Corrective Action Plans

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Federal Agency Name: Department of Treasury Pass‐Through Entity: Equal Justice Wyoming and Wyoming Department of Family Services Assistance Listing Number: #21.023 Program Name: Emergency Rental Assistance Program Finding Summary: There was no evidence retained that the Medical Center’s compliance ...
Federal Agency Name: Department of Treasury Pass‐Through Entity: Equal Justice Wyoming and Wyoming Department of Family Services Assistance Listing Number: #21.023 Program Name: Emergency Rental Assistance Program Finding Summary: There was no evidence retained that the Medical Center’s compliance reports submitted to Equal Justice and Wyoming Department of Family Services (WDFS) were reviewed and approved prior to submission. Responsible Individuals: Amy Spieker, Director Community Health and Analysis Corrective Action Plan: The Program Director will review and approve the data input into the monthly and quarterly reports. If red flags are identified, adjustments will be made. Once the reports are deemed satisfactory, the Program Director will electronically sign off on the report to denote review and approval for submission to awarding agency. Anticipated Completion Date: April 1, 2024
Student Financial Aid Cluster – Assistance Listing No. 84.063 & 84.268 Recommendation: We recommend that the University review its enrollment certification batches subsequent to being posted by NSLDS. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Ac...
Student Financial Aid Cluster – Assistance Listing No. 84.063 & 84.268 Recommendation: We recommend that the University review its enrollment certification batches subsequent to being posted by NSLDS. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The University will submit a batch update for the individuals currently labeled with an incorrect withdrawal status. The batch process will also be updated to include a graduates-only file submitted after the subsequent enrollment conferrals are complete. Name of the contact person responsible for corrective action: Donald Donovan, Chief Financial Officer Planned completion date for corrective action plan: June 30, 2024
The City program leads responsible for specific grants will read the compliance requirements related to those grants prior to commencement. They will then work with Finance and Accounting to determine what the compliance requirements are along with the related deadlines. Additionally, they will also...
The City program leads responsible for specific grants will read the compliance requirements related to those grants prior to commencement. They will then work with Finance and Accounting to determine what the compliance requirements are along with the related deadlines. Additionally, they will also determine who is responsible for each compliance requirement and monitor the grant from commencement to completion to ensure each of those requirements are being complied with by the responsible parties and by the related deadlines.
Finding 388293 (2023-101)
Significant Deficiency 2023
Agreed. The County will implement enhanced review for all external reporting. The reporting deficiency for the LATCF program arose from differences between the offline Excel-based reporting template and the data keyed into the online reporting portal (which was ultimately submitted to the U.S. Depar...
Agreed. The County will implement enhanced review for all external reporting. The reporting deficiency for the LATCF program arose from differences between the offline Excel-based reporting template and the data keyed into the online reporting portal (which was ultimately submitted to the U.S. Department of the Treasury). In the future, both the reporting template and the final submission will be reviewed by a member of management who is not involved in report preparation.
Action taken in response to finding: The district in collaboration with the colleges has established procedures, notification protocols, adjusted business processes and trained financial aid staff over the past year to address this audit finding. The District will continue to work closely with each ...
Action taken in response to finding: The district in collaboration with the colleges has established procedures, notification protocols, adjusted business processes and trained financial aid staff over the past year to address this audit finding. The District will continue to work closely with each college to return funds to the Department of Education in a timely manner. Query reports have been created to identify funds to be slated for return. This effort is monitored on a regular basis by the college Dean of Student Services and their Business Service Office. Planned completion date for corrective action plan: March 31, 2024.
Action taken in response to finding: The District continues to enlist the assistance of Huron and other vendors to assess our internal controls over financial aid federal awards. The district collaborates with external entities to engage in comprehensive training to district-wide staff involved in s...
Action taken in response to finding: The District continues to enlist the assistance of Huron and other vendors to assess our internal controls over financial aid federal awards. The district collaborates with external entities to engage in comprehensive training to district-wide staff involved in student financial aid processing. College FA staff are sent regular reminders to reconcile and perform R2T4 calculations. Management is actively recruiting to fill vacant positions in this area across the district. Planned completion date for corrective action plan: June 30, 2024.
The Financial Aid Department will review processes and put proper procedures in place to ensure award notifications are sent out to students receiving direct loans. Individuals Responsible for Corrective Action Plan: Damon Wade, VP for Enrollment Management and Marketing. Anticipated Completion ...
The Financial Aid Department will review processes and put proper procedures in place to ensure award notifications are sent out to students receiving direct loans. Individuals Responsible for Corrective Action Plan: Damon Wade, VP for Enrollment Management and Marketing. Anticipated Completion Date: September 2024
Finding 388236 (2023-002)
Significant Deficiency 2023
Condition: A significant control deficiency in internal control over the major federal program related to the lack of segregation of duties. Recommendation: The Board of Directors of The Haven, Inc. should closely monitor the day-to-day activities of the major federal program and implement other con...
Condition: A significant control deficiency in internal control over the major federal program related to the lack of segregation of duties. Recommendation: The Board of Directors of The Haven, Inc. should closely monitor the day-to-day activities of the major federal program and implement other control procedures until it is cost beneficial to hire additional staff. Planned Action: The Board of Directors will closely monitor the day-to-day activities of the major federal program until it is cost beneficial to employ additional staff.
Finding 2023-001—Significant Deficiency in Internal Controls over Compliance and Noncompliance Finding: ALN#93.498 Provider Relief Fund and American Rescue Plan Rural Distribution Contact Person: Garrett Richardson, Associate Vice President of Finance Department; Haley Kotun, Supervisor of Finan...
Finding 2023-001—Significant Deficiency in Internal Controls over Compliance and Noncompliance Finding: ALN#93.498 Provider Relief Fund and American Rescue Plan Rural Distribution Contact Person: Garrett Richardson, Associate Vice President of Finance Department; Haley Kotun, Supervisor of Finance Department Views of Responsible Officials: Management agrees and acknowledges that Heritage Valley is responsible to enhance the control and process to ensure future federal reporting deadlines are met. For this late reporting instance, management will comply with HRSA’s reporting instructions when such instructions become available. Corrective Action Plan and Expected Completion Date Heritage Valley management will ensure controls surrounding the timeliness of federal grant reporting, including appropriate communication between finance personnel to comply with required federal reporting time periods, are remediated and operating effectively. To date, Heritage Valley has been in close contact with HRSA to seek approval for Request to Report Late Due to Extenuating Circumstances and such approval has been made verbally. Management expects to take immediate action once Heritage Valley receives written notification from HRSA for the status of approval and modified report submission deadline.
Internal Controls over Compliance Requirements of Federal Awards Review process -- Recommendation We recommend that another level of review of the quarterly reporting be added to the review process. The person responsible for this additional review should be familiar with the grant budget and the un...
Internal Controls over Compliance Requirements of Federal Awards Review process -- Recommendation We recommend that another level of review of the quarterly reporting be added to the review process. The person responsible for this additional review should be familiar with the grant budget and the underlying supporting documentation that should be used to correctly calculate allowable salary and benefit costs. In the event that mistakes happen, the Organization should advise the federal agency on a timely basis and appropriately amend the reports. Corrective Action Plan -- The following procedures have been implemented: The Chief Executive Officer is reviewing quarterly Federal Awards reports before issuance, and comparing to supporting documentation.
We agree that in previous years, there were deficiencies in compliance with reporting requirements related to the receipt and disbursement of federal funds. There has been turnover in Business Office staff, but now that staffing has stabilized, the following procedures will be implemented regarding ...
We agree that in previous years, there were deficiencies in compliance with reporting requirements related to the receipt and disbursement of federal funds. There has been turnover in Business Office staff, but now that staffing has stabilized, the following procedures will be implemented regarding the management of federal funds:  The Senior Accountant will be responsible for the receipt and disbursement of federal funds, and for monitoring reporting requirements  The Associate Vice President for Finance and Controller will oversee the process and ensure that spending guidelines are followed and that all deadlines for reporting are met
2023-002 Certified Payroll Documentation Planned Corrective Action Plan: Contractors will be required to submit weekly certified payrolls for any construction jobs funded with federal dollars Anticipated Completion Date: June 30, 2023 Responsible Contact Person: Kevin St. John, Superintendent
2023-002 Certified Payroll Documentation Planned Corrective Action Plan: Contractors will be required to submit weekly certified payrolls for any construction jobs funded with federal dollars Anticipated Completion Date: June 30, 2023 Responsible Contact Person: Kevin St. John, Superintendent
Finding 388209 (2023-011)
Significant Deficiency 2023
2023-011 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268...
2023-011 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268 Teacher Education Assistance for College and Higher Education Grants– Assistance Listing No. 84.379 Recommendation: We recommend the University review current processes to ensure all compliance requirements are being met when using a third-party servicer to deliver Title IV credit balances. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The university will review current processes to ensure all compliance requirements are being met when using a third-party servicer for Title IV refunds. Names of the contact person responsible for corrective action: Scott Schneider and Patrick Michael Planned completion date for corrective action plan: June 30, 2024
Finding 388203 (2023-010)
Significant Deficiency 2023
2023-010 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268...
2023-010 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268 Teacher Education Assistance for College and Higher Education Grants– Assistance Listing No. 84.379 Recommendation: We recommend the University review current processes for determining unofficial withdrawals and ensure calculations are performed correctly and returns disbursed timely. We also recommend the University document review of Return of Title IV calculations by an employee that did not prepare the calculations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The university will review processes to identify unofficial withdrawals and the subsequent calculations are performed correctly with timely disbursements of funds back to the US Department of Education. Additionally, a second review within Financial Aid will document the review of calculations for any Title IV refunds. Name(s) of the contact person(s) responsible for corrective action: Patrick Michael and Jessica Hopkins Planned completion date for corrective action plan: June 30, 2024
View Audit 299965 Questioned Costs: $1
Finding 388191 (2023-008)
Significant Deficiency 2023
2023-008 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268...
2023-008 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268 Teacher Education Assistance for College and Higher Education Grants– Assistance Listing No. 84.379 Recommendation: We recommend the University review processes to complete and review timesheets for FWS students. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The university will review processes associated with the employment of students who are paid with Federal Work Study funds. Names of the contact persons responsible for corrective action: Patrick Michael and Ricardo Ortega Planned completion date for corrective action plan: June 30, 2024
Finding 388185 (2023-007)
Significant Deficiency 2023
2023-007 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268...
2023-007 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268 Teacher Education Assistance for College and Higher Education Grants– Assistance Listing No. 84.379 Recommendation: We recommend that the University review processes to track Title IV refund checks. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Processes have been updated to regularly monitor for outstanding checks that approach the 240-day threshold and properly process any that are discovered. Names of the contact persons responsible for corrective action: Patrick Michael and Michele Scott Planned completion date for corrective action plan: June 30, 2024
Finding 388155 (2023-002)
Significant Deficiency 2023
2023-002 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268...
2023-002 Student Financial Assistance Cluster Federal Supplemental Educational Opportunity Grants – Assistance Listing No. 84.007 Federal Work-Study Program – Assistance Listing No. 84.033 Federal Pell Grant Program – Assistance Listing No. 84.063 Federal Direct Loans – Assistance Listing No. 84.268 Teacher Education Assistance for College and Higher Education Grants– Assistance Listing No. 84.379 Recommendation: We recommend that the University review the updated GLBA requirements and ensure their written information security plan (WISP) includes all required elements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The current WISP is under review to ensure all required elements set forth in the updated GLBA requirements are included. Name of the contact person responsible for corrective action: Christine Tweedy Planned completion date for corrective action plan: June 30, 2024
Finding Number: 2023-001 Planned Corrective Action: In 2022- 2023, Aramark hired a new Food Service Supervisor. The Supervisor failed to report the numbers correctly. She was told to pull the POS report and use the Aramark calendar, which differs from a monthly calendar. Once she had the numbers, ...
Finding Number: 2023-001 Planned Corrective Action: In 2022- 2023, Aramark hired a new Food Service Supervisor. The Supervisor failed to report the numbers correctly. She was told to pull the POS report and use the Aramark calendar, which differs from a monthly calendar. Once she had the numbers, they would be manually input into the Aramark program. She was using these numbers to report to the ODE. When doing this, she made several errors, which resulted in us reporting more meals than we actually served. Correction : 1) Report numbers to the ODE using the CN6 and CN7 reports. 2) Correct our reported number to ODE using the CN6 and CN7 reports for August - November 2023. Anticipated Completion Date: 1) We started in December 2023 using the correct report s, the CN6 and CN 7, to report our numbers to the ODE for reimbursement. 2) In February, we put in the correct numbers for August- November 2023 with the ODE, so our numbers will balance for the 2023-2024 school year. Responsible Contact Person : Michael Pissini, Treasurer Leslie McKimmie, Food Service Director
DSHA will implement controls to monitor and verify required periodic inspections are performed timely by implementing the following controls: 1. All biannual inspections will be performed by the Housing Manager and the Housing Asset Manager (supervisor). 2. Letters will be sent to residents notifyi...
DSHA will implement controls to monitor and verify required periodic inspections are performed timely by implementing the following controls: 1. All biannual inspections will be performed by the Housing Manager and the Housing Asset Manager (supervisor). 2. Letters will be sent to residents notifying them of the date of scheduled inspections. 3. A work order will be generated in the computer for all units indicating the date of the inspection and list all maintenance/housekeeping deficiencies. 4. Housing Managers will use their Outlook calendar as a means of tracking/alerting them of the due date for all future inspections. 5. All documents will be scanned into the resident file on Ap-extender. This will include a copy of the inspection letter and inspection work order. Responsible Official: Doris Hall, Director of Housing Management Completion Date: July 2023
DSHA has contracted with a third-party vendor that will work in tandem with an Internal DSHA ERA Staff person to submit UST reports. DSHA will work to update its policies related to UST reports to include capturing uploaded reports, documents, and dates that information is submitted, saving informat...
DSHA has contracted with a third-party vendor that will work in tandem with an Internal DSHA ERA Staff person to submit UST reports. DSHA will work to update its policies related to UST reports to include capturing uploaded reports, documents, and dates that information is submitted, saving information to internal files as some information submitted to the UST Portal is not accessible for review after the reporting period has ended and report submission has been approved by UST. Responsible Official: Devon Manning, Director of Policy & Planning
DSHA recognizes that there were cases where cases were paid more than allowable under UST Program Guidelines. In future direct assistance programs, DSHA will update policies and procedures to add an internal DSHA staff review of any case that is approved for payment to ensure that program recipient...
DSHA recognizes that there were cases where cases were paid more than allowable under UST Program Guidelines. In future direct assistance programs, DSHA will update policies and procedures to add an internal DSHA staff review of any case that is approved for payment to ensure that program recipients are not approved for payments extending the UST’s current eighteen (18) months of assistance. DSHA will incorporate measures that regulate how direct payments are coded within its accounting department to ensure that all outgoing payments are made from the associated ERA account. Responsible Official: Devon Manning, Director of Policy and Planning. Completion Date: July 2023
View Audit 299937 Questioned Costs: $1
Finding 2023-004 Reporting Plan: The University of Illinois Chicago will send reminders communicating the importance of timely programmatic reports. The University of Illinois Urbana Champaign will train an additional staff member to prepare the quarterly reports and will be activated as needed. Thi...
Finding 2023-004 Reporting Plan: The University of Illinois Chicago will send reminders communicating the importance of timely programmatic reports. The University of Illinois Urbana Champaign will train an additional staff member to prepare the quarterly reports and will be activated as needed. This will allow greater flexibility and increased capacity for achieving timely quarterly reporting. Outlook calendar reminders will be added to both the PI and backup staff member’s calendars to help ensure future quarterly reports are prepared and submitted by the sponsor deadline. The University of Illinois Springfield will review internal processes used to identify and document financial reporting requirements, and conduct refresher training, as appropriate. Expected Implementation Date: UIC – March 2024 UIUC - January 1, 2024 UIS – April 2024 Contact: Sue Farruggia, Asst. Vice Chancellor Planning and Assessment University of Illinois Chicago – Student Affairs spf@uic.edu 312-355-3269 Katrina Lopez, Assistant Director University of Illinois Chicago – Office of Sponsored Programs (OSP) klopez3@uic.edu 312-996-3782Glenn Heistand, Section Head Coordinated Hazzard Assessment and Mapping Program University of Illinois Urbana-Champaign heistand@illinois.edu 217-244-8856 Charles Alsbury, Director Office of Research & Sponsored Programs, Post-Award University of Illinois Springfield Ralsb01s@uis.edu 217-206-7849
Corrective Action Plan For the year ended june 30,2023 Section II - Financial Statement Findings None Reported Section III - Federal Award Findings and Questioned Costs Finding 2023-001 Name of Contact Person: Sandra Perry Executive Director Corrective Action: We will implement proper internal c...
Corrective Action Plan For the year ended june 30,2023 Section II - Financial Statement Findings None Reported Section III - Federal Award Findings and Questioned Costs Finding 2023-001 Name of Contact Person: Sandra Perry Executive Director Corrective Action: We will implement proper internal control procedures for the Low Rent Public Housing eligibility requirements. Proposed Completion Date: Immediately.
Person Responsible for Implementing the Corrective Action: Adrienne McGarity, Executive Director. Aniticipated Completion Date of Corrective Action: June 30, 2024. Repeated Findings: Yes. Planned Corrective Action: We concur with this finding. Policies will be adjusted, where deemed necessary. Extra...
Person Responsible for Implementing the Corrective Action: Adrienne McGarity, Executive Director. Aniticipated Completion Date of Corrective Action: June 30, 2024. Repeated Findings: Yes. Planned Corrective Action: We concur with this finding. Policies will be adjusted, where deemed necessary. Extra care will be taken to ensure amounts are transferred correctly. We will take extra caution reviewing employees time as it relates to each program.
View Audit 299919 Questioned Costs: $1
Finding 388050 (2023-094)
Significant Deficiency 2023
Department: Health and Human Services Title: Internal control over Medicaid drug rebates needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: As a part of the quarterly drug rebate invoicing cycle, the pharmacy unit drug rebate team will review and approv...
Department: Health and Human Services Title: Internal control over Medicaid drug rebates needs improvement Questioned Costs: None Status: Corrective action in progress Corrective Action: As a part of the quarterly drug rebate invoicing cycle, the pharmacy unit drug rebate team will review and approve the pre-invoicing variances prior to the generation of invoices. On a quarterly basis, the QA team will review a sample of medical claim drug lines to calculate the drug utilization and compare that to PRIMS and confirm that the invoice is calculated correctly. Completion Date: May 31, 2024 and June 15, 2024 respectively Agency Contact: Michelle Probert, Director, Office of MaineCare Services, DHHS, 207-287-2093
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