Corrective Action Plans

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FINDING 2022-002 ? Special Tests and Provisions ? Enrollment Reporting: Significant Deficiency in Internal Control Recommendation: We recommend that the University develop additional procedures to monitor the accuracy of information provided by its third-party servicer on behalf of the University t...
FINDING 2022-002 ? Special Tests and Provisions ? Enrollment Reporting: Significant Deficiency in Internal Control Recommendation: We recommend that the University develop additional procedures to monitor the accuracy of information provided by its third-party servicer on behalf of the University to NSLDS. One additional monitoring control could be to review a sample of students within NSLDS after each roster file response to ensure that the enrollment status is accurate. Each institution has access to correct information directly within NSLDS at any time. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with the importance of ensuring timely and accurate NSLDS reporting in accordance with 34 CFR section 685.309(b)(2)(i)). The NCU Quality Assurance, under Brandy Baker, team now reviews enrollment reporting on a regular basis to confirm the reporting process is consistent with the Title IV regulation. Starting in January 2023, Quality Assurance team leads investigations while partnering with our Financial Aid Director, Kimberly Quinn, and our Registrar team, under Chris Alvarado, to determine the cause of the inaccurate reporting for quality assurance review findings and will work with the appropriate departments and teams to ensure that any required corrections to process, reporting, reporting code or systems is rectified. Management agrees with the importance of communicating with the Department of Education when an enrolled student ceases to be enrolled at least half-time.
FINDING 2022-001 ? Special Tests and Provisions ? Return of Title IV: Significant Deficiency in Internal Control Recommendation ? We recommend NCU revise their system queries to capture all withdrawn students and implement a process by which the queries are tested annually. We also recommend NCU im...
FINDING 2022-001 ? Special Tests and Provisions ? Return of Title IV: Significant Deficiency in Internal Control Recommendation ? We recommend NCU revise their system queries to capture all withdrawn students and implement a process by which the queries are tested annually. We also recommend NCU implement a process in which there is a final review of the Title IV return after the fact for all students to ensure all aspects are correct and timely. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with the importance of ensuring that the return of Title IV funds (R2T4) is performed both timely and accurately. In November 2022, the University instituted a new workflow process that is easily tracked and reported, allowing our Processing, under Kimberly Quinn, and Quality Assurance, under Brandy Baker, teams to monitor and control the R2T4 process more effectively. In addition, the Quality Assurance team at NCU is now performing regular and periodic file reviews to ensure file accuracy. The Quality Assurance process includes a review of both an assessment of the accuracy of our calculations and that all required R2T4s are complete. These new internal controls ensure we process R2T4 in accordance with 34 CFR section 668.22 (2)(i) in the required timeframe. We anticipate the changes mentioned above will remediate this finding.
Management agrees with the finding. Due to vacancies experienced by the City of South Gate and the absence of a Director and Deputy Director of Administrative Services, management was not able to properly oversee the timely submission of the SF-425 financial reports for fiscal year ended June 30, 20...
Management agrees with the finding. Due to vacancies experienced by the City of South Gate and the absence of a Director and Deputy Director of Administrative Services, management was not able to properly oversee the timely submission of the SF-425 financial reports for fiscal year ended June 30, 2022. Additionally, due to these vacancies, the late submission of these reports extended into the first two quarters of the following fiscal year. However, these vacant positions have since been filled and Management will ensure that all SF-425 financial reports are reviewed and submitted within 30 days after the reporting period end date.
Finding Number: 2022-003 Planned Corrective Action: The School District Treasurer will review all Final Expenditure Report data submitted to the Ohio Department of Education to ensure that is accurate. Anticipated Completion Date: April 30, 2023 Responsible Contact Person: Samantha Hamilton, Treasur...
Finding Number: 2022-003 Planned Corrective Action: The School District Treasurer will review all Final Expenditure Report data submitted to the Ohio Department of Education to ensure that is accurate. Anticipated Completion Date: April 30, 2023 Responsible Contact Person: Samantha Hamilton, Treasurer
2022-002 Lost revenues were being reported incorrectly and not consistent with existing guidance provided by HHS, as the University did not report accrual basis revenue for two of the quarters reported. Personnel Responsible for Corrective Action: Dana Funderburk, Vice Pres...
2022-002 Lost revenues were being reported incorrectly and not consistent with existing guidance provided by HHS, as the University did not report accrual basis revenue for two of the quarters reported. Personnel Responsible for Corrective Action: Dana Funderburk, Vice President for Finance/CFO, and Monnie Harrison, Controller - Accounting Services Anticipated Completion Date: The corrective action plan will be implemented by June 30, 2023. Corrective Action Plan: The University is going to continue to improve its understanding of the guidance related to this type of reporting and work with their external advisors to ensure future portal submissions, if any, are compliant with said guidance.
Finding 37575 (2022-007)
Significant Deficiency 2022
The City of Boston?s Mayor?s Office of Emergency Management (OEM) will add an event to the departmental annual calendar on the first business day of the month of May of every year indicating that pre-risk assessment forms for the upcoming fiscal year beginning on July 1st are to be sent out to subre...
The City of Boston?s Mayor?s Office of Emergency Management (OEM) will add an event to the departmental annual calendar on the first business day of the month of May of every year indicating that pre-risk assessment forms for the upcoming fiscal year beginning on July 1st are to be sent out to subrecipients of federal funds. The addition of this even to the calendar will ensure that all appropriate Admin and Finance staff at OEM are aware of this annual requirement and follow up with subrecipients to receive completed pre-risk assessments in advance of the new fiscal year. OEM?s Director of Admin and Finance will be the primary point of contact for pre-risk assessment-related inquiries from subrecipients, with the Assistant Deputy Chief of Administration serving as a backup point of contact. An event will also be added on the final business day of May each year to ensure that OEM staffs follow up with subrecipients that were not responsive to the initial request. OEM will also institute a policy of requiring a written response following receipt of a SEFA letter from OEM detailing the previous fiscal year?s expenditures on behalf of a subrecipient. This written response will contain confirmation that the subrecipients have recorded the same expenditures in their accounting systems as OEM reported in the SEFA letter. Should there be any discrepancy between the information provided in the SEFA from OEM and the expenditures reported by the subrecipient, OEM will schedule a meeting to reconcile any differences and resolve discrepancies within 30 days of being notified of said discrepancies. The Director of Admin and Finance and the Assistant Deputy Chief of Administration will represent OEM in this meeting with the appropriate staff from the subrecipient reporting a discrepancy. Confirmation of resolution of any discrepancies will be documented in writing and attached to SEFA letters for record keeping purposes. Anticipated Completion Date: June 30, 2023 Responsible Contact Person: Scott Finn, Assistant City Auditor, Grants Monitoring Unit scott.finn@boston.gov
Finding 37562 (2022-002)
Significant Deficiency 2022
The Finance Department at Boston Public Schools (BPS) will implement an internal fiscal tracker to monitor and update on a quarterly basis to reflect reporting timelines and ensure timely spending of all grant funds. In addition, BPS will create a grant close procedure document that outlines the rol...
The Finance Department at Boston Public Schools (BPS) will implement an internal fiscal tracker to monitor and update on a quarterly basis to reflect reporting timelines and ensure timely spending of all grant funds. In addition, BPS will create a grant close procedure document that outlines the roles, responsibilities, and tasks associated with completing the FR1. Anticipated Completion Date: June 30, 2023 Responsible Contact Person: Scott Finn, Assistant City Auditor, Grants Monitoring Unit scott.finn@boston.gov
The grant accounting team will develop a Master Grants Checklist to help manage the grant operations process and help the team ensure compliance and reporting requirements are met for each grant. This Master Grants Checklist was put into place on December 6, 2022. The grant accounting Team will subm...
The grant accounting team will develop a Master Grants Checklist to help manage the grant operations process and help the team ensure compliance and reporting requirements are met for each grant. This Master Grants Checklist was put into place on December 6, 2022. The grant accounting Team will submit information on first-tier subawards to the FSRS for eligible grants by December 31, 2022.
U.S. DEPARTMENT OF EDUCATION North Central Missouri College respectfully submits the following corrective action plan for the year ended June 30, 2022. Contact information for the individual responsible for the corrective action: Mr. Tyson Otto, Vice President of Business & Finance North Central Mis...
U.S. DEPARTMENT OF EDUCATION North Central Missouri College respectfully submits the following corrective action plan for the year ended June 30, 2022. Contact information for the individual responsible for the corrective action: Mr. Tyson Otto, Vice President of Business & Finance North Central Missouri College 1601 Main Street Trenton, MO 64683 (660) 359-3948 Independent public accounting firm: KPM CPAs, PC, 1145 E Republic Rd, Springfield, Missouri 65804 Audit Period: Year Ended June 30, 2022 The finding from the June 30, 2022, audit of the financial statements is below. The finding is numbered with the number assigned in the schedule. FINDING - MAJOR FEDERAL AWARD PROGRAM AUDIT 2022-001 Special Test and Provisions - Return of Title IV Funds Recommendation: The College implement procedures in order to strictly comply with the requirements of 34 CFR 668.173 as it relates to the return of Title IV funds. Corrective Action Taken: To ensure the NCMC Financial Aid Office complies with the requirements of 34 CFR 668.173 as it relates to the return of Title IV funds, an additional weekly report was implemented to identify all withdraws and confirm an R2T4 calculation was performed (if required). Anticipated Completion Date: Fall semester 2022 and ongoing.
Recommendation: Block grant reports should be completed prior to the accounting record close process to ensure the expenditures reported are supported by the underlying accounting records. Controls over reporting should include records for the basis of reporting submissions should be reviewed as par...
Recommendation: Block grant reports should be completed prior to the accounting record close process to ensure the expenditures reported are supported by the underlying accounting records. Controls over reporting should include records for the basis of reporting submissions should be reviewed as part of the report approval process prior to submission. Supporting documentation and reconciliations should be filed for reference purposes. Action Taken: The County Human Services department will submit a revised block grant report for the 2021-2022 fiscal year by October 31, 2023. Block grant reporting for the 2022-2023 fiscal year will be submitted prior to the accounting record close process to ensure the underlying expenditures in the accounting system are in agreement with the expenditures reported. Internal approvals prior to submission and underlying records for reports will be maintained by the County Human Services department. Responsible Individual for Corrective Action: Gaston Gonzalez, County of Delaware Department of Human Services Chief Financial Officer Completion Date: October 31, 2023
Finding 37503 (2022-004)
Significant Deficiency 2022
Recommendation: The County Domestic Relations department communicate the requirements regarding file documentation and record management to the department staff. Action Taken: This finding occurred as a result of a IV-A case referral from the County Assistance Office (COA). In order to comply with t...
Recommendation: The County Domestic Relations department communicate the requirements regarding file documentation and record management to the department staff. Action Taken: This finding occurred as a result of a IV-A case referral from the County Assistance Office (COA). In order to comply with the directive it is necessary that we receive verifiable and sufficient information from the CAO. We did not receive all information necessary from the CAO to comply in this instance. It would have been inappropriate to proceed. Domestic Relations Department will provide semi-annual training to the Intake Unit staff in Case Initiation, record retention, and file documentation beginning in November 2023. Responsible Individual for Corrective Action: Patricia Coacher, County of Delaware Domestic Relations Director Completion Date: December 31, 2023
Finding 37497 (2022-009)
Significant Deficiency 2022
Recommendation: We recommend that County management review its staffing and personnel responsibilities to prioritize the completion of its audit responsibilities within the prescribed timeframes. Action Taken: Management agrees and will submit its Single Audit and related Data Collection Form within...
Recommendation: We recommend that County management review its staffing and personnel responsibilities to prioritize the completion of its audit responsibilities within the prescribed timeframes. Action Taken: Management agrees and will submit its Single Audit and related Data Collection Form within nine months of the end of its fiscal period ended December 31, 2022. Completion Date: September 29, 2023
FINDING 2022-003 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Elkins, CFO Contact Phone Number: 317-485-3100 Views of Responsible Official : We concur with the finding Description of Corrective Action Plan: The CFO and Corporation Treasurer will create, ...
FINDING 2022-003 (Auditor Assigned Reference Number) Contact Person Responsible for Corrective Action: Greg Elkins, CFO Contact Phone Number: 317-485-3100 Views of Responsible Official : We concur with the finding Description of Corrective Action Plan: The CFO and Corporation Treasurer will create, review, and retain electronic documents for any ESSER/GEER data requests. The CFO will submit any required reports to the IDOE. The CFO has currently saves all jotform documentation and email transaction receipts. The CFO will now ?cc? all jotform submissions and receipt acknowledgements to the Corporation Treasurer as well. Anticipated Completion Date: 2/9/2023
Finding number: 2022-002 Federal agency: U.S. Department of Education Programs: Higher Education Relief Fund ? Institutional Portion AL #?s: 84.425F Award year: 2022 Corrective Action Plan: During the next window to make changes to the 2021 annual report, changes will be m...
Finding number: 2022-002 Federal agency: U.S. Department of Education Programs: Higher Education Relief Fund ? Institutional Portion AL #?s: 84.425F Award year: 2022 Corrective Action Plan: During the next window to make changes to the 2021 annual report, changes will be made to ensure the report matches our internal records. Review procedures will be in place to ensure accurate reporting going forward. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Alena Volynkina, Controller
Finding number: 2022-001 Federal agency: U.S. Department of Education Programs: Federal Direct Student Loans AL #?s: 84.268 Award year: 2022 Corrective Action Plan: A background process that was automated to send loan information to COD on a twice weekly basis stopped run...
Finding number: 2022-001 Federal agency: U.S. Department of Education Programs: Federal Direct Student Loans AL #?s: 84.268 Award year: 2022 Corrective Action Plan: A background process that was automated to send loan information to COD on a twice weekly basis stopped running and had not detected it in a timely manner. The issue with the background process has been resolved and will be monitored to make sure it continues to run on a consistent basis to ensure timely communication within regulation. Timeline for Implementation of Corrective Action Plan: This has already been implemented Contact Person Catherine Kedski, Director of Student Financial Services
Finding Type: Significant Deficiency of CFDA 10.553 and 10.555. Name of Contact Person: Ryan Fritch, Superintendent. Recommendation: We recommend the Food Service Director input the amounts into the Illinois State Board of Education monthly meal count report, print the report before submission,...
Finding Type: Significant Deficiency of CFDA 10.553 and 10.555. Name of Contact Person: Ryan Fritch, Superintendent. Recommendation: We recommend the Food Service Director input the amounts into the Illinois State Board of Education monthly meal count report, print the report before submission, and give to the Bookkeeper or Superintendent the report along with the daily meal count sheets to review in order to ensure the amounts are accurate. The review should be documented on the report. Corrective Action: The Bookkeeper or Superintendent will begin reviewing the monthly meal count reports prepared by the Food Service Director to ensure accuracy before they are submitted. We will ensure the review is documented. Proposed Completion Date: Immediately.
Finding Number: 2022-001 Condition: The Hospital's controls in place for reporting submissions did not identify that General and Targeted Distribution Post-Payment Notice of Reporting Requirements guidelines were not followed related to the lost revenue calculations. The Hospital's Period 1 and Pe...
Finding Number: 2022-001 Condition: The Hospital's controls in place for reporting submissions did not identify that General and Targeted Distribution Post-Payment Notice of Reporting Requirements guidelines were not followed related to the lost revenue calculations. The Hospital's Period 1 and Period 2 reporting submissions for lost revenue did not follow the acceptable options provided by HHS Planned Corrective Action: The Hospital will review its processes surrounding the methodologies used to report lost revenue and will implement additional levels of review to ensure that the proper lost revenue methodology is used in future reporting periods. Contact person responsible for corrective action: Andrew Poole, Chief Financial Officer Anticipated Completion Date: 3/31/2023
Views of Responsible Officials and Planned Corrective Actions: We agree with the findings and recommendations of the auditor. The cause of this omission is due to the change in accounting and management personnel. The Organization has brought in an outside consultant who has set up a calendar to ens...
Views of Responsible Officials and Planned Corrective Actions: We agree with the findings and recommendations of the auditor. The cause of this omission is due to the change in accounting and management personnel. The Organization has brought in an outside consultant who has set up a calendar to ensure these are not delayed going forward.
Oversight Agency for Audit, North Dade Senior Citizens Housing Development Corporation, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 20...
Oversight Agency for Audit, North Dade Senior Citizens Housing Development Corporation, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Bellows Associates, P.A., 5401 N University Drive, Suite 201, Coral Springs, Florida 33067. 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. SECTION III ? FINDINGS AND QUESTIONED COSTS ? MAJOR FEDERAL AWARD PROGRAMS AUDIT FINDING No. 2022-001: Section 207/223(f) Mortgage Insurance for the Refinancing of Existing Multifamily Housing Projects, CFDA 14.155 Recommendation: The Project should implement procedures to ensure all tenant documentation is properly completed and maintained. Action Taken: Training will be conducted with on-site staff on file requirements and procedures. Going forward Compliance will be reviewing random files for accuracy to prevent future file findings. If the audit Oversight Agency has questions regarding these plans, please call Christine Harris at 954-835-9200. Sincerely yours, Christine Harris Accounting Manager
Finding --- The reporting package was not made available to users timely. Corrective action --- The audit firm of Cullari Carrico LLC has provided information to the Organization that they will ensure that future reporting packages are initiated in a timely fashion. Management will ensure to follo...
Finding --- The reporting package was not made available to users timely. Corrective action --- The audit firm of Cullari Carrico LLC has provided information to the Organization that they will ensure that future reporting packages are initiated in a timely fashion. Management will ensure to follow up with the audit firm should the audit package not be initiated within the earlier of 15 days after receipt of the auditors? reports. Status --- Corrective action in progress. Completion date --- Before 3/31/2023 Contact --- Doug Goudsward, CFO Contact phone --- 732-918-9901, Ext 107 Contact address --- 3301 C Route 66, Neptune, New Jersey, 07754
Finding --- Internal controls over financial statement reporting lack segregation of duties. Corrective action --- During the year, internal controls have been enhanced for layers of review. However, the Organization understands that it is imperative that the assigned preparer and reviewer have th...
Finding --- Internal controls over financial statement reporting lack segregation of duties. Corrective action --- During the year, internal controls have been enhanced for layers of review. However, the Organization understands that it is imperative that the assigned preparer and reviewer have the suitable skill, knowledge and experience to perform preparation and oversight responsibilities, respectively. Management and the board are seeking both at the governance level and internally, additional personnel to assist with financial duties through active recruitment. Status --- Corrective action in progress. Completion date --- Before 9/30/2023 Contact --- Doug Goudsward, CFO Contact phone --- 732-918-9901, Ext 107 Contact address --- 3301 C Route 66, Neptune, New Jersey, 07754
Finding 37414 (2022-005)
Significant Deficiency 2022
Finding: 2022-005 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson (Leadworker) Corrective Action: Due to a higher volume of vacancies and new hires with no previous Income Maintenance experience it has taken the A...
Finding: 2022-005 Name of contact person: Brittany Majors (Program Manager), Donna Rimmer (AM Supervisor), Joanna Thompson (Leadworker) Corrective Action: Due to a higher volume of vacancies and new hires with no previous Income Maintenance experience it has taken the Adult Medicaid unit some time to get all positions filled and staff trained adequately enough to assist with the processing of cases. During the time of extreme turnover the case workers in place prioritized cases which resulted in the client receiving a greater benefit as advised by the administrative letters issued by DHB given due to the PHE continuity of beneifts was in place. During this time frame the State only allowed specific reduction of benefits/terminiations. Therefore, these individuals would have continued to recieve the same benefit regardless of the SSI review being completed or not. The County has since filled all IMC II positions in that unit and hired a contracted trainer to assist with training in the Adult Medicaid unit. Workloads have been evaluated and specialized based off of program to reduce/eliminate processing errors moving forward. Proposed Completion Date: 9/23/2022
Corrective action plan: HHSC ? Medicaid and CHIP Services - FRAC identified the missing requirements and updated the MLR report template and instructions in August 2022. Unfortunately, work was not completed in time for the Managed Care Organizations (MCO) to use the new template for reports subm...
Corrective action plan: HHSC ? Medicaid and CHIP Services - FRAC identified the missing requirements and updated the MLR report template and instructions in August 2022. Unfortunately, work was not completed in time for the Managed Care Organizations (MCO) to use the new template for reports submitted in August 2022. MCOs will use the new template with reports submitted in August 2023. Implementation date(s): Fully implemented August 2022. Responsible persons: Director, Medicaid and CHIP Services ? FRAC
Corrective action plan: FDCM/OI investigators will review PIRTS reports on a regularly scheduled basis to ensure that Boards are uploading all required documentation related to childcare improper payments and taking collection efforts. The PIRTS system is in the process of being updated and is curre...
Corrective action plan: FDCM/OI investigators will review PIRTS reports on a regularly scheduled basis to ensure that Boards are uploading all required documentation related to childcare improper payments and taking collection efforts. The PIRTS system is in the process of being updated and is currently undergoing User Acceptance Testing. The updated system should allow for more robust reporting and controls. Additionally, FDCM/OI will provide more robust training and retraining to Boards that fall out of compliance. FDCM/OI will also develop an escalation policy in cases where Boards are not responsive to investigators? requests for status updates or document uploads into PIRTS. FDCM/OI investigators will ensure that SRM monitors are fully briefed on childcare improper payment cases at a Board as part of SRM?s annual monitoring review of the Board. Finally, FDCM/OI will ensure that all relevant controlling documents, e.g. Workforce Development Letter 21-16, Change 3 and its attached Child Care Fact-Finder?s Desk Aid; and the TWC?s Child Care Services Guide are updated to incorporate these new procedures. Implementation date(s): June 1, 2023 Responsible Persons: Jason Stalinsky, Deputy Division Director, Division of Fraud Deterrence and Compliance Monitoring
Corrective action plan: The Texas Workforce Commission will initiate a formal and documented review procedure to ensure that FFATA reports are submitted timely. Implementation date(s): March 1, 2023 Responsible persons: Teri Goodwin, Financial Reporting Manager
Corrective action plan: The Texas Workforce Commission will initiate a formal and documented review procedure to ensure that FFATA reports are submitted timely. Implementation date(s): March 1, 2023 Responsible persons: Teri Goodwin, Financial Reporting Manager
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