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Information on the federal program: Subject: Education Stabilization Fund (ESSER) – Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 – Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers and Years (or Other Identifying Num...
Information on the federal program: Subject: Education Stabilization Fund (ESSER) – Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 – Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers and Years (or Other Identifying Numbers): S425D210013, S425U210013 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Reporting Audit Finding: Material Weakness Condition: An effective internal control system was not in place at the School Corporation in order to ensure compliance with requirements related to the grant agreement and the Reporting compliance requirements. Context: The School Corporation was required to submit Annual Data Reports to the Indiana Department of Education (IDOE) during the audit period to meet federal reporting requirements for ESSER grant awards. We noted that the ESSER II and ESSER III amounts reported on the Year 3 report ($288,565 and $115,716, respectively) did not agree to the underlying expenditure records ($139,081 and $88,437, respectively) for the period of July 1, 2022 through June 30, 2023. Corrective Action Plan: The School Corporation will implement a system of internal controls to ensure the amounts reported on the annual data reports agree to the underlying expenditure detail in the accounting system. Person responsible for implementation and projected implementation date: The Treasurer and the Superintendent will be responsible for implementing the corrective action plan, which will start with the next submission of the annual data report.
Information on the federal program: Subject: Child Nutrition Cluster - Internal Controls Federal Agency: Department of Agriculture Federal Program: School Breakfast Program, National School Lunch Program Assistance Listing Number: 10.553, 10.555 Federal Award Numbers and Years (or Other Identifying ...
Information on the federal program: Subject: Child Nutrition Cluster - Internal Controls Federal Agency: Department of Agriculture Federal Program: School Breakfast Program, National School Lunch Program Assistance Listing Number: 10.553, 10.555 Federal Award Numbers and Years (or Other Identifying Numbers): FY2023, FY2024 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Eligibility Audit Finding: Significant Deficiency Condition: An effective internal control system was not in place at the School Corporation in order to ensure compliance with requirements related to the grant agreement and the eligibility compliance requirement. Context: During the testing of internal controls over eligibility determinations for free and reduced meals, we noted management was unable to provide support for three of the 60 applications selected for testing. Additionally, for one of the 60 selections, the student was improperly classified as reduced when the annual income per the student’s application exceeded the corresponding threshold for that determination. Corrective Action Plan: The School Corporation will implement internal control procedures to ensure the applications are filed and maintained in a secure manner. The School Corporation will also implement internal control procedures to ensure that applications are formally reviewed by the Food Services Director and the Treasurer, so that applicants are accurately denied or approved for free or reduced meals. Person responsible for implementation and projected implementation date: The Corporation’s Food Services Director and Treasurer will be responsible for implementing the corrective action, which will be implemented immediately.
View Audit 347466 Questioned Costs: $1
Condition: The University did not return funds within the 45-day time period for a certain student. Root Cause Analysis The delay in returning funds was caused by miscommunication between the R2T4 Processing Staff member and the Director of Financial Aid. The miscommunication occurred due to the R2...
Condition: The University did not return funds within the 45-day time period for a certain student. Root Cause Analysis The delay in returning funds was caused by miscommunication between the R2T4 Processing Staff member and the Director of Financial Aid. The miscommunication occurred due to the R2T4 Processor requiring early maternity leave by nearly a month. This was an isolated incident and not a systemic issue. Corrective Actions Prior to the audit finding, this was discovered in house when the R2T4 Processor returned from maternity leave. The student’s account was corrected immediately. To address this issue and prevent future occurrences, the institution has implemented the following corrective actions: 1. Training o The R2T4 Processor has created a more detailed step-by-step procedure in case any further unplanned absences. 2. System Enhancements: o The institution is working on implementing system alerts within its student information system, Ellucian Banner, to flag R2T4 cases and track deadlines. o Automation of reminders and notifications will help ensure timely processing. Implementation Timeline • This has already taken place. Responsible Parties • Director of Financial Aid: Jessica Rouser Conclusion The institution is committed to full compliance with federal regulations and ensuring that all Title IV funds are returned within the mandated timeframe.
AL# and Program Expenditures: 84.063 ($679,498) Award Number: P063P233976 Federal Award Year: July 1, 2023 to June 30, 2024 Questioned Costs: $2,376.25 Condition Found: The R2T4 was not calculated correctly for two of the twenty-five students in the compliance testing sample. A separate sample...
AL# and Program Expenditures: 84.063 ($679,498) Award Number: P063P233976 Federal Award Year: July 1, 2023 to June 30, 2024 Questioned Costs: $2,376.25 Condition Found: The R2T4 was not calculated correctly for two of the twenty-five students in the compliance testing sample. A separate sample was selected to test additional R2T4 calculations. The R2T4 was not calculated correctly for four of the six students in the R2T4 testing sample. Between the two samples, all of the R2T4s completed during the year were reviewed. Corrective Action Plan: All of the R2T4s completed during the year were recalculated in January 2025. On February 4, 2025, $2,384.57 of Federal Pell Grant Funds were awarded to students and $8.32 of Federal Pell Grant Funds were returned to the Department of Education. Procedures will be improved to ensure that R2T4s are calculated correctly. Anticipated Completion Date: The corrective action was completed on February 4, 2025. Contact Person Valorie Quesenberry, Financial Aid Coordinator 513-763-6659
View Audit 347451 Questioned Costs: $1
AL# and Program Expenditures: 84.063 ($679,498) Award Number: P063P233976 Federal Award Year: July 1, 2023 to June 30, 2024 Questioned Costs: $591.50 Condition Found: The amount of Pell grant awarded was calculated incorrectly for one of the twenty-one students who received Pell in our sample....
AL# and Program Expenditures: 84.063 ($679,498) Award Number: P063P233976 Federal Award Year: July 1, 2023 to June 30, 2024 Questioned Costs: $591.50 Condition Found: The amount of Pell grant awarded was calculated incorrectly for one of the twenty-one students who received Pell in our sample. The student in question was subjected to the lifetime eligibility used limitation. The College calculated the percentage of the Pell grant funds the student was eligible to receive correctly, but the percentage was applied to the full-time Pell award when the student was only enrolled ¾ time. Corrective Action Plan: The School returned $591.50 of Pell grant funds on February 4, 2025. Communication will be improved between the financial aid office and the register. Anticipated Completion Date: The corrective action was completed on February 4, 2025. Contact Person Valorie Quesenberry, Financial Aid Coordinator 513-763-6659
View Audit 347451 Questioned Costs: $1
Finding 2024-001 - Student Financial Aid Cluster, CFDA# 84.007, 84.033, 84.063, 84.268 Compliance Requirement: Gramm-Leach-Bliley Act - Student Information Security Responsible Party: Vice President for Information Technology and Analytics (Program Officer) - Jason Womick Institution's Response: T...
Finding 2024-001 - Student Financial Aid Cluster, CFDA# 84.007, 84.033, 84.063, 84.268 Compliance Requirement: Gramm-Leach-Bliley Act - Student Information Security Responsible Party: Vice President for Information Technology and Analytics (Program Officer) - Jason Womick Institution's Response: The College is fully committed to the security and protection of student information in compliance with the Gramm-Leach-Bliley Act (GLBA). We recognize the importance of safeguarding sensitive data and have long maintained comprehensive security measures aligned with GLBA requirements. Historically, the College has operated under a GLBA memo that outlined our security practices; however, this document did not explicitly enumerate all seven elements specified in 16 CFR 314.4(b). While our practices have always been aligned with the intent of GLBA, we acknowledge the need for a formalized written security program explicitly addressing each element. Corrective Action Plan: 1. Formal Documentation Update: The College has reviewed and updated its existing GLBA security memo to explicitly incorporate all seven required elements as outlined in 16 CFR 314.4(b). This document now formally details the steps, policies, and controls in place to ensure compliance. 2. Approval and Implementation: The updated security program document has been reviewed and approved by the Program Officer and is now in effect. It will be disseminated to relevant personnel responsible for maintaining information security compliance. 3. Ongoing Training and Awareness: To reinforce compliance, we will conduct training sessions for staff handling student financial aid information to ensure they are familiar with the updated security program and its requirements. 4. Annual Review and Enhancement: The College will establish a formal review process to assess and update the written security program annually, ensuring continued compliance with regulatory changes and best practices. 5. Monitoring and Oversight: The College's Information Technology Office, in coordination with the Financial Aid and Business Office, will oversee the implementation of these measures, conduct periodic audits, and address any emerging risks related to student information security. Conclusion: The College has taken proactive steps to address this finding by formalizing existing security measures into a written security program that explicitly aligns with GLBA requirements. With these actions, we are confident that we meet all compliance expectations and will continue to prioritize the security of student information.
Finding 529413 (2024-001)
Significant Deficiency 2024
2024-001 – Reporting Federal Agency: U.S. Department of Energy Federal Program: 81.042 Weatherization Assistance for Low-Income Persons Responsible Official Jennifer Beloff, Chief Program Officer Plan Detail Action is in the process of enhancing its internal controls over reporting to ensure that on...
2024-001 – Reporting Federal Agency: U.S. Department of Energy Federal Program: 81.042 Weatherization Assistance for Low-Income Persons Responsible Official Jennifer Beloff, Chief Program Officer Plan Detail Action is in the process of enhancing its internal controls over reporting to ensure that only federally related costs and activities are reported within its Federal programs and training its employees on its internal controls. Anticipated Completion Date March 2025
2024-002 Cluster: Student Financial Assistance Sponsoring Agency: Department of Education Award Names: Federal Pell Grant Program, Federal Direct Student Loans Award Numbers: Various Assistance Listing Titles: Federal Pell Grant Program, Federal Direct Student Loans Assistance Listing Numbers: 84.06...
2024-002 Cluster: Student Financial Assistance Sponsoring Agency: Department of Education Award Names: Federal Pell Grant Program, Federal Direct Student Loans Award Numbers: Various Assistance Listing Titles: Federal Pell Grant Program, Federal Direct Student Loans Assistance Listing Numbers: 84.063, 84.268 Award Year: 2023-2024 Pass-through entity: Not applicable Financial Aid Counselors (FAC) can manually award students on the spot and verbally inform students to go online and accept/decline their awards. When this happens, an email may not go out to students. Starting with the 2025-26 financial aid award cycle, we will create a routine in the Banner Financial Aid system that will review student’s email log (RUAMAIL) and if an official email notification is not logged, the system will automatically send one to ensure that every student who is awarded Title IV aid will receive an email notification advising them to review and accept/decline their financial aid award offer. Title IV aid will not disburse until this requirement is met keeping the institution in compliance. To obtain a student’s voluntary consent to participate in electronic actions for the Electronic Signatures in Global and National Commerce Act (“E-Sign Act”), Information Technology Solutions (ITS) will investigate and implement one of the following options: • Reinstate the consent to participate in electronic transactions in R’Web annually and ensure that it captures the history of the acceptance of the Terms of Service (TOS) that will include the date students accepted the TOS. • Present the TOS to students upon logging into Central Authentication Services (CAS) annually and ensure that it captures the history of the acceptance of the TOS that will include the date students accepted the TOS. • Present the TOS to students as a hold annually on Banner that they must acknowledge to clear. Banner records this action on SOAHOLD. The student TOS will be presented to students for acceptance during the first time accessing University systems, depending on the option implemented, and will display it annually during the annual anniversary of the original acceptance. ITS will begin evaluation of the effort in Summer 2025 with a goal of implementing a solution in the 2025-26 academic year. For inquiries regarding the disbursement notifications, please contact Jose A. Aguilar at jose.aguilarjr@ucr.edu. For inquiries regarding the E-Sign Act, please contact Teri Eckman at teri.eckman@ucr.edu
2024-001 Cluster: Student Financial Assistance Sponsoring Agency: Department of Education Award Name: Federal Pell Grants Award Number: Various Assistance Listing Title: Federal Pell Grant Program Assistance Listing Number: 84.063 Award Year: 2023-2024 Pass-through entity: Not applicable The Depart...
2024-001 Cluster: Student Financial Assistance Sponsoring Agency: Department of Education Award Name: Federal Pell Grants Award Number: Various Assistance Listing Title: Federal Pell Grant Program Assistance Listing Number: 84.063 Award Year: 2023-2024 Pass-through entity: Not applicable The Department of Education provided verification relief for the 2021-22 and 2022-23 aid years by waiving certain verification requirements. If a record was selected for verification but was not verified, schools were to set the code to “S”. The routine was changed for those two years but was carried forward to the 2023-24 aid year. The automated routine has been corrected, and it is currently assigning the correct verification code based on the completion of the student financial aid verification. This correction has been implemented for the current 2024-25 award year cycle and is working properly for the 2024-25 award year cycle. Starting with the 2025-26 award year cycle, in April of 2025 we will add the review of the verification code assignment based on the completion of the student verification files to the already established annual new year roll in the Banner Financial Aid system. The routine will be reviewed and adjusted as needed and ensure that the routine is set up correctly for the 2025-26 award year. For inquiries regarding this finding, please contact Jose A. Aguilar at jose.aguilarjr@ucr.edu.
Condition: The System obtained a loan from the Department of Housing and Urban Development ("HUD") during their fiscal year June 30, 2021. The proceeds of the loan were used to repay a loan with another financial institution during that same year. The HUD loan includes continuing reporting require...
Condition: The System obtained a loan from the Department of Housing and Urban Development ("HUD") during their fiscal year June 30, 2021. The proceeds of the loan were used to repay a loan with another financial institution during that same year. The HUD loan includes continuing reporting requirements, which require the loan to be reported on the Schedule until it is repaid. The System improperly excluded the HUD loan balance from their Schedule in previous years. The beginning of the year loan balance has been reported on the System's Schedule for the year ended June 30, 2024, in accordance with 2 CFR 200.502(b). Planned Corrective Action: Management will put procedures in place to identify federal reporting requirements for federal loans and grants. Contact person responsible for corrective action: Michael Haynes, CFO and Debbie Caldwell, Controller Anticipated Completion Date: 06/30/2024
The College acknowledges the audit finding regarding the lack of documented independent review of Return of Title IV Funds (R2T4) calculations and is committed to addressing this issue. To ensure compliance, the College Financial Aid Director will review the R2T4 calculations completed by the Colleg...
The College acknowledges the audit finding regarding the lack of documented independent review of Return of Title IV Funds (R2T4) calculations and is committed to addressing this issue. To ensure compliance, the College Financial Aid Director will review the R2T4 calculations completed by the College Financial Aid Advisor each month and will implement a standardized email response to confirm that the R2T4 calculations for the month were reviewed. This email response will be archived as evidence of management review. These corrective actions will be implemented in January 2025 , with the College Chief Financial Officer supervising the monthly review of the R2T4 calculations to ensure they are performed.
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager 2. Corrective action planned: Grants Manager will be tasked with the following: ● Researching and understanding what items are allowable within each federal grant ● Ensuring each budgeted it...
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager 2. Corrective action planned: Grants Manager will be tasked with the following: ● Researching and understanding what items are allowable within each federal grant ● Ensuring each budgeted item is not already written into another grant ● Presenting a list of budgeted items and their corresponding fund codes at a grants meeting prior to submitting the budget ● Notifying the Business Manager when the budgets have been approved and that those budgeted items can now be allocated to the corresponding grant under their specific fund code ● Checking the expenditure report to make sure it accurately reflects what was written in the grant before submitting information to the state ● Reporting any errors in coding to the Business Manager to ensure an accurate representation of expenditures is reported before submitting to the state 3. Anticipated completion date: Implementation of the corrective action plan began March 15, 2025.
View Audit 347332 Questioned Costs: $1
Finding 529305 (2024-103)
Significant Deficiency 2024
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager 2. Corrective action planned: Grants Manager will be tasked with the following: ● Researching and understanding what items are allowable within each federal grant ● Ensuring each budgeted it...
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager 2. Corrective action planned: Grants Manager will be tasked with the following: ● Researching and understanding what items are allowable within each federal grant ● Ensuring each budgeted item is not already written into another grant ● Presenting a list of budgeted items and their corresponding fund codes at a grants meeting prior to submitting the budget ● Notifying the Business Manager when the budgets have been approved and that those budgeted items can now be allocated to the corresponding grant under their specific fund code ● Checking the expenditure report to make sure it accurately reflects what was written in the grant before submitting information to the state ● Reporting any errors in coding to the Business Manager to ensure an accurate representation of expenditures is reported before submitting to the state 3. Anticipated completion date: Implementation of the corrective action plan began March 15, 2025.
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager and Project Manager 2. Corrective action planned: Grants Manager will work in conjunction with the Project Manager to ensure the following when federal monies are used for construction proje...
We concur with the condition. 1. Name of the contact person responsible for corrective action: Grants Manager and Project Manager 2. Corrective action planned: Grants Manager will work in conjunction with the Project Manager to ensure the following when federal monies are used for construction projects: ● Determine the project will exceed $2,000 and will qualify under Davis-Bacon-Act ● Confirm the prevailing wage and include it in each solicitation to contractors ● Notify contractors that Davis-Bacon-Act must be followed at the time of reaching out for a project bid ● Collect and file weekly payroll statements from the contractor until the project is finished ● Include assurances in federal projects that Davis-Bacon-Act was followed ● Report all suspected or reported violations to the Federal awarding agency 3. Anticipated completion date: July 1, 2025.
Information on the federal program: Subject: Child Nutrition Cluster - Internal Controls Federal Agency: Department of Agriculture Federal Program: School Breakfast Program, National School Lunch Program Assistance Listing Number: 10.553, 10.555 Federal Award Numbers and Years (or Other Identifying ...
Information on the federal program: Subject: Child Nutrition Cluster - Internal Controls Federal Agency: Department of Agriculture Federal Program: School Breakfast Program, National School Lunch Program Assistance Listing Number: 10.553, 10.555 Federal Award Numbers and Years (or Other Identifying Numbers): FY2023, FY2024 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Eligibility Audit Finding: Material Weakness Condition: An effective internal control system was not in place at the School Corporation in order to ensure compliance with requirements related to the grant agreement and the eligibility compliance requirement. Context: During the testing of internal controls over eligibility determinations for free and reduced meals, we noted there was no formal review control in place for 26 of the 60 applications selected for testing. Additionally, for one of the 60 selections, the student was improperly classified as free when the annual income per the student's application exceeded the corresponding threshold for that determination. Corrective Action Plan: The School Corporation will implement a system of internal controls to ensure that the applications are being formally reviewed by the Food Services Director and the Corporation Treasurer. Person responsible for implementation and projected implementation date: The Food Services Director and the Corporation Treasurer will be responsible for implementing the corrective action, which will begin with applications for the 2025-2026 school year.
View Audit 347315 Questioned Costs: $1
CORRECTIVE ACTION PLAN June 30, 2024 Audit Finding Reference: 2024-001 Verification of Suspension and Debarment (Material Weakness) Condition: During review of the District’s procurement process, we noted that the District had a signed contract for behavioral professional services that was paid thro...
CORRECTIVE ACTION PLAN June 30, 2024 Audit Finding Reference: 2024-001 Verification of Suspension and Debarment (Material Weakness) Condition: During review of the District’s procurement process, we noted that the District had a signed contract for behavioral professional services that was paid through federal funds. Upon review of the contract and discussion with the District, the District did not verify the vendor was suspended or barred by the federal government. This included no evidence of a clause in the contract, no review of the vendor on SAM.gov, or completion of the verification form by the vendor. Management’s Response and Planned Corrective Action: As a result of this finding, the District immediately requested all new contracts paid through federal funds include a clause stating that the provider has not been suspended or barred from doing business with the federal government. Additionally, District policy DAF-3 regarding the procurement of items/services using federal grant funds now states “No contract is awarded to a contractor who is suspended or debarred from eligibility for participation in federal assistance programs or activities.” Name of Contact Person and Completion Date: Name: Julie Darling, Business Administrator Anticipated Completion Date – Immediate action was taken on this matter and it is now complete.
View Audit 347287 Questioned Costs: $1
Finding 529242 (2024-009)
Significant Deficiency 2024
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-009 Inadequate Request for Information Name of contact person: Corrective Action: Proposed completion date: Section III - Federal Award Findings and Question Costs (continued) Develop and implement standardized request forms or tem...
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-009 Inadequate Request for Information Name of contact person: Corrective Action: Proposed completion date: Section III - Federal Award Findings and Question Costs (continued) Develop and implement standardized request forms or templates to ensure all required information is consistently requested. Requests should explicitly list the documents or details needed, including examples (e.g., “bank statements for the last 3 months,” “proof of income,” or “vehicle registration”). Conduct targeted training sessions focused on requesting information accurately and comprehensively, including case scenarios and examples of complete and incomplete requests. Ensure staff are familiar with the guidelines on what information is required based on program eligibility rules. Reinforce these guidelines in regular meetings. Require staff to use an Eligibility Request Checklist before sending information requests to ensure all necessary items are included and accurately described. Incorporate checklists into second-party reviews to catch errors or omissions before client communication is sent. Supervisors should review outgoing requests during second-party or random audits to ensure they meet the standards of completeness and clarity. Use case management systems to track and audit requests for adequacy and timeliness. Access the Inbox/Task Dashboard in NC FAST to review pending tasks and notifications. Focus on tasks related to requests for information to ensure timely follow-up. Set reminders for staff to address tasks nearing their deadlines. Use the Verification Report in NC FAST to identify cases where requested information is still missing. This report helps staff track what verifications are outstanding. Run O&M reports to monitor applications, recertifications, and requests for information that are incomplete or overdue. Use these reports to identify cases where staff may have issued inadequate or untimely requests. Filter reports by due dates to ensure that cases are progressing within program timeframes (e.g., 45-day processing deadlines). Access the Evidence Dashboard in NC FAST to confirm whether evidence entries match the requested documents. Check if all evidence has been appropriately documented, verified, and updated within the system. Ensure that staff are documenting details of all requests for information in the case notes, including: What was requested. When it was requested. How it was communicated (e.g., mail, phone, email). Case notes should also reflect follow-up actions. Create a Compliance Log: Maintain a log of cases flagged for inadequate or late requests for information. Use this log to track resolution and identify recurring staff training needs. Management monitor daily to track progress of this issue and modify the controls as needed. Tiffiany Walton, Interim Director Melissa Castelow, F&C Medicaid Supervisor Anetre Vaughan, Adult Medicaid Supervisor BUILD YOUR FUTURE ON OUR FOUNDATION 115 Justice Drive  Suite 1  Winton, North Carolina 27986 Office 252.358.7805  Facsimile 252.358.0198  www.HerfordCountyNC.gov 126
Finding 529241 (2024-008)
Significant Deficiency 2024
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-008 Inaccurate Resources Entry Name of contact person: Corrective Action: Proposed completion date: Ensure staff are well-versed in the policy guidelines, such as MA-2230 Financial Resources, which define what constitutes a resourc...
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-008 Inaccurate Resources Entry Name of contact person: Corrective Action: Proposed completion date: Ensure staff are well-versed in the policy guidelines, such as MA-2230 Financial Resources, which define what constitutes a resource and what is countable. Use real-world scenarios and examples of correct and incorrect resource entries during staff training sessions. Encourage staff to complete or revisit relevant training modules to strengthen their understanding. Implement resource-specific checklists to guide staff through the entry process, ensuring all required data is verified and documented before submission. Require staff to confirm that resource amounts match the verification provided (e.g., bank statements, property valuations, vehicle assessments). Staff should routinely check determination history to ensure consistency and prevent duplicate or conflicting entries. Encourage staff to validate that resource entries align with other evidence in NC FAST. Require staff to compare manual budget calculations against NC FAST results to ensure accuracy. Conduct regular second-party reviews of resource entries to identify and correct errors before case authorization. Emphasize the importance of accuracy during staff meetings and coaching sessions. Hold staff accountable for errors by requiring signed checklists or certifications of reviewed work for each case. Ensure staff follow up on incomplete or unclear resource verifications in a timely manner to avoid delays or incorrect determinations. Require staff to consistently monitor inbox tasks, Medicaid Verification Reports, and other system alerts to address resource discrepancies promptly. Supervisors will provide one-on-one coaching for staff struggling with resource accuracy, using specific examples from their cases as teaching opportunities. Implement knowledge checks or mini-quizzes after training sessions to reinforce critical points about accurate resource entry. Share common errors and their solutions in unit meetings to create a learning environment focused on improvement. By combining training, tools, oversight, and accountability, the likelihood of inaccurate resource entry can be minimized effectively. Management monitor daily to track progress of this issue and modify the controls as needed. Section III - Federal Award Findings and Question Costs (continued) Tiffiany Walton, Interim Director Melissa Castelow, F&C Medicaid Supervisor Anetre Vaughan, Adult Medicaid Supervisor BUILD YOUR FUTURE ON OUR FOUNDATION 115 Justice Drive  Suite 1  Winton, North Carolina 27986 Office 252.358.7805  Facsimile 252.358.0198  www.HerfordCountyNC.gov 125
Finding 529240 (2024-007)
Significant Deficiency 2024
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-007 Inaccurate Information Entry Name of contact person: Corrective Action: Proposed completion date: Section III - Federal Award Findings and Question Costs (continued) Management monitor daily to track progress of this issue and ...
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-007 Inaccurate Information Entry Name of contact person: Corrective Action: Proposed completion date: Section III - Federal Award Findings and Question Costs (continued) Management monitor daily to track progress of this issue and modify the controls as needed. Monthly second-party reviews will continue to be conducted to ensure accuracy in case processing. Peer-to-peer second-party reviews will be implemented monthly to encourage collaborative oversight. Staff will be required to perform second-party reviews of their own recertifications to reinforce attention to detail. Application checklists will be utilized for all applications and recertifications to verify that staff collect and verify the correct data needed for processing. Staff will complete and sign checklists for every application and recertification, holding them accountable for accuracy and thoroughness. All staff have been and will continue to be trained on MA-2230 Financial Resources, including identifying resources and determining which are countable. Facilitated trainings on properties, resources, and vehicles will continue to be conducted. Staff will revisit Learning Gateway trainings as needed to reinforce understanding and compliance. Knowledge checks will be incorporated into all trainings to evaluate staff comprehension. Staff will be trained on the importance of completing and utilizing vehicle forms during both applications and recertifications. Staff are encouraged to consistently review determination history prior to case authorization to ensure household composition and income are accurate. NC FAST will be reviewed during applications and recertifications to verify vehicle information and other resources. Staff will confirm that all case files include online verifications, documented resources and income, and that the amounts agree with information in NC FAST. Documentation in case notes will clearly indicate the actions performed and their results. Supervisors will continue to meet with staff individually for coaching sessions to address findings and collaboratively discuss areas for improvement. Supervisors will emphasize the importance of accuracy and accountability in case processing during regular team discussions. Staff will now be held to a higher level of accountability with signed checklists serving as verification of completed work. This plan will ensure consistent improvement in case accuracy and processing while fostering accountability and professional growth among staff. Tiffiany Walton, Interim Director Melissa Castelow, F&C Medicaid Supervisor Anetre Vaughan, Adult Medicaid Supervisor BUILD YOUR FUTURE ON OUR FOUNDATION 115 Justice Drive  Suite 1  Winton, North Carolina 27986 Office 252.358.7805  Facsimile 252.358.0198  www.HerfordCountyNC.gov 124
Finding 529239 (2024-006)
Significant Deficiency 2024
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-006 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Access and review the SSI Medicaid Termination Report daily in NC FAST. Assign staff or a designated point person to monito...
Corrective Action Plan For the Year Ended June 30, 2024 Finding 2024-006 Untimely Review of SSI Termination Name of contact person: Corrective Action: Proposed completion date: Access and review the SSI Medicaid Termination Report daily in NC FAST. Assign staff or a designated point person to monitor and act on SSI terminations flagged in the system. Set up system alerts or reminders in NC FAST to notify staff of pending SSI terminations requiring immediate review. Develop a log or tracker (manual or digital) to record SSI termination cases, including review dates, actions taken, and deadlines. Use NC FAST or a supplemental tool to track cases through the review process, ensuring no cases fall through the cracks. Retrain staff on Ex Parte Reviews for SSI terminations, including the process for reviewing and evaluating ongoing eligibility. Reinforce the importance of timely action to avoid benefit gaps or unnecessary terminations. Provide clear, step-by-step instructions for handling SSI terminations, including where to find relevant information in NC FAST and how to document actions in case notes. Conduct second-party reviews of SSI termination cases to ensure timely and accurate action is taken. Supervisors should periodically audit a sample of cases to identify delays or errors. Contact clients as soon as an SSI termination is flagged, requesting updated information and notifying them of the potential impact on their benefits. Provide clear instructions on what documents are needed to reassess eligibility. Use NC FAST to track follow-ups with clients, ensuring they respond within required timeframes. Ensure staff are completing Ex Parte Reviews as required, utilizing existing evidence and verifications to determine continued eligibility without unnecessary delays. Develop workflow efficiencies to handle SSI terminations more effectively, such as batching similar cases for quicker review. Run O&M and Medicaid reports to monitor the timeliness of SSI termination reviews. Share progress and findings during staff meetings to promote transparency and improvement. Review reports to identify recurring issues or barriers causing delays and address them promptly. By establishing a system of regular monitoring, staff training, and supervisory oversight, the issue of untimely SSI termination reviews can be effectively addressed and prevented in the future. Management monitor daily to track progress of this issue and modify the controls as needed. Tiffiany Walton, Interim Director Anetre Vaughan, Adult Medicaid Supervisor Melissa Castelow, F&C Medicaid Supervisor Section III - Federal Award Findings and Question Costs BUILD YOUR FUTURE ON OUR FOUNDATION 115 Justice Drive  Suite 1  Winton, North Carolina 27986 Office 252.358.7805  Facsimile 252.358.0198  www.HerfordCountyNC.gov 123
Management agrees with the findings and will take the necessary corrective actions. The Organization will create an internal control mechanism to track Federal Awards throughout the year in order to prevent and detect any potential material misstatements and make it available to the auditors at the ...
Management agrees with the findings and will take the necessary corrective actions. The Organization will create an internal control mechanism to track Federal Awards throughout the year in order to prevent and detect any potential material misstatements and make it available to the auditors at the end of the year.
Information on the federal program: Subject: Education Stabilization Fund (ESSER) - Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers and Years (or Other Identifying Num...
Information on the federal program: Subject: Education Stabilization Fund (ESSER) - Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers and Years (or Other Identifying Numbers): S425D210013, S425U210013 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Reporting Audit Finding: Material Weakness Condition: An effective internal control system was not in place at the School Corporation to ensure compliance with requirements related to the grant agreement and the reporting compliance requirements. The School Corporation was not formally reviewing the ESSER reports being submitted by comparing the underlying expenditure detail to the amounts reported for each grant for the reporting period. Context: The School Corporation was required to submit six Annual Data Reports to the Indiana Department of Education (IDOE) during the audit period to meet federal reporting requirements for ESSER grant awards. Crowe noted the following reporting errors for the Year 3 reports (July 1, 2021 through June 30, 2022). The ESSER If amount reported on the Year 3 report ($585,040) did not agree to the underlying expenditure records ($581,468). This is the exact amount reported as the SEA reserve amount on the Annual Data Report. Crowe noted the ESSER Ill amount reported on the Year 3 report ($0) did not agree to the underlying expenditure records ($351,831). Crowe noted the following reporting error for the Year 4 reports (July 1, 2022 through June 30, 2023). The ESSER Ill amount reported on the Year 4 report ($1,062,765) did not agree to the underlying expenditure records ($1,054,618). This is the exact amount reported as the SEA reserve amount on the Annual Data Report. Corrective Action Plan: The School Corporation will implement internal control procedures to ensure the amounts reported in the annual data reports agree to the underlying support and detail from the internal records. A formal review process will be implemented. Person responsible for implementation and projected implementation date: The Corporation's Treasurer and Superintendent will be responsible for implementing the corrective action, which will be implemented immediately.
Recommendation: We recommend that the Authority develop and implement procedures for the Housing Quality Standards which provide for re-inspections within 24 hours of all life threatening housing quality violations. Views of Responsible Officials and Planned Corrective Actions: The Authority will am...
Recommendation: We recommend that the Authority develop and implement procedures for the Housing Quality Standards which provide for re-inspections within 24 hours of all life threatening housing quality violations. Views of Responsible Officials and Planned Corrective Actions: The Authority will amend the timing and procedures relating to the voucher tenant inspections to provide staff with resources to timely follow up on failed inspections including the ability to re-inspect properties within 24 hours when life threatening violations are determined.
The current year Schedule of Findings and Questioned Costs reported no matters in Section II – Financial Statement Findings and one matter in Section III – Federal Award Findings and Questioned Costs. Current year audit findings: 2024-001 Reporting of Draws to UDS Finding Description: Significant D...
The current year Schedule of Findings and Questioned Costs reported no matters in Section II – Financial Statement Findings and one matter in Section III – Federal Award Findings and Questioned Costs. Current year audit findings: 2024-001 Reporting of Draws to UDS Finding Description: Significant Deficiency – Internal Control over Compliance; It was identified that the UDS report submitted for reporting year 2023 was prepared using the accrual basis of accounting instead of the required cash basis. Planned corrective actions: Staff Training and Education: provide training to finance and compliance staff on UDS reporting requirements; require annual refresher training on financial reporting compliance. Review and Reconciliation Procedures: implement an internal review process before UDS report submission to ensure compliance with reporting standards; assign an independent reviewer within the finance team to verify that financial data is recorded on the correct basis before final submission. Internal Control Enhancements: implement periodic internal audits to assess compliance with reporting requirements and accounting standards. Corrective action taken: Upon discovery of this issue, CHCW promptly reviewed the reporting methodology and identified the discrepancy. The finance team corrected this issue for the 2024 UDS report, ensuring that all financial data was reported using the correct cash basis of accounting. Internal controls have been strengthened to prevent future occurrences of similar issues. Completion date: The correction for the 2024 UDS report has been completed. Staff training was conducted January 16, 2025. Review procedures and internal control enhancements have been fully implemented. Contact person responsible for corrective action: Tamiko Wilkens, Controller – Responsible for training and oversight. Desiree Ashbrooks, Chief Financial Officer – Responsible for reviewing and ensuring compliance.
CORRECTIVE ACTION PLAN U.S. Department of the Interior Many Farms Community School, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 – June 30, 2024 The findings from the schedule of findings and questioned costs are discusse...
CORRECTIVE ACTION PLAN U.S. Department of the Interior Many Farms Community School, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 – June 30, 2024 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT 2024-001 Internal Control Over Financial Reporting Type of Finding: Material Weakness in Internal Control Over Financial Reporting Condition: According to generally accepted accounting principles (GAAP), School management is responsible for establishing and maintaining internal controls over financial reporting, to include controls over the School’s accounting records and general ledger transactions. These internal control procedures should include ensuring expenditures are recorded within the correct fiscal year and that revenue and expenditure transactions are properly recorded within the General Ledger. Context: During our review of the School’s accounting records, we noted the following:  The School erroneously recorded $215,173 in expenditures on a fiscal year 2023-2024 encumbrance voucher. This was due to an issue in the financial reporting software with the purchase order not rolling to fiscal year 2024-2025.An audit adjustment was recorded to reverse the expenditures.  An audit adjustment was recorded to accrue an E-Rate reimbursement of $112,919 that was received within the encumbrance period.  The School does not currently have access to its investment account; due to turnover the School does not currently have an authorized signer for the account. The June 2024 statement shows a balance of $2,772,353. The School is currently in litigation to get access to the account. Repeat Finding: Repeated and modified. Action planned in response to finding: The School will implement additional procedures to review revenues and expenditures to ensure that they are recorded in the proper accounting period. Additionally, the School will complete the litigation process to regain access to its investment account. Planned completion date for corrective action plan: For the period ending June 30, 2025. Name of the contact person responsible for corrective action: Ernest Sakeva, Business Manager
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