Corrective Action Plans

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Description of Finding: The school did not adequately track its expenditures of federal awards and did not prepare a complete SEFA as of the year end. Statement of Concurrence or Nonconcurrence: The school agrees with the audit finding as presented. Corrective Action: While the school’s chart of acc...
Description of Finding: The school did not adequately track its expenditures of federal awards and did not prepare a complete SEFA as of the year end. Statement of Concurrence or Nonconcurrence: The school agrees with the audit finding as presented. Corrective Action: While the school’s chart of accounts includes specific accounts for grants and Title I funds, the chart of accounts did not explicitly list all federal revenue (Title I, ESSER Grant, USDA, and Federal Facility Grant). The school has already updated the chart of accounts to account for all federal funds with appropriate identification of revenue sources. This will allow the school to accurately account for monthly revenue and expenditures relating to federal funding sources, along with accurate monthly financial reporting of federal fund usage and expenses. Name of Contact Person: Chaz Patterson-Ellis, Chief Financial Officer, 678-466-7300, chaz.patterson@chatthillscharter.org. Projected Completion Date: Sept 30, 2023. Chaz Patterson-Ellis, Chief Financial Officer.
Finding 176 (2023-001)
Significant Deficiency 2023
Response: Management recorded the adjusting journal entries as proposed by the audit firm. In the future, management will ensure that depreciation and amortization of loan costs and calculated and recorded in the general ledger.
Response: Management recorded the adjusting journal entries as proposed by the audit firm. In the future, management will ensure that depreciation and amortization of loan costs and calculated and recorded in the general ledger.
Finding 2023-002 Internal Control Structure Material Weakness – Eligibility, Reporting and Special Tests and provisions Repeat Finding 2022-02 I agree with finding The Authority is relatively small with limited administrative staff. Further, the Board of Commissioners is a volunteer oversight boar...
Finding 2023-002 Internal Control Structure Material Weakness – Eligibility, Reporting and Special Tests and provisions Repeat Finding 2022-02 I agree with finding The Authority is relatively small with limited administrative staff. Further, the Board of Commissioners is a volunteer oversight board and not a managing board and does not have the time or expertise to provide the necessary services to correct the internal control deficiencies noted. The Board has reviewed the issue and determined that there are no additional procedures which can be reasonably done to eliminate the deficiencies and accepts them.
The Cornbelt Educational Cooperative Business Manager, Pamela Selken is the contact person responsible for the corrective action plan for this finding. This finding is due to the limited number of staff employed in the Cooperative's business office. Staffing the office at an efficient and financia...
The Cornbelt Educational Cooperative Business Manager, Pamela Selken is the contact person responsible for the corrective action plan for this finding. This finding is due to the limited number of staff employed in the Cooperative's business office. Staffing the office at an efficient and financially feasible level precludes the hiring of enough personnel to provide an ideal environment for the internal controls. The Administration and Advisory Board is aware of the weakness in internal controls and will continue to develop policies and procedures and provide compensating controls to reduce the risk. We will also communicate this concern with our Board of Directors. The Cornbelt Educational Cooperative did adopt an Internal Controls and Procedures policy on March 13th, 2018 that does address many of these issues, and would ask for consideration reflecting this implementation. This finding will be an ongoing process, requiring continued analysis of processes and procedures in order to minimize the risk.
Criteria: The CARES, CRRSAA, and ARP institutional quarterly portion of reporting requirements involve publicly posting completed forms on the Institution's website. The forms must be conspicuously posted on the Institution's primary website on the same page as the reports of the IHE's activities as...
Criteria: The CARES, CRRSAA, and ARP institutional quarterly portion of reporting requirements involve publicly posting completed forms on the Institution's website. The forms must be conspicuously posted on the Institution's primary website on the same page as the reports of the IHE's activities as to the emergency financial aid grants to students (Student Aid Portion) are posted. This information must also be updated no later than 10 days after the end of each calendar quarter (September 30, and December 31, March 31, and June 30). The University concurs with this finding and will adhere to the corrective action plan. Corrective Action: The audit for FY22 was not finalized until June 27, 2023. The plan date for correction for this finding was December 31, 2023. Therefore, the plan was not realized due to the timing of completion of the FY22 audit. Now that the FY23 audit is completed, the Office of Sponsored Research & Innovation will designate a person to verify that reports are posted by periodically checking the website after request are made. Responsible Person(s): Linda Jackson, VP Sponsored Research & Innovation lrjackson@vuu.edu 804 257-5807. Planned Date of Completion of Corrective Action: December 31, 2023.
Criteria: Under the Pell grant and ED loan programs, Institutions are responsbile for timely enrollment reporting to the NSLDS whether they report directly or via a third-party servicer such as the National Student Clearinghouse (NSC). Enrollment reporting in a timely and accurate manner is critical...
Criteria: Under the Pell grant and ED loan programs, Institutions are responsbile for timely enrollment reporting to the NSLDS whether they report directly or via a third-party servicer such as the National Student Clearinghouse (NSC). Enrollment reporting in a timely and accurate manner is critical for effective management of the programs. Enrollment information must be reported within 60 days whenever enrollment status changes for students unless a roster is submitted within 60 days. These changes include reductions or increases in attendance levels, withdrawals, graduations, or approved leave-of-absence. The University concurs with this finding and will adhere to the corrective action plan. Corrective Action: The audit for FY22 was not finalized until June 27, 2023. The plan date for correction for this finding was December 31, 2023. Therefore, the plan was not realized due to the timing of completion of the FY22 audit. Now that the FY23 audit is completed, the Registrar and Information Technology will ensure monthly reporting to the National Clearinghouse. In addition, the Registrar will determine the root cause is corrected and enrollment is reported correctly. These procedures will become part of the Registrar's Standard Operating Procedures. Responsbile Person(s): Doreen Dixon, Registrar ddixon@vuu.edu 804 257-5845. Kofi Jack, Chief Information Officer kjack@vuu.edu 804 257-5709. Planned Date of Completion of Corrective Action: December 31, 2023.
Finding 127 (2023-002)
Significant Deficiency 2023
The University did not timely disburse a Pell grant to an eligible student within the payment period. Corrective Actions Taken or Planned: Run the pending Pell Grant report weekly and investigate any returning corrections that were delayed by CPS such as this case. Anticipated Completion Date: Augu...
The University did not timely disburse a Pell grant to an eligible student within the payment period. Corrective Actions Taken or Planned: Run the pending Pell Grant report weekly and investigate any returning corrections that were delayed by CPS such as this case. Anticipated Completion Date: August 1, 2023 Contact Person: Julie Haack
Finding 126 (2023-001)
Significant Deficiency 2023
The University did not accurately or timely report enrollment changes to the National Student Loan Data System (NSLDS). Corrective Actions Taken or Planned: Based on these circumstances of a reported status being overwritten by a monthly update, we will do a random audit of all reported withdrawn s...
The University did not accurately or timely report enrollment changes to the National Student Loan Data System (NSLDS). Corrective Actions Taken or Planned: Based on these circumstances of a reported status being overwritten by a monthly update, we will do a random audit of all reported withdrawn students to make sure the correct status has flowed through to NSLDS from NSLC Anticipated Completion Date: December 1, 2023 Contact Person: Julie Haack
Funds were needed for temporary cash flow shortage and the funds were returned on 7/18/2023.
Funds were needed for temporary cash flow shortage and the funds were returned on 7/18/2023.
Implement a formal approval process for all federal expenditures - ensuring pre-approval, and available documentation are retained. Consider staff training for uniform guidance and continuing reviews and approvals to ensure compliance.
Implement a formal approval process for all federal expenditures - ensuring pre-approval, and available documentation are retained. Consider staff training for uniform guidance and continuing reviews and approvals to ensure compliance.
Finding Reference Number 2022: Untimely Completion of the Single Audit Description of Finding: The Single Audit for the year ended December 31, 2022 was completed approximately three years after the fiscal year-end due primarily to prolonged delays in responses to audit requests and untimely submiss...
Finding Reference Number 2022: Untimely Completion of the Single Audit Description of Finding: The Single Audit for the year ended December 31, 2022 was completed approximately three years after the fiscal year-end due primarily to prolonged delays in responses to audit requests and untimely submission of required supporting documentation. Statement of Concurrence or Nonconcurrence: Threshold CoC concurs with the finding. Corrective Action: Management will establish formal procedures to ensure timely completion and submission of future Single Audits. Procedures will assign an audit coordinator, maintain a centralized tracking system for auditor requests and outstanding items, establish internal deadlines for providing requested documentation, and require regular progress communication with the audit team. Management will also ensure adequate staffing and resources are available throughout the audit process. Name of Contact Person: Jason Feldhaus, Executive Director, jason@thresholdcoc.org Projected Completion Date: December 31, 2026 Questioned Costs: None
Finding Reference Number 2022: Reporting Description of Finding: Management was unable to provide several required monthly and quarterly Emergency Rental Assistance Program reports requested during the audit and, for reports that were available, could not provide sufficient supporting documentation ...
Finding Reference Number 2022: Reporting Description of Finding: Management was unable to provide several required monthly and quarterly Emergency Rental Assistance Program reports requested during the audit and, for reports that were available, could not provide sufficient supporting documentation to substantiate certain reported amounts. Statement of Concurrence or Nonconcurrence: Threshold CoC concurs with the finding. Corrective Action: Management will strengthen controls over grant reporting by maintaining a reporting calendar with due dates and assigned owners; requiring completion, retention, and timely submission of all required monthly and quarterly reports; and retaining sufficient supporting documentation and reconciliations for all amounts reported to the grantor. A supervisory review will be documented before reports are submitted. This is similar to prior-year finding 2021-002. The corrective action above adds formal report tracking, retention, supporting documentation, and documented supervisory review to address the repeated issue. Name of Contact Person: Jason Feldhaus, Executive Director, jason@thresholdcoc.org Projected Completion Date: December 31, 2026 Questioned Costs: None.
Finding Reference Number 2022: Preparation of SEFA Description of Finding: The initial Schedule of Expenditures of Federal Awards (SEFA) contained material errors and omissions, including omitted amounts passed through to subrecipients, inaccurate federal expenditure amounts, and other incomplete in...
Finding Reference Number 2022: Preparation of SEFA Description of Finding: The initial Schedule of Expenditures of Federal Awards (SEFA) contained material errors and omissions, including omitted amounts passed through to subrecipients, inaccurate federal expenditure amounts, and other incomplete information, and required significant auditor assistance and multiple revisions before it was materially accurate. Statement of Concurrence or Nonconcurrence: Threshold CoC concurs with the finding. Corrective Action: Management will implement formal procedures for preparation and review of the SEFA. The process will include reconciling federal expenditures to the general ledger and supporting grant records; verifying that all federal programs, Assistance Listing Numbers, and pass-through information are complete and accurate; identifying and reporting all amounts provided to subrecipients; and documenting an independent supervisory review of the completed SEFA before it is provided for audit. Name of Contact Person: Jason Feldhaus, Executive Director, jason@thresholdcoc.org Projected Completion Date: December 31, 2026
2022-002 – Reporting – Submission of the Data Collection Form Individuals Responsible for Corrective Action Plan: Sara Bradley, VP/Chief Financial Officer Anticipated Completion Date: September 2026 Management acknowledges that the reporting package and data collection form for the year ended June 3...
2022-002 – Reporting – Submission of the Data Collection Form Individuals Responsible for Corrective Action Plan: Sara Bradley, VP/Chief Financial Officer Anticipated Completion Date: September 2026 Management acknowledges that the reporting package and data collection form for the year ended June 30, 2022, was not filed with the Federal Audit Clearinghouse on or before the deadline of March 31, 2023. Management maintains that appropriate schedules and notes thereto were prepared accurately and timely, and that the delay was due primarily to the unique nature of Provider Relief Funds being reported, which resulted in evolving compliance requirements over the funding and reporting periods. Management will file the reporting package and data collection form immediately upon completion and will continue to monitor and adhere to future Federal compliance updates to prevent such delays in the future.
Contact Person – Rob Johnson, Interim City Auditor and Dominic Eritano, Airport Manager Corrective Action Plan – The City will conduct a review of the internal control and procedures and make necessary adjustments to ensure that grant reporting is filed accurately and within required timelines. Comp...
Contact Person – Rob Johnson, Interim City Auditor and Dominic Eritano, Airport Manager Corrective Action Plan – The City will conduct a review of the internal control and procedures and make necessary adjustments to ensure that grant reporting is filed accurately and within required timelines. Completion Date – Ongoing – December 31, 2026
Contact Person – Rob Johnson, Interim City Auditor and Dominic Eritano, Airport Manager Corrective Action Plan – The City has contracted with auditors to get caught up on audits. Completion Date – Ongoing – December 31, 2026
Contact Person – Rob Johnson, Interim City Auditor and Dominic Eritano, Airport Manager Corrective Action Plan – The City has contracted with auditors to get caught up on audits. Completion Date – Ongoing – December 31, 2026
Farmers Market and Local Food Promotion Program– Assistance Listing No. 10.175 Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: We recommend that management implement procedures to identify FFATA-reportable subawards and ensure all required reports are...
Farmers Market and Local Food Promotion Program– Assistance Listing No. 10.175 Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: We recommend that management implement procedures to identify FFATA-reportable subawards and ensure all required reports are submitted timely. We further recommend that management review subawards issued subsequent to FY2022 to determine whether any required FFATA reports were omitted and consult with the applicable federal awarding agencies or pass-through entities regarding potential corrective actions, including whether late reporting may be accepted. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has since submitted the missing FFATA reports and is implementing procedures to address the requirement going forward. Name(s) of the contact person(s) responsible for corrective action: Rob Smith Planned completion date for corrective action plan: July 23, 2026
Farmers Market and Local Food Promotion Program– Assistance Listing No. 10.175 Recommendation: To implement a documented review and approval for matching transactions. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding...
Farmers Market and Local Food Promotion Program– Assistance Listing No. 10.175 Recommendation: To implement a documented review and approval for matching transactions. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will implement a quarterly review and approval process for grant matching transactions, performed separately for each grant program. For each program, a spreadsheet summarizing that program's matching transactions received during the prior quarter will be prepared and sent to the Executive Director for review. The Executive Director's approval will be documented via email for each program, retained along with the corresponding supporting spreadsheet as evidence of review. Name(s) of the contact person(s) responsible for corrective action: Rob Smith Planned completion date for corrective action plan: September 30, 2026
Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: To implement a procedure that documents the Executive Director's review and approval of the annual REEports, such as retaining evidence of approval through a signed report or email correspondence. In add...
Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: To implement a procedure that documents the Executive Director's review and approval of the annual REEports, such as retaining evidence of approval through a signed report or email correspondence. In addition, management should establish controls and provide training to help ensure reports are reviewed, approved, and submitted timely in accordance with applicable requirements Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will implement a documented review and approval process for annual REEports prior to submission. Each year, the completed REEport will be sent to the Executive Director for review, and the Executive Director's approval will be documented via email prior to submission. This email approval will be retained as evidence of review, along with the submitted report. Name(s) of the contact person(s) responsible for corrective action: Rob Smith Planned completion date for corrective action plan: September 30, 2026
Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: To provide additional training to employees and supervisors responsible for timesheet preparation and approval to reinforce compliance with established timesheet policies and approval controls. Explanati...
Beginning Farmer and Rancher Development Program – Assistance Listing No. 10.311 Recommendation: To provide additional training to employees and supervisors responsible for timesheet preparation and approval to reinforce compliance with established timesheet policies and approval controls. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will provide additional training to both employees responsible for preparing timesheets and to supervisors responsible for reviewing and approving them. This training will cover accurate and timely recording of time worked, including proper allocation of time to federal grant programs, and will reinforce Viva Farms' existing timesheet policies and supervisor approval requirements before timesheets are submitted to payroll.. Name(s) of the contact person(s) responsible for corrective action: Rob Smith Planned completion date for corrective action plan: September 30, 2026
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP includes: Establishing and documenting formal procedures for the preparation, review, and timely submission of SF-425 reports; implementing a report reconciliation checklist requiring agreem...
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP includes: Establishing and documenting formal procedures for the preparation, review, and timely submission of SF-425 reports; implementing a report reconciliation checklist requiring agreement of reported data to PRIFAS andSEFA records, ensure that each report includes federal and recipient share, drawdown activity, and unliquidated obligations as of the reporting date, designate an official responsible for review and approval prior to filing and retain evidence of submission, and DSP will also provide staff training on federal reporting requirements under 2 CFR 200.327-329. This new section will specifically address federal programs for the bureaus and DPS itself.
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP includes reporting requirements and periodic reconciliation of financial information maintained in DRS and reported through QPRs, along with the corresponding accounting records and supporti...
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP includes reporting requirements and periodic reconciliation of financial information maintained in DRS and reported through QPRs, along with the corresponding accounting records and supporting documents required by federal and state laws. This new section will specifically address federal programs for the bureaus and DPS itself.
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP establishes a formal audit reporting timetable that identifies key milestones for preparing the financial statements, SEFA, supporting schedules, and audit documentation. It will also includ...
DPS has developed a draft Standard Operating Procedures Manual for the newly created fiscal section. This SOP establishes a formal audit reporting timetable that identifies key milestones for preparing the financial statements, SEFA, supporting schedules, and audit documentation. It will also include assigning responsibilities to specific personnel and management who should periodically monitor progress to ensure all required information is available to the auditors well in advance of the Uniform Guidance reporting deadline. This new section will specifically address federal programs for the bureaus and DPS itself.
Finding 2022-004 - Material Weakness a. Inadequate Segregation of Federal and Non-Federal Expenditures b. Plan of Action - As this is an audit from four years ago, we acknowledge the deficiency at that time. i. Establish policies and procedures to ensure that all Federal awards are identified and re...
Finding 2022-004 - Material Weakness a. Inadequate Segregation of Federal and Non-Federal Expenditures b. Plan of Action - As this is an audit from four years ago, we acknowledge the deficiency at that time. i. Establish policies and procedures to ensure that all Federal awards are identified and reported accurately on the general ledger, utilizing separate general ledger accounts, cost centers, or project codes for Federal awards. A reconciliation of each applicable general ledger account and grant will be created and maintained, external to the general ledger, for all future grants, beginning in fiscal year 2026, but also retroactively as each year is prepared for audit. ii. Establish procedures to track expenditures by funding source throughout the project lifecycle. The City will establish written procedures for grant expenses during the FY27 fiscal year. iii. Internal Controls should be designed to perform periodic reconciliations of the SEFA information to the general ledger accounts throughout the fiscal year. See item i. and ii above. Provide appropriate training to staff who are assigned to prepare and review the SEF A. The outside consulting firm began in July 2023, with additional support added in June 2026, with the departure of the City Manager, who was also the prior Finance Director. c. Timeframe for implementation - We will strengthen our grant reconciliation procedures and documentation of support to be able to timely provide support to the auditor. We expect to have adequate reconciliation procedures during the FY23 audit preparation, with full implementation during the FY27 fiscal year.
Public and Indian Housing – ALN #14.850 Recommendation: We recommend that management review their procedures for tracking utility costs and usage in order to accurately complete the HUD- 52722 form. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Acti...
Public and Indian Housing – ALN #14.850 Recommendation: We recommend that management review their procedures for tracking utility costs and usage in order to accurately complete the HUD- 52722 form. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Authority reviewed its procedures for compiling and reporting utility consumption and cost data used in the preparation of Form HUD-52722. Additional reconciliation procedures have been implemented requiring utility data reported to HUD to be compared to supporting utility tracking records prior to submission. Management has established a secondary review process for utility reporting and provided additional training to staff responsible for preparing and reviewing utility data. These controls are designed to improve the accuracy of utility reporting and ensure compliance with HUD reporting requirements. Name(s) of the contact person(s) responsible for corrective action: Jennifer Palmer, Vice President Finance Planned completion date for corrective action plan: December 31, 2026
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