Corrective Action Plans

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Finding: 2022-005: Significant Deficiency in Internal Controls over Compliance – Allowability– Payroll Transactions Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 Corrective Action: • All payroll journal entries will be reviewed and ...
Finding: 2022-005: Significant Deficiency in Internal Controls over Compliance – Allowability– Payroll Transactions Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 Corrective Action: • All payroll journal entries will be reviewed and approved by program staff and the Controller since the Staff Accountant prepares the journal entries. • CCS will implement a process for Controller to review payroll entries after they are imported for accuracy between Paycor and the accounting system. • CCS will be looking into whether program staff should start direct charging their time. CCS will set up an after- payroll review to be done by program and finance/HR to review for any possible errors missed prior to running payroll. If errors are found, corrective entries will be made immediately. Also, we will be looking into whether an indirect rate would simply our very complicated allocation system we currently use. Additionally, program staff will review all new or adjusted allocations in Paycor. • Program staff will review all new or changed payroll allocations for employees they supervise. • Detailed allocation reports will be sent to program staff for review. • Program staff are to review preliminary and final reports monthly to check for any discrepancies. • The finance staff currently looks at reports monthly for discrepancies. Proposed Completion Date: 2/28/23
FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT Finding: 2022-003: Significant Deficiency in Internal Controls over Compliance – Reporting Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 Controller reviews and corre...
FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT Finding: 2022-003: Significant Deficiency in Internal Controls over Compliance – Reporting Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 Controller reviews and corrects reports received which includes backup by the Staff Accountant, then CFO reviews reports created by Controller prior to submission. Proposed Completion Date: 6/30/23
Finding: 2022-004: Material Weakness in Internal Controls over Compliance – Single Audit Report Submission Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 CCS will work with its audit firm to ensure the audit is submitted in a timely manne...
Finding: 2022-004: Material Weakness in Internal Controls over Compliance – Single Audit Report Submission Name of Contact Person: Shema Jones CFO Catholic Community Service 1803 Glacier Highway Juneau, AK 99801 CCS will work with its audit firm to ensure the audit is submitted in a timely manner. Proposed Completion Date: 6/30/24
Finding Number: 2022-005 Finding Title: Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Tracy Bowman Corrective Action Planned: All quarterly DHS reports will be reviewed and signed following completion. Documentation for all will be mai...
Finding Number: 2022-005 Finding Title: Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Tracy Bowman Corrective Action Planned: All quarterly DHS reports will be reviewed and signed following completion. Documentation for all will be maintained. Anticipated Completion Date: 12/31/2022
Finding Number: 2022-004 Finding Title: Eligibility Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Crystal Zaviska Corrective Action Planned: Implement semi-annual trainings including asset verifications, timelines, and income verifications. Anti...
Finding Number: 2022-004 Finding Title: Eligibility Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Crystal Zaviska Corrective Action Planned: Implement semi-annual trainings including asset verifications, timelines, and income verifications. Anticipated Completion Date: 12/31/2023
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will review policies and procedures to ensure compliance is met going forward and will establish a debt service fund in accordance with the letter of conditions. Name(s) of the contact person(s) responsible for corrective action: Lori Guenther, CFO Planned completion date for corrective action plan: Q2 of 2023
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will review policies and procedures to ensure compliance is met going forward and will obtain required insurance coverage as noted in the Letter of Conditions. Name(s) of the contact person(s) responsible for corrective action: Lori Guenther, CFO Planned completion date for corrective action plan: Q2 of 2023
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...
Material Weakness in Internal Control and Compliance Recommendation: The Organization should review the Letter of Conditions and loan agreement to ensure all requirements are being met on an annual basis. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will review policies and procedures to ensure compliance is met going forward including providing required financial information the USDA. Name(s) of the contact person(s) responsible for corrective action: Lori Guenther, CFO Planned completion date for corrective action plan: Has been implemented.
The District continues to review internal controls and will make changes where appropriate.
The District continues to review internal controls and will make changes where appropriate.
Finding 392094 (2022-002)
Significant Deficiency 2022
Since the ERAP grant was a new COVID-related grant that was fast-tracked by the Government to provide immediate assistance in the midst of the pandemic, neither the Grantor, nor the Grantee, provided clear templates for reporting to the Organization as a Subgrantee. This forced the organization to c...
Since the ERAP grant was a new COVID-related grant that was fast-tracked by the Government to provide immediate assistance in the midst of the pandemic, neither the Grantor, nor the Grantee, provided clear templates for reporting to the Organization as a Subgrantee. This forced the organization to create its own templates, in which the unprotected spreadsheet formulas became corrupt, and were not consistent from month to month--largely due to changing interpretations of requirements for what could be claimed as a reimbursement. It is noted, that neither the organization, nor the primary Grantee caught the spreadsheet miscalculations -- in order to reconcile the accounts in a timely manner. The Organization made a change in Executive Directors a month after the Grant closed (April 2022), and a week before the fiscal year end (June 28, 2022). As part of understanding the process of grant reimbursements in the past, the current Executive Director created a Financial Reimbursement Policy for submitting grant reimbursements going forward into FY23. With this change, the Organization has stronger controls in place to catch any errors in financial reporting. This policy was reviewed by the Board of Directors in October 2022, to ensure procedures are in place in which non-protected spreadsheet formulas are double checked for accuracy, all receipts are reviewed and entered by at least two persons, and reimbursements are reconciled with corresponding requests in cooperation with a third-party accountant. In addition, due to work slowdowns that occurred during the COVID crisis, it created a long time lapse in waiting for reimbursement deposits from requests through the Grantee and Grantor. In many cases, reimbursements were not deposited until months after the request. Unfortunately, at the time, there was no mechanism in place to track these expenses for reconciliation. This too has been corrected in the new Reimbursement Policy change that includes a new grant reimbursement tracker in place going forward. While current Management recognizes the above failure to reconcile these discrepancies at the time, in review, the miscalculations on the submitted spreadsheets actually underestimate the expenses incurred compared to what was requested for reimbursement. Over the course of the grant the Organization actually under invoiced for its expenses. Since the grant was closed, the new Director, did not find these discrepancies until the audit and the organization understands this loss cannot be recouped.
View Audit 302227 Questioned Costs: $1
Finding 392054 (2022-002)
Significant Deficiency 2022
We will utilize new software to automate the preparation and compilation of audit reports and compliance reports, streamlining the entire process and reducing the likelihood of delays. We will establish a centralized document management system with robust retention protocols. This system will ensure...
We will utilize new software to automate the preparation and compilation of audit reports and compliance reports, streamlining the entire process and reducing the likelihood of delays. We will establish a centralized document management system with robust retention protocols. This system will ensure that all relevant documents and information required for the reports are readily accessible and properly maintained, minimizing delays caused by searching for necessary materials. We will institute a schedule for regular reviews and monitoring of the reporting process. This will involve conducting periodic assessments to identify any bottlenecks or potential issues that could lead to delays, allowing for proactive intervention and resolution. By implementing these measures, we aim to mitigate the risk of late filing of the audit report, thereby enhancing compliance with regulatory requirements and ensuring timely and accurate reporting.
March 27, 2024 2022-003: Significant Deficiency in Internal Control / Immaterial Noncompliance – Cash Management (repeat comment) Condition: 1) The Consortium requested funds in advance of when the related disbursements were made, 2) the basis for the advances (requests) were not supported by approp...
March 27, 2024 2022-003: Significant Deficiency in Internal Control / Immaterial Noncompliance – Cash Management (repeat comment) Condition: 1) The Consortium requested funds in advance of when the related disbursements were made, 2) the basis for the advances (requests) were not supported by appropriate documentation, and 3) authorization for requesting funds in advance not obtained. Corrective Action: We agree with the finding. The Consortium has carefully reviewed our policies and procedures and have made the necessary changes to ensure that cash draws are based on expenditures already incurred and they are supported by transactions recorded in the books and records of the Consortium. We believe the updated procedures will result in the reduction over time and ultimately the complete elimination of this issue. Contact Person: Shamar Herron: Sherron@mwse.org Anticipated Completion Date: December 2024 Respectfully, Shamar Herron
March 27, 2024 2022-005: Significant Deficiency in Internal Control / Immaterial Noncompliance – Reporting Condition: Quarterly reports for WIOA Cluster and Employment Services Cluster and Temporary Assistance for Needy Families Cluster, and final close out reports selected for WIOA Cluster, were su...
March 27, 2024 2022-005: Significant Deficiency in Internal Control / Immaterial Noncompliance – Reporting Condition: Quarterly reports for WIOA Cluster and Employment Services Cluster and Temporary Assistance for Needy Families Cluster, and final close out reports selected for WIOA Cluster, were submitted after the deadline. Planned Corrective Action: We agree with the finding. With new closeout procedures in place, this finding will be addressed over the next several reporting periods. We do not anticipate this issue in our 2024 Single Audit when several cycles of closeouts have been completed. Anticipated Completion Date: June 30, 2025 Contact Person: Shamar Herron: Sherron@mwse.org Respectfully, Shamar Herron
Management concurs with this finding. Management is reviewing and revising its procurement policies to comply with state and local laws, the standards of the CFR, as well as reflect current operating procedures.
Management concurs with this finding. Management is reviewing and revising its procurement policies to comply with state and local laws, the standards of the CFR, as well as reflect current operating procedures.
Management concurs with this finding. Management has focused its attention on both the determination and designation of key personnel within a contract as well as the ongoing compliance of key personnel designations. Management has implemented control provisions to highlight and approve future key p...
Management concurs with this finding. Management has focused its attention on both the determination and designation of key personnel within a contract as well as the ongoing compliance of key personnel designations. Management has implemented control provisions to highlight and approve future key personnel designations within future contracts. Further, a semi-annual review process will be undertaken to review and document ongoing contractual compliance which will include reference to and consideration of key personnel designations.
Recommendation: We recommend LSI design controls to ensure an adequate review process is in place for all disbursements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Reviewed and updated existing controls. Comm...
Recommendation: We recommend LSI design controls to ensure an adequate review process is in place for all disbursements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Reviewed and updated existing controls. Communicate with leadership on controls and proper approval process. Cash disbursement request will be reviewed and approved by supervisor prior to submissions. Name(s) of the contact person(s) responsible for corrective action: Roni Knief Planned completion date for corrective action plan: 9/30/2022
Recommendations: The Board should strive to submit the Single Audit Reporting Package to the federal audit clearinghouse no later than nine months after the fiscal year end. Views of Responsible Officials and Planned Corrective Actions: The Board will strive to submit its Single Audit Reporting Pac...
Recommendations: The Board should strive to submit the Single Audit Reporting Package to the federal audit clearinghouse no later than nine months after the fiscal year end. Views of Responsible Officials and Planned Corrective Actions: The Board will strive to submit its Single Audit Reporting Package to the federal audit clearinghouse no later than nine months after the fiscal year end for all future funds received from the federal government.
Finding 390820 (2022-003)
Significant Deficiency 2022
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
View Audit 301535 Questioned Costs: $1
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Management's Response: We concur with the recommendation, and the corrective action will be implemented as of March 6, 2024.
Finding 390302 (2022-001)
Material Weakness 2022
Finding 2022-001: Material Weakness - Internal Control Over Financial Reporting Condition: A number of adjustments were required to report Unitrans' financial statements in accordance with generally accepted accounting principles (GAAP). The books were not in balance at the start of the audit, and f...
Finding 2022-001: Material Weakness - Internal Control Over Financial Reporting Condition: A number of adjustments were required to report Unitrans' financial statements in accordance with generally accepted accounting principles (GAAP). The books were not in balance at the start of the audit, and fieldwork was delayed as a result. Recommendation: For the year ended June 30, 2021 and 2022, Unitrans put together its own trial balance in accordance with GAAP but some assistance was still required during the audit to ensure completeness of financial reporting. We had recommended in prior audits that Unitrans' management work with ASUCD and UCD finance staff to develop and update a more thorough self-balancing chart of accounts with names that are consistent with the audited financial statements that captures all of Unitrans' financial activity. We noted some progress made in this area as separate Unitrans funds have been created by ASUCD for recording student fee revenue. However, there is still work needed to ensure all accounts balance. Prior to the audit, reconciliations should be done to ensure all activity have been properly recorded and included in the trial balance. We also recommend Unitrans' management work with ASUCD and UCD finance staff to develop a process to ensure all of Unitrans' operating and capital transactions are identified, recorded and correctly classified as required by generally accepted accounting principles prior to the start of the audit. Corrective Action: ASUCD-Unitrans accepts the recommendation as stated. ASUCD-Unitrans notes that this is a repeat finding from the prior fiscal year (Finding 2020-001 and 2021- 001). The recommended action is currently in progress. UC Davis has been working for two years on a comprehensive conversion of its financial accounting (cash management, accounts receivable, general ledger, and fixed assets), procurement, and project/grant accounting systems. This conversion, named Aggie Enterprise, now has an estimated go-live date of January 2, 2024. Unitrans management has provided an assessment of our financial accounting and reporting needs, including the need for a complete, selfbalancing chart of accounts, pursuant to the prior-year Findings 2020-001 and 2021-001 outlined below. Person Responsible: Teri Sheets, Assistant General Manager-Administration; tmsheets@ucdavis.edu Timeframe for Completion: Because the University’s system conversion is not expected to go live until January 2024, we expect to resolve this and prior-year findings in the fiscal year starting July 1, 2024.
Management’s Corrective Action Plan National University acknowledges the finding and the recommendation regarding improving procedures. Finding 2023-001 - Special Tests and Provisions – Return of Title IV: Significant Deficiency in Internal Control Management agrees with the importance of ensuring t...
Management’s Corrective Action Plan National University acknowledges the finding and the recommendation regarding improving procedures. Finding 2023-001 - Special Tests and Provisions – Return of Title IV: Significant Deficiency in Internal Control Management agrees with the importance of ensuring that the return of Title IV funds (R2T4) are performed both timely and accurately. The NCU Processing team has led focused R2T4 training on several subjects, including the importance of return amount inputs to ensure our R2T4 processors receive regular refresher training and coaching to prevent any R2T4 calculation inaccuracies. The Processing team will continue to conduct subject matter training monthly. The Quality Assurance team will continue to conduct weekly R2T4 calculation reviews to demonstrate internal controls and accuracy. The Quality Assurance review process includes reviewing the R2T4 calculation for accuracy and verifying that all system inputs such as EDExpress and COD are completed correctly. Contact Person Responsible for Corrective Action: Brandy Baker, Director of Quality Assurance and Angela De Angelini, AVP Processing and Fiscal Operations Anticipated Completion Date: June 2024
Corrective action planned: Educate and/or replace employee responsible for preparing RD Form 442-3 – Balance Sheet for USDA reporting. Increase internal control with Chief Executive Officer review of financial reporting. Anticipated completion date: August 3, 2023 Contact person responsible for c...
Corrective action planned: Educate and/or replace employee responsible for preparing RD Form 442-3 – Balance Sheet for USDA reporting. Increase internal control with Chief Executive Officer review of financial reporting. Anticipated completion date: August 3, 2023 Contact person responsible for corrective action: Mia Amore Talon, Chief Financial Officer
COVID has adversely impacted attendance, enrollment and staffing patterns for the past three years. Such occurrences have been commonplace throughout the Head Start childcare network. CCEOC continues to encourage student attendance via parent meetings and conferences.
COVID has adversely impacted attendance, enrollment and staffing patterns for the past three years. Such occurrences have been commonplace throughout the Head Start childcare network. CCEOC continues to encourage student attendance via parent meetings and conferences.
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