Corrective Action Plans

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MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE AND MATERIAL NONCOMPLIANCE – U.S. DEPARTMENT OF EDUCATION, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, SPECIAL EDUCATION CLUSTER (INCLUDING COVID-19 FUNDING) – FEDERAL ALN 84.027 AND 84.173 2023-002 Internal Control Over Compliance and Ma...
MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE AND MATERIAL NONCOMPLIANCE – U.S. DEPARTMENT OF EDUCATION, PASSED THROUGH MINNESOTA DEPARTMENT OF EDUCATION, SPECIAL EDUCATION CLUSTER (INCLUDING COVID-19 FUNDING) – FEDERAL ALN 84.027 AND 84.173 2023-002 Internal Control Over Compliance and Material Noncompliance With Federal Allowable Costs Requirements Finding Summary 2 CFR § 200.405 specifies a cost is allocable to a particular federal award if the goods or services involved are chargeable or assignable to that federal award in accordance with relative benefits received. This standard is met if: the cost is incurred specifically for the award, the cost can be distributed in proportions that may be approximated using reasonable methods, and if the cost is necessary to the overall operation of the District and is assignable in part to the federal award in accordance with the principles in 2 CFR 200 Subpart E – Cost Principles. During our audit, we noted that the District did not have adequate internal controls in place to ensure all salary costs charged to the federal special education cluster program met the standard for an allowable or allocable cost as defined by the U.S. Office of Management and Budget’s Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) allowable costs standards, which resulted in a reportable instance of noncompliance. Corrective Action Plan Actions Planned – The District’s Finance Director, along with special education staff, will review all salaries and benefits being charged to the special education cluster in fiscal 2024 to ensure that adequate time and effort documentation will be maintained for all salaries charged to the program so only allowable costs are being claimed for federal reimbursement. The District will also review its policies and procedures relating to allowable costs for its federal programs to ensure compliance with the Uniform Guidance in the future. Official Responsible – Brady Hoffman, Finance Director. Planned Completion Date – June 30, 2024. Disagreement With or Explanation of Finding – The District is in agreement with this finding. Plan to Monitor – Brady Hoffman, Finance Director, will monitor implementation of the corrective action plan to ensure compliance with the Uniform Guidance in the future.
View Audit 4067 Questioned Costs: $1
Thesecurity deposit account was not fully funded until August of 2023. At June 30, 2023, the resident security deposit account did not equal or exceed the deposits collected from residents by $17725. (1) Comments on the Finding and Each Recommendation - The Company agrees with the finding and recomm...
Thesecurity deposit account was not fully funded until August of 2023. At June 30, 2023, the resident security deposit account did not equal or exceed the deposits collected from residents by $17725. (1) Comments on the Finding and Each Recommendation - The Company agrees with the finding and recommendation.; (2) Actions Taken on the Finding - The Company transferred $20000 to the security deposit account and will closely monitor the liability to ensure that the asset account is adequately funded. No further action required.
View Audit 4061 Questioned Costs: $1
Finding 2342 (2023-001)
Significant Deficiency 2023
Corrective action plan: Catholic Charities will begin completing a standard checklist to ensure all client files have been completed by case managers. These checklists will then be reviewed by the Center's Lead Case Managers and Director prior to submission of any check requests. This review include...
Corrective action plan: Catholic Charities will begin completing a standard checklist to ensure all client files have been completed by case managers. These checklists will then be reviewed by the Center's Lead Case Managers and Director prior to submission of any check requests. This review includes a review of the client leases as well as rent reasonableness documentation. Personnel responsible for corrective action: Linda Zamora (Director of the Center for Self Sufficiency and Housing Assistance), Andy Najar (Associate Director), Annabelle Perez (Case Manager II/Landlord Engagement Specialist), Santana Leyba (Case Manager II), and Barney Sanchez, Carla Bustillos, Jessica Montoya, Rudolfo Carrillo (Case Managers). Estimated corrective action completion date: September 8, 2023
View Audit 4022 Questioned Costs: $1
Finding 2340 (2023-003)
Significant Deficiency 2023
Antelope County will complete the annual expenditure report as required by ARPA Funding.
Antelope County will complete the annual expenditure report as required by ARPA Funding.
Finding 2325 (2023-003)
Significant Deficiency 2023
Holt County will create a spreadsheet that will track expenditures and obligations.
Holt County will create a spreadsheet that will track expenditures and obligations.
Identification: 93.498 United States Department of Health and Human Services, Provider Relief Fund and American Rescue Plan Rural Distribution; Noncompliance Finding/Material Weakness; Activities Allowed Compliance Requirement. Corrective Action Plan: The Hospital District will make improvements to ...
Identification: 93.498 United States Department of Health and Human Services, Provider Relief Fund and American Rescue Plan Rural Distribution; Noncompliance Finding/Material Weakness; Activities Allowed Compliance Requirement. Corrective Action Plan: The Hospital District will make improvements to its procedures over federal grant reporting to ensure that future reporting submissions do not contain duplicated expenditures. Anticipated completion date: The Hospital District will implement improvements to its procedures over federal grant reporting beginning in FY 2024.
View Audit 3969 Questioned Costs: $1
Finding 2310 (2023-001)
Material Weakness 2023
2023-001 - Management Fees Name of contact person - Vicky Dwyer, CFO, Great Lakes Management Company Corrective action - Management began the process of requesting these changes from HUD prior to when the changes went into effect, working through the mortgage company. However, due to turnover at t...
2023-001 - Management Fees Name of contact person - Vicky Dwyer, CFO, Great Lakes Management Company Corrective action - Management began the process of requesting these changes from HUD prior to when the changes went into effect, working through the mortgage company. However, due to turnover at the mortgage company, the request for approval by HUD was never sent to HUD. As a result, management is now currently in the process of working with HUD and the mortgage company to obtain all necessary approvals. Proposed completion date - Management has put in the necessary requests with HUD and the mortgage company to receive the necessary approvals, and the finding will be corrected once HUD has issued its approval or other response to management.
View Audit 3955 Questioned Costs: $1
2023-001 - Management Fees Name of contact person - Vicky Dwyer, CFO, Great Lakes Management Company Corrective action - Management began the process of requesting these changes from HUD prior to when the changes went into effect, working through the mortgage company. However, due to turnover at t...
2023-001 - Management Fees Name of contact person - Vicky Dwyer, CFO, Great Lakes Management Company Corrective action - Management began the process of requesting these changes from HUD prior to when the changes went into effect, working through the mortgage company. However, due to turnover at the mortgage company, the request for approval by HUD was never sent to HUD. As a result, management is now currently in the process of working with HUD and the mortgage company to obtain all necessary approvals. Proposed completion date - Management has put in the necessary requests with HUD and the mortgage company to receive the necessary approvals, and the finding will be corrected once HUD has issued its approval or other response to Management.
View Audit 3954 Questioned Costs: $1
Finding 2023-002 Pell Under Awarded It was discovered during the annual audit that Pell Grant awards for the 2022-2023 academic year were calculated on the original Pell Grant Payment Schedules released by the US Dept of Education. The financial aid office did not see the communication from the US ...
Finding 2023-002 Pell Under Awarded It was discovered during the annual audit that Pell Grant awards for the 2022-2023 academic year were calculated on the original Pell Grant Payment Schedules released by the US Dept of Education. The financial aid office did not see the communication from the US Dept of Education regarding the Revised Pell Grant Payment Schedules which were released later in the spring of 2022. As a result, students were under awarded. Corrective Action The Director of Financial Aid (DFA) contacted the US Dept of Education for guidance on how to rectify the issue. The DFA was instructed to request an extension of the 2022-2023 Pell Grant processing via a link on the COD website. The extension was approved. The DFA then manually processed a Pell Grant disbursement for each Pell Grant recipient to increase the total Pell Grant award for each to the amount entitled. Each of the 80 Pell Grant recipients was issued a check as payment for the balance of the Pell Grant award. The checks were distributed the week of October 16, 2023 to each student along with a written explanation of the oversight. Going forward, the DFA will periodically check the US Dept of Education Knowledge Center website to ensure any schedule revisions are obtained. Person Responsible for Corrective Action: Ginger Krummen Schraven Timing of Corrective Action: October 2023
Finding 2291 (2023-001)
Significant Deficiency 2023
Finding 2023-001 Common Origination and Disbursement (COD) Reporting Two instances were found in which the disbursement date on COD did not match the date on the student ledger. Corrective Action Going forward, the Director of Financial Aid (DFA) will provide the Bursar with a report from the COD...
Finding 2023-001 Common Origination and Disbursement (COD) Reporting Two instances were found in which the disbursement date on COD did not match the date on the student ledger. Corrective Action Going forward, the Director of Financial Aid (DFA) will provide the Bursar with a report from the COD that reflects the disbursement date. Before posting federal award batches, the Bursar will verify the date on the batch matches the SIS system. Person Responsible for Corrective Action: Ginger Krummen Schraven Timing of Corrective Action: October 2023
2023-001 SEGREGATION OF ACCOUNTING FUNCTIONS Recommendation: The cost of additional personnel to properly segregate accounting and financial responsibilities would appear to outweigh the benefits received. However, the management and Board of Education should constantly be aware of the possibil...
2023-001 SEGREGATION OF ACCOUNTING FUNCTIONS Recommendation: The cost of additional personnel to properly segregate accounting and financial responsibilities would appear to outweigh the benefits received. However, the management and Board of Education should constantly be aware of the possibility that errors or fraud could occur and continue current practices mitigating these possibilities and examine and implement other mitigating controls when appropriate. Action Taken: The District has assessed the benefits and costs associated with proper segregation of duties for the district and has determined that costs would outweigh benefits received. The District understands the inherent risks associated with improper segregation of accounting functions. Management has communicated the need for transactions to be well supported by documentation as well as seeking appropriate authorization when appropriate. The District requires monthly reporting to the Board of Education for all disbursements to ensure transactions are proper and potential errors and irregularities are identified on a timely basis. The District will continue to review accounting procedures and processes to further mitigate this internal control deficiency whenever possible and feasible.
Findings - Financial Statement Audit: None Findings - Federal Award Programs Audit: U.S. Department of Housing and Urban Development Finding 2023-001: Section 223(f) Loan Program, CFDA 14.155 Recommendation: Make the required delinquent deposit to the security deposit trust account and ensure tha...
Findings - Financial Statement Audit: None Findings - Federal Award Programs Audit: U.S. Department of Housing and Urban Development Finding 2023-001: Section 223(f) Loan Program, CFDA 14.155 Recommendation: Make the required delinquent deposit to the security deposit trust account and ensure that the tenant security deposit liability is fully funded by the trust cash account at all times, as required by the Regulatory Agreement. Action Taken: Management deposited the required deposit to the security deposit trust cash account on July 17, 2023.
U.S. DEPARTMENT OF EDUCATION MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE 2023-002 – Special Tests and Provisions – Wage Rate Requirements Recommendation: We recommend that the District or its agent review their internal controls and policies over payments on contracts subject to the Dav...
U.S. DEPARTMENT OF EDUCATION MATERIAL WEAKNESS IN INTERNAL CONTROL OVER COMPLIANCE 2023-002 – Special Tests and Provisions – Wage Rate Requirements Recommendation: We recommend that the District or its agent review their internal controls and policies over payments on contracts subject to the Davis-Bacon Act provision to ensure the required weekly certified contractor and subcontractor payrolls and statements of compliance are obtained and compared to applicable approved wage rates before approving payment. Actions Planned/Taken: The District will establish controls to follow all applicable Uniform Guidance requirements, including the requirements of 29 CFR section 5.5 when applicable. Contact Person Responsible for Corrective Action: Michelle Heisler, Business Manager Planned Completion Date: November 2023
Corrective Action Plan: New procedures to effectively collaborate and share information between financial aid and student accounts will be drafted to ensure unclaimed checks are processed within the required window. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sh...
Corrective Action Plan: New procedures to effectively collaborate and share information between financial aid and student accounts will be drafted to ensure unclaimed checks are processed within the required window. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
Corrective Action Plan: CCV CCV implemented new processes in March and June of 2023 to address these issues. The first process verifies that a student’s aid has been updated and recalculated before closing the record. The second process ensures additional training and controls to make sure student w...
Corrective Action Plan: CCV CCV implemented new processes in March and June of 2023 to address these issues. The first process verifies that a student’s aid has been updated and recalculated before closing the record. The second process ensures additional training and controls to make sure student withdrawals occur within the appropriate timeframe. VTSU VTSU reprocessed the error return to the Title IV funds with the correct information and cancelled the loan completely. Training with all staff has been reinforced. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
Corrective Action Plan: VTSU A new process for verifying last date of attendance by the registrar’s office was implemented for the 2023-2024 academic year. The new process includes verifying last date of attendance supplied by the student on their withdrawal form with faculty. The verified date will...
Corrective Action Plan: VTSU A new process for verifying last date of attendance by the registrar’s office was implemented for the 2023-2024 academic year. The new process includes verifying last date of attendance supplied by the student on their withdrawal form with faculty. The verified date will be used for all transactions of record. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
Corrective Action Plan: VTSU This was an isolated instance and attributed to human error. Training with all staff has been reinforced. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
Corrective Action Plan: VTSU This was an isolated instance and attributed to human error. Training with all staff has been reinforced. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Sharron Scott, CFO
The following action has been implemented to ensure that the required information is collected and reported timely in the FFATA Subaward Reporting System (FSRS). Beginning in the fiscal year 2024, the Company implemented a formal policy and procedure to file a FFATA sub-award report by the end of th...
The following action has been implemented to ensure that the required information is collected and reported timely in the FFATA Subaward Reporting System (FSRS). Beginning in the fiscal year 2024, the Company implemented a formal policy and procedure to file a FFATA sub-award report by the end of the month following the month in which they award any sub-grant or amendment equal to or greater than $30,000 in federal funds. The Company has completed and filed the required FFATA Subaward reporting for those sub-grants equal to or greater than $30,000 in federal funds and is current with the required reporting as of November 2023 and will monitor future sub-grants of federal funds in order to comply with the reporting requirements. Individual(s) Responsible for Corrective Action Plan Name: Meghan Biggs Position: VP & Controller Contact Number: (703) 739 7516 Anticipated Completion Date: November 2, 2023
$1,096 was deposited to the Replacement Reserve account in September 2023 to replenish the account for the erroneous unauthorized withdrawal from the account in June 2023
$1,096 was deposited to the Replacement Reserve account in September 2023 to replenish the account for the erroneous unauthorized withdrawal from the account in June 2023
View Audit 3879 Questioned Costs: $1
I am acknowledging the finding of the Federal Audit team in which an error in my spreadsheet was documented resulting in requesting a recurring expenditure on two different pay requests. The correction was made the day of the audit through coding other expenditures matching the qualifying expenditur...
I am acknowledging the finding of the Federal Audit team in which an error in my spreadsheet was documented resulting in requesting a recurring expenditure on two different pay requests. The correction was made the day of the audit through coding other expenditures matching the qualifying expenditures. In the future, the district spreadsheets will include review by the bookkeeper and superintendent to ensure the fund pay requests are correct and not repeated. By multiple review and the addition of PO number and date of pay request this will easily define a possible "doubling up" of items for a pay request. This was one finding and all other accounts reviewed were correct and accurate. Additional expenditures were corrected and easily matched the grant funds obtained through reimbursement. The new procedure will begin immediately. Tara Lewis Superintendent
Need Analysis and Loan Proration Planned Corrective Action: Executive Director will provide in-house training to all advising staff to ensure proper understanding of awarding, paying special attention to over award resolution. Several selection sets have been created in PowerFAIDS to aid in identif...
Need Analysis and Loan Proration Planned Corrective Action: Executive Director will provide in-house training to all advising staff to ensure proper understanding of awarding, paying special attention to over award resolution. Several selection sets have been created in PowerFAIDS to aid in identifying over awarded students and these will be run and monitored regularly. In June 2023, WBU hired a full-time staff member to serve as a Financial Aid Compliance Specialist in the Office of Financial Aid and this position is devoted to internal audit and federal/state regulation compliance. Person Responsible for Corrective Action Plan: Christy Miller, Executive Director of Financial Aid Anticipated Date of Completion: October 31, 2023
View Audit 3804 Questioned Costs: $1
Incorrect Pell Calculations Planned Corrective Action: PowerFAIDS set-up has been adjusted to accommodate individual Period of Enrollment processing for the 2023-24 academic year. Related procedures have also been updated. These adjustments should reduce the amount of manual calculation of Pell eli...
Incorrect Pell Calculations Planned Corrective Action: PowerFAIDS set-up has been adjusted to accommodate individual Period of Enrollment processing for the 2023-24 academic year. Related procedures have also been updated. These adjustments should reduce the amount of manual calculation of Pell eligibility needed for modular enrollment, which will reduce the chance of similar over and under awarding in the future by reducing the risk of human error. Executive Director has provided in-house training to all advising staff to ensure proper understanding of calculating Pell. In June 2023, WBU hired a full-time staff member to serve as a Financial Aid Compliance Specialist in the Office of Financial Aid and this position is devoted to internal audit and federal/state regulation compliance. Person Responsible for Corrective Action Plan: Christy Miller, Executive Director of Financial Aid Anticipated Date of Completion: October 31, 2023
View Audit 3804 Questioned Costs: $1
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Wayland Baptist University will implement multi-factor authentication (MFA) in alignment with Center for Internet Security (CIS) Control 6 for all externally exposed applications. We will mitigate risk for internal-only applicatio...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Wayland Baptist University will implement multi-factor authentication (MFA) in alignment with Center for Internet Security (CIS) Control 6 for all externally exposed applications. We will mitigate risk for internal-only applications by enabling MFA where available and authorizing access to vulnerable applications only from our Single Sign On (SSO) and MFA portals when available. We will evaluate and implement a third-party solution to assist in automated vulnerability scanning of internal and externally exposed assets in alignment with CIS Control Safeguards 7.5 and 7.6. We will evaluate and implement a third-party solution to align with CIS Control 18 to conduct penetration testing annually. Establishing a vendor management policy and review standard will be completed with an emphasis on following CIS Control 15, focusing on maintaining an inventory of service providers, including classification of the service providers, and ensuring that service-provider contracts include security requirements. The Chief Information Officer will write and provide annually a report to the Board of Trustees detailing Wayland Baptist University's information security program. Person Responsible for Corrective Action Plan: Cagan Cummings, CIO Anticipated Date of Completion: June 30, 2024
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: 100% of example students (16 which overlap with the 12 mentioned) were accurately reported with a “W” withdrawn status to National Student Clearinghouse (NSC) in a timely (monthly) manner, but thi...
Incorrect Enrollment Reporting to National Student Loan Data System (NSLDS) Planned Corrective Action: 100% of example students (16 which overlap with the 12 mentioned) were accurately reported with a “W” withdrawn status to National Student Clearinghouse (NSC) in a timely (monthly) manner, but this correct status did not get transferred to NSLDS. An internal SSRS report for official and unofficial withdrawals, which also accurately reflects these withdrawn students, will remain available to the WBU offices of Financial Aid and the Registrar for verification as part of the planned corrective action. Several related WBU questions to our primary NSC support employee are awaiting a response from NSC. The NSC reporting tool(s) will be updated to make sure the correct combination of fields and corresponding data sources are used for dates. One of multiple date fields may have been misunderstood by the tool’s historical authors. A field-by-field analysis plus any needed corrections to the queries are part of the planned corrective action. Post-submission error corrections by registrar staff via NSC will be spot-checked by Information Technology for date-related warnings. If this cannot be resolved satisfactorily via NSC alone, then corrective measures via NSLDS directly may be considered. Data improvements needed for the PowerCampus baseline product’s NSC reporting tool will also be included in testing this further. Person Responsible for Corrective Action Plan: Cagan Cummings, CIO and Andrew Shamblin, Programmer Analyst Anticipated Date of Completion: June 30, 2024
Return of Title IV (R2T4) Calculations Planned Corrective Action: Executive Director of Financial Aid will continue to provide regular in-house R2T4 training specific to WBU for all staff and will ensure all pertinent staff responsible for R2T4 complete R2T4 training provided by FSA and purchased t...
Return of Title IV (R2T4) Calculations Planned Corrective Action: Executive Director of Financial Aid will continue to provide regular in-house R2T4 training specific to WBU for all staff and will ensure all pertinent staff responsible for R2T4 complete R2T4 training provided by FSA and purchased through NASFAA. The staff member responsible for disbursements, being new to her role in fall of 2022, did not realize that fall disbursements needed to be processed even after the end of the fall term. Once discovered, this was immediately addressed. In June 2023, WBU hired a full-time staff member to serve as a Financial Aid Compliance Specialist in the Office of Financial Aid and this position is devoted to internal audit and federal/state regulation compliance. Person Responsible for Corrective Action Plan: Christy Miller, Executive Director of Financial Aid Anticipated Date of Completion: October 31, 2023
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