Corrective Action Plans

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Finding No. 2023-002 – Significant Deficiency Personnel Responsible for Corrective Action: Amanda Laumeyer, CEO of St. Patrick Center Anticipated Completion Date: March 31, 2024 Corrective Action Plan: St. Patrick Center (SPC) will develop a control procedure to put in place to have In-Kind work...
Finding No. 2023-002 – Significant Deficiency Personnel Responsible for Corrective Action: Amanda Laumeyer, CEO of St. Patrick Center Anticipated Completion Date: March 31, 2024 Corrective Action Plan: St. Patrick Center (SPC) will develop a control procedure to put in place to have In-Kind work hours reviewed by supervisor of volunteers. The supervisor will have volunteers sign-off on their volunteer hours worked. The volunteer sign-off sheets will be reviewed and a report tabulating monthly total hours will be developed. The volunteer supervisor will sign-off on the report, and the volunteer’s supervisor, after their review, prior to forwarding to finance. SPC will retain sign-off reports for reference as needed for audit purposes. Finance will review calculation of match total when processing monthly invoice.
CORRECTIVE ACTION PLAN Finding 2023-001 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 Finding Summary: The UMHB Financial Aid Office initially did not correctly identify and include new entering spring students in the disbursemen...
CORRECTIVE ACTION PLAN Finding 2023-001 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 Finding Summary: The UMHB Financial Aid Office initially did not correctly identify and include new entering spring students in the disbursement notification process. Subsequently, 100 spring-only students received disbursement notifications after the 30-day required timeframe. UMHB identified and corrected this discrepancy prior to the beginning of the Single Audit. Responsible Individuals: David Orsag, Director Melissa Jones, Assistant Director Corrective Action Plan: The UMHB Financial Aid Office modified the disbursement notification selection for Fall 2023 to ensure all students are included in the weekly evaluation for disclosures. Additionally, on September 6, 2023, UMHB implemented a bi-weekly review of disbursement notifications to identify any students with missing disclosures. Anticipated Completion Date: September 6, 2023
Management’s Corrective Action Plan Finding 2023-001 Special Tests and Provisions- Enrollment Reporting- Significant Deficiency in Internal Control over Compliance. Responsible Office and Individuals The Associate Vice President of Student Financial Services, Jazmin Martin and the Executive Vice Pre...
Management’s Corrective Action Plan Finding 2023-001 Special Tests and Provisions- Enrollment Reporting- Significant Deficiency in Internal Control over Compliance. Responsible Office and Individuals The Associate Vice President of Student Financial Services, Jazmin Martin and the Executive Vice President/Chief Operations Officer, Mark Mendoza are responsible for the development of the processes, and implementation of the corrective actions described in the Corrective Action Plan. The corrective actions will result in timely and accurate reporting to NSLDS. Corrective Action Plan Management accepts responsibility for this significant deficiency in internal control over compliance and has implemented a new financial aid management system (Campus Ivy) and process to ensure that students’ statuses are reported timely. To maintain accuracy and compliance with the Title IV regulations, Campus Ivy will perform weekly, monthly, and bi-monthly National Student Loan Data System (NSLDS) enrollment reporting. Enrollment reporting is a process by which a student’s enrollment status and program of study is reported to NSLDS on a timely basis to meet the U.S. Department of Education’s 30-day and 60-day reporting requirements. The Student Financial Services Department will provide accurate and timely information to Campus Ivy and Campus Ivy will report that information timely and accurately to NSLDS. Campus Ivy’s Core system receives the NSLDS Enrollment Roster as scheduled on the 5th of the month every 60-days. The Core system will automatically load the roster and update all relevant enrollment data based on the information sent from CLU through the secure data import on an ongoing basis. These updates are then batched by the system to be transmitted to NSLDS. The Student Financial Services Department, through the student information system (Maestro), will provide student information updates. The Student Financial Services Department will sync updates to the Campus Ivy Core Financial Aid Management System (Core) with all students’ academic and demographic information from Maestro, by imports through Campus Ivy’s secure encrypted portal or through direct integration. The Student Financial Services Department will be responsible for timely and accurate updates of the Core system. The Student Financial Services Department will ensure daily updates from Maestro to clear any failed validations. The student data import process has built in validations to assist CLU with maintaining accurate data. These validations are on both the student’s demographic and academic information. In addition to the bi-monthly roster process, Campus Ivy also sends bi-weekly updates to NSLDS to record enrollment updates on an ongoing basis, well within the 30-day timeframe set by the Department of Education. The NSLDS module within Campus Ivy stores all roster batches processed by the system. CLU will have access to view our Roster Batches at any time and can request changes through our 24/7 Support Site. Anticipated Completion Date The anticipated completion date of the corrective action plan is November 30, 2023
Finding 2340 (2023-003)
Significant Deficiency 2023
Antelope County will complete the annual expenditure report as required by ARPA Funding.
Antelope County will complete the annual expenditure report as required by ARPA Funding.
Finding 2325 (2023-003)
Significant Deficiency 2023
Holt County will create a spreadsheet that will track expenditures and obligations.
Holt County will create a spreadsheet that will track expenditures and obligations.
Corrective Action Plan: CCV In June 2023 CCV implemented a new process to verify that student records reported to the Clearinghouse have been correctly and accurately reported to the National Student Database (“NSLDS”). VTSU In March 2023 VTSU implemented new procedures to ensure all enrollment stat...
Corrective Action Plan: CCV In June 2023 CCV implemented a new process to verify that student records reported to the Clearinghouse have been correctly and accurately reported to the National Student Database (“NSLDS”). VTSU In March 2023 VTSU implemented new procedures to ensure all enrollment status changes were processed consistently. Since implementation, no new findings were identified. Timeline for Implementation of Corrective Action Plan: Immediately
Corrective Action Plan: CCV CCV implemented new processes in March and June of 2023 to address these issues. The first process verifies that a student’s aid has been updated and recalculated before closing the record. The second process ensures additional training and controls to make sure student w...
Corrective Action Plan: CCV CCV implemented new processes in March and June of 2023 to address these issues. The first process verifies that a student’s aid has been updated and recalculated before closing the record. The second process ensures additional training and controls to make sure student withdrawals occur within the appropriate timeframe. VTSU VTSU reprocessed the error return to the Title IV funds with the correct information and cancelled the loan completely. Training with all staff has been reinforced. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
Corrective Action Plan: CCV Disbursement errors noted are isolated errors due to system issues within COD, testing of processes that resulted in an error, and a scheduling issue related to a holiday break. A new automated COD report in Colleague will be created by CCV and implemented in November 202...
Corrective Action Plan: CCV Disbursement errors noted are isolated errors due to system issues within COD, testing of processes that resulted in an error, and a scheduling issue related to a holiday break. A new automated COD report in Colleague will be created by CCV and implemented in November 2023. VTSU VTSU will continue to monitor and report weekly. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO Finding number: 2023-02 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster CFDA #: 84.007, 84.033, 84.038, 84.063, 84.268 Award year: 2023
I am acknowledging the finding of the Federal Audit team in which an error in my spreadsheet was documented resulting in requesting a recurring expenditure on two different pay requests. The correction was made the day of the audit through coding other expenditures matching the qualifying expenditur...
I am acknowledging the finding of the Federal Audit team in which an error in my spreadsheet was documented resulting in requesting a recurring expenditure on two different pay requests. The correction was made the day of the audit through coding other expenditures matching the qualifying expenditures. In the future, the district spreadsheets will include review by the bookkeeper and superintendent to ensure the fund pay requests are correct and not repeated. By multiple review and the addition of PO number and date of pay request this will easily define a possible "doubling up" of items for a pay request. This was one finding and all other accounts reviewed were correct and accurate. Additional expenditures were corrected and easily matched the grant funds obtained through reimbursement. The new procedure will begin immediately. Tara Lewis Superintendent
Finding 2231 (2023-001)
Significant Deficiency 2023
Finding: The University did not timely or accurately report enrollment changes to the National Student Loan Data System (NSLDS). Corrective Actions Taken or Planned: The Registrar’s Office submits a monthly report to the National Student Clearinghouse (NSC). Summer is an optional term for students ...
Finding: The University did not timely or accurately report enrollment changes to the National Student Loan Data System (NSLDS). Corrective Actions Taken or Planned: The Registrar’s Office submits a monthly report to the National Student Clearinghouse (NSC). Summer is an optional term for students and only students who are enrolled for that semester are submitted to NSC. To ensure withdraw dates during the summer semester are being reported on a timely basis Financial Planning will manually enter dates of withdrawn students to NSC and National Student Loan Data Systems (NSLDS). Students who have withdrawn at the end of the spring semester will be manually entered and monitored closely by the Registrar’s Office who will adjust reporting schedule to ensure timely reporting of withdrawn dates. Person Responsible: Sara Sroka (ssroka@dbq.edu) Anticipated completion date: 10/18/2023
Need Analysis and Loan Proration Planned Corrective Action: Executive Director will provide in-house training to all advising staff to ensure proper understanding of awarding, paying special attention to over award resolution. Several selection sets have been created in PowerFAIDS to aid in identif...
Need Analysis and Loan Proration Planned Corrective Action: Executive Director will provide in-house training to all advising staff to ensure proper understanding of awarding, paying special attention to over award resolution. Several selection sets have been created in PowerFAIDS to aid in identifying over awarded students and these will be run and monitored regularly. In June 2023, WBU hired a full-time staff member to serve as a Financial Aid Compliance Specialist in the Office of Financial Aid and this position is devoted to internal audit and federal/state regulation compliance. Person Responsible for Corrective Action Plan: Christy Miller, Executive Director of Financial Aid Anticipated Date of Completion: October 31, 2023
View Audit 3804 Questioned Costs: $1
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: 100% of example students (16 which overlap with the 12 mentioned) were accurately reported with a “W” withdrawn status to National Student Clearinghouse (NSC) in a timely (monthly) manner, but thi...
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: 100% of example students (16 which overlap with the 12 mentioned) were accurately reported with a “W” withdrawn status to National Student Clearinghouse (NSC) in a timely (monthly) manner, but this correct status did not get transferred to NSLDS. An internal SSRS report for official and unofficial withdrawals, which also accurately reflects these withdrawn students, will remain available to the WBU offices of Financial Aid and the Registrar for verification as part of the planned corrective action. Several related WBU questions to our primary NSC support employee are awaiting a response from NSC. The NSC reporting tool(s) will be updated to make sure the correct combination of fields and corresponding data sources are used for dates. One of multiple date fields may have been misunderstood by the tool’s historical authors. A field-by-field analysis plus any needed corrections to the queries are part of the planned corrective action. Post-submission error corrections by registrar staff via NSC will be spot-checked by Information Technology for date-related warnings. If this cannot be resolved satisfactorily via NSC alone, then corrective measures via NSLDS directly may be considered. Data improvements needed for the PowerCampus baseline product’s NSC reporting tool will also be included in testing this further. Person Responsible for Corrective Action Plan: Cagan Cummings, CIO and Andrew Shamblin, Programmer Analyst Anticipated Date of Completion: June 30, 2024
Need Analysis Planned Corrective Action: We pull a report each term to verify that students have not been over or under awarded need-based aid or over or under awarded for their COA. We have added a step to our report that is specifically checking that subsidized eligibility has been maximized whe...
Need Analysis Planned Corrective Action: We pull a report each term to verify that students have not been over or under awarded need-based aid or over or under awarded for their COA. We have added a step to our report that is specifically checking that subsidized eligibility has been maximized when a student has both subsidized and unsubsidized loans. This is completed after students have accepted their aid so it will allow us to catch if a student accepted part of both types of loans and make the necessary correction. Person Responsible for Corrective Action Plan: Anna Bergh, Financial Aid Director Anticipated Date of Completion: 10/27/23
Incorrect and Untimely Return of Title IV (R2T4) Calculations Planned Corrective Action: The academics and financial aid office will work in conjunction to run a zero-credit earned report at the end of each term and determine if there are any unidentified unofficial withdrawals that must be process...
Incorrect and Untimely Return of Title IV (R2T4) Calculations Planned Corrective Action: The academics and financial aid office will work in conjunction to run a zero-credit earned report at the end of each term and determine if there are any unidentified unofficial withdrawals that must be processed. Throughout the semester the academics department is logging attendance daily to ensure students do not fail for non-attendance and are not missing more than five without proper notice. For students in online courses, professors will check in on student engagement every two days, and the academic administrative team will do a check once a week to identify any students who may be an unofficial withdrawal. For the calendar for R2T4’s the Financial Aid office keeps an excel sheet with the term dates and breaks for the year and will manually check that the dates/percentages align with the calculations on the COD R2T4 calculator. The first couple of students processed will be calculated manually with the information in the excel sheet to ensure it aligns with the calculation completed on COD. Person Responsible for Corrective Action Plan: Anna Bergh, Financial Aid Director and Tiffany Garrison, Interim Registrar Anticipated Date of Completion: 10/27/23
Right to Cancel Notifications Planned Corrective Action: New student information system (Campus Café) provides an automated email to students that once funds are disbursed they are notified. I will edit the email to include the information about the Right to Cancel including instructions. Person ...
Right to Cancel Notifications Planned Corrective Action: New student information system (Campus Café) provides an automated email to students that once funds are disbursed they are notified. I will edit the email to include the information about the Right to Cancel including instructions. Person Responsible for Corrective Action Plan: Stephanie Castillo, Director of Financial Aid Anticipated Date of Completion: 01/06/2024, before the spring disbursement.
Return of Title IV (R2T4) Calculations Planned Corrective Action: Set the calendar to match academic calendar and set up for awarding in COD. Person Responsible for Corrective Action Plan: Stephanie Castillo, Director of Financial Aid Anticipated Date of Completion: Fall 2023.
Return of Title IV (R2T4) Calculations Planned Corrective Action: Set the calendar to match academic calendar and set up for awarding in COD. Person Responsible for Corrective Action Plan: Stephanie Castillo, Director of Financial Aid Anticipated Date of Completion: Fall 2023.
Enrollment Reporting to NSLDS Planned Corrective Action: Enroll in The National Clearing house to make reporting more automated and accurate. Set calendar reminder to send reports on a monthly schedule to make sure we report timely and accurately. Person Responsible for Corrective Action Plan: St...
Enrollment Reporting to NSLDS Planned Corrective Action: Enroll in The National Clearing house to make reporting more automated and accurate. Set calendar reminder to send reports on a monthly schedule to make sure we report timely and accurately. Person Responsible for Corrective Action Plan: Stephanie Castillo, Director of Financial Aid Anticipated Date of Completion: Fall 2023.
Management is currently confident with the abilities of the accounting staff to prepare interim financial statements. The District has also accepted the additional risk associated with the auditor drafting year-end financial statements including the notes to the financial statements. Management wi...
Management is currently confident with the abilities of the accounting staff to prepare interim financial statements. The District has also accepted the additional risk associated with the auditor drafting year-end financial statements including the notes to the financial statements. Management will review, approve, and take responsibility for the financial statements.
Common Origination and Disbursement (COD) Reporting Planned Corrective Action: We’ve created a new activity in Anthology SIS labeled “FA – Return to Title IV” to be assigned to both FA staff and Student Accounts staff when returns are needed. These activities will include detailed notes as to what r...
Common Origination and Disbursement (COD) Reporting Planned Corrective Action: We’ve created a new activity in Anthology SIS labeled “FA – Return to Title IV” to be assigned to both FA staff and Student Accounts staff when returns are needed. These activities will include detailed notes as to what returns need to be applied to posted funds on the student’s ledger. This will ensure that we apply returns as required and that the returns applied also match the applied returns in COD. FA Solutions and DCC are aligned on better communications for returns that need to be applied to ensure accuracy going forward. Person Responsible for Corrective Action Plan: Jean-Claude St Juste, Financial Aid Director, Student Accounts staff, and FA Solutions staff. Anticipated Date of Completion: Immediately
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: Incorrect enrollment reporting was found for one student. Currently, the Registrar’s Office, in coordination with the National Student Clearinghouse, reports enrollment to NSLDS. The program for th...
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: Incorrect enrollment reporting was found for one student. Currently, the Registrar’s Office, in coordination with the National Student Clearinghouse, reports enrollment to NSLDS. The program for that one student was shown incorrectly in the system for a period during the audit. When checked later, still during the audit, the program was shown correctly without any action by personnel of the college. We are unsure of the cause of this inconsistency in that instance. The Financial Aid Office will start conducting weekly spot checks directly in NSLDS to help catch enrollment that may have been reported incorrectly. The first spot check is expected to be completed the week of November 13-17. Person Responsible for Corrective Action Plan: Jean-Claude St Juste, Financial Aid Director Anticipated Date of Completion: Immediately
Name of Responsible Individual: Samuel Matheny, Chief Student Services Officer, Offices of Financial Aid and Registrar Corrective Action: In fiscal year 2023 (FY23), the return of federal funds calculation and process was automated in the Banner student information system; therefore, reducing the po...
Name of Responsible Individual: Samuel Matheny, Chief Student Services Officer, Offices of Financial Aid and Registrar Corrective Action: In fiscal year 2023 (FY23), the return of federal funds calculation and process was automated in the Banner student information system; therefore, reducing the possibility of an incorrect calculation. Furthermore, a financial aid staff member reviewed the return of federal funds calculations twice during the fiscal year to ensure accuracy. However, it was determined that two of the students selected in the FY23 audit sample had incorrect academic dates used in their calculation. As a graduate/professional school, PCOM has several academic calendars rather than one institutional calendar. The need for multiple academic calendars is due to the variations in the start and end times of our students completing offsite clinical rotations. For fiscal year 2024 (FY24), PCOM will be implementing the following additional controls to ensure the correct academic calendar is used in the return of title 4 calculations: 1. Academic calendar dates will be added to the report used to review students who have withdrawn from their coursework. 2. The report will be run after the end of every term (4 times a year) and it will go through an initial review by one staff member and then a final review by another staff member. Anticipated Completion Date: September 1, 2023
2023-002 Department of Justice Housing – Assistance Listing No. 16.320 Recommendation: We recommend reimbursement requests be reviewed and traced back to supporting documentation prior to the filing of the reimbursement request. Explanation of disagreement with audit finding: There is no disagreemen...
2023-002 Department of Justice Housing – Assistance Listing No. 16.320 Recommendation: We recommend reimbursement requests be reviewed and traced back to supporting documentation prior to the filing of the reimbursement request. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: A second staff person has completed the Department of Justice Grants Financial Management Training and is now qualified to work on the federal grants. This will allow the agency to have someone other than that the person creating the reimbursement material to request the reimbursement. This adds an additional layer of control over the amount requested for reimbursement. Name(s) of the contact person(s) responsible for corrective action: Peter Hermann Planned completion date for corrective action plan: November 6, 2023
View Audit 3565 Questioned Costs: $1
Program: AL 93.069 – Public Health Emergency Preparedness – Matching Corrective Action Planned: SHDHD monitors matching fund levels for Federal subawards on a quarterly basis to determine whether the match amount is on track toward meeting the percentage required in each grant agreement. Regarding t...
Program: AL 93.069 – Public Health Emergency Preparedness – Matching Corrective Action Planned: SHDHD monitors matching fund levels for Federal subawards on a quarterly basis to determine whether the match amount is on track toward meeting the percentage required in each grant agreement. Regarding the PHEP award, in particular, the Department will ensure that the new Emergency Response Coordinator (hired in the middle of the grant period last year) is aware of the match requirements. SHDHD will also ensure that no Federal funds are used to pay for matching funds required in Federal subawards. The Department was not aware that this was not allowable. Anticipated Completion Date: June 30, 2024 Responsible Party: Kelly Derby, Erik Meyer, Brooke Wolfe
Finding 2019 (2023-001)
Significant Deficiency 2023
October 24, 2023 Corrective Action Plan for University of San Diego Audit finding 2023-001 FINDING 2023-001 – Special Tests and Provisions – Borrower Data Transmission and Reconciliation: Significant Deficiency in Internal Control Over Compliance Criteria –34 CFR section 685.300(b)(5): On a monthly ...
October 24, 2023 Corrective Action Plan for University of San Diego Audit finding 2023-001 FINDING 2023-001 – Special Tests and Provisions – Borrower Data Transmission and Reconciliation: Significant Deficiency in Internal Control Over Compliance Criteria –34 CFR section 685.300(b)(5): On a monthly basis, the University of San Diego must reconcile institutional records with Direct Loan funds received from the Secretary and Direct Loan disbursement records submitted to and accepted by the Secretary. Condition/Context – The University of San Diego operates a law school and an undergraduate and graduate school. A sample of 6 direct loan reconciliations were selected from the population of all reconciliations performed by the University, under both schools during the year ended June 30, 2023. We obtained the supporting schedules used to reconcile the disbursed direct loan funds to the federal government’s records. The University did not complete reconciliations of its direct loan program disbursements for the law school between December 2022 and June 2023. Cause – There was turnover in the position responsible for reconciling this data, and the responsibility did not transfer to another individual, and as a result, the reconciliations were not completed. Effect – There is a chance that the University of San Diego’s records may not match the federal government’s records of direct loan disbursement. Recommendation – The auditors recommend the University of San Diego revise the existing policies and procedures to ensure when a change in personnel occurs, responsibilities appropriately transfer to a new individual. Corrective action plan – Management concurs with this finding. This exception was due to the monthly reconciliation not being part of the established policies and procedures for the Law School Financial Aid Office. As a result, during staff turnover the interim staff were unaware of the responsibilities and requirements for the monthly reconciliation. Management updated the direct lending servicing system reconciliation procedures for the Law School to clearly delineate the responsible parties. Management believes these enhancements will be sufficient to prevent future errors. Anticipated completion date: October 2023 Persons responsible: Mike Chavez, Director of JD Admissions, Financial Aid & Diversity Initiatives
The Agency is updating its process to calculate the indirect costs in accordance with the revised notice of award (NOA) dated March 10, 2023. Additionally, the Agency will provide further training to all individuals involved in the financial management of federal awards. On a monthly basis, the ca...
The Agency is updating its process to calculate the indirect costs in accordance with the revised notice of award (NOA) dated March 10, 2023. Additionally, the Agency will provide further training to all individuals involved in the financial management of federal awards. On a monthly basis, the calculation of indirect costs eligible for reimbursement under this award will be compared to the indirect costs allowed for in the NOA. This calculation will be secondarily reviewed by an individual having financial oversight on federal awards to ensure that any reimbursement request is computed in accordance with the NOA. The reimbursement request will then be submitted only after this verification has been completed. Contact person responsible for corrective action: Scott Moore, Chief Financial Officer Anticipated completion date: December 31, 2023
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