Corrective Action Plans

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Finding 374491 (2023-001)
Significant Deficiency 2023
Views of Responsible Officials and Planned Corrective Actions: The University agrees with this recommendation and will ensure that staff with reporting compliance responsibilities are appropriately trained during periods of transition.
Views of Responsible Officials and Planned Corrective Actions: The University agrees with this recommendation and will ensure that staff with reporting compliance responsibilities are appropriately trained during periods of transition.
Finding 2023-001 Planned Corrective Action Finding: During the fiscal 2023 financial statement audit, a material weakness in internal control was identified. A material weakness in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over complian...
Finding 2023-001 Planned Corrective Action Finding: During the fiscal 2023 financial statement audit, a material weakness in internal control was identified. A material weakness in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal or state program will not be prevented, or detected and corrected, on a timely basis. During the audit as of and for the year ended August 31, 2023, costs were applied to CARES Act PRF funds which were found to be without sufficient backup documentation. The impact to the current year statutory basis financial statements was not material. Corrective Response: Management represents that there was not sufficient documentation and support surrounding Provider Relief Funding applied to expenses for the year ending August 31, 2023. Operational and reporting improvements will be pursued in an effort to better provide documentation and support on a go-forward basis. Since these transactions, management has added additional staff and more training for processing credit card receipts, check processing with clean approvals, and new leadership over its Accounts Payable function. The organization is also implementing a new ERP system with clear process flows and tight connections between transactions and the related backup. Anticipated Completion Date 8/31/2024 Responsible Contact Person Brian Savoie, CFO 414-345-7844 and Errol Meinholz, Controller 920-245-9275
View Audit 294179 Questioned Costs: $1
Corrective Action Planned: The District will review and establish procedures that all required quarterly cash on hand and final expenditure reports are properly completed within the required time periods. A new federal programs coordinator has been hired and the District has consulted with an expe...
Corrective Action Planned: The District will review and establish procedures that all required quarterly cash on hand and final expenditure reports are properly completed within the required time periods. A new federal programs coordinator has been hired and the District has consulted with an experienced federal programs coordinator to train that individual. Procedures are now in place to ensure that the District files all quarterly cash on hand reports within 10 days of quarter ending and final expenditure reports within 30 days after the funds are expended, but no later than 30 days after the ending date of the project. All existing compliance issues related to filing deadlines are being addressed and corrected. Anticipated Completion Date: Acton has already been taken by the District to resolve the underlying issue of the finding for the year ending June 30, 2024. Contact Person Responsible: Eric S. Petery, Business Manager
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the implementation of safeguards to control the risks the institution identifies through its risk assessment, the testing or monitoring the effectiveness of the safeguards implemented, and the eva...
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the implementation of safeguards to control the risks the institution identifies through its risk assessment, the testing or monitoring the effectiveness of the safeguards implemented, and the evaluation and adjustment of its information security program in light of the results of the required testing and monitoring. As a result of this condition, the College is not meeting the safeguard requirements necessary to comply with the FTC. In addition, the lack of safeguard controls creates an increased risk to highly sensitive data that is possessed by the College. Auditor Recommendation. We recommend that the College implement procedures to ensure that all Gramm Leach Bliley Policies are met and verified by a second individual. Corrective Action. Currently, the College is reviewing the compliance requirements for the Gramm Leach Bliley Act and will amend the current policy to ensure that each safeguard is being addressed within the policy. Responsible Person. Jonathan Lane, Director of IT. Anticipated Completion Date. June 30, 2024
Auditor Description of Condition and Effect. A break of at least five consecutive days was not excluded from the reported enrollment period for the Fall 2022 semester, which resulted in the calculation being incorrect for all students who had returns in the Fall 2022 semester. As a result of this co...
Auditor Description of Condition and Effect. A break of at least five consecutive days was not excluded from the reported enrollment period for the Fall 2022 semester, which resulted in the calculation being incorrect for all students who had returns in the Fall 2022 semester. As a result of this condition, Return of Title IV calculations were incorrect for 60 students for the Fall 2022 semester, resulting in $10,459 less funds returned to the U.S. Department of Education. It is our understanding that on July 24, 2023, the College repaid the 60 students affected by this calculation error. Auditor Recommendation. We recommend that the College implement a review process to ensure the number of enrollment days used in the Return of Title IV calculations is accurate and that the R2T4 calculation is reviewed by a second individual. Corrective Action. Upon discovery of the Return of Title IV Calculation error, the College went through and made corrections to all student accounts affected. To prevent a similar problem arising in the future, the College has developed a review process that will require an additional sign‐off for the total days to be used in the calculation. Responsible Person. Ruth Carlson, Director of Financial Aid. Anticipated Completion Date. July 24, 2023.
Finding 2023‐003 Special Tests – Wage Rate Requirement Significant Deficiency Finding Summary: The District did not sure proper and timely inclusion of prevailing wage clauses in one construction contract issued in the prior year and still in effect this year. Responsible Individuals: Shawn Kreman, ...
Finding 2023‐003 Special Tests – Wage Rate Requirement Significant Deficiency Finding Summary: The District did not sure proper and timely inclusion of prevailing wage clauses in one construction contract issued in the prior year and still in effect this year. Responsible Individuals: Shawn Kreman, Superintendent Corrective Action Plan: The District will include prevailing requirements in contracts utilizing federal dollars. Anticipated Completion Date: Ongoing
Criteria and Condition: 2 CFR 200.303 requires the non-federal entity to establlish and maintain effective internal controls over compliance with Federal statues, regulations, and the terms and conditions of the Federal award including proper tracking of grant expenditures or compliance. Certain int...
Criteria and Condition: 2 CFR 200.303 requires the non-federal entity to establlish and maintain effective internal controls over compliance with Federal statues, regulations, and the terms and conditions of the Federal award including proper tracking of grant expenditures or compliance. Certain internal controls were not in place to prevent costs from outside the period of performance from being charged to the grant. Action taken: In regard to 2023-003, Management will provide a 2nd review of project worksheets before submission. The designated FEMA Coordinator will be responsible for this corrective action and anticipates completion of corrective action before October 1, 2023.
View Audit 294076 Questioned Costs: $1
Finding 374388 (2023-004)
Significant Deficiency 2023
Corrective Action Plan 2023-004: The College concurs with the finding and has reviewed and where appropriate made updates to the processes used to package loans when there is an annual or aggregate loan limit reached. Completion Date: August 2023 Contact Person: Haley Wesley, Vice President of Enr...
Corrective Action Plan 2023-004: The College concurs with the finding and has reviewed and where appropriate made updates to the processes used to package loans when there is an annual or aggregate loan limit reached. Completion Date: August 2023 Contact Person: Haley Wesley, Vice President of Enrollment Management & Marketing
View Audit 293985 Questioned Costs: $1
Finding 374382 (2023-003)
Significant Deficiency 2023
Corrective Action Plan 2023-003: The College has obtained the required letter of credit from a local bank and will comply with federal heightened cash monitoring requirements. The College continues to work to positively align revenues and expenses. The College regularly monitors its cash flows and e...
Corrective Action Plan 2023-003: The College has obtained the required letter of credit from a local bank and will comply with federal heightened cash monitoring requirements. The College continues to work to positively align revenues and expenses. The College regularly monitors its cash flows and expense budgets both for timing and savings. Efforts continue to increase net student revenues to reduce the need for current-year contributions and other income for operating expenses. The College will continue to carefully plan and manage institutional financial aid to yield stronger net student revenues to support operations. Anticipated Completion Date: August 2024 Contact Person: Steven W. Eckman, President
Corrective Action Plan and Views of Responsible Officials This audit finding is the result of the CDE changing the guidance on the indirect cost requirements for the COVID‐19‐Elementary and Secondary School Emergency Relief Fund programs, and not publicizing the update. The Assistant Superintendent ...
Corrective Action Plan and Views of Responsible Officials This audit finding is the result of the CDE changing the guidance on the indirect cost requirements for the COVID‐19‐Elementary and Secondary School Emergency Relief Fund programs, and not publicizing the update. The Assistant Superintendent of Business Services, monitors the indirect cost charge requirements on annual basis and as new funding sources are identified. A tracking sheet is used to monitor funding deadlines, allowable ICR rates and types of funds. As an added measure, Assistant Superintendent, will consult the SACS query tool for a final review prior to the yearend close to ensure that CDE has not changed or updated the guidance prior to the close of a fiscal year to ensure District compliance.
View Audit 293975 Questioned Costs: $1
Finding 2023-006 Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 Compliance Requirement: Special Tests and Provisions Finding Summary: The Hospital’s operations did not generate suf...
Finding 2023-006 Federal Agency Name: United States Department of Agriculture Program Name: Community Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 Compliance Requirement: Special Tests and Provisions Finding Summary: The Hospital’s operations did not generate sufficient financial results to be meet the 1.25 debt service coverage ratio. Responsible Individuals: John J Dempsey, Chief Executive Officer, Lona King, Chief Financial Officer Corrective Action Plan: Management will comply with the terms of the workout agreement entered on January 24, 2024, to avoid future compliance issues. Anticipated Completion Date: February 28, 2025 as indicated in the Workout Agreement
Finding 2023-005 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Reporting Finding Summary: The Hospital’s expenditures identified as eligible and c...
Finding 2023-005 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Reporting Finding Summary: The Hospital’s expenditures identified as eligible and claimed under the Provider Relief Fund program did not agree to the underlying detail listing. The current key financial personnel were unable to reconcile the differences between the support and the amounts reported. Responsible Individuals: John J Dempsey, Chief Executive Officer, Lona King, Chief Financial Officer Corrective Action Plan: Management will strengthen the control process for maintaining documentation of the final expenditure listing used to report under the federal program. Anticipated Completion Date: March 31, 2024
Finding 2023-004 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Activities Allowed/Allowable Costs Finding Summary: The Hospital’s expenditures ide...
Finding 2023-004 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Activities Allowed/Allowable Costs Finding Summary: The Hospital’s expenditures identified as eligible and claimed under the Provider Relief Fund program did not agree to the underlying detail listing. The current key financial personnel were unable to reconcile the differences between the support and the amounts reported. Responsible Individuals: John J Dempsey, Chief Executive Officer, Lona King, Chief Financial Officer Corrective Action Plan: Management will strengthen the control process for maintaining documentation of the final expenditure listing used to claim the allowable costs under the federal program. Anticipated Completion Date: March 31, 2024
Finding 2023-003 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Reporting Finding Summary: The Hospital did not consider the impact of the year-end...
Finding 2023-003 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan Federal Financial Assistance Listing #93.498 Compliance Requirement: Reporting Finding Summary: The Hospital did not consider the impact of the year-end audit adjustments on the quarters applicable to Period 4 when reporting lost revenue. Responsible Individuals: John J Dempsey, Chief Executive Officer, Lona King, Chief Financial Officer Corrective Action Plan: Management will strengthen the control process relating to calculating quarterly lost revenue under the federal program. Anticipated Completion Date: March 31, 2024
Specific corrective action plan for finding: The district will implement controls of review for all expenses related to the Impact Aid- Special Education Fund. Dom Atcitty, Grants Specialist, Carol Gonzales, Finance Director will ensure that proper budgets are authorized to Departments to ensure tha...
Specific corrective action plan for finding: The district will implement controls of review for all expenses related to the Impact Aid- Special Education Fund. Dom Atcitty, Grants Specialist, Carol Gonzales, Finance Director will ensure that proper budgets are authorized to Departments to ensure that the correct funding is available. These two instances were due to lack of budget within the Department that caused them to use the incorrect funding source at the time. The district will make sure to include Amanda Sutherland, Student Support Services Director within the review process and the district will provide additional training regarding uses of funds. Timeline for completion of corrective action plan: District has implemented this plan as of July 1, 2023 Employee position(s) responsible for meeting the timeline: Dom Atcitty, Grants Specialists, Carol Gonzales, Finance Director and Amanda Sutherland, Student Support Services Director
View Audit 293969 Questioned Costs: $1
Specific corrective action plan for finding: Rebecca Brandt, Coordinator Student Services Department, Sharon Hanagarne-Benally, Data Records Clerk will review and audit files to ensure student information is up to date in PowerSchool to ensure reliable, efficient, and timely data is being collected....
Specific corrective action plan for finding: Rebecca Brandt, Coordinator Student Services Department, Sharon Hanagarne-Benally, Data Records Clerk will review and audit files to ensure student information is up to date in PowerSchool to ensure reliable, efficient, and timely data is being collected. Timeline for completion of corrective action plan: Resolved Employee position(s) responsible for meeting the timeline: Rebecca Brandt, Coordinator Student Services Department, Sharon Hanagarne-Benally
View Audit 293969 Questioned Costs: $1
Update grant spreadsheet monthly
Update grant spreadsheet monthly
Adopt suggested policies as outlined by auditor
Adopt suggested policies as outlined by auditor
Finding 2023-001 Special Tests and Provisions - Sliding Fee Scale Recommendation Kalihi-Palama Health should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated, and patients receive the correct sliding fee discount. Action Taken: We implemented...
Finding 2023-001 Special Tests and Provisions - Sliding Fee Scale Recommendation Kalihi-Palama Health should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated, and patients receive the correct sliding fee discount. Action Taken: We implemented a new EHR system AthenaOne and it includes a sliding fee scale calculation tool. By March 18, 2024 we will have completed doing all of the testing and training of all current Patient Services/Front Desk staff. Effective April 1 2024, we will implement the following changes to ensure clients are appropriately charged according to the sliding fee scale: • Update recurring sliding fee scale employee training sessions to quarterly. • Update training process documentation and reference materials for sliding fee scale. • Implement monthly review and spot check procedures to ensure compliance with the sliding fee scale requirements and guidelines. Based on the results of the reviews and spot checks, individualized training will be provided staff. • Onboarding new Patient Services/Front Desk staff will be based on the updated training and reference materials. Should you need additional information or have questions, you can reach me at ekintu@kphc.org or (808) 791-6315. Emmuel Kintu, D. Mgt, MBA Chief Executive Office & Executive Director
Condition: One vendor was awarded a contract without a competitive procurement process. Corrective Action Planned: Management agrees with the finding that State procurement methods were followed. Management was unaware at the time that the Federal procurement process does not recognize State procure...
Condition: One vendor was awarded a contract without a competitive procurement process. Corrective Action Planned: Management agrees with the finding that State procurement methods were followed. Management was unaware at the time that the Federal procurement process does not recognize State procurement exemptions. Management has since updated its internal financial operating procedures to ensure future Federal procurement compliance on all applicable Federal grant contracts. Anticipated Completion Date: Completed Contact: Michael King, Finance Director
View Audit 293832 Questioned Costs: $1
Finding Number: 2023-001 Prior Year Finding: No Federal Agency: U.S. Department of Treasury Federal Program: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing: 21.027 Pass-Through Entity: Maryland State Department of Education Pass-Through Entity Award Information: 211874 (3/3/202...
Finding Number: 2023-001 Prior Year Finding: No Federal Agency: U.S. Department of Treasury Federal Program: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing: 21.027 Pass-Through Entity: Maryland State Department of Education Pass-Through Entity Award Information: 211874 (3/3/2021 – 12/31/2024) Compliance Requirement: Allowable Costs/Cost Principles Type of Finding: Significant Deficiency in Internal Control over Compliance, Other Matters Criteria or Specific Requirement: Compliance: 2 CFR section 200.403 states, in part, except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles. (b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items. (c) Be consistent with policies and procedures that apply uniformly to both federally-financed and other activities of the non-Federal entity. (d) Be accorded consistent treatment. A cost may not be assigned to a Federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the Federal award as an indirect cost. (e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part. (f) Not be included as a cost or used to meet cost sharing or matching requirements of any other federally-financed program in either the current or a prior period. (g) Be adequately documented. Control – Per 2 CFR section 200.303(a), a non-Federal entity must: Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should comply with the guidance in "Standards for Internal Control in the Federal Government" issued by the Comptroller General of the United States or the "Internal Control-Integrated Framework," issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition/Context: For one of sixty transactions selected for testing, Anne Arundel County Board of Education (the Board) was unable to provide documentation supporting that the payment was allowable under the program. The invoice supporting an employee purchase for summer baking/cooking camp could not be provided. Questioned Costs: $31.93, the amount of the unsupported employee purchase. Cause: The Board’s procedures were not sufficient to ensure that it maintained documentation supporting employee purchases. Internal controls did not prevent or detect the error. Effect: Unallowable costs could be charged to the program. Recommendation: We recommend that the Board review its policies and procedures to ensure that it maintains documentation supporting employee purchases and that this documentation is readily available for audit. Views of responsible officials: Explanation of disagreement with audit finding: There is no disagreement with the audit finding. AACPS acknowledges that a receipt supporting the $31.93 purchase could not be located. AACPS made several attempts during the single audit's development phase to procure the receipt from the employee, but without success. Throughout the audit, the teacher furnished a detailed account of the purchased items and the purpose behind it. Nevertheless, the supervisor had sanctioned the purchase, the teacher provided a valid reason for the missing receipt, and the amount was negligible. The principal had initially approved the purchase, and supervisor authorization is standard procedure for all purchases, either before or after the transaction. Therefore, AACPS believes this finding should be considered immaterial and requests its exclusion from the single audit report. Action taken in response to finding: A meeting has been scheduled with the Supervisor of Purchasing to begin the process to review the Purchasing Card (PCard) Manual and included processes and procedures. AACPS will review and update as necessary to ensure that all staff members who have PCard responsibility (purchase and approval authority) are aware of the crucial need to maintain accurate and complete records, including copies of all receipts. AACPS believes its current policies and procedures are sufficient and provide sound internal controls. Name(s) of the contact person(s) responsible for corrective action: Matthew Stanski, Chief Financial Officer; Krishna Bappanad, Supervisor of Finance; Mary Jo Childs, Supervisor of Purchasing. Planned completion date for corrective action plan: February 28, 2024.
View Audit 293830 Questioned Costs: $1
SEE CORRECTIVE ACTION PLAN IN AUDIT REPORT PDF
SEE CORRECTIVE ACTION PLAN IN AUDIT REPORT PDF
View Audit 293811 Questioned Costs: $1
SEE CORRECTIVE ACTION PLAN IN AUDIT REPORT PDF
SEE CORRECTIVE ACTION PLAN IN AUDIT REPORT PDF
View Audit 293811 Questioned Costs: $1
Management concurs with the recommendation. Berklee will review and enhance processes related to reporting key items to the COD System.
Management concurs with the recommendation. Berklee will review and enhance processes related to reporting key items to the COD System.
Management concurs with the recommendation. Berklee will review and enhance processes related to reporting key items to the COD System. The institution will also update key fields to accommodate changes during the awarding process to ensure they agree with records.
Management concurs with the recommendation. Berklee will review and enhance processes related to reporting key items to the COD System. The institution will also update key fields to accommodate changes during the awarding process to ensure they agree with records.
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