cooperation/noncooderation with child support will be conducted with Medicaid staff. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager Refresher training on the SSI exparte processes and timeliness requirements will be completed with all Medicaid staff. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager The importance of proper documentation will be addressed in a team meeting, specifically discussing how actions must be supported with notes, attention to details, ensuring that documentation and information entered in case matches with reported income and expenses.
Finding 517924 (2024-001)
Significant Deficiency 2024
Finding 2024-001 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-002 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-003 Name of contact person: Corrective Action: Proposed completion date: April Rollins, Medicaid Program Manager Re...
Finding 2024-001 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-002 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-003 Name of contact person: Corrective Action: Proposed completion date: April Rollins, Medicaid Program Manager Refresher training for all Medicaid staff on the importance of entering information accurately in NC Fast. Staff will have access to one on one training as needed. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager Refresher training for all Medicaid staff on the importance of entering resource information accurately and examples of how to enter resource information in NC Fast will be conducted. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager Refresher training for all Medicaid staff regarding requests for information to ensure we are requesting all verifications needed will be conducted. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025
Finding 517923 (2024-006)
Significant Deficiency 2024
Finding 2024-004 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-005 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-006 Name of contact person: Corrective Action: Proposed completion date: 12/18/2024 Section IV - State Award Findin...
Finding 2024-004 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-005 Name of contact person: Corrective Action: Proposed completion date: Finding 2024-006 Name of contact person: Corrective Action: Proposed completion date: 12/18/2024 Section IV - State Award Findings and Questioned Costs Corrective Action for Finding 2024-001, 2023-002, 2023-003, 2024-004, and 2024-005 also apply to the State award findings. Corrective Action Plan For the Year Ended June 30, 2024 Section III - Federal Award Findings and Questioned Costs (continue) April Rollins, Medicaid Program Manager Refresher training on child support requirements and policy relating to cooperation/noncooderation with child support will be conducted with Medicaid staff. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager Refresher training on the SSI exparte processes and timeliness requirements will be completed with all Medicaid staff. We will continue to complete second party reviews in excess of the states mandated 98 cases quarterly. 1/31/2025 April Rollins, Medicaid Program Manager The importance of proper documentation will be addressed in a team meeting, specifically discussing how actions must be supported with notes, attention to details, ensuring that documentation and information entered in case matches with reported income and expenses.
Finding 517893 (2024-001)
Significant Deficiency 2024
To review internal controls and determine if duties can be segregated.
To review internal controls and determine if duties can be segregated.
Management has made an ongoing evaluation of the respective costs and benefits of obtaining internal or external resources, specifically for the preparation of financial statements, and has determined that the additional benefits derived from implementing such a system would not outweigh the costs i...
Management has made an ongoing evaluation of the respective costs and benefits of obtaining internal or external resources, specifically for the preparation of financial statements, and has determined that the additional benefits derived from implementing such a system would not outweigh the costs incurred to do so. Management will continue to review the draft financial statements and notes prior to approving them and accepting responsibility for their content and presentation.
Management’s Response: Management agrees with the finding and is implementing procedures to correct it. Corrective Action will be take place January 2025.
Management’s Response: Management agrees with the finding and is implementing procedures to correct it. Corrective Action will be take place January 2025.
The Attendance and Records Center (ARC) team has put in place a process to check students with any cohort removal codes on a weekly basis, and ensure any required backup documentation is scanned into Aeries. Additionally, all staff received training on the Status Change form and the cohort exit code...
The Attendance and Records Center (ARC) team has put in place a process to check students with any cohort removal codes on a weekly basis, and ensure any required backup documentation is scanned into Aeries. Additionally, all staff received training on the Status Change form and the cohort exit codes that require backup documentation. The ACCESS Administrative Guidelines and Procedures Manual was also shared with staff, including section 3.9 addressing, "Documentation and Evidence Required in Order to Remove a Student from the High School Graduation Rate Cohort." All new staff will receive a copy of the manual. In response to the 2023-2024 audit additional measures have been taken in perpetuity: a) Every four weeks a sql query is run to find all cohort removal exit codes. Each one is confirmed or changed according to the documentation provided. b) Each year we re-train the enrollment staff to follow procedures in alignment with the state requirements. The meeting for this year was held on May 22, 2024 and it will be reviewed again in the Spring. c) Internal Policy and Procedure reflects not only the importance of proper documentation but provides details about what the documentation should be. These monitoring steps will ensure that this will not be a finding in the following year.
Views of Responsible Officials and Planned Corrective Actions Clearinghouse reports are from the college’s student information system (SIS). Though the student’s withdrawal was processed and entered in the SIS in a timely manner, the system categorized the student as "less than half time” because of...
Views of Responsible Officials and Planned Corrective Actions Clearinghouse reports are from the college’s student information system (SIS). Though the student’s withdrawal was processed and entered in the SIS in a timely manner, the system categorized the student as "less than half time” because of a passing grade in a course from which the student was exempted due to passing a proficiency test. The SIS did not change the student status to withdrawn until the semester ended, which was more than 60 days beyond the withdrawal date. Action Taken/Planned: The college’s Business Office maintains an online spreadsheet list of withdrawn students outside of the SIS that is updated when a student withdraws from the college. The list has been shared with the personnel responsible for the Clearinghouse reports. Personnel will monitor the withdrawal listing and verify that all withdrawn students are accurately categorized in the Clearinghouse report from the SIS before completing the submission. Anticipated Completion Date/Date Completed: November 18, 2024
We will continue to review our procedures and implement controls when possible
We will continue to review our procedures and implement controls when possible
Planned Corrective Action: This issue has already been resolved. This goes back to budget year 2019-2020, when Provider Relief Funds issued to the county were not properly reported. The current administration was notified of this issue in November 2023, and immediately responded to the informatio...
Planned Corrective Action: This issue has already been resolved. This goes back to budget year 2019-2020, when Provider Relief Funds issued to the county were not properly reported. The current administration was notified of this issue in November 2023, and immediately responded to the information, but was still required to pay penalty and interest, which was done in January 2024.
View Audit 336025 Questioned Costs: $1
Condition: Total federal expenditures for the year ended June 30, 2024 amounted to $1,095,663. Prior to the performance of financial statement audit procedures, the Organization had determined that federal expenditures during the year ended June 30, 2024 did not exceed the threshold of $750,000. Re...
Condition: Total federal expenditures for the year ended June 30, 2024 amounted to $1,095,663. Prior to the performance of financial statement audit procedures, the Organization had determined that federal expenditures during the year ended June 30, 2024 did not exceed the threshold of $750,000. Recommendation: We recommend that all funding contracts are carefully reviewed to determine whether the amounts awarded represent federal funding and whether they should be classified as contractor payments or as subrecipient payments. If there is any uncertainty, we recommend that the Organization contact the funding source for clarification. We recommend that a schedule of expenditures of federal awards is prepared on an annual basis to determine if total expenditures exceed the threshold which would require a Single Audit. Name of Contact Person: Kristen Genovese, CEO Phone Number: 602-652-0163 Anticipated Completion Date: June 30, 2025 Views of Responsible Officials and Corrective Actions: notMYkid, Inc. will establish procedures to review all contracts and, if necessary, to communicate with funding sources to ensure that receipts of federal funding are properly classified as subrecipient versus contractor arrangements to ensure completeness of the Schedule of Expenditures of Federal Awards. notMYkid, Inc. will also prepare the Schedule of Expenditures of Federal Awards on an annual basis to determine whether the threshold for a Single Audit is exceeded.
Due to staff turnover and key vacant positions, we were unable to locate some supporting documentation. However, procedures have been developed and implemented to ensure all reports and supporting documentation will be kept on file for a minimum of three years in a location accessible by all employe...
Due to staff turnover and key vacant positions, we were unable to locate some supporting documentation. However, procedures have been developed and implemented to ensure all reports and supporting documentation will be kept on file for a minimum of three years in a location accessible by all employees.
Finding 517797 (2024-001)
Significant Deficiency 2024
The School agrees to solely use the food service bank account for all revenues and expenses related to the food service program. As of yearend the School has completed the process of transitioning bank information to respective vendors and governmental agencies to ensure the monies received for the ...
The School agrees to solely use the food service bank account for all revenues and expenses related to the food service program. As of yearend the School has completed the process of transitioning bank information to respective vendors and governmental agencies to ensure the monies received for the food service program are deposited into the account and expenses for the food service program are paid out of this account.
The District agrees and intends to continue supervision and monitoring of accounting information and operations, including obtaining explanations for variances from unexpected results. The Superintendent will continue to sign off on all payroll check registers and journal entries.
The District agrees and intends to continue supervision and monitoring of accounting information and operations, including obtaining explanations for variances from unexpected results. The Superintendent will continue to sign off on all payroll check registers and journal entries.
Corrective Action Plan for Title I semi-annual Certifications In response to the finding regarding the completion and signing of Title I Semi-annual Certifications, the Hannibal School District has developed the following Corrective Action Plan (CAP) to ensure full compliance with Title I regulation...
Corrective Action Plan for Title I semi-annual Certifications In response to the finding regarding the completion and signing of Title I Semi-annual Certifications, the Hannibal School District has developed the following Corrective Action Plan (CAP) to ensure full compliance with Title I regulations moving forward. The plan outlines the actions that will be taken, identifies the responsible individual(s), and specifies the anticipated completion date for corrective actions. Corrective Action Plan Details: 1. Finding: The Title I semi-annual Certifications were not completed and signed in accordance with the required timeline after the applicable period. 2. Planned Actions: o Immediate Review and Verification: The District will immediately review all Title I semi-annual Certifications for the current year to ensure they are completed, signed, and filed properly. Any missing or unsigned certifications will be identified and corrected. o Establishment of Procedures for Timely Completion and Signing: A formal procedure will be established to ensure that all Title I semi-annual Certifications are completed and signed after the applicable period ends. This includes: ■ Clear Timelines: Specific deadlines will be set to ensure all certifications are completed and signed no later than 30 business days after the end of the applicable period. ■ Automated Reminders: The District will set up automated reminders through our internal tracking system to ensure certification completion and signing is done promptly. ■ Internal Monitoring: Regular checks will be conducted by the Title I coordinator to verify that all certifications are completed and signed within the required timeframe. o Training and Staff Accountability: All relevant staff members, including Title I coordinators and administrative personnel, will undergo training on the new procedures and the importance of meeting the required deadlines. Additionally, clear roles and responsibilities will be assigned to individuals for monitoring and submitting the certifications. 3. Person(s) Responsible: o Superintendent of Schools: Oversee the implementation of this Corrective Action Plan to ensure that all procedures are followed. o Title I Coordinator: Ensure that all certifications are completed and signed on time and monitor staff adherence to the new processes. 60 o Administrative Staff: Responsible for assisting with the timely submission of required documentation. • 4. Anticipated Completion Date: The District aims to have the corrective actions fully implemented and the procedures in place by February 1st, 2025. We are committed to ensuring compliance with Title I requirements and addressing any discrepancies that may arise. The District will provide updates on progress as needed and will conduct periodic reviews to ensure ongoing compliance. If you have any questions or require additional information, please feel free to contact me directly. Sincerely, Susan Johnson Superintendent of Schools Hannibal School District #60
CORRECTIVE ACTION PLAN October 23, 2024 Kansas State Department of Education and Kansas State Department of Administration Unified School District Number 374 respectfully submits the following corrective action plan for the year ended June 30, 2024. Medill & Thooft, CPA Po Box 885 Ulysses, KS 67...
CORRECTIVE ACTION PLAN October 23, 2024 Kansas State Department of Education and Kansas State Department of Administration Unified School District Number 374 respectfully submits the following corrective action plan for the year ended June 30, 2024. Medill & Thooft, CPA Po Box 885 Ulysses, KS 67880 Audit Period: June 30, 2024 FINDINGS – FEDERAL AWARD PROGRAMS AUDIT U.S. Department of Education Passed Through Kansas State Department of Education Program Name: Education Stabilization Fund Cluster Federal Assistance Listing Numbers: 84.425U Finding 2024-001 Recommendations: The District should have an employee compare the Board Clerk’s supporting documentation and the Education Stabilization Fund spreadsheet report before its submission to the State of Kansas for its accuracy. After the approval by the secondary review employee, the report submitted should be printed, initialed by the secondary reviewer, stapled with the information used to compile the report and combined with all financial records for the fiscal year. Action Taken: We agree with the recommendation. Our targeted implementation date is November 2024. If the Kansas State Department of Education and/or Kansas State Department of Administration has questions regarding this plan, please call Rex Richardson at 620-675-2277. Sincerely yours, Rex Richardson Superintendent
View Audit 335854 Questioned Costs: $1
S3800-090 Auditor's Summary of the Auditee's Comments on the Finding and Recommendations We concur that the Corporation failed to make the required annual deposits to the reserve for replacement. S3800-130 Response Indicator Agree S3800-140 Completion Date July 1, 2024 S3800-150 Response The Corpora...
S3800-090 Auditor's Summary of the Auditee's Comments on the Finding and Recommendations We concur that the Corporation failed to make the required annual deposits to the reserve for replacement. S3800-130 Response Indicator Agree S3800-140 Completion Date July 1, 2024 S3800-150 Response The Corporation has made the required deposit prior to issuance of the financial statements. S3800-160 Contact Person First Name Carlyle S3800-180 Contact Person Last Name Ackley
View Audit 335817 Questioned Costs: $1
Name of Contact Person: Melanie Imholte Finance Director mimholte@soldotna.org 907-714-1224 Finding 2024-001 Reporting – Significant Deficiency in Internal Control Over Compliance Corrective Action The City of Soldotna will revise policies and procedures to ensure review and approval of grant report...
Name of Contact Person: Melanie Imholte Finance Director mimholte@soldotna.org 907-714-1224 Finding 2024-001 Reporting – Significant Deficiency in Internal Control Over Compliance Corrective Action The City of Soldotna will revise policies and procedures to ensure review and approval of grant reports being submitted. Expected Completion Date: Fiscal Year 2025
CORRECTIVE ACTION PLAN FOR AUDIT FINDING 2024-002 The Organization agrees with the finding. Management has implemented controls to assure all subsidiaries are included in the financial statements. The June 30, 2023 financial statements were restated to include Englewood Family Homes LLC. Contact: Mi...
CORRECTIVE ACTION PLAN FOR AUDIT FINDING 2024-002 The Organization agrees with the finding. Management has implemented controls to assure all subsidiaries are included in the financial statements. The June 30, 2023 financial statements were restated to include Englewood Family Homes LLC. Contact: Michael Herman, CEO Completion Date: November 20, 2024
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