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Corrective Action Plans

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Finding 523554 (2024-002)
Significant Deficiency 2024
Kentucky Wesleyan College
KY
Student Financial Aid Matching / Level of Effort / Earmarking Special Tests & Provisions
The Director of Financial Aid will review and verify the funds that were disbursed to the students account match the disbursement dates in COD on the date the transfer batch report is sent to the College’s Business Office. Completion date: 2/15/2025. Responsible staff: Crystal Hamilton, Director of ...
The Director of Financial Aid will review and verify the funds that were disbursed to the students account match the disbursement dates in COD on the date the transfer batch report is sent to the College’s Business Office. Completion date: 2/15/2025. Responsible staff: Crystal Hamilton, Director of Financial Aid
View Audit 342864
Finding 523533 (2024-002)
Material Weakness 2024
Boys and Girls Club of Dane County, Inc.
WI
Subrecipient Monitoring Eligibility Reporting
Recommendation: Procedures and forms should be updated per award requirements and eligibility determination should be reviewed and approved by an appropriate supervisor annually. The organization’s directors and grants compliance director should receive training on eligibility and be provided with w...
Recommendation: Procedures and forms should be updated per award requirements and eligibility determination should be reviewed and approved by an appropriate supervisor annually. The organization’s directors and grants compliance director should receive training on eligibility and be provided with written procedures for determining eligibility, completing the required documentation, and when and how reviews and approvals should be documented. Action Taken: Boys & Girls Clubs of Dane County is establishing a formal policy around TANF Eligibility and an SOP for Club Directors and staff to follow. TANF Eligibility Forms will be collected at each registration period to include the academic year and summer camp sessions. The collection of forms from families will be in MyClubHub and part of the registration process. A member cannot attend until the full registration process is complete with all respective paperwork. The individuals responsible are: Membership Services Associates, AVP of Operations, Sr. VP of Operations, Sr. Director of Grants & Compliance. The anticipated completion date is March 31, 2025.
View Audit 342825
Edward Romero Terrace
FL
HUD Housing Programs Eligibility Reporting
Oversight Agency for Audit, Edward Romero Terrace respectfully submits the following corrective action plan for the year ended September 30, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067. Au...
Oversight Agency for Audit, Edward Romero Terrace respectfully submits the following corrective action plan for the year ended September 30, 2024. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067. Audit period: October 1, 2023 through September 30, 2024 The finding from the September 30, 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number in the schedule. SECTION III - FINDINGS AND QUESTIONED COSTS – MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2024-001: Section 202 Supportive Housing for the Elderly, ALN 14.157 Recommendation: The Project should implement procedures to ensure all documentation related to tenants are properly executed and maintained for move-in inspection reports, lease addendum items and tenant recertification. Action Taken: Monthly reminders are being sent to all managers to run their EIV reports for the month. In addition, random files are being reviewed by compliance to ensure EIV reports are pulled, unit inspections performed, and required documentation is complete and accurate. If the Oversight Agency for Audit has questions regarding the plan, please call Irene Phillips at 954-835-9200. Sincerely yours, Irene Phillips Irene Phillips CFO
View Audit 342800
Finding 523499 (2024-001)
Significant Deficiency 2024
The United Methodist Children's Home of the North Georgia Conference, Inc.
GA
Reporting § 200.303
Grantee Response and Corrective Action Plan: Management agrees with the findings. The Organization has hired a Senior Accountant who is responsible for grant reporting including quarterly Federal Financial Reporting (FFR). Additionally, to ensure the quarterly FFR’s are timely and properly document,...
Grantee Response and Corrective Action Plan: Management agrees with the findings. The Organization has hired a Senior Accountant who is responsible for grant reporting including quarterly Federal Financial Reporting (FFR). Additionally, to ensure the quarterly FFR’s are timely and properly document, current policies and procedure have been updated to include the following: • Senior Accounting will prepare the SF-425 by the 5th of the month after the end of the quarter and email the report to the Controller. • The Controller will review the SF-425 for accuracy and forward report to the Chief Operating Officer for approval. • The Controller will forward the approved SF-425 to the Senior Accountant for release to the awarding agency. • The Senior Accountant will email the report to the account liaison of the awarding agency no later than the 15th of the reporting period and copy the Controller on the submission. • The Senior Accountant and Controller will maintain a digital record of the SF-425 and of the submission communication to the awarding agency.
View Audit 342768
Finding 523467 (2024-002)
Significant Deficiency 2024
Mississippi Home Corporation
MS
Subrecipient Monitoring Reporting
2024 –002 Reporting – Federal Funding Accountability and Transparency Act Program: Housing Opportunities for Persons with AIDS (HOPWA) Assistance Listing Number 14.241 Name of Contact Person: Lisa Coleman, Senior Vice President of Federal Grants Corrective Action: MHC has identified HOPWA subawards...
2024 –002 Reporting – Federal Funding Accountability and Transparency Act Program: Housing Opportunities for Persons with AIDS (HOPWA) Assistance Listing Number 14.241 Name of Contact Person: Lisa Coleman, Senior Vice President of Federal Grants Corrective Action: MHC has identified HOPWA subawards for submission in the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) for fiscal year 2024. The subawards will be submitted in FSRS, and MHC has updated its procedures to ensure required reporting in the future. A decision tree outlining when subawards must be reported in the FSRS has been added to the HOPWA Post-Award Checklist. The reporting will be conducted by the Assistant Vice President of Grants Compliance and Reporting and will be verified by the Vice President of Grant Management. Additionally, MHC will continue to report subawards in the U.S. Department of Housing and Urban Development (HUD) Integrated Disbursement & Information System (IDIS) and the Consolidated Annual Performance Evaluation Report (CAPER). Completion Date: December 31, 2024
View Audit 342720
Finding 523458 (2024-006)
Significant Deficiency 2024
Crawfordsville Community School Corporation
IN
Special Tests & Provisions Subrecipient Monitoring Reporting § 200.303
Information on the federal program: Subject: Education Stabilization Fund – Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers: S425D210013, S425U210013 Pass-Through Enti...
Information on the federal program: Subject: Education Stabilization Fund – Internal Controls Federal Agency: Department of Education Federal Program: COVID-19 - Education Stabilization Fund Assistance Listing Number: 84.425D, 84.425U Federal Award Numbers: S425D210013, S425U210013 Pass-Through Entity: Indiana Department of Education Compliance Requirement: Special Tests and Provisions - Wage Rate Requirements Audit Findings: Significant Deficiency Context: For the three projects sampled for Davis-Bacon requirements, the contracts with the companies did not include the clauses for the federal wage rate requirements. The amount disbursed and reported on the SEFA during the audit period is $1,367,798. The School Corporation did obtain the weekly payroll reports certifications from the companies that performed renovations. Contact Person Responsible for Corrective Action: Andrew J Nicodemus, Business Manager Contact Phone Number: 765-362-2342 x6 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Crawfordsville Community School Corporation plans to review all internal control procedures, including the controls over Special Tests and Provisions – Wage Rate Requirements for the Education Stabilization Fund. After this review, we will implement a system to ensure that the proper procedures are completed and fully integrated into our internal control structure. We will implement additional training for all staff involved and will have a designated place where this support is kept. Anticipated Completion Date: We expect this Corrective Action to be implemented as of the current date due to this grant being completed and the School Corporation is not expected to have these grant funds in the future.
View Audit 342716
Finding 523436 (2024-003)
Material Weakness 2024
Housing Authority of the City Or River Falls
WI
Reporting Internal Control / Segregation of Duties
Corrective Action Planned: The material misstatements detected as a result of audit procedures were corrected by management. The Authority will review all adjusting entries posted and make all such necessary adjustments in the future. The Executive Director will continue to monitor all financial act...
Corrective Action Planned: The material misstatements detected as a result of audit procedures were corrected by management. The Authority will review all adjusting entries posted and make all such necessary adjustments in the future. The Executive Director will continue to monitor all financial activity and adjust account balances as needed throughout the year and at year end to prevent misstatements.
View Audit 342712
Finding 523432 (2024-001)
Significant Deficiency 2024
Housing Authority of the City Or River Falls
WI
Internal Control / Segregation of Duties Reporting
Corrective Action Planned: Due to the Authority’s size, it is cost-prohibitive and impractical to achieve the ideal level of segregation of duties. The Authority has implemented as many controls and segregation of duties as practically possible for an organization of this size.
Corrective Action Planned: Due to the Authority’s size, it is cost-prohibitive and impractical to achieve the ideal level of segregation of duties. The Authority has implemented as many controls and segregation of duties as practically possible for an organization of this size.
View Audit 342712
Finding 523344 (2024-003)
Significant Deficiency 2024
Northwestern Oklahoma State University
OK
Student Financial Aid Matching / Level of Effort / Earmarking Special Tests & Provisions
Views of responsible officials and planned corrective actions - Northwestern Oklahoma State University agrees with the auditor's findings and recommendations. Upon review, the status changes were submitted to the Clearinghouse within the mandatory time frame; however, the Clearinghouse database did...
Views of responsible officials and planned corrective actions - Northwestern Oklahoma State University agrees with the auditor's findings and recommendations. Upon review, the status changes were submitted to the Clearinghouse within the mandatory time frame; however, the Clearinghouse database did not reflect the updates. University management will communicate with the Clearinghouse to try and resolve any conflicts with data uploads causing the errors.
View Audit 342631
Chicago Ridge Public School District 127.5
IL
Reporting § 200.512
Finding: The District's fiscal year 2023 Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the required time period. The Single Audit reporting package for the District's fiscal year ended June 30, 2023 should have been submitted to the Federal Audit Clearing...
Finding: The District's fiscal year 2023 Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the required time period. The Single Audit reporting package for the District's fiscal year ended June 30, 2023 should have been submitted to the Federal Audit Clearinghouse by March 31, 2024. Corrective Actions Taken or Planned: As part of the policies and procedures update, the Business Office has included a section on compliance, with the creation of a compliance calendar to ensure all filings are completed on a timely basis including auditor and auditee certifications for the Federal Audit Clearinghouse. The Business Office will continue to follow internal policies and procedures, including deadlines for fiscal year-end process. Contact Person: Kathy Picciolini Business Manager/CSBO Anticipated Completion Date: March 31, 2025
View Audit 342607
Finding 523312 (2024-001)
Material Weakness 2024
Wisconsin Primary Health Care Association, Inc., and Affiliate
WI
Subrecipient Monitoring Allowable Costs / Cost Principles Reporting § 200.302
WHPCA has hired a third-party accountant as well as implemented additional monitoring and review and approval procedures to strengthen its financial management.
WHPCA has hired a third-party accountant as well as implemented additional monitoring and review and approval procedures to strengthen its financial management.
View Audit 342580
Finding 523302 (2024-003)
Material Weakness 2024
Seward County Community College
KS
Student Financial Aid Reporting Matching / Level of Effort / Earmarking
2024-003 – Student Financial Assistance Cluster – Special Tests and Provisions – NSLDS Enrollment Reporting Condition During testing, it was determined that 31 of the 60 students tested for enrollment status changes had missing status changes, late certification dates, or incorrect information refle...
2024-003 – Student Financial Assistance Cluster – Special Tests and Provisions – NSLDS Enrollment Reporting Condition During testing, it was determined that 31 of the 60 students tested for enrollment status changes had missing status changes, late certification dates, or incorrect information reflected within their NSLDS reporting. Recommendation We recommend that the College review its control policies to ensure that reporting is completed accurately and timely. Wherever possible, any technological errors discovered should be pursued with the responsible party in order to try to determine a cause, and a solution or preventative measure should be implemented to prevent future errors from occurring. Comments on the Finding Management is aware of the oversight and will ensure that there are processes in place for this to be improved upon. Actions Taken By June of 2025, the National Student Clearinghouse reporting responsibility will be transferred to the Financial Aid Office. The employee taking on the responsibility will undergo training with the Clearinghouse and will work with the College’s Office of Assessment and Research to ensure that all parameters are set up correctly within Banner to ensure that reported information pulls correctly from the software.
View Audit 342554
Finding 523293 (2024-008)
Significant Deficiency 2024
The Hughen Center, INC
TX
School Nutrition Programs Reporting Significant Deficiency
Finding #2024-008 – Significant Deficiency. Applicable federal programs: U. S. Department of Agriculture, Passed through Texas Education Agency: School Breakfast Program, AL#10.553, Contract #: 71402301, Contract period: 10/01/22 – 09/30/23, School Breakfast Program, AL#10.553, Contract #: 71402401...
Finding #2024-008 – Significant Deficiency. Applicable federal programs: U. S. Department of Agriculture, Passed through Texas Education Agency: School Breakfast Program, AL#10.553, Contract #: 71402301, Contract period: 10/01/22 – 09/30/23, School Breakfast Program, AL#10.553, Contract #: 71402401, Contract period: 10/01/23 – 09/30/24, National School Lunch Program, AL#10.555, Contract #: 71302301, Contract period: 10/01/22 – 09/30/23, National School Lunch Program, AL#10.555, Contract #: 71302401, Contract period: 10/01/23 – 09/30/24. U. S. Department of Education, Passed through Texas Education Agency: Special Education Grants to States, AL#84.027A, Contract #: 246600011238076600, Contract period: 08/08/23 – 09/30/24, Special Education Preschool Grants, AL#84.173A, Contract #: 24660011238076610, Contract period: 08/08/23 – 09/30/24, Special Education Preschool Grants, AL#84.173X, Contract #: 24660011238076610, Contract period: 10/01/22 – 09/30/23. Condition and context: Same as finding #2024-006. Recommendation: Same as finding #2024-006. Planned corrective action: Same as finding #2024-006. Responsible officer: Chief Financial Officer – Lea Ann Hendrick. Estimated completion date: Same as finding #2024-006.
View Audit 342551
Finding 523289 (2024-001)
Significant Deficiency 2024
Fundacion De Desarollo Comunal De Puerto Rico
PR
Reporting § 200.328
FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) acknowledges the findings identified during the single audit regarding reporting requirements stemming from a lack of personnel. However, FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) has already contracted capable per...
FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) acknowledges the findings identified during the single audit regarding reporting requirements stemming from a lack of personnel. However, FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) has already contracted capable personnel to assist in the finance department to comply with financial reports. FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) will conduct a comprehensive assessment of the technical training needs of the identified personnel. Evaluate their current knowledge and skill levels related to reporting requirements, accounting principles, and compliance regulations. Also, FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) will determine the most effective delivery method for the training program, considering the learning references and availability of personnel. Options may include: • In-person workshops or seminars led by subject matter experts. • Online courses or virtual training sessions accessible remotely. • Self-paced learning modules supplemented with instructional materials and resources. Implementing this corrective action plan focused on technical training for personnel responsible for reporting requirements, FUNDACION DE DESARROLLO COMUNAL DE PUERTO RICO, INC. (FUNDESCO) can enhance reporting accuracy, compliance, and overall effectiveness.
View Audit 342549
Finding 523285 (2024-001)
Significant Deficiency 2024
North Santiam School District
OR
Reporting School Nutrition Programs Significant Deficiency
The District took immediate steps to remedy the issue, new reviews are required before and after submission. The Business Manager and Food Services Director have implemented the changes.
The District took immediate steps to remedy the issue, new reviews are required before and after submission. The Business Manager and Food Services Director have implemented the changes.
View Audit 342537
John C. Calhoun Community College
AL
Student Financial Aid Eligibility Reporting
Management’s Response: Management understands the importance of ensuring information is reported accurately and timely and the requirement to report to the NSLDS the enrollment status of students who receive federal funds. The College will review its controls and procedures to ensure that not only a...
Management’s Response: Management understands the importance of ensuring information is reported accurately and timely and the requirement to report to the NSLDS the enrollment status of students who receive federal funds. The College will review its controls and procedures to ensure that not only are status changes reported to the Clearinghouse, but also that the enrollment changes are reported appropriately from the National Student Clearinghouse to NSLDS. Views of Responsible Officials and Corrective Action: We will reassess controls, review these processes and implement controls, including multiple layers of review, to ensure that timely and accurate enrollment reporting is made. Furthermore, the reporting data was appropriately updated subsequent to the required timeframe. Name of Responsible Person: Melissa Creasy, Director of Student Financial Aid Implementation Date: Immediately
View Audit 342533
Finding 523269 (2024-002)
Significant Deficiency 2024
Chicano Federation of San Diego County, Inc.
CA
Reporting
In addition to reconciling the claims to the monthly financial statements, the preparer and the reviewer will also reconcile the year-to-date claim totals to the year-to-date financial statements.
In addition to reconciling the claims to the monthly financial statements, the preparer and the reviewer will also reconcile the year-to-date claim totals to the year-to-date financial statements.
View Audit 342528
Legacy Traditional School - Surprise
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342496
Legacy Traditional School - Queen Creek
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342495
Legacy Traditional School - Phoenix
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342494
Legacy Traditional School - Northwest Tucson
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342493
Legacy Traditional School - North Phoenix
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342491
Legacy Traditional School - North Chandler
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director
View Audit 342490
Legacy Traditional School - Mesa
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342489
Legacy Traditional School - Maricopa
AZ
Subrecipient Monitoring Reporting
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as requi...
Condition: Annual performance report was filed, however support used for such reporting was not provided. Context: Management was unable to provide supporting documentation for the annual performance report filed, resulting in the auditor’s inability to perform key line item 2 (line 3.b10), as required by the compliance supplement. Response: Our management team has acknowledged the finding and is committed to ensuring that we maintain proper back-up documentation for all federal grant and program reporting. We will maintain a file in a shared drive with the annual completion reports for each grant, containing the ledger details to support reporting for each LEA. Contact person responsible for corrective action: 1. Staci Wiese, Director Completion date: June 30, 2025
View Audit 342488
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