Corrective Action Plans

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Finding Number: 2022-1 Untimely and Inaccurate Returns of Title IV Funds (R2T4) Planned Corrective Action: Timeliness: Upon the completion of the Fall 2021 term, the Director of Financial Aid became aware of a deficiency reg...
Finding Number: 2022-1 Untimely and Inaccurate Returns of Title IV Funds (R2T4) Planned Corrective Action: Timeliness: Upon the completion of the Fall 2021 term, the Director of Financial Aid became aware of a deficiency regarding the tracking of attendance for students enrolled in online courses due to the higher than usual number of students will All F grades due to non-attendance. Prior to the start of the Spring 2022 semester, the Director of Financial Aid, Registrar, and Dean of Distance Education met to discuss the issue and developed a plan to require all professors of online courses to report the names of students who were not submitting assignments in their courses. The Dean of Distance Education sends multiple email reminders to professors throughout the term, and members of the Distance Education Office perform periodic spot-checks of course data to ensure that professors are performing required duties. Accuracy: All financial aid staff are encouraged to participate in as many R2T4 training events as possible but are required to participate in at least three training events (one led by NASFAA, one led by ED, and one internal training event). Additionally, performing R2T4s will become the responsibility of the entire team beginning with the Fall 2022 semester. With more staff members calculating and reviewing the data, it is believed that the potential for human error will decrease. Person Responsible for Corrective Action Plan: Timeliness: Donovan Smith (Director of Financial Aid) Accuracy: Donovan Smith (Director of Financial Aid) Anticipated Date of Completion: Timeliness: Implemented prior to Spring 2022 semester and resulted in no findings of this nature for Spring 2022 Accuracy: Implemented beginning with the Fall 2022 semester and will be completed by the end of the Spring 2023 semester
View Audit 55892 Questioned Costs: $1
Views of Responsible Officials and Planned Corrective Actions: The County agrees with this recommendation and will continue to work with various departments, consultants and subrecipients to ensure the reporting submissions include all required data.
Views of Responsible Officials and Planned Corrective Actions: The County agrees with this recommendation and will continue to work with various departments, consultants and subrecipients to ensure the reporting submissions include all required data.
Finding 60023 (2022-002)
Significant Deficiency 2022
Management agrees with this finding. Parkview Services is in good standing with all its funders. All required reports were submitted to funders. Management continues to use a reporting calendar it established in 2022 and has been using a form since January 2023 to keep track of reporting to our fede...
Management agrees with this finding. Parkview Services is in good standing with all its funders. All required reports were submitted to funders. Management continues to use a reporting calendar it established in 2022 and has been using a form since January 2023 to keep track of reporting to our federal down payment assistance funders. The Finance Director will notify reporting staff that a report is due and confirm that it has been submitted prior to the due date.
The error in Federal expenditures were a result of unrecorded federal expenditures on the previous year?s SEFA. The District has since assigned a new Federal Coordinator, Scott Pentasuglio. The implemented internal control is Federal Coordinator will review all required federal quarterly expenditure...
The error in Federal expenditures were a result of unrecorded federal expenditures on the previous year?s SEFA. The District has since assigned a new Federal Coordinator, Scott Pentasuglio. The implemented internal control is Federal Coordinator will review all required federal quarterly expenditure reports with the Business Manager prior to submissions. In July of 2023, the Federal Coordinator and Business Manager will work in conjunction to approve the annual SEFA with the information provided in the quarterly reports. The SEFA and quarterly reports will be submitted to the audit team at Kohanski Co. in August of 2024.
Finding 59969 (2022-001)
Significant Deficiency 2022
CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Education The Town of Wareham, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Powers & Sullivan, LLC 100 ...
CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Education The Town of Wareham, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Powers & Sullivan, LLC 100 Quannapowitt Parkway, Suite 101 Wakefield, MA 01880 Audit period: July 1, 2021 through June 30, 2022 The finding from the June 30, 2022, schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. DEPARTMENT OF EDUCATION Passed through the Massachusetts Department of Elementary and Secondary Education Special Education Cluster Special Education Grants to States and Special Education Preschool Grants Federal Assistance Listing Numbers 84.027 and 84.173 Education Stabilization Fund Education Stabilization Fund Federal Assistance Listing Numbers 84.425C, 84.425D, and 84.425W 2022-001: Controls for Monitoring Payroll Charged to the Grants Compliance Requirement: Allowable Costs/Cost Principles Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or Specific Requirement: Grantees must provide reasonable assurance that Federal awards are expended only for allowable activities and that the costs of goods and services charged to Federal awards are allowable and in accordance with the applicable cost principles. Condition: Management has not established written guidelines and procedures outlining the time and effort reporting and documentation requirements that department heads must adhere with to ensure compliance with federal and state time and effort reporting requirements. Such guidelines and procedures should indicate under what circumstances semi-annual certifications and personnel activity reports (PARS) are required and should indicate due dates for when this information must be provided to the school business office. Management also has not adopted and implemented standardized forms for semi-annual certifications and PARS that include all data required by federal and state guidelines. Questioned Costs: None reported. Context: Payroll expenditures charged to the programs are required to be supported with documentation substantiating that the employees are eligible to be charged to the grant and that the payroll charged relates to time spent accomplishing grant objectives. This supporting documentation should be standardized and should include all required elements in accordance with Title 2 U.S. Code of Federal Regulations Part 225 Cost Principals for State, Local, and Indian Tribal Governments. The Town did not have an adequate system of internal controls in place to provide sufficient documentation to demonstrate compliance with federal and state time and effort reporting requirements in accordance with the provisions of Title 2 U.S. Code of Federal Regulations Part 225 Cost Principals for State, Local, and Indian Tribal Governments. Effect: The Town has not complied with the federal and state time and effort reporting requirements. Cause: Lack of documented policies, procedures and guidelines in place to ensure compliance with time and effort reporting requirements. Recommendation: Management should establish written guidelines and procedures outlining the time and effort reporting and documentation requirements that department heads must adhere with to ensure compliance with federal and state time and effort reporting requirements. Such guidelines and procedures should indicate under what circumstances semi-annual certifications and personnel activity reports (PARS) are required and should indicate due dates for when this information must be provided to the school business office. Management should also adopt and implement standardized forms for semi-annual certifications and PARS that include all data required by federal and state guidelines. Once the written guidelines and procedures have been established, training should be provided to ensure that the program managers fully understand the time and effort reporting requirements. Views of Responsible Officials and Planned Corrective Actions: Management agrees with the finding and will establish written guidelines and procedures outlining the time and effort reporting and documentation requirements that department heads must adhere with to ensure compliance with federal and state time and effort reporting requirements. Such guidelines and procedures will indicate under what circumstances semi-annual certifications and personnel activity reports (PARS) are required and will indicate due dates for when this information must be provided to the school business office. Management will also adopt and implement standardized forms for semi-annual certifications and PARS that include all data required by federal and state guidelines. Once the written guidelines and procedures have been established, training will be provided to ensure that the program managers fully understand the time and effort reporting requirements. Management intends to implement these procedures in fiscal 2023. If the Oversight Agency has questions regarding this plan, please call Kristin Flynn, Director of Finance at Wareham Public Schools at 508-291-3500, or Derek Sullivan, Town Administrator at 508-291-3100. Sincerely yours, Kristin Flynn Director of Finance Wareham Public Schools Derek Sullivan Town Administrator Town of Wareham
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. Completion Date: Ongo...
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. Completion Date: Ongoing
We will continue to review our procedures and implement additional controls where possible.
We will continue to review our procedures and implement additional controls where possible.
Finding: Section Ill - Federal Awards Findings and Questioned Costs Finding 2022-001 - COVID-19 Education Stabilization Fund, Higher Education Emergency Relief Funds - Quarterly Reporting (Student Grants Portion) Federal Program: COVID-19 Education Stabilization Fund Federal Agency: U.S. Department ...
Finding: Section Ill - Federal Awards Findings and Questioned Costs Finding 2022-001 - COVID-19 Education Stabilization Fund, Higher Education Emergency Relief Funds - Quarterly Reporting (Student Grants Portion) Federal Program: COVID-19 Education Stabilization Fund Federal Agency: U.S. Department of Education Assistance Listing Number: 84.425E Federal Award Number: P425E200445 Federal Award Year: June 30, 2022 The auditor noted from reviewing the University's student portion reports posted on the website that the estimated total number of students eligible to receive emergency financial aid grants was not disclosed as required. The University inadvertently omitted this required item in the reporting posted to the University's website. The University was not in compliance with the HEERF student portion quarterly reporting requirements. Recommendation: The Institution should ensure it keeps up to date on the Department's HEERF guidance and ensure that reporting is done accurately and timely. Corrective Action: Whitworth strove to strictly follow all federal guidance in the administration of HEERF Funds and voluntarily chose to report awarded grants more often than required to illustrate the consistent access students had to the intended funds. The University listed the number of students receiving grants but did not explicitly indicate the number of students who were considered eligible. Management has deemed the following corrective actions adequate to address this issue: ? The website must clearly indicate the number of students considered eligible. ? In the future, Whitworth will use the exact vocabulary for all specified populations as suggested by the Department of Education, when presenting data and information related to federal funding. The University updated the reporting webpages on October 3, 2022 to clearly meet the specific federal requirement for disclosure of the estimated total number of students eligible. Management also met with personal responsible for reviewing Department of Education reporting guidance, to ensure they are mindful of the precise reporting requirements and have adequate support to successful meet them in the future. As all HEERF funds have been expended by the University, no additional administrative revisions to the processes specific to HEERF are required. Management considers the corrective action to have been fully implemented. Traci Spoon Stensland, Assistant Vice President Student Financial Services
Corrective Action Plan Name of auditee: Buckingham Terrace II, Inc. HUD auditee identification number: HUD Project No. 061-EE-038 Name of audit firm: Carter & Company, CPA Period covered by the audit year: March 1, 2021 through February 28, 2022 CAP prepared by: Name: Debra Minix Position: Managemen...
Corrective Action Plan Name of auditee: Buckingham Terrace II, Inc. HUD auditee identification number: HUD Project No. 061-EE-038 Name of audit firm: Carter & Company, CPA Period covered by the audit year: March 1, 2021 through February 28, 2022 CAP prepared by: Name: Debra Minix Position: Management Agent Telephone number: 912-267-1962 1. Current Findings on the Schedule of Findings, Questioned Costs, and Recommendations: Finding 2022-001 Unauthorized withdrawals were made from the replacement reserve by the Housing Corporation without HUD approval as required by the Regulatory Agreement (1) Comments on the Finding and Each Recommendation. Management agrees with the finding and has made the required deposit as of 6/17/2022. (2) Actions Taken on the Finding. Management agrees with the finding and has made the required deposit as of 6/17/2022.
View Audit 56196 Questioned Costs: $1
Management is currently confident with the abilities of the accounting staff to prepare interim financial statements. The District has also accepted the additional risk associated with the auditor drafting year-end financial statements including the notes to the financial statements. Management wi...
Management is currently confident with the abilities of the accounting staff to prepare interim financial statements. The District has also accepted the additional risk associated with the auditor drafting year-end financial statements including the notes to the financial statements. Management will review, approve, and take responsibility for the financial statements.
While this is important to the segregation and performance of internal control duties, the Urban League currently does not have the depth in personnel. Currently the Urban League is planning to expand the Finance Department to include an additional position that will have this responsibility assign...
While this is important to the segregation and performance of internal control duties, the Urban League currently does not have the depth in personnel. Currently the Urban League is planning to expand the Finance Department to include an additional position that will have this responsibility assigned. In the meantime, the Urban League will identify other staff members to participate in this function. The Urban League is currently searching for a Director of Accounting who would have the initial responsibility of providing this service.
During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Finan...
During the testing of the compliance requirements of this program, it was determined that the Hospital reported COVID-19 related expenditures within the HHS Provider Relief Fund (PRF) portal that were reimbursed via other sources. Personnel Responsible for Corrective Action: Bart Kenton, Chief Financial Officer Anticipated Completion Date: Change is in process and full adoption is anticipated by September 30, 2022 Corrective Action Plan: The Hospital is going to continue and improve its understanding of the guidance related to this type of reporting and work with their external advisors to ensure future portal submissions are compliant with said guidance.
View Audit 55266 Questioned Costs: $1
In determining whether the Hospital submitted to the United States Department of Agriculture (USDA) the RD 442-2, Statement of Budget, Income, and Equity, as well as the RD 442-3, Balance Sheet reports, as required under the Hospital?s Community Facilities loan with the USDA, it was noted that these...
In determining whether the Hospital submitted to the United States Department of Agriculture (USDA) the RD 442-2, Statement of Budget, Income, and Equity, as well as the RD 442-3, Balance Sheet reports, as required under the Hospital?s Community Facilities loan with the USDA, it was noted that these submissions did not occur during fiscal year 2022. Personnel Responsible for Corrective Action: Bart Kenton, Chief Financial Officer Anticipated Completion Date: Change is in process and full adoption is anticipated by July 20, 2022 Corrective Action Plan: The Hospital discussed the ongoing reporting requirements with their USDA representative and have begun compiling the information requested starting with Quarter 1 of Fiscal Year 2023.
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria rel...
2022-005 Child Nutrition - Reporting Recommendation: School Corporation needs to update its policies and procedures related to the administration of the Child Nutrition Cluster to include a system of internal control that will mitigate the risk of noncompliance with the stated criteria related to recordkeeping. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Plainfield Community School Corporation will implement a policy that mitigates the risk of noncompliance with the required recordkeeping for the Child Nutrition Cluster. Name(s) of the contact person(s) responsible for corrective action: Kelly Collins Planned completion date for corrective action plan: April 2023
As required by OMB Uniform Guidance, we have provided below our response and corrective action plan addressing the findings in the ?Report on Federal Awards in Accordance with the OMB Uniform Guidance? for the year ended December 31, 2022. Management?s Views and Corrective Action Plan Finding 2022...
As required by OMB Uniform Guidance, we have provided below our response and corrective action plan addressing the findings in the ?Report on Federal Awards in Accordance with the OMB Uniform Guidance? for the year ended December 31, 2022. Management?s Views and Corrective Action Plan Finding 2022-002 ? Reporting ? Significant Deficiency in Internal Control Over Compliance NorthBay Healthcare Corporation and its Affiliates dba NorthBay Health agree with the finding and management has implemented a corrective action plan. Management has implemented a more precise review control over future federal award reporting submissions to ensure all reported expenditures comply with the terms and conditions of the federal award. Further, NorthBay Healthcare Corporation and its Affiliates dba NorthBay Health had sufficient unused lost revenues of approximately $114,915,000 and $133,021,000 from the Periods 3 and 4 Provider Relief Fund reporting to fully cover the Provider Relief Fund distributions for Periods 3 and 4, respectively. Date of Corrective Action: September 15, 2023 Party Responsible for Corrective Action: Theo Rallis, Assistant Vice President of Finance
Finding Reference Number: 2022-001 Statement of Condition: Required monthly deposits to the replacement reserve are over funded in the amount of $31,838. Status: Management agrees with the finding. The replacement reserve over funding was returned to the operating account on October 6, 2022 in the ...
Finding Reference Number: 2022-001 Statement of Condition: Required monthly deposits to the replacement reserve are over funded in the amount of $31,838. Status: Management agrees with the finding. The replacement reserve over funding was returned to the operating account on October 6, 2022 in the amount of $31,838.
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. ...
Finding 2022-001 - Materially Misstated Schedule of Expenditures of Federal Awards Condition: Several adjustments were required to present the Schedule of Expenditures of Federal Awards prepared by Management fairly in all material respects in relation to the Organization?s financial statements. Corrective Action Plan: Management has converted internal accounting software to a more robust system that provides a platform to assist in tracking federal assistance listing numbers. t a process that will require a quarterly reconciliation of the Schedule of Expenditures of Federal Awards to underlying accounting records.
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Reporting Corrective Action Plan: N/A Contact: Philip Olsen Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
Program: AL 21.023 ? COVID-19 Emergency Rental Assistance ? Allowability & Eligibility Corrective Action Plan: N/A Contact: Lee Will Anticipated Completion Date: N/A
View Audit 55212 Questioned Costs: $1
Finding 59850 (2022-058)
Significant Deficiency 2022
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khali...
Program: AL 20.933 ? National Infrastructure Investments ? Reporting Corrective Action Plan: NDOT will finalize in coordination with FHWA a standard operating procedure for the quarterly SF-425 reporting process as well as generate a standard operating procedure for FFATA reporting. Contact: Khalil Jaber Anticipated Completion Date: June 2023
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The Agency is working with the vendor to better identify and report amounts in the Tax Systems. Contact: Rea Easton Anticipated Completion Date: June 30, 2023
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
Program: AL 17.225 ? Unemployment Insurance ? Admin ? Special Tests & Provisions Corrective Action Plan: The corrective action plan has been completed and approved by USDOL. Contact: Andi Bridgmon, UI Director Anticipated Completion Date: N/A
Finding 59840 (2022-045)
Significant Deficiency 2022
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in...
Program: AL 93.778 ? Medical Assistance Program ? Special Tests and Provisions Corrective Action Plan: During the changeover in staff and delays in refilling positions, the expectation to touch cases every thirty days was altered to 45 to 60 days. A new case on the transportation provider listed in the findings has been opened. In addition, during monthly one on one meetings with staff, the administrator will review cases to determine if the appropriate steps are being taken and narrated in the case file. Contact: Anne Harvey Anticipated Completion Date: 6/30/2023
View Audit 55212 Questioned Costs: $1
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs ...
Program: AL 93.778 ? Medical Assistance Program; AL 93.778 ? COVID-19 Medical Assistance Program ? Allowability Corrective Action Plan: Service District Administrators (SDAs) have been communicating expectations to their teammates to prevent future findings. In addition, Districts 1, 2, and 4 SDAs plan to cover this with all teammates during their 4th quarter?s meeting and District 3?s SDA will send out communication to all teammates that reminds teammates of the expectations. Contact: Tony Green Anticipated Completion Date: 12/30/2022
View Audit 55212 Questioned Costs: $1
Finding 59830 (2022-018)
Significant Deficiency 2022
Program: Various, including AL 93.767 ? Children's Health Insurance Program, AL 93.778 ? Medical Assistance Program ? Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup in an effort to reduce agency errors. Contact...
Program: Various, including AL 93.767 ? Children's Health Insurance Program, AL 93.778 ? Medical Assistance Program ? Reporting Corrective Action Plan: State Accounting will continue to work with State agencies on correct coding and business unit setup in an effort to reduce agency errors. Contact: Philip Olsen Anticipated Completion Date: Ongoing
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