Corrective Action Plans

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Management acknowledges the finding. The finding was a result of a counselor not performing their tasks timely at a specific time period. Since the finding there is a new student financial aid director and counselor. Additionally, as this deficiency was restricted to WP online programs, the Universi...
Management acknowledges the finding. The finding was a result of a counselor not performing their tasks timely at a specific time period. Since the finding there is a new student financial aid director and counselor. Additionally, as this deficiency was restricted to WP online programs, the University has expanded staffing in that area to better coincide with an expanding population of students and to further ensure timely processing. The University identified the issue and put procedures in place to ensure that these dates will be met on an ongoing basis prior to the audit review.
Audit Finding Reference: 2023-001 Improve Controls Over Reporting Planned Corrective Action: 1. Request a list from DHHS of definitions of income types by program in the Quarterly Reports. Ensure that this list provides clarity on how to report income that is not explicitly tied to a single progr...
Audit Finding Reference: 2023-001 Improve Controls Over Reporting Planned Corrective Action: 1. Request a list from DHHS of definitions of income types by program in the Quarterly Reports. Ensure that this list provides clarity on how to report income that is not explicitly tied to a single program. 2. Review AFY23 and AFY24-to-date reports against these criteria (once received), and re-submit any reports which may need to be modified to comply with the guidance. 3. Going forward, the Quarterly Reports will be generated differently. The Client Services Manager will prepare actuals by program for number of clients and units. The Director of Administration will prepare actuals by program for income and expense. The Executive Director will compile the final report, which will not be submitted until both the Client Services Manager and Director of Administration have both checked the reports and electronically signed them. In the absence of specific guidance from DHHS to the contrary, any non-program-specific income will be allocated to programs by share of service units delivered. Planned Implementation Date of Corrective Action: 1. 3/29/24. 2. 6/30/24. 3. 4/15/24. Person Responsible for Corrective Action: Tim Diaz, Executive Director
SEE THE AUDIT FINDING FOR CHART/TABLE
SEE THE AUDIT FINDING FOR CHART/TABLE
Finding 2023-002 – Enrollment Reporting Condition: The College did not notify the National Student Loan Data System (NSLDS) in a timely manner for 1 student with a status change out of a sample of 25 tested. Management Response: Management concurs with the finding. Views of Responsible Officials and...
Finding 2023-002 – Enrollment Reporting Condition: The College did not notify the National Student Loan Data System (NSLDS) in a timely manner for 1 student with a status change out of a sample of 25 tested. Management Response: Management concurs with the finding. Views of Responsible Officials and Corrective Action Plan: Lebanon Valley College uses the National Student Clearinghouse (NSC) to transmit enrollment information to the National Student Loan Data System (NSLDS). The College has verified that the student status changes were correctly submitted to the NSC, however the campus and program level information was not properly reflected in NSLDS and did not appear on the error report. This appears to be connected to the outages experienced by NSLDS. The College’s Financial Aid Office, along with the Registrar’s office will begin verifying the number of students on the NSLDS student roster each semester. The roster number will be compared to the number of students expected to be on the roster per Financial Aid data. Any discrepancies in this number will be researched and the discovery of any that did not reach NSLDS will be corrected in conjunction with the NSC and NSLDS. Anticipate Completion Date: April 1, 2024 Name of Responsible Person: Christopher Hanlon, Director of Financial Aid chanlon@lvc.edu
Criteria: 2CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Conditio...
Criteria: 2CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: The Health System’s final expenditure listing identified as eligible and claimed under the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution program were not reviewed and approved by a separate individual outside of the preparer. In addition, the Health System’s special report submitted to the Department of Health and Human Services for Period 4 was not reviewed and approved by a separate individual outside of the preparer. Responsible Individual: Ashley Woodward, Chief Financial Officer Corrective Action Plan: Management is aware of this control deficiency. Management is reviewing its system of internal control over compliance and plans to implement a control process which includes a secondary review and approval of the summarized final expenditure listing used to claim the allowable costs under the federal program and a secondary review and approval of required reports to be submitted to the federal agency. Anticipated Completion Date: June 30, 2024
FA 2023-001 Strengthen Controls over Wage Rate Requirements Compliance Requirement: Special Tests and Provisions Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Departmen...
FA 2023-001 Strengthen Controls over Wage Rate Requirements Compliance Requirement: Special Tests and Provisions Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of Education Assistance Listing Number and Title: COVID-19 - 84.425U - American Rescue Plan Elementary and Secondary School Emergency Relief Fund Federal Award Number: S425U210012 (Year: 2021) Questioned Costs: None Identified Prior Year Finding: Not Applicable Description: A review of construction-related expenditures charged to the Elementary and Secondary School Emergency Relief Fund programs revealed that the School District's internal control procedures were not operating to ensure that Wage Rage Requirements were followed properly. Corrective Action Plans: The School District will review and update the current procedures to ensure that the Wage Rate requirements are met. Estimated Completion Date: June 30, 2024 Contact Person: Dr. Samuel P. Light, Superintendent Telephone: (706) 359-3742 Email: slight@lcboe.us
DEPARTMENT OF HEALTH AND HUMAN SERVICES 2023-002 Head Start Program – Assistance Listing Number 93.600 Recommendation: We recommend procedures be implemented to file all required reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action t...
DEPARTMENT OF HEALTH AND HUMAN SERVICES 2023-002 Head Start Program – Assistance Listing Number 93.600 Recommendation: We recommend procedures be implemented to file all required reports timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Program management has begun the process of strengthening procedures to timelier file all reports. Name(s) of the contact person(s) responsible for corrective action: Program management. Planned completion date for corrective action plan: As soon as possible.
The District agrees with the finding. The District's Registration and Attendance apparatus is undergoing a "makeover" as we speak under the guidance of the Superintendent of Schools such that this will not be a finding going forward.
The District agrees with the finding. The District's Registration and Attendance apparatus is undergoing a "makeover" as we speak under the guidance of the Superintendent of Schools such that this will not be a finding going forward.
Condition: The University did not accurately report the effective date of student's status change to the NSLDS. Of the 40 students selected for enrollment reporting testing, the effective date of the status change for 12 students was not accurately reported. Planned Corrective Action: The cause of t...
Condition: The University did not accurately report the effective date of student's status change to the NSLDS. Of the 40 students selected for enrollment reporting testing, the effective date of the status change for 12 students was not accurately reported. Planned Corrective Action: The cause of the error has been found to be a software issue and the University is actively working with the vendor to determine the ultimate solution. The University has implemented additional controls to ensure that the accurate effective date is reported to the NSLDS in a timely manner. Contact person responsible for corrective action: Diane M. Praet, Associate Vice President and University Registrar Anticipated Completion Date: 3/31/2024
Action taken in response to finding: Fiscal Affairs will review reporting requirements for any funding received; communicate such requirements to the appropriate parties within the University; and coordinate with Office of Research & Sponsored Programs to ensure that the reporting requirement is me...
Action taken in response to finding: Fiscal Affairs will review reporting requirements for any funding received; communicate such requirements to the appropriate parties within the University; and coordinate with Office of Research & Sponsored Programs to ensure that the reporting requirement is met.
The quarterly reports mentioned in the findings were prepared and submitted to the Puerto Rico Housing Department for review and evaluation.
The quarterly reports mentioned in the findings were prepared and submitted to the Puerto Rico Housing Department for review and evaluation.
2023-001 - Accuracy of Reporting to the PRF Portal: U.S. Department of Health and Human Services, COVID-19: Provider Relief Fund and American Rescue Plan ("ARP") Rural Distribution: Assistance Listing Number 93.498 - Reporting Recommendation We recommend that the Organization strengthen its system...
2023-001 - Accuracy of Reporting to the PRF Portal: U.S. Department of Health and Human Services, COVID-19: Provider Relief Fund and American Rescue Plan ("ARP") Rural Distribution: Assistance Listing Number 93.498 - Reporting Recommendation We recommend that the Organization strengthen its system of internal controls to ensure that all reporting that is done and submitted is consistent with requirements and instructions as provided by regulatory agencies. Action Taken Morris Heights Health Center is in the process of updating its Financial Policy & Procedures to strengthen its system of internal controls by including language that requires adequate review of the requirements and instructions of all regulatory reports. The policy also requires the review & sign-off of all regulatory reports by the Controller/CFO prior to any submission. We expect this to be corrected by April 30th, 2024.
Response to Finding 2023-001: Status Changes Management Response Saint Vincent College concurs with the finding of delays in reporting changes of student enrollment status to the National Student Loan Data System (NSLDS) and attributes the delays to 1.) the first cohort of a joint program with an...
Response to Finding 2023-001: Status Changes Management Response Saint Vincent College concurs with the finding of delays in reporting changes of student enrollment status to the National Student Loan Data System (NSLDS) and attributes the delays to 1.) the first cohort of a joint program with another institution reaching completion 2.) a data breach reported by National Student Clearinghouse (NSC) in June 2023. All students identified as being reported outside of the required time period are enrolled in the joint Bachelor of Science degree in Nursing between Saint Vincent College and Carlow University that began in Fall 2019. Under the agreement for this program, the Registrar’s office of Saint Vincent College reports enrollment to the NSLDS via the NSC. Students graduate with a Carlow University degree. Saint Vincent College is to report program completers as withdrawn at the end of the final enrollment period and Carlow University is to report the students as graduated. The first cohort through this arrangement completed the program requirements in May of 2023. The students in this cohort were not included with the other student enrollment status changes reported in May 2023 following the end of the semester/graduation. While Saint Vincent did ultimately report the cohort as withdrawn, it occurred outside of the required time frame. Saint Vincent’s primary method of reporting status changes to the NSLDS is through the NSC. The NSC reported a data breach on June 26, 2023, at which point the College’s IT department instructed the Registrar to immediately stop sending data to the NSC. The resulted in the aforementioned cohort of students not being reported to the NSC or NSLDS until September 2023 when the College’s IT department provided approval for the Registrar to resume sending data to the NSC. Corrective Action Beginning March 1, 2024, Saint Vincent College’s Financial Aid Office in conjunction with Registrar’s office has implemented a 45-day report to verify that all withdrawals and completions have reached NSLDS via the National Student Clearinghouse. The discovery of any that did not reach NSLDS will be manually reported directly on the NSLDS platform to avoid being outside of the 60-day requirement. Further, during any period of known issues/outages of NSC, the College will report status changes directly to NSLDS. Conclusion The College deems that the corrective action steps outlined above will sufficiently resolve the findings and prevent any future instances of untimely reporting of enrollment data to the NSLDS. Responsible Party, Joshua A. Guiser, CPA. Vice President for Finance and Treasurer Chief Financial Officer
Supervision personnel were assigned to ensure that the reports are filed on time. As part of this internal control, the deadlines were scheduled with the personnel involved with the preparation of such reports. In addition, the Internal Audit Office gives follow-up in and require evidence of the rem...
Supervision personnel were assigned to ensure that the reports are filed on time. As part of this internal control, the deadlines were scheduled with the personnel involved with the preparation of such reports. In addition, the Internal Audit Office gives follow-up in and require evidence of the remittance in compliance with this action. Implementation Date: Immediately. Responsible Individuals: Ms. Marisol Monserrate, Head Start Program Director
As a result of changes in Municipality’s Federal Affairs Office management, supervision personnel were assigned to ensure that the reports are filed on time. As part of this internal control, the deadlines were scheduled with the personnel involved with the preparation of such reports. Also, correct...
As a result of changes in Municipality’s Federal Affairs Office management, supervision personnel were assigned to ensure that the reports are filed on time. As part of this internal control, the deadlines were scheduled with the personnel involved with the preparation of such reports. Also, corrections were made to reports for some months as required by the HUD monitor, in order to reflect the correct numbers. In addition, since march 2023 the Internal Audit Office gives follow-up in and require evidence of the remittance in compliance with this action. Implementation Date: Immediately. Responsible Individuals: Ms. Ada Bones, Federal Affairs Office Director
U.S. Department of Education – Passed-through the NYS Education Department COVID-19 Elementary and Secondary School Emergency Relief Fund; Assistance Listing Number 84.425D; Grant Period – Fiscal Year Ended June 30, 2023 Non-Compliance Criteria: According to 2 CFR section 200.313(d)(1), detailed ...
U.S. Department of Education – Passed-through the NYS Education Department COVID-19 Elementary and Secondary School Emergency Relief Fund; Assistance Listing Number 84.425D; Grant Period – Fiscal Year Ended June 30, 2023 Non-Compliance Criteria: According to 2 CFR section 200.313(d)(1), detailed property records must be maintained for equipment acquired under a federal grant award. Records should include a description of the property, a serial number or identification number, the source of funding (including the federal award identification number), who holds title, the acquisition date, cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and ultimate disposition data. Condition: During our audit, we noted the District’s fixed asset records were incomplete for some of the assets acquired with federal grant funding during the fiscal year. Cause: The District did not appropriately review and reconcile its expenditure records in order to identify equipment additions purchased with federal funds for the purposes of updating their fixed asset records. Effect: If the District’s fixed asset records are incomplete, they may not be properly safeguarded, and the District may not comply with the aforementioned federal regulations. Recommendation: We recommend that the District update their fixed asset records to include required information for assets purchased with federal awards and that a system of communication and a review process be implemented to ensure completeness and timing of fixed asset addition records. District’s Response: The District reviewed the federal guidelines with the grant administrator, requisitioner, and newly hired purchasing agent/fixed asset keeper on capital asset acquisitions through grants. The District has placed new internal controls to identify capital asset acquisitions through grants; those internal controls include but are not limited to review of minor remodeling, supplies and materials and equipment account codes, identification upon requisition, approval from grant administrator, and review by grant administrator. Before finalizing capital assets reports, the purchasing agent, fixed asset keeper, and current accounting consultant will review the purchase orders for anything above the District's capitalization policy. These controls will ensure the District is compliant and within requirements for capital asset acquisitions through grants. Individual Responsible for Implementing Corrective Action Plan: Brigid Siena, Assistant Superintendent for Business and Operations Implementation Date: March 26, 2024
Corrective action plan prepared by: Name: Thomas S. Hemmendinger Title: Receiver for ProCAP Housing, Inc’s Sponsor Phone: (401) 453-2300 Status of finding: Resolved Current finding on the Schedule of Findings, Questioned Costs, Recommendations: Finding 2023-001 Comments on the Finding and Recomm...
Corrective action plan prepared by: Name: Thomas S. Hemmendinger Title: Receiver for ProCAP Housing, Inc’s Sponsor Phone: (401) 453-2300 Status of finding: Resolved Current finding on the Schedule of Findings, Questioned Costs, Recommendations: Finding 2023-001 Comments on the Finding and Recommendation: ProCAP Housing, Inc. did not timely file its Data Collection Form with the Federal Audit Clearinghouse for the year ended June 30, 2022. The Data Collection Form for the year ended June 30, 2022 was filed with the Federal Audit Clearinghouse on November 9, 2022. We recommend that the sponsor timely certify and submit the Data Collection Form. Actions taken on the finding: The Data Collection Form for the year ended June 30, 2022 was filed with the Federal Audit Clearinghouse on November 9, 2022.
Finding 386133 (2023-001)
Significant Deficiency 2023
Finding Number: 2023-001 Condition: The University did not report the status changes of certain students to the NSLDS in an accurate and timely manner during the fiscal year. Planned Corrective Action: Campus wide operational operation software (Workday) has already implemented software updates fixi...
Finding Number: 2023-001 Condition: The University did not report the status changes of certain students to the NSLDS in an accurate and timely manner during the fiscal year. Planned Corrective Action: Campus wide operational operation software (Workday) has already implemented software updates fixing this issue. The software upgrade occurred March 24, 2023, and was operational for the 23-24 academic year. Contact person responsible for corrective action: Not applicable Anticipated Completion Date: Not applicable
Finding 386129 (2023-001)
Significant Deficiency 2023
The City was not aware of the CDBG quarterly PR29 (SF-425) reporting errors. The City has trained staff and implemented revised policies and procedures when preparing the CDBG PR29 (SF-425) quarterly reports to ensure proper reporting of program income on hand and the appropriate federal expenditur...
The City was not aware of the CDBG quarterly PR29 (SF-425) reporting errors. The City has trained staff and implemented revised policies and procedures when preparing the CDBG PR29 (SF-425) quarterly reports to ensure proper reporting of program income on hand and the appropriate federal expenditures utilizing both federal grant and program income.
We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management will take the necessary steps to file all quarterly expenditure reports on time in the future.
We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management will take the necessary steps to file all quarterly expenditure reports on time in the future.
Corrective Action: After the Food and Nutrition Director reviews the monthly claims, she will send an email noting her approval, before the claim is submitted to the state. This email approval will be attached to the journal entry support that is posted in the financial system when recording the rev...
Corrective Action: After the Food and Nutrition Director reviews the monthly claims, she will send an email noting her approval, before the claim is submitted to the state. This email approval will be attached to the journal entry support that is posted in the financial system when recording the revenue. Contact Person: Amanda Miller, Director of Food & Nutrition Services and Logistics / Ray Serrano - Accountant Anticipated Completion Date: June 30, 2024
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED JUNE 30, 2023 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee to pr...
CORRECTIVE ACTION PLAN FOR THE YEAR ENDED JUNE 30, 2023 Title 2, U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), Subpart F, Section 511 – Audit Findings Follow-up requires the auditee to prepare a corrective action plan to address each audit finding included in the current year auditor’s reports. The Corrective Action Plan for Current Year Findings present our corrective action plan for the Financial Statement and/or Federal Award Findings described in the accompanying Schedule of Findings and Questioned Costs for the period ended June 30, 2023. Finding 2023-001 Responsible Party Name: Amy Spaeth Position: Co-CEO – Management Agent Telephone Number: 816-236-2435 Federal Agency U.S. Department of Housing and Urban Development Federal Program Supportive Housing for Persons with Disabilities (Section 811) Compliance Requirements N – Special Tests and Provisions Finding Type Federal Awards Auditee’s Comment on Finding We agree with the auditor’s finding. Corrective Action We have deposited the shortfall of $4,320 into the reserve for replacement account in July 2023. We will follow our process to deposit and reconcile the reserve for replacement account on a monthly basis. Anticipated Completion Date N/A
View Audit 298479 Questioned Costs: $1
Finding 386098 (2023-001)
Significant Deficiency 2023
Granite United Way will establish additional policies and procedures to ensure that all Federal awards are identified and reported accurately on the SEFA and that subrecipient amounts are reconciled with the expenditures in the general ledger. The Chief Impact Officer will now prepare the initial dr...
Granite United Way will establish additional policies and procedures to ensure that all Federal awards are identified and reported accurately on the SEFA and that subrecipient amounts are reconciled with the expenditures in the general ledger. The Chief Impact Officer will now prepare the initial draft of the SEFA, including federal agency assistance listing numbers, pass-through entities, program names and subrecipient information. This draft will be reviewed by the Contracts Specialist for accuracy and comparison with the existing contracts for accurate information. The Chief Financial Officer will review the draft SEFA and compile the general ledger transactions, which will have already been reconciled with the invoice submissions to the state of NH. Cover sheets for check requests will differentiate between Subawards/Subrecipients and Procurement Contracts/Contractors when designated to the line item names Subcontracts/Agreements to ensure that procurement contracts/contractor expenses are not misclassified on the SEFA as Subawards/Subrecipient expenses.
Finding 386097 (2023-001)
Significant Deficiency 2023
The City of Portsmouth, New Hampshire respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 – June 30, 2023 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with th...
The City of Portsmouth, New Hampshire respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 – June 30, 2023 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDING—FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 2023-001 Community Development Block Grant - Assistance Listing Number 14.218 Recommendation: We recommend the City enhance internal controls and procedures to comply with all FFATA reporting requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Some FFATA reports were not entered timely into FSRS in FY 23. This was due to an incomplete understanding about the requirement as well as no FFATA reporting requests by the federal granting agency (HUD) to the City. All required FFATA reports were entered into the FSRS after the deadlines, and City staff responsible for FFATA reporting have completed additional training on the requirements. We do not anticipate untimely reports to the FSRS in the future. Name(s) of the contact person(s) responsible for corrective action: Elise Annunziata, Community Development Director Planned completion date for corrective action plan: All required FFATA reports were already entered into the FSRS, and City staff responsible for FFATA reporting have completed additional training on the requirements. We do not anticipate untimely reports to the FSRS in the future.
As an internal control, the accountant in charge of the program will keep monthly reports of the expenditures to expedite the collection of information and submit timely and complete reports. The documentation of the reports will be physically filed and digitally saved in the accounting files. Impl...
As an internal control, the accountant in charge of the program will keep monthly reports of the expenditures to expedite the collection of information and submit timely and complete reports. The documentation of the reports will be physically filed and digitally saved in the accounting files. Implementation Date: Fiscal Year 2023-2024 Responsible Person: Mr. Ángel L. Reyes Matos, Finance Director
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