Corrective Action Plans

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Reporting There is no disagreement with the finding. Management will review procedures going forward.
Reporting There is no disagreement with the finding. Management will review procedures going forward.
There is no disagreement with the finding. Management will review procedures to implement mitigating controls to reduce the risk of error.
There is no disagreement with the finding. Management will review procedures to implement mitigating controls to reduce the risk of error.
Action Taken: The Health Center is committed to serving patients that are underserved and under- or un-insured. Staff will be re-trained on how to implement annual updates of the sliding fee discount schedule for Department of Health and Human Services annual poverty guidelines changes, across all t...
Action Taken: The Health Center is committed to serving patients that are underserved and under- or un-insured. Staff will be re-trained on how to implement annual updates of the sliding fee discount schedule for Department of Health and Human Services annual poverty guidelines changes, across all types of visits, on a timely basis, to ensure that self-pay and patients with third-party health insurance are assessed and charged a discounted fee based on their income and family size according to CBWCHC?s sliding fee discount schedule. In addition, they will periodically self-check patient records to see if the training was effective. This training will begin in the 2nd quarter of 2023 and will be on going as new staff are added. Person responsible: Kaushal Challa, CEO
Due to the finding 2022-001 above, the auditors determined that there were not sufficient internal controls in place to ensure that management was aware of the requirement that Davis Bacon language needed to be included in contracts that were to be paid with federal funds and that certified payroll ...
Due to the finding 2022-001 above, the auditors determined that there were not sufficient internal controls in place to ensure that management was aware of the requirement that Davis Bacon language needed to be included in contracts that were to be paid with federal funds and that certified payroll needed to be turned in to the district. District agrees with this recommendation. The district will implement procedures to ensure the compliance requirements for each grant agreement are fully assessed and that the district has controls in place to address the material compliance requirements. The district will seek additional training for any requirements that are unfamiliar or particularly complex. Anticipated Completion Date: We plan on implementing this process during the 2023 fiscal year and will be searching for trainings for any unfamiliar or complex grant requirements. Name of Contact Person Responsible for Corrective Actions: Stacie Holmstrom
Finding 44302 (2022-002)
Significant Deficiency 2022
Re: 2021-2022 Corrective Action Plan Kirby School District will correct the following reportable findings for the 2021-2022 school year. The District, Pike Palmer and Melissa Turner, will ensure that all contracts are obtained and all applicable construction contracts contain the required notificat...
Re: 2021-2022 Corrective Action Plan Kirby School District will correct the following reportable findings for the 2021-2022 school year. The District, Pike Palmer and Melissa Turner, will ensure that all contracts are obtained and all applicable construction contracts contain the required notification regarding compliance with the Davis-Bacon Act. We will make sure to get copies of the weekly certified payrolls for applicable projects. We will be in contact with ADE for guidance and implementation of proper controls over program expenditures by June 30, 2023. Kirby School District will correct the following supplemental findings for the 2021-2022 school year. All activity receipts will be written correctly according to the check/cash composition by Jessica Pinkerton. All capital assets lists will be accurately updated every year by Jessica Pinkerton and Melissa Turner. Melissa Turner will maintain detailed documentation for all expenditures. Pike Palmer will make sure to follow proper bidding procedures provided by the Arkansas Code. All stale dated checks will be handled by Melissa Turner and Jessica Pinkerton in accordance with the unclaimed property laws.
Finding 44278 (2022-001)
Significant Deficiency 2022
Student Financial Assistance Cluster ? CFDA No. 84.268 Recommendation: We recommend the University evaluate its procedures and review policies in overseeing submissions to NSLDS completed by the third-party servicer. Additionally, we recommend the University review its policies and procedures on rep...
Student Financial Assistance Cluster ? CFDA No. 84.268 Recommendation: We recommend the University evaluate its procedures and review policies in overseeing submissions to NSLDS completed by the third-party servicer. Additionally, we recommend the University review its policies and procedures on reporting enrollment information to the NSLDS to ensure that all relevant information is being captured and reported timely in accordance with applicable regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: To ensure data accuracy, the Office of the University Registrar will review, evaluate, and update their current enrollment reporting procedures, as well as assess how reported data is verified and updated. Name(s) of the contact person(s) responsible for corrective action: Shivanthi Anandan, Provost Planned completion date for corrective action plan: April 28, 2023
Finding 44276 (2022-002)
Significant Deficiency 2022
Student Financial Assistance Cluster ? CFDA No. 84.063, 84.268 Recommendation: We recommend the University evaluate its policies and procedures around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit finding:...
Student Financial Assistance Cluster ? CFDA No. 84.063, 84.268 Recommendation: We recommend the University evaluate its policies and procedures around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The development of a Pell report and process through the University?s Student Information System (BANNER) is the priority to address and ensure timely and accurate PELL reporting to COD. When the reports are received back from COD, any exceptions that are identified will be corrected by the next COD file submission. Any exceptions that cannot be resolved before the next COD file submission will be escalated. This process ensures that any new Pell disbursements are identified and reported to COD weekly, in order to remain within the 15-day requirement for Pell reporting. Name(s) of the contact person(s) responsible for corrective action: Jennifer Houseman, Director of Financial Aid Planned completion date for corrective action plan: April 28, 2023
Finding 44275 (2022-003)
Significant Deficiency 2022
Student Financial Assistance Cluster ? CFDA No. 84.038 Recommendation: We recommend the University evaluate is procedures and policies around recordkeeping and retention. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to fin...
Student Financial Assistance Cluster ? CFDA No. 84.038 Recommendation: We recommend the University evaluate is procedures and policies around recordkeeping and retention. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Master Promissory Notes are stored securely in the Bursar?s office in locked, fireproof cabinets until they are assigned. The University has sent master promissory notes for delinquent loans to the Department of Education. Assignment of past due loans to Department of Education is processed on a rolling monthly schedule. Original master promissory notes are required for the transfer. If loan records are determined to be missing we will request permission to assign these records to the Department of Education. Name(s) of the contact person(s) responsible for corrective action: Ashley Slowe, Director, Student Accounts Receivable Planned completion date for corrective action plan: April 28, 2023
2022-002 Student Financial Aid ? Assistance Listing No. 84.SFA Recommendation: CLA recommends the College implement a procedure to ensure the program begin date aligns with the first date of attendance, and inquire with the Clearinghouse when Effective Dates per NSLDS do not match the College's rec...
2022-002 Student Financial Aid ? Assistance Listing No. 84.SFA Recommendation: CLA recommends the College implement a procedure to ensure the program begin date aligns with the first date of attendance, and inquire with the Clearinghouse when Effective Dates per NSLDS do not match the College's records. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Corrective Reports to National Student Clearinghouse: The Assistant Registrar will submit corrective reports to the National Student Clearinghouse (NSC) within one day of receipt of the error file to ensure compliance with reporting timelines. Candidates for Graduation: Completed Graduates: The Assistant Registrar will ensure that the Exit date field and Withdrawal date field for all graduation candidates are updated within 45 days of the last day of the term. Candidates who successfully complete all degree requirements are coded in Jenzabar as GR for graduation. The student record is sealed, and a final transcript is printed. The Assistant Registrar will run the special NSC Graduation Report as an ad hoc report periodically throughout the 45-day period. Candidates who do not complete: The Assistant Registrar will ensure that the Exit field date and the Withdrawal field date is updated for all candidates who do not complete their degree requirements within 45 days of the last day of the term. The departure reason will be updated as NR for non-returning (with the subheading of LOA if appropriate). The Assistant Registrar will run a report for the NSC on the 15th of each month as scheduled (May 15, June 15, etc.). Candidates who do not graduate will be reported to the NSC via the standard monthly report run on the 15th of each month. Enrolled Spring Students who do not register for the fall term: The Assistant Registrar will ensure that all students who are not registered for the fall term by June 5th are coded with the enrollment status of NR (non-returning) in Jenzabar. The Withdrawal and Exit fields in Jenzabar will be updated with the last date of attendance/last day of the term. The Assistant Registrar updates the National Student Clearinghouse (NSC) on the 15th of each month, and NSC subsequently updates the National Student Loan Data System (NSLDS). Students that register for the fall term after June 5th will be updated in Jenzabar, their WD and Exit dates will be revised, and the NSC updated of the new status. Name(s) of the contact person(s) responsible for corrective action: Adrienne Bolyard Dean of Academic Services and Registrar Planned completion date for corrective action plan: The completion date for this corrective action was executed February 24, 2023. This plan will be in effect going forward.
Finding 2022-002 ? Reporting Non-Material Non-Compliance Responsible Person: Marla Newman, Director of Community Development Action: The City will ensure that all subrecipients are reported (as we have a clearer understanding of the designation), will retain additional backup to support the numbers ...
Finding 2022-002 ? Reporting Non-Material Non-Compliance Responsible Person: Marla Newman, Director of Community Development Action: The City will ensure that all subrecipients are reported (as we have a clearer understanding of the designation), will retain additional backup to support the numbers being reported, and will maintain a hard copy of all reports at the time of submission. In this case, the report was submitted timely, and the report was expected to be available on the grantor website, but due to technical issues within the grantor?s (Treasury) website, the report could not be accessed and downloaded at the time of the audit. The City will continue to carefully review grant agreements to ensure all applicable reporting requirements are being followed. Anticipated Completion Date: December 2022
Finding 2022-001 Condition The Company did not complete the PRF reporting in accordance with the U.S. Department of Health and Human Services guidance. The Company excluded from patient care revenue the amount attributable to independent living and assisted living related services provided to resi...
Finding 2022-001 Condition The Company did not complete the PRF reporting in accordance with the U.S. Department of Health and Human Services guidance. The Company excluded from patient care revenue the amount attributable to independent living and assisted living related services provided to residents. Additionally, the report did not contain a documented review and approval of the reports prior to submission. Clerical errors were identified during testing totaling $25,179 and expenses were counted twice in error totaling $38,423 Corrective Action Plan Corrective Action Planned: The Company agrees with the finding. It is believed that verifiable lost revenues were more than sufficient to fully cover the funds received even eliminating these expenditures. Nonetheless, if any additional similar funding is ever sought or received, the Company will implement policies and procedures to ensure there is appropriate review of the submissions and lost revenue calculations. The Company agrees with the finding and will implement procedures to ensure an individual who is responsible for reporting will remain current on compliance requirements and review final reports and the related inputs prior to submission. Specifically, the Company will verify independent living unit revenues are included in the lost revenues? calculation. Name(s) of Contact Person(s) Responsible for Corrective Action: Daniel Murray, CEO and Timothy McQuaid, CFO Anticipated Completion Date: completed
View Audit 44404 Questioned Costs: $1
Finding 2022-001: Significant Deficiency over Financial Reporting Responsible Official?s Response and Corrective Action Plan The Board approved a new Credit Card Policy for the Sorority in May 2021. Credit cards are an integral part of the mix of instruments available for managing payment relationsh...
Finding 2022-001: Significant Deficiency over Financial Reporting Responsible Official?s Response and Corrective Action Plan The Board approved a new Credit Card Policy for the Sorority in May 2021. Credit cards are an integral part of the mix of instruments available for managing payment relationships with vendors. At present, the Sorority maintains only three (3) sponsored credit cards. Generally, payments to vendors through credit card instruments account for less than three percent (3%) of all expenditures processed by the organization. Nevertheless, we recognize and acknowledge that a material risk of exposure is present. To mitigate this risk, the Sorority has established a Board-level committee whose sole responsibility was to establish a set of policies and guidelines around: 1. Who may have access to Sorority-sponsored credit cards, 2. The range of limits that will be available to staff on individual cards, 3. The frequency of required reconciliations by the Accounting and Finance Department, 4. The chains of approval that will be required for each in the range of limits established by the Board; and 5. The consequence(s) of deviation from the Board?s mandated Policy. The Board?s guidelines are now published and available; however, no new cards will be issued in the near-term. Further, the Sorority?s Accounting Department continues its practice of conducting robust, monthly reviews of each line-item appearing on the three (3) credit card statements. The Team will continue to make certain that receipts are present for all expenditures that exceed $25; and will monitor the types of transactions processed via credit card to ensure their legitimacy. Planned Implementation Date of Corrective Action April 2023 Person(s) Responsible for Corrective Action Pamela R. Hill, Treasurer Meskerem Alemu, Sr. Accounting Manager
FINDING 2022-008: ESSER REPORTING The ESSER Data Collection Repoti was submitted to the IDOE in 2022 within the compliance period. Three people, Superintendent, Treasurer, and Deputy Treasurer all worked on this report. There were no other employees in Central Office to review or cross check this re...
FINDING 2022-008: ESSER REPORTING The ESSER Data Collection Repoti was submitted to the IDOE in 2022 within the compliance period. Three people, Superintendent, Treasurer, and Deputy Treasurer all worked on this report. There were no other employees in Central Office to review or cross check this report for internal control prior to submission. Corrective Action Plan: Central Office staff will print off the report, list the person that prepared the report, and sign the report for FY2023.
FINDING 2022-007: ESSER PAYROLL The School Corporation did not have a documented internal control over payroll claims in place relating to the Allowable Activities and Allowable Costs compliance requirements. Corrective Action Plan: Central Office staff will verify and sign reports for FY2023.
FINDING 2022-007: ESSER PAYROLL The School Corporation did not have a documented internal control over payroll claims in place relating to the Allowable Activities and Allowable Costs compliance requirements. Corrective Action Plan: Central Office staff will verify and sign reports for FY2023.
INDING 2022-006: ESSER PROCUREMENT Central Office was instructed by the IDOE to purchase the new cafeteria dishwasher from the Cafeteria Account and then file for reimbursement from the ESSER II grant. Five vendors were contacted by the Director of Operations to provide quotes to replace the cafeter...
INDING 2022-006: ESSER PROCUREMENT Central Office was instructed by the IDOE to purchase the new cafeteria dishwasher from the Cafeteria Account and then file for reimbursement from the ESSER II grant. Five vendors were contacted by the Director of Operations to provide quotes to replace the cafeteria dishwasher. Two vendors, Stafford & Smith and C & T Design, provided quotes. Hobart Corporation and Commercial Parts declined to provide quotes. Best Kitchen did not respond to the email or phone call request. The school corporation did sign the quote provided by Stafford-Smith which was considered the contract between the two organizations. We have the contract on file. Corrective Action Plan: The school corporation will request certification from vendors regarding debarment, suspension, ineligibility of federal grants in excess of $50,000.000.
FINDING 2022-005: CAFETERIA NUTRITION CLUSTER REPORTING The Deputy Treasurer prints, verifies, initials the Employee Trial Balance Report (Payroll Report) every pay period. The Treasurer reviews these reports, but has not initialed them. Corrective Action Plan: The Treasurer will begin reviewing an...
FINDING 2022-005: CAFETERIA NUTRITION CLUSTER REPORTING The Deputy Treasurer prints, verifies, initials the Employee Trial Balance Report (Payroll Report) every pay period. The Treasurer reviews these reports, but has not initialed them. Corrective Action Plan: The Treasurer will begin reviewing and initialing these reports for FY 2023. The Cafeteria Director will submit the child reimbursement form to Central Office for review and verification prior to submission for payment to the Indiana School Lunch Program for FY 2023.
Finding 2022-002 ? Child Nutrition Cluster ? Reporting Contact Person Responsible for Corrective Action: Tonia Batesole Contact Phone Number: 219-477-4933 x2141 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: When entering the Monthly Food Se...
Finding 2022-002 ? Child Nutrition Cluster ? Reporting Contact Person Responsible for Corrective Action: Tonia Batesole Contact Phone Number: 219-477-4933 x2141 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: When entering the Monthly Food Service Claim, a second person will check what has been entered correctly on the screen for reimbursement before submission. This will be signified by initials by both the checker and submitter. Anticipated Completion Date: Already in place.
2022-005 - Impact Aid Grant - Impact Aid Wage Rate Requirements - ALN 84.041 - Material Weakness Condition: Oberon Public School District did not have any procedures in place relating to the internal controls surrounding the Wage Rate Requirements applicable to the Impact Aid Grant funds for the con...
2022-005 - Impact Aid Grant - Impact Aid Wage Rate Requirements - ALN 84.041 - Material Weakness Condition: Oberon Public School District did not have any procedures in place relating to the internal controls surrounding the Wage Rate Requirements applicable to the Impact Aid Grant funds for the construction of the new school. Corrective Action Plan: We agree, business manager will ensure that all wage rate reports are received for all future construction. Anticipated Completion Date: FY 2022-2023
2022-004 - Impact Aid Grant - Impact Aid Documentation - ALN 84.041 - Material Weakness and Material Non-Compliance Condition: Oberon Public School District does not have adequate support documentation for the Impact Aid Grant. Oberon Public School District was unable to substantiate amount claimed ...
2022-004 - Impact Aid Grant - Impact Aid Documentation - ALN 84.041 - Material Weakness and Material Non-Compliance Condition: Oberon Public School District does not have adequate support documentation for the Impact Aid Grant. Oberon Public School District was unable to substantiate amount claimed on the 2022 application submitted for the Impact Aid Grant. Unsubstantiated items include children with disabilities who reside on eligible Indian lands and children who reside on eligible Indian lands. Corrective Action Plan: We agree, the District will acquire and maintain the proper supporting documentation surrounding the Impact Aid Grant. Anticipated Completion Date: FY 2022-2023
Finding 44211 (2022-008)
Significant Deficiency 2022
FINDING 2022-008 Contact Person Responsible for Corrective Action: Dan Durrwachter Contact Phone Number: 765-473-3081 Views of Responsible Official: We agree with these findings. Description of Corrective Action Plan: The financial specialist will prepare a report the data for the reports and w...
FINDING 2022-008 Contact Person Responsible for Corrective Action: Dan Durrwachter Contact Phone Number: 765-473-3081 Views of Responsible Official: We agree with these findings. Description of Corrective Action Plan: The financial specialist will prepare a report the data for the reports and will be approved by the treasure to ensure accurate FTE is reported before submitting the reports. Anticipated Completion Date: : 6/01/2023
Finding 44203 (2022-006)
Significant Deficiency 2022
FINDING 2022-006 Contact Person Responsible for Corrective Action: Dan Durrwachter Contact Phone Number: 765-473-3081 Views of Responsible Official: We agree with these findings. Description of Corrective Action Plan: Corporation Test Coordinator will train the site test coordinators. The STCs ...
FINDING 2022-006 Contact Person Responsible for Corrective Action: Dan Durrwachter Contact Phone Number: 765-473-3081 Views of Responsible Official: We agree with these findings. Description of Corrective Action Plan: Corporation Test Coordinator will train the site test coordinators. The STCs will then train staff and have staff sign they have been trained. The STC will then give all signed agreements to the CTC who will then check with all signed agreement to all employees who work in the testing schools. Anticipated Completion Date: 6/01/2023
Finding 44185 (2022-003)
Significant Deficiency 2022
Finding # 2022-003 Significant deficiency over financial reporting Significant deficiency/immaterial noncompliance over federal awards U.S. Department of the Treasury 21.027 Coronavirus State and Local Recovery Funds Finding: Expenses were charged to the contract which related to future periods. Rec...
Finding # 2022-003 Significant deficiency over financial reporting Significant deficiency/immaterial noncompliance over federal awards U.S. Department of the Treasury 21.027 Coronavirus State and Local Recovery Funds Finding: Expenses were charged to the contract which related to future periods. Recommendation: There should be reconciliations and oversight of contract billings and accounting records to ensure activity is charged and recorded according to contract requirements and U.S. generally accepted accounting principles. Corrective Action: We are reviewing invoices to ensure all expenses are recorded in the proper period. Anticipated Completion Date June 30, 2023
View Audit 44722 Questioned Costs: $1
Finding # 2022-005 Significant deficiency/immaterial noncompliance over federal awards U.S. Department of the Treasury 21.019 Coronavirus Relief Fund 21.027 Coronavirus State and Local Relief Funds Finding: Amounts charged to the contract were unallowable. Recommendation: Procedures should be implem...
Finding # 2022-005 Significant deficiency/immaterial noncompliance over federal awards U.S. Department of the Treasury 21.019 Coronavirus Relief Fund 21.027 Coronavirus State and Local Relief Funds Finding: Amounts charged to the contract were unallowable. Recommendation: Procedures should be implemented to provide oversight of contract billings and accounting records to ensure activity is charged and recorded according to contract requirements. Corrective Action: We will provide additional training to staff on proper expense charges as well as review invoices to ensure all expenses are allowable before requesting reimbursement. Anticipated Completion Date December 31, 2023
View Audit 44722 Questioned Costs: $1
Finding # 2022-002 Material weakness U.S. Department of Treasury U.S. Department of Housing and Urban Development 14.231 Emergency Solutions Grant Program 21.019 Coronavirus Relief Funding 21.027 Coronavirus State and Local Recovery Funds Finding: Invoices and timesheets/payroll records approvals co...
Finding # 2022-002 Material weakness U.S. Department of Treasury U.S. Department of Housing and Urban Development 14.231 Emergency Solutions Grant Program 21.019 Coronavirus Relief Funding 21.027 Coronavirus State and Local Recovery Funds Finding: Invoices and timesheets/payroll records approvals could not be substantiated. Recommendation: Supervisors should sign off on invoices and timesheets during the process of review. Procedures should be in place to ensure all reviews are completed timely. Corrective Action: We are implementing electronic timekeeping system for payroll which requires timecards to be approved prior to submitting payroll. We are also reviewing each invoice prior to payment to ensure invoices are approved. Anticipated Completion Date: June 30, 2023
Finding 44176 (2022-004)
Significant Deficiency 2022
FINDING 2022-004 Contact Person Responsible for Corrective Action: Danny Yost Contact Phone Number: 812-285-6221 We concur with this finding. The Auditor's Office will work with the County Attorney to add an extra layer of control to ensure the accuracy of the reporting. Anticipated Completion ...
FINDING 2022-004 Contact Person Responsible for Corrective Action: Danny Yost Contact Phone Number: 812-285-6221 We concur with this finding. The Auditor's Office will work with the County Attorney to add an extra layer of control to ensure the accuracy of the reporting. Anticipated Completion Date: Jan. 2024
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