Corrective Action Plans

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Finding 2023-003 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year- Period 4 TIN# 411392082 Federal Financial Assistance Listing #93.498 Finding Summary:...
Finding 2023-003 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year- Period 4 TIN# 411392082 Federal Financial Assistance Listing #93.498 Finding Summary: There were expenses claimed under the general and administrative category that were in excess of the amounts actually incurred under the program. Also, there was a duplication of utility expenses already claimed for the month of November 2021. Responsible Individuals: Sandra Schlechter, Chief Financial Officer, and Bradly Burris, Chief Executive Officer Corrective Action Plan: We had Sandra Schlechter, Chief Financial Officer, and Ryan Hill, Controller, review all the forms and expenses to make sure there are no duplications. There were additional unreimbursed expenses and excess lost revenue on the Period 4 report to cover this oversight. Anticipated Completion Date: December 31, 2023, as no further reporting requirements are anticipated for this program.
Condition: Obligations were overstated by $9,341,064 on the June 30, 2023 Project and Expenditure report. Corrective Action Planned: Only obligated expenditures that meet the Federal criteria will be reported on the Project and Expenditure Report. Anticipated Completion Date: January 2024 when ...
Condition: Obligations were overstated by $9,341,064 on the June 30, 2023 Project and Expenditure report. Corrective Action Planned: Only obligated expenditures that meet the Federal criteria will be reported on the Project and Expenditure Report. Anticipated Completion Date: January 2024 when the Project and Expenditure Report for Q4 2023 is due Contact: Diane Smith, City Auditor
1. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. 2. Actions Planned in Response to Finding: Management is aware of the condition and has taken the proper steps to ensure compliance in the future. 3. Official Responsible for Ensuring CAP: Tegan Gillu...
1. Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. 2. Actions Planned in Response to Finding: Management is aware of the condition and has taken the proper steps to ensure compliance in the future. 3. Official Responsible for Ensuring CAP: Tegan Gillund, Director of Operations, is the official responsible for ensuring corrective action. 4. Planned Completion Date for CAP: June 30, 2024. 5. Plan to Monitor Completion of CAP: The report that is generated each month to report expenditures to the Board will now be monitored each month by the accounting staff and Board finance committee to ensure all transactions are included in the report.
Finding 7274 (2023-001)
Significant Deficiency 2023
Recommendation – We recommend the Hospital put into place procedures for reconciling key general ledger accounts on a routine basis throughout the year, as well as develop processes to review the reconciliations on a routine basis. Management’s Response – The Hospital hired a new Chief Financial Off...
Recommendation – We recommend the Hospital put into place procedures for reconciling key general ledger accounts on a routine basis throughout the year, as well as develop processes to review the reconciliations on a routine basis. Management’s Response – The Hospital hired a new Chief Financial Officer subsequent to the year ended March 31, 2023, and the new Chief Financial Officer has begun implementing policies and procedures to reconcile key accounts on a routine basis throughout the year.
U.S. Department of Housing and Urban Development Lighthouse Central Florida, Inc. and Lighthouse Works!, Inc. (collectively, the Organization) respectfully submits the following corrective action plan for the year ended September 30, 2023. Audit period: October 1, 2022 – September 30, 2023 The fi...
U.S. Department of Housing and Urban Development Lighthouse Central Florida, Inc. and Lighthouse Works!, Inc. (collectively, the Organization) respectfully submits the following corrective action plan for the year ended September 30, 2023. Audit period: October 1, 2022 – September 30, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDIT U.S. Department of Housing and Urban Development Community Development Block Grants – Assistance Listing No. 14.218 Recommendation: The Organization should implement an internal review process before the information is submitted to the pass-through agencies. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Lighthouse Central Florida, Inc. is performing a review of its internal process and designating internal review procedures to ensure future compliance. Name of the contact person responsible for corrective action: Christina Carrier, Vice President of Finance Planned completion date for corrective action plan: March 31, 2024
Internal Controls Over Compliance - See Finding 2023-001.
Internal Controls Over Compliance - See Finding 2023-001.
Education Stabilization Fund – CFDA No. 84.425; Name of contact person – Jennifer Sleppy, Business Manager; Recommendation: We recommend management contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. In addition, personnel respon...
Education Stabilization Fund – CFDA No. 84.425; Name of contact person – Jennifer Sleppy, Business Manager; Recommendation: We recommend management contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. In addition, personnel responsible for the completion of the annual report should review the instructions for the report to obtain a better understanding of the reporting requirements and should also retain the support for the determination of amounts reported. Further, management should ensure the amounts reported on the upcoming annual report for fiscal year 2022-23 contain only the expenditures for that fiscal year. Action Taken: Management agrees with the recommendations and will contact the Pennsylvania Department of Education to inquire as to how to resubmit the annual report with correct amounts. The personnel responsible for the completion of the annual report will review the instructions for the report to obtain a better understanding of the reporting requirements and will retain the support for the determination of amounts reported. In addition, management will ensure the amounts reported for the upcoming annual report for fiscal year 2022-23 contain only the expenditures for that fiscal year.
Finding No. 2023-003: Return of Title IV Funds – Control Deficiency Federal Agency: U.S. Department of Education AL Number and Title: 84.063P – Federal Pell Grant Program Questioned Costs: $ – Responsible Individual: Davileigh Naeole, Financial Aid Director, University of Hawai‘i Maui College Date A...
Finding No. 2023-003: Return of Title IV Funds – Control Deficiency Federal Agency: U.S. Department of Education AL Number and Title: 84.063P – Federal Pell Grant Program Questioned Costs: $ – Responsible Individual: Davileigh Naeole, Financial Aid Director, University of Hawai‘i Maui College Date Action Taken: October 30, 2023 Noting the recommendations of the auditor, we will ensure the timely determination of withdrawal dates for students who unofficially withdraw within 30 days after the end of the enrollment period. We recently hired a permanent staff member and are training them in R2T4 calculations. In addition, to expedite the determination of withdrawal dates we have set a maximum response time for our last date of attendance emails to instructors. They will be required to respond within 12–14 days of receiving the initial LDA request. This will help to ensure that withdrawal dates are established and documented more quickly. Again, noting the recommendations of the auditor, we will ensure the timely remittance of the institutional portion of unearned aid to the appropriate Title IV program within the required 45-day time period. We expect that the timelier determination of LDA dates will expedite the overall process and we will meet the 45-day remit deadline.
Finding No. 2023-001: Financial Aid Administration – Control Deficiency Federal Agency: U.S. Department of Education AL Number and Title: 84.063P – Federal Pell Grant Program Questioned Costs: $ – Responsible Individual: Pheng Xiong, Office of the Registrar, University Registrar Nikki Chun, Div. of ...
Finding No. 2023-001: Financial Aid Administration – Control Deficiency Federal Agency: U.S. Department of Education AL Number and Title: 84.063P – Federal Pell Grant Program Questioned Costs: $ – Responsible Individual: Pheng Xiong, Office of the Registrar, University Registrar Nikki Chun, Div. of Enrollment Management, Vice Provost for Enrollment Management Date Action Taken: August 2023 The Office of the Registrar is fully aware of and takes very seriously its enrollment and degree reporting requirements and responsibilities. The finding presented in Finding No. 2023-005 happened as a result of a processing error where students in the final Spring 2023 enrollment file were not cleared out. This prevented students in the Spring 2023 degree files, submitted on June 26th and July 3rd, from having their graduation statuses updated with the National Student Clearinghouse if they were in the affected initial Summer 2023 enrollment file. The August 2nd file could not be processed because the National Student Clearinghouse was working with the office to reject the Summer enrollment and Spring 2023 degree reports. The reports had to be rejected in order for the corrected Summer 2023 file to be applied. The existing business process requires use of an SQL script. Since the script requires complicated manual steps and can lead to errors, the Office of the Registrar has been working to implement the NSC reporting functionality in the student information system. The new business process will improve enrollment and degree reporting, including the reduction of errors resulting from human error. The Office of the Registrar aims to go live with new business process with Spring 2024 enrollment reporting.
Finding 2023-002 Finding Summary: 2 CFR Part 200 (Uniform Guidance) requires that reports submitted to the Federal Awarding agency include all activity of the reporting period and are presented in accordance with applicable program requirements. Eide Bailly noted that two out of the three reports du...
Finding 2023-002 Finding Summary: 2 CFR Part 200 (Uniform Guidance) requires that reports submitted to the Federal Awarding agency include all activity of the reporting period and are presented in accordance with applicable program requirements. Eide Bailly noted that two out of the three reports due 90 days after the federal fiscal year end of September 30th, were not submitted by the City of Wells’ during the fiscal year. Responsible Individuals: Samantha Nance, City Clerk Corrective Action Plan: We have formed a plan with our 3rd party airport administrators to work together to avoid this being missed in the future. Anticipated Completion Date: March 2023
Identifying Number: 2023-001 Finding: The U.S. Department of Homeland Security and terms of the related grant agreement, require the City to prepare and submit semi-annual programmatic performance reports. The City did not submit one of the required reports within the 30-day deadline. Specifically...
Identifying Number: 2023-001 Finding: The U.S. Department of Homeland Security and terms of the related grant agreement, require the City to prepare and submit semi-annual programmatic performance reports. The City did not submit one of the required reports within the 30-day deadline. Specifically, the programmatic performance report for the period January 1, 2023 - June 30, 2023 was due by July 30, 2023, but was submitted by the City on November 30, 2023. Corrective Actions Taken or Planned: The Fire Department Planning Officer responsible for administration and implementation of SAFER grant projects as well as the submission of programmatic performance reports will implement procedures to ensure programmatic reporting deadlines are met including calendar appointments with reminders. The Fire Department Planning Officer will also review for any official bulletins or announcements from the grantor changing the reporting deadlines. The Fire Department Planning Officer will also subscribe to the Assistance to Firefighters Grant Program email updates from Federal Emergency Management Agency which include reporting date reminders Contact person(s) responsible for corrective action: Captain Justin Banks, Planning Officer Anticipated completion date: June 30, 2024
Condition: Data submitted on the LEA Data Collection Form showed some key line-item expenditures categorized differently from previously filed expenditure reports. Plan: Management will implement procedures including reconciling amounts between underlying data, quarterly expenditure reports, and ann...
Condition: Data submitted on the LEA Data Collection Form showed some key line-item expenditures categorized differently from previously filed expenditure reports. Plan: Management will implement procedures including reconciling amounts between underlying data, quarterly expenditure reports, and annual data collection reports. Additionally, reports and supporting documentation will be reviewed by a second person. Anticipated Date of Completion: 6/30/24 Name of Contact Person: Susan Wings
The District will add a procedure to ensure students are removed from the counts if the District receives tuition from other districts for them. The District will also monitor the list of students with disabilities to ensure all do have disabilities. The District is contacting Impact Aid to get the ...
The District will add a procedure to ensure students are removed from the counts if the District receives tuition from other districts for them. The District will also monitor the list of students with disabilities to ensure all do have disabilities. The District is contacting Impact Aid to get the application corrected.
Department of Housing and Urban Development 600 Harrison Street, 3rd Floor San Francisco, CA 94107-1300 Casa Montego II, Inc., HUD project No. 121-EE187-NP, respectively submits the following corrective action plan for the audit year ended September 30, 2023. Auditor: SNP Partners LLP 3470 Mt. D...
Department of Housing and Urban Development 600 Harrison Street, 3rd Floor San Francisco, CA 94107-1300 Casa Montego II, Inc., HUD project No. 121-EE187-NP, respectively submits the following corrective action plan for the audit year ended September 30, 2023. Auditor: SNP Partners LLP 3470 Mt. Diablo Blvd., Suite A300 Lafayette, CA 94549 The findings from the September 30, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS – FINANCIAL STATEMENT AUDIT No findings noted. FINDINGS – FEDERAL AWARDS PROGRAMS Department of Housing and Urban Development Finding No.: 2023-001 AL 14.157 – Supportive Housing for Elderly Recommendation: We recommend the Owner review controls over the use of project funds. We recommend that the project make approved distributions of residual receipts from the Residual Receipts Fund. Action Taken: The operating account was refunded the $43,029 on 12/7/2023 with funds from the Residual Receipts Funds. Controls have been put in place to prevent the unauthorized distribution of income or project assets. Anticipated Completion Date: December 7, 2023 If there are any questions regarding this plan, please call Jose L. Sanchez at (510) 6470-0700 Very Truly Yours, Jose L. Sanchez – Vice President of Finance
Finding 2023-002: Cash Receipts - Material Weakness in Internal Control Over Compliance As required by Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) we have provided below ...
Finding 2023-002: Cash Receipts - Material Weakness in Internal Control Over Compliance As required by Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) we have provided below our response and corrective action plan addressing the finding noted in the Single Audit reporting package for Elder Care Alliance of San Francisco (“AVSF”) for the year ended June 30, 2023. Response and Corrective Action Plan: Going forward, management will add check totals to the vacancy loss adjustment, in order to post the appropriate entries in the general ledger. In addition, management will perform high level calculations to review against our reporting and investigate additional reports for comparison purposes. Responsible Person: Amanda Casey, Accounting Consultant, under the oversight of Bing Isenberg, Chief Financial Officer
Auditor's Recommemdation: We recommend that NH Housing Development ensures all required information for the data collection is available in a timely fashion to ensure timely filing of the data collection form. Action Taken: ln the future NH Housing Development ensures all required information for ...
Auditor's Recommemdation: We recommend that NH Housing Development ensures all required information for the data collection is available in a timely fashion to ensure timely filing of the data collection form. Action Taken: ln the future NH Housing Development ensures all required information for the data collection is available in a timely fashion to ensure timely filing of the data collection form.
Southeastern Illinois College will be implementing remediation steps to ensure that enrollment information is accurate in the National Student Loan Data System (NSLDS). The College’s Information Technology (IT) department will work with the Registrar in creating a process where graduates who are not...
Southeastern Illinois College will be implementing remediation steps to ensure that enrollment information is accurate in the National Student Loan Data System (NSLDS). The College’s Information Technology (IT) department will work with the Registrar in creating a process where graduates who are not originally reported as graduated can be updated to graduated status in National Student Clearinghouse (NSC)’s website. This may include making a graduates’ only submission to NSC to update those graduates whose degrees were conferred after the original submission. Also, the Student Affairs department will now review submission data and give approval prior to submission to NSC. To assist in this review, the IT department will develop a data validation report that lists students who have completed a certificate and/or degree and are no longer attending.
The Company agrees with the finding. The Company will implement a process for a member of the finance staff to prepare lost revenues calculations. The Director of Finance will then provide a second layer of detailed review on the lost revenue calculations and the financial reporting to ensure amount...
The Company agrees with the finding. The Company will implement a process for a member of the finance staff to prepare lost revenues calculations. The Director of Finance will then provide a second layer of detailed review on the lost revenue calculations and the financial reporting to ensure amounts captured are accurate and categorized appropriately. Sign off on preparation and review will be documented appropriately.
Finding 7064 (2023-001)
Significant Deficiency 2023
Finding Reference Number #2023-001 Views of Responsible Officials and Planned Corrective Actions: Management agrees with the finding and has put procedures in place to ensure deposits are made as required in the future. Contact Person Responsible: Tom Anderson Completion Date: September 30...
Finding Reference Number #2023-001 Views of Responsible Officials and Planned Corrective Actions: Management agrees with the finding and has put procedures in place to ensure deposits are made as required in the future. Contact Person Responsible: Tom Anderson Completion Date: September 30, 2023
Federal Program Student Financial Assistance Cluster Compliance requirements Special Tests and Provisions – Enrollment Reporting Condition During testing, we identified that three of the fourteen students tested did not have an enrollment status change reported. Recommendation We recommend th...
Federal Program Student Financial Assistance Cluster Compliance requirements Special Tests and Provisions – Enrollment Reporting Condition During testing, we identified that three of the fourteen students tested did not have an enrollment status change reported. Recommendation We recommend that the College review its controls to ensure that accurate enrollment information is reported to NSLDS. Comments on the Finding Recommendation Due to requirements of the Kansas State Board of Regents, students that drop courses after a certain point in the semester are considered “W” students, and they did not have their enrollment status changed within the system. Because of this, any status changes that occurred after that given point in the semester, that did not result in the total withdrawal of a student, were not reported to NSLDS. Action Taken The College is testing potential methods to ensure that changes to students’ enrollment statuses are properly reported. These solutions have been tested in the Student Information System (Banner) in the test environment and were successful. This will be moved into production and the next reporting date of November 16th should have the updated information for reporting.
Federal Program Student Financial Assistance Cluster Compliance requirements Reporting and Special Tests and Provisions - Verification Condition During testing, we identified that five students of the 40 tested showed a status code within COD origination records that indicated that they had been ...
Federal Program Student Financial Assistance Cluster Compliance requirements Reporting and Special Tests and Provisions - Verification Condition During testing, we identified that five students of the 40 tested showed a status code within COD origination records that indicated that they had been selected for, and undergone, the verification process. However, upon review of their files, verification had not been completed. Recommendation We recommend that the College review its controls to ensure that accurate data is reported. Comments on the Finding Recommendation During the year, the College had turnover in experienced staff within the financial aid office. The reporting errors were the result of new employees not yet having the training and experience to catch the input of incorrect data. Action Taken As of September 11, 2023, the financial aid office has reviewed the verification status reported for all Fiscal Year 2023 students. Of those students, 81 were identified to have an inaccurate verification status code within the College’s software. Those codes were all updated, and 75 of those were Pell recipients who were additionally updated in COD. Per COD support, loan-only recipients cannot be updated. In addition, trainings have been conducted to ensure that all staff are aware of the proper procedures.
Federal Program TRIO Cluster Compliance requirements Reporting Condition During testing, we identified errors in certain data elements reported during the year for TRIO participants. Recommendation We recommend that the College review its controls to ensure that accurate data is reported. Com...
Federal Program TRIO Cluster Compliance requirements Reporting Condition During testing, we identified errors in certain data elements reported during the year for TRIO participants. Recommendation We recommend that the College review its controls to ensure that accurate data is reported. Comments on the Finding Recommendation The College agrees with the determination that certain reporting items were entered in error. We have determined that these items were not material to the College’s overall annual report. Action Taken As of November 30, 2023, and in conjunction with preparing the 2022-2023 Annual Performance Reports, all Barton TRIO programs will implement a systematic and detailed review of the participant eligibility and program acceptance information for TRIO participants. This review will include focused use of each program’s version of their “student eligibility checklist” that will ensure the systematic review and double check of the eligibility information before entry into each program’s specific participant database.
Program: Choice Neighborhoods Implementation Grants Federal Agency: Department of Housing and Urban Development AL #: 14.889 Federal Award Identification Number and Year: Various - See SEFA Pass-through Entity: N/A Type of Compliance Finding: N - Special Test and Provisions Internal Cont...
Program: Choice Neighborhoods Implementation Grants Federal Agency: Department of Housing and Urban Development AL #: 14.889 Federal Award Identification Number and Year: Various - See SEFA Pass-through Entity: N/A Type of Compliance Finding: N - Special Test and Provisions Internal Control Impact: Material Weakness Finding: The City did not provide evidence supporting the City's compliance with this requirement. Status: Resolved Corrective Action Plan: Since the CNI grant has ended, the corrective action plan will apply to future grants. When the City obtains future grants utilizing and/or funding projects in multiple City Departments, operating procedures will be in place to ensure compliance and the required grant documentation will centrally located and identified. Person(s) Responsible for Implementation: Jeffrey Williams, Director of City Planning, Telephone: (816) 513-8803; Email: Jeffrey.Williams@kcmo.org
Program: Community Development Block Grants/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various - See SEFA Pass-through Entity: N/A Type of Compliance Finding: L - Reporting Internal Control Imp...
Program: Community Development Block Grants/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various - See SEFA Pass-through Entity: N/A Type of Compliance Finding: L - Reporting Internal Control Impact: Significant Deficiency Finding: The City did not properly report information into IDIS and submit reports according to deadlines. Status: Corrective action plan in progress Corrective Action Plan: The new staff in the Housing department is working with the Finance Department's Grant Manager to develop and implement operating procedures to ensure the IDIS information is recorded timely and accurately. Staff is also working with HUD to obtain the needed technical assistance to correct the issues with the various CDBG programs. Person(s) Responsible for Implementation: LaToya Jones, Housing Department Financial Manger, Telephone: (816) 513-8436; Email LaToya.Jones@kcmo.org; and, Robin Flaherty, Finance Department, Grant Manager, Telephone: (816) 513-1202; Email: Robin.Flaherty@kcmo.org
Program: Community Development Block Grants/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various - See SEFA Pass-though Entity: N/A Type of Compliance Finding: N - Special Test and Provisions Int...
Program: Community Development Block Grants/Entitlement Grants Federal Agency: Department of Housing and Urban Development AL #: 14.218 Federal Award Identification Number and Year: Various - See SEFA Pass-though Entity: N/A Type of Compliance Finding: N - Special Test and Provisions Internal Control Impact: Material Weakness Finding: The City did not respond to HUD regarding the findings outlined in the onsite monitoring report within the response timeframe. Status: Corrective action plan in progress Corrective Action Plan: The new staff in the Housing department is working with the Finance Department's Grant Manager to compile a response and to implement the necessary operating procedures to correct the issues which lead to this finding. Staff is also working with HUD to obtain technical assistance to correct the issues with the various CDBG programs. Person(s) Responsible for Implementation: LaToya Jones, Housing Department Financial Manager, Telephone: (816) 513-8436; Email: LaToya.Jones@kcmo.org; and, Robin Flaherty, Finance Department, Grant Manager, Telephone: (816) 513-1202; Email: Robin.Flaherty@kcmo.org
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