Corrective Action Plans

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Name of Contact Person: Daniel Schuler, Business and Operations Manager Corrective Action Plan: The prior Business and Operations Manager started the annual verification process, however, did not follow through on finishing the process prior to her resignation from the District. Upon her departure ...
Name of Contact Person: Daniel Schuler, Business and Operations Manager Corrective Action Plan: The prior Business and Operations Manager started the annual verification process, however, did not follow through on finishing the process prior to her resignation from the District. Upon her departure from the District, she did not communicate that the process had not been completed. I am currently working on the annual verification process as prescribed by the State of Alaska, Department of Education and Early Development (DEED) and the National School Lunch Program and that process will be completed in accordance with the applicable November 15th deadline. In addition, the District has been selected and is currently working on an Onsite Review of the Child Nutrition Program which includes covering the same population of students that should have been verified during the FY2022-2023 verification process. That review will be completed in December 2023. Proposed Completion Date: December 2023
Finding 2023-004 Replacement Reserves Management agrees with this finding. Because of cash flow issues this past year the replacement reserve was not being fully funded. I have now transferred the shortfall amount of $1386.00. We have submitted a request for a rent increase for the upcoming...
Finding 2023-004 Replacement Reserves Management agrees with this finding. Because of cash flow issues this past year the replacement reserve was not being fully funded. I have now transferred the shortfall amount of $1386.00. We have submitted a request for a rent increase for the upcoming year and for an increase for the amount placed into replacement reserve. We need to plan for upcoming expenses for the maintenance of the building. If it is approved, we plan to deposit the required amount each month in the replacement reserve.
2023-003 - Wage Rate Requirements Auditor Description of Condition and Effect. The School did not include the federal wage rate requirements in their contracts and did not obtain the required certified payrolls for its contractors subject to the federal rate requirements. As a result of this conditi...
2023-003 - Wage Rate Requirements Auditor Description of Condition and Effect. The School did not include the federal wage rate requirements in their contracts and did not obtain the required certified payrolls for its contractors subject to the federal rate requirements. As a result of this condition, the School did not follow federal requirements to include the prevailing wage rate provision in its contract. Auditor Recommendation. We recommend that the School reviews its policies to ensure that applicable prevailing wage requirements are included in construction contracts whenever federal funds are used and certified payrolls are obtained. Corrective Action. Going forward, if Black River participates in a federally funded project, we will make sure that prevailing wage requirements will be included in the contract. Responsible Person. John Zoellner - Director of Business. Anticipated corrective action June 30, 2024
View Audit 3208 Questioned Costs: $1
Untimely and Inaccurate Return of Title IV Funds Planned Corrective Action: FA Solutions (FAS), a third-party vendor, was contracted to assist with compliance and other processing responsibilities that included the processing of all R2T4s for Anderson University. While the staff of the Office of Fin...
Untimely and Inaccurate Return of Title IV Funds Planned Corrective Action: FA Solutions (FAS), a third-party vendor, was contracted to assist with compliance and other processing responsibilities that included the processing of all R2T4s for Anderson University. While the staff of the Office of Financial Aid and Scholarships supplied documentation to FAS in a timely manner, FAS processed R2T4 late and, in some cases, inaccurately. When this was discovered by the Office of Financial Aid and Scholarships, all R2T4 and processing responsibilities were brought back under the in-office staff at AU in order to process Return of Title IV funds accurately and in compliance. Anderson University has enrolled our Senior Counselor in a 6-week R2T4 course with the National Association of Student Financial Aid Administrators (NASFAA) where she will pursue credentialing in Return of Title IV Funds with NASFAA as well as R2T4 Specialist designation. Additionally, policies for students who stop attending, and for whom the last day of attendance can not be determined, will be reviewed and revised for clarity and better communication with the Office of Financial Aid and Scholarships. Person Responsible for Corrective Action Plan: David J. Sarah, Director Anticipated Date of Completion: The return of all processing of financial aid was brought back to AU effective 06/20/2023. The R2T4 course taken by our Senior Counselor will be completed 11/06/2023. Final R2T4 adjustments completed 10/20/2023.
View Audit 3116 Questioned Costs: $1
Finding 2023-003 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 Finding Summary: Late or missing loan disbursement notification: The University was required to give notification of Title IV loan disbursements within 30 days before ...
Finding 2023-003 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 Finding Summary: Late or missing loan disbursement notification: The University was required to give notification of Title IV loan disbursements within 30 days before or 7 days after the date of a loan disbursement. Thirty-nine students were found with missing or late loan disbursement notifications. Responsible Individuals: Tim Sechrist, Director of Financial Aid Corrective Action Plan: We agree with the auditors’ findings and recommendations. Training will be completed with staff that disburse federal student loans. Additionally, a report has been created to identify students that have not been sent a disbursement notification. This report will be run weekly to ensure students are notified within 7 days of any disbursement. Anticipated Completion Date: December 22, 2023.
Finding 2023-002 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 and 84.063 Finding Summary: Errors in return to Title IV calculations: Calculations for five students included various errors. Errors included one late determination ...
Finding 2023-002 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.268 and 84.063 Finding Summary: Errors in return to Title IV calculations: Calculations for five students included various errors. Errors included one late determination of withdrawal date (more than 30 days after the end of the period of enrollment), three returns completed more than 45 days after the withdrawal date, two incorrect percentage of aid earned calculations, and one overpayment of $9 to the Department of Education. Responsible Individuals: Tim Sechrist, Director of Financial Aid Corrective Action Plan: We agree with the auditors’ findings and recommendations. Training will be completed with all staff that complete and review R2T4 calculations (Tim Sechrist, Johnna Bolden, Dora Caffey). Additionally, the process of calculations will be updated to include an additional staff member. Dora Caffey will review all incoming withdrawals and begin the process of the calculation. This additional person will ensure timely and accurate calculations. Anticipated Completion Date: December 22, 2023.
Finding 2023-004 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.007, 84.033, 84.063, 84.268 and 84.379 Finding Summary: Unauthorized credit balances: In the event that a Title IV aid disbursement results in a credit balance on a stud...
Finding 2023-004 Federal Agency Name: U.S. Department of Education Program Name: Student Financial Assistance Cluster ALN: 84.007, 84.033, 84.063, 84.268 and 84.379 Finding Summary: Unauthorized credit balances: In the event that a Title IV aid disbursement results in a credit balance on a student’s account, the University is required to disburse the funds to the student within 14 days of the disbursement, unless the student or parent has authorized the retention of a credit balance. Five students who received Title IV aid resulting in a credit balance on their accounts did not receive a disbursement of the funds within 14 days of the disbursement. The University did not have an authorization from the student or parent to retain the credit balance. Responsible Individuals: Shawnta Clark, Director of Student Accounts Corrective Action Plan: We agree with the auditors’ findings and recommendations. Credit balance reports will be pulled twice weekly (Monday and Wednesday) to ensure federal funds credits are timely disbursed on designated check run days. A management review procedure will be added for monitoring credit balance reports. Anticipated Completion Date: December 22, 2023
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: • Management has reached out to the audit team for guidance on implementation. LPU’s IT Director has been assigned the oversight of this project and will be making recommendations for leadership to consider. Leadership will balance ...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: • Management has reached out to the audit team for guidance on implementation. LPU’s IT Director has been assigned the oversight of this project and will be making recommendations for leadership to consider. Leadership will balance these recommendations with current budget and resource restrictions. Budget constraints over the past several years have equated to limited resources in the IT department, as we currently have only one employee for IT needs. Person Responsible for Corrective Action Plan: Rachel Au, CFO Anticipated Date of Completion: Unknown. LPU’s current state make it difficult to identify with any specificity when this item will be addressed.
Segregation of Duties Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should continue to evaluate its staffing in order to segregate incompatible duties whenever possible. Explanation of disagreement with audit finding: There is no disagreement with the...
Segregation of Duties Supportive Housing for the Elderly – Assistance Listing No. 14.157 Recommendation: The Project should continue to evaluate its staffing in order to segregate incompatible duties whenever possible. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The board of directors will continue to closely monitor the financial operations of the Project. Name(s) of the contact person(s) responsible for corrective action: Mary Gilberts, Management Agent Planned completion date for corrective action plan: June 2024
Finding 2023-004 Material Weakness in Internal Control over Financial Reporting - Journal Entries and Expenditure Documentation Correction Action Plan: The journal entries in question were primarily expenditures for transportation and maintenance costs. We provided the total pool of eligible cleani...
Finding 2023-004 Material Weakness in Internal Control over Financial Reporting - Journal Entries and Expenditure Documentation Correction Action Plan: The journal entries in question were primarily expenditures for transportation and maintenance costs. We provided the total pool of eligible cleaning and transportat ion expenses, and then we allocated those expenses to the grant after payment was made. We deemed it appropriate based on the reimbursing nature of these expenses. In the future, we will tie all reimbursement costs to actual invoices that will be implemented by the CFO immediately. The district will place said documentation in the journal entry.
Finding 2023-003, 2022-001 - Material Weakness in Internal Control over Financial Reporting - Payroll Documentation and Reconciliation Corrective Action Plan: The district has changed payroll staff and placed additional internal controls to ensure that adequate rates are being processed and individ...
Finding 2023-003, 2022-001 - Material Weakness in Internal Control over Financial Reporting - Payroll Documentation and Reconciliation Corrective Action Plan: The district has changed payroll staff and placed additional internal controls to ensure that adequate rates are being processed and individuals are being paid at contractual amounts that are properly documented. The CFO completed that process during the audit.
Finding 2023-002, 2022-022 - Material Weakness in Internal Control over Financial Reporting and Material Noncompliance - Chart of Accounts Corrective Action Plan: The corrective action plan is to hire additional staff with expertise in the Uniform Budget and Accounting Act. All finance staff will b...
Finding 2023-002, 2022-022 - Material Weakness in Internal Control over Financial Reporting and Material Noncompliance - Chart of Accounts Corrective Action Plan: The corrective action plan is to hire additional staff with expertise in the Uniform Budget and Accounting Act. All finance staff will be required to take training in this area before December 31, 2023 and the CFO will initiate this action.
COVID-19 Provider Relief Funding and American Rescue Plan Rural Distribution Recommendation: We recommend the Medical Center design controls to ensure that expenses are reported in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with th...
COVID-19 Provider Relief Funding and American Rescue Plan Rural Distribution Recommendation: We recommend the Medical Center design controls to ensure that expenses are reported in accordance with latest HHS guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management has identified that the Medical Center has more than a sufficient amount of lost revenues related to COVID-19 to offset this difference. Action taken in response to finding: The Medical Center will ensure that controls are put into place to capture Covid specific costs in accordance with HHS guidelines. Name of the contact person responsible for corrective action: Megan Shank, COF. Planned completion date for corrective action plan: February 1, 2024
October 24, 2023 Finding Number: 2023-004 – Material weakness in Internal Control – Reporting (Repeat Finding) Condition: In six of the eleven months tested, the number of meals included on the reimbursement claim reports were not supported by the District’s internal count sheets. Responsible Pe...
October 24, 2023 Finding Number: 2023-004 – Material weakness in Internal Control – Reporting (Repeat Finding) Condition: In six of the eleven months tested, the number of meals included on the reimbursement claim reports were not supported by the District’s internal count sheets. Responsible Person: Kim Gagne – Director of Food Service Implementation Date: 10-24-2023 This year we have partnered with Meal Magic, for reporting claims. Every student must enter an identification number or scan an ID card so that students cannot be missed or over-claimed. The Direct Certification students are compared monthly against the state information provided to make sure students are claimed at the correct rate. Sincerely, Stephen Grubaugh Director of Business Service
Finding 2023-002 Enrollment Reporting Views of Responsible Officials The University agrees with the auditor’s findings and recommendations. Corrective Action Plan The University has identified an issue that delayed identification and reporting of changes in student enrollment status for reporting on...
Finding 2023-002 Enrollment Reporting Views of Responsible Officials The University agrees with the auditor’s findings and recommendations. Corrective Action Plan The University has identified an issue that delayed identification and reporting of changes in student enrollment status for reporting on this NSLDS component for a small group of students. In response, internal report parameters will be updated to capture timely data and resolve this error. This report is provided to the Registrar who is responsible for reporting the change in enrollment status to NSLDS. The Registrar will be responsible for correcting the reporting error that was identified. Implementation Date Immediate Individual(s) Responsible Yvonne Harwood, Vice President of Institutional Effectiveness and Sonja Dixon, Registrar
Public and Indian Housing AL #14.850 Material Weakness Internal Control Over Compliance Eligibility Checklists 2023-003 Condition: The Commission uses internal control checklists to demonstrate compliance with the various eligibility requirements. During audit fieldwork, we identified two instances...
Public and Indian Housing AL #14.850 Material Weakness Internal Control Over Compliance Eligibility Checklists 2023-003 Condition: The Commission uses internal control checklists to demonstrate compliance with the various eligibility requirements. During audit fieldwork, we identified two instances in which the checklists were used, but steps related to background checks were not complete. In addition, there was no documentation maintained to prove these checks were performed. Criteria: All eligibility requirements must be verified prior to determining tenant eligibility. Repeat of Prior Year Finding: No Auditor’s Recommendation: We recommend the Commission provide further training for program staff and implement periodic reviews of tenant files to ensure internal control processes are followed and eligibility documentation is maintained. Management’s Response: The Commission has provided training for program staff and performs periodic reviews of tenant files to ensure internal control processes are followed and eligibility documentation is maintained. Anticipated Completion Date: Periodic reviews began January 2023. Staff training and periodic reviews are ongoing.
Section 8 Housing Choice Vouchers AL #14.871 Material Weakness Internal Control Over Compliance Rent Reasonableness 2023-002 Condition: During audit fieldwork, we identified three instances in which there was no rent reasonableness documentation maintained to verify that the rent reasonableness com...
Section 8 Housing Choice Vouchers AL #14.871 Material Weakness Internal Control Over Compliance Rent Reasonableness 2023-002 Condition: During audit fieldwork, we identified three instances in which there was no rent reasonableness documentation maintained to verify that the rent reasonableness comparison was performed prior to issuing housing assistance payments. Criteria: Rent reasonableness comparisons are required prior to issuing housing assistance payments. Repeat of Prior Year Finding: No Auditor’s Recommendation: We recommend the Commission provide further training for program staff and implement periodic reviews of tenant files to ensure rent reasonableness documentation is maintained appropriately. Management’s Response: The Commission has provided training for program staff and performs periodic reviews of tenant files to ensure rent reasonableness documentation is maintained appropriately. Anticipated Completion Date: Periodic reviews began January 2023. Staff training and periodic reviews are ongoing.
Federal Agency Name: Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Assistance Listing Number: 93.568 Finding Summary: The grant awards stipulates a set percentage of the award may be used for administrative costs by the awardee. The Committee did not mo...
Federal Agency Name: Department of Health and Human Services Program Name: Low-Income Home Energy Assistance Assistance Listing Number: 93.568 Finding Summary: The grant awards stipulates a set percentage of the award may be used for administrative costs by the awardee. The Committee did not monitor earmarking percentage compliance requirements in accordance with grant allowable expenditures utilized for administrative costs and exceeded allowed administrative claims for certain months of the contract period. The Committee had no policy in place to require regular monitoring and compliance with earmarking requirements for administrative claims. The Committee on certain months exceeded the allowable administrative claim portion of awarded amounts. Responsible Individuals: Mark Bethune, Chief Executive Officer Corrective Action Plan: The Committee is in the process of updating Accounting Policies and Procedures to require monthly calculation and review of allowable administrative claims to stay with the allowed percentage. A report will be emailed to Program Directors by the 4th week of every month for their input on any changes. The Chief Executive Officer will be copied on the emails. Anticipated Completion Date: 10/24/2023
Finding 465 (2023-001)
Material Weakness 2023
September 29, 2023, Audit Period For the Year July 1, 2022 - June 30, 2023, Re: Request for Corrective Action Plan - Material Weakness, The Main Street Academy (TMSA) is in receipt of The Financial Statement Finding from Marshall Jones. TMSA responds as follows:Recommendation: Marshall Jones recomm...
September 29, 2023, Audit Period For the Year July 1, 2022 - June 30, 2023, Re: Request for Corrective Action Plan - Material Weakness, The Main Street Academy (TMSA) is in receipt of The Financial Statement Finding from Marshall Jones. TMSA responds as follows:Recommendation: Marshall Jones recommends that the School receive additional assistance in improving its financial reporting processes from individuals who are familiar with GAAP and governmental grant accounting. Marshall Jones also recommends that management establish policies and procedures to ensure that management-level reviews of monthly and annual financial information are performed on a timely basis. Views of Responsible Officials: The management of the School acknowledges the finding and concurs with the recommendation of Marshall Jones and provides the following Corrective Action Plan.Response of Responsible Officials: To continuously improve TMSA’s Accounting and Financial Reporting, workflows, and internal controls, TMSA transitioned back-office accounting providers mid-fiscal year (February 2023) due to various noted back-office operating weaknesses with the previous accounting provider. The previous back-office accounting provider did not set up the books well for continuation and transition. As a result, significant journal entries required correction by the new back-accounting provider to correct and strengthen the overall financials and back-office operating procedures of the organization. The management of the school and the current firm (Belay Accounting) have knowledge in the areas of both GASB and GAAP. The current back-office accounting provider and firm will continue with their existing monthly reviews of TMSA’s financials. The Chief Financial Officer (CFO) of the back-office firm Belay Accounting will work with the management of the school to continue to review the work of the back-office accounting staff monthly, specifically checking for adherence to GASB and GAAP standards. Following the transition from the previous back-office accounting provider to the current back-office accounting provider; the management of the school updated on February 10, 2023, its Financial & Accounting Control Policies & Procedures to further strengthen TMSA’s internal controls.Corrective Action Plan: The management of the school and the back-office accounting provider will continue to seek and attend training, in addition to receiving additional assistance to continue improving the financial reporting processes as recommended. Since the transition to the current back-office accounting provider and firm, monthly and annual financial reviews are currently being performed on a timely basis, which was not the case in the past with the previous back-office accounting provider. The management of the school will work with the CFO and back-office accounting staff to ensure that financial reviews and reporting continue to be performed on a timely basis. In partnership, Chaddrick Owes, Ed.D., Executive Director
Finding 2023-003 The Authority agrees with the finding and responds by stating that our project is relatively small with only one administrative staff. The Board has reviewed this issue and determined there are no additional procedures which can reasonably be done to eliminate these deficiencies a...
Finding 2023-003 The Authority agrees with the finding and responds by stating that our project is relatively small with only one administrative staff. The Board has reviewed this issue and determined there are no additional procedures which can reasonably be done to eliminate these deficiencies and accepts them.
The Director has added to her monthly checklist to review quality control logs and follow up on any QC reviews that are not being conducted in a timely fashion.
The Director has added to her monthly checklist to review quality control logs and follow up on any QC reviews that are not being conducted in a timely fashion.
I have reached out to the Nebraskaland Bank regarding alternate collateralization. If this bank cannot provide appropriate collateral, a new banking institution will be found.
I have reached out to the Nebraskaland Bank regarding alternate collateralization. If this bank cannot provide appropriate collateral, a new banking institution will be found.
The district has updated their spend down plan as of July 2023 to address the excess fund balance in food service. The Food Service Director and the Director of Business Services have already identified areas where there are needs for upgrades or enhancements. Over the next several months, the Exc...
The district has updated their spend down plan as of July 2023 to address the excess fund balance in food service. The Food Service Director and the Director of Business Services have already identified areas where there are needs for upgrades or enhancements. Over the next several months, the Excess Fund Balance will get used to improve the Food Service Porgram.
Finding 2023-005 Deposit Collateralization Material Weakness/Non-Compliance – Special Tests and Provisions Utility Allowance Analysis was not included in my training for this position, I was underway of the need for an analysis until after the deadline has passed. I’ve reached out to our software c...
Finding 2023-005 Deposit Collateralization Material Weakness/Non-Compliance – Special Tests and Provisions Utility Allowance Analysis was not included in my training for this position, I was underway of the need for an analysis until after the deadline has passed. I’ve reached out to our software company, however they were unwilling to complete this take due to the size of our HCV Program. I will be reaching out to companies requesting a proposal, if acceptable this will be completed.
Finding 2023-004 Utility Allowance Material Weakness/Non-Compliance – Special Tests and Provisions I agree with finding I’ve met with City of Grinnell Building and Planning Director to make arrangements for himself and or his staff to perform HQS Quality Control Inspections for the Grinnell Low Re...
Finding 2023-004 Utility Allowance Material Weakness/Non-Compliance – Special Tests and Provisions I agree with finding I’ve met with City of Grinnell Building and Planning Director to make arrangements for himself and or his staff to perform HQS Quality Control Inspections for the Grinnell Low Rent Housing Authority.
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