Corrective Action Plans

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CORRECTIVE ACTION PLAN Audit Firm: Winkel Green & Company LLP Audit Period: January 1, 2022 through December 31, 2022 CAP Prepared by: Name: Beth Fetzer-Rice Position: Executive Director Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Fin...
CORRECTIVE ACTION PLAN Audit Firm: Winkel Green & Company LLP Audit Period: January 1, 2022 through December 31, 2022 CAP Prepared by: Name: Beth Fetzer-Rice Position: Executive Director Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Recommendation. Uniform Guidance stipulates that reimbursements are paid to subrecipients in a timely manner. The Organization did not pay subrecipients in a timely manner for the months of April through December 2022, resulting in $234,254 of untimely reimbursements. b. Action Taken or Planned on the Finding The Organization will meet with subgrantees to establish increased control processes, including outlining documentation requirements, timeframes for reimbursement submission, identifying correct staff contacts for timely communications, and formalizing a timeframe for approving/distributing subrecipient disbursements. The Organization has paid all reimbursements through December 2022 as of August 30, 2023.
View Audit 34608 Questioned Costs: $1
Finding 35099 (2022-001)
Significant Deficiency 2022
Federal Award Finding Finding 2022-001 Lack of Internal Controls and Noncompliance over Subrecipient Monitoring Name of Contact Person: Dora Cross, Finance Director Corrective Action Plan: The Borough Manager will either assign grant-related monitoring staff in the finance department or ensure th...
Federal Award Finding Finding 2022-001 Lack of Internal Controls and Noncompliance over Subrecipient Monitoring Name of Contact Person: Dora Cross, Finance Director Corrective Action Plan: The Borough Manager will either assign grant-related monitoring staff in the finance department or ensure that non-finance department staff assigned to a grant participate in grant training to ensure they are fully aware of subrecipient monitoring requirements. Proposed Completion Date: December 31, 2022
2022-003 Segregation of Duties ? Reporting Federal Assistance Listing Number: 10.CNC Management is cognizant of the District?s internal control structure and continues to evaluate cost effective opportunities to further improve segregation of duties. It is the District?s plan to train an indivi...
2022-003 Segregation of Duties ? Reporting Federal Assistance Listing Number: 10.CNC Management is cognizant of the District?s internal control structure and continues to evaluate cost effective opportunities to further improve segregation of duties. It is the District?s plan to train an individual in the process of submitting claims in order to create a review process of the grant management process. Responsible Official: Karl Volkmann, Business Manager Anticipated Completion Date: June 30, 2023
Name of contact person: Laura Shola, Business Manager Corrective Action: The process of reporting eligible federal expenditures will be modified to ensure that remittances to request reimbursement occur in a timely manner. Anticipated Completion Date: The District will implement the above proced...
Name of contact person: Laura Shola, Business Manager Corrective Action: The process of reporting eligible federal expenditures will be modified to ensure that remittances to request reimbursement occur in a timely manner. Anticipated Completion Date: The District will implement the above procedure immediately.
Finding #3: Finding: The Annual Report on Emergency Non-Priority Cases was not submitted timely. Person responsible for resolution: Deputy Director for Operations Expected completion date: January 2023 Finding response: Management will ensure that this report is filed timely.
Finding #3: Finding: The Annual Report on Emergency Non-Priority Cases was not submitted timely. Person responsible for resolution: Deputy Director for Operations Expected completion date: January 2023 Finding response: Management will ensure that this report is filed timely.
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: In the event that future grant fund reporting is required, the University will develop and implement an electronic process which will validate and provide a reconcilement of student counts and grant ...
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: In the event that future grant fund reporting is required, the University will develop and implement an electronic process which will validate and provide a reconcilement of student counts and grant award amounts by student. Only information which has been validated will be included in periodic reporting. Anticipated Completion Date: February 28, 2023
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: The University has implemented this Student Self Service component of Colleague. Beginning in academic year 2022-2023, this system was used by students for acceptance of all loan awards and distribu...
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: The University has implemented this Student Self Service component of Colleague. Beginning in academic year 2022-2023, this system was used by students for acceptance of all loan awards and distributions. Acceptance of the awards will be automatically captured by the system. The Associate Director of Financial aid will run weekly Informer and Blackboard system reports to confirm student withdrawal dates. The Associate Director will then calculate based on the withdraw date to ensure an accurate return of funds calculation. The Director of Financial Aid will verify all return of funds calculations performed by the Associate Director within the required time period. Anticipated Completion Date: July 1, 2022
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: The University will transition from an entirely manual verification process to a hybrid automated electronic process utilizing a combination of both Informer and Colleague reports. These reports will...
Name of Responsible Individual: Melanie Mason, Director of Student Financial Aid Corrective Action: The University will transition from an entirely manual verification process to a hybrid automated electronic process utilizing a combination of both Informer and Colleague reports. These reports will focus on certain aspects of ISIR information such as Adjusted Gross Income and Taxes paid. Communication management rules will be validated by the Enrollment Management office. Anticipated Completion Date: March 31, 2023
2022-004 ? Internal Controls over Compliance over Native American Student Certifications (Significant Deficiency) ? Jeanette Garcia, Indian Education Director will make sure the District's policy is followed and proper documentation supporting policy compliance is saved. Documentation for the grant ...
2022-004 ? Internal Controls over Compliance over Native American Student Certifications (Significant Deficiency) ? Jeanette Garcia, Indian Education Director will make sure the District's policy is followed and proper documentation supporting policy compliance is saved. Documentation for the grant application is gathered from November-January so the Indian Education Director will save the documents and provide them to the business office. After Application is submitted, the Indian Education Director will be saving the rest of the documents and providing them to the DSBS.
Current Year Finding #2022-001- Repeat Finding for 2021-001 According to 2 CFR section 200.305(b)(5), when non-federal entities are funded under the reimbursement method, the entity should pay for costs for which reimbursement ...
Current Year Finding #2022-001- Repeat Finding for 2021-001 According to 2 CFR section 200.305(b)(5), when non-federal entities are funded under the reimbursement method, the entity should pay for costs for which reimbursement was requested prior to the date of the reimbursement request. During our audit, we noted the monthly claims for reimbursement were not compared to reports from the point of sale ("POS") system by an individual other than the preparer of the claims report prior to submission. We recommended that the district have an individual other than the preparer of the claims report, review the reports from the POS system prior to submission to verify that the number of meals claim based on actual meals served. Corrective Action: Effective July 30th, 2022, the Food Service Manager will prepare and review the meal count and meal reimbursement to the reports from the point-of-sale system, then prior to submittal will give to the reports from the POS system to the Business Administrator, Mr. Salvatore Carambia to verify and approve the reports from the POS system that the number of meals claimed was based on actual meals served.
2022-001 Claims Approval Corrective Action Plan (CAP): 1.Explanation of Disagreement with Audit Finding There is no disagreement with the audit finding. 2.Actions Planned in Response to Finding The Business Manager continues training dealing with governmental financial/accounting practices. 3.Offici...
2022-001 Claims Approval Corrective Action Plan (CAP): 1.Explanation of Disagreement with Audit Finding There is no disagreement with the audit finding. 2.Actions Planned in Response to Finding The Business Manager continues training dealing with governmental financial/accounting practices. 3.Official Responsible for Ensuring CAP Jim Wagner, Superintendent of Schools, is the official responsible for ensuring continued implementation of certain control measures. 4.Planned Completion Date for CAP June 30, 2023. 5.Plan to Monitor Completion of CAP The Le Sueur-Henderson School Board monitors this corrective action plan. Sincerely, Jim Wagner Superintendent of Schools
December 1, 2022 U.S. Department of Education 400 Maryland Avenue SW Washington, DC 20202 Re: Corrective Action Plan Pacific School of Religion (PSR) respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 01, 2021 through June 30, 2022 The find...
December 1, 2022 U.S. Department of Education 400 Maryland Avenue SW Washington, DC 20202 Re: Corrective Action Plan Pacific School of Religion (PSR) respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 01, 2021 through June 30, 2022 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. Finding 2022-001 Enrollment Reporting Criteria: Title IV regulations (34 CFR 685.309(b)) require that upon receipt of an enrollment report from the Secretary, institutions must update all information included in the report and return the report to the Secretary: (i) in the manner and format prescribed by the Secretary: and (ii) within the timeframe prescribed by the Secretary. Unless it expects to submit its next updated enrollment report to the Secretary within the next 60 days, an institution must notify the Secretary within 30 days after the date the institution discovers that: (i) a loan under Title IV of the Act was made to or on behalf of a student who was enrolled or accepted for enrollment at the institution, and the student has ceased to be enrolled on at least a half-time basis or failed to enroll on at least half-time basis for the period for which the loan was intended; or (ii) a student who is enrolled at the institution and who received a loan under Title IV of the Act has changed his or her permanent address. Recommendation: The School should revise its procedures to ensure accurate enrollment information is sent to NSLDS with the required timeframe for all students. Corrective Action Plan: Procedural changes implemented by the school during the Spring 2022 semester that allow for more frequent and timely enrollment reporting will correct this type of enrollment reporting error going forward. In addition, school administration will update procedures to verify status start dates for any enrollment changes specifically match the student?s enrollment in the student information system. Sincerely, Natasha Lee Vice President for Finance and Administration
Finding Number: 2022-001 Condition: The Corporation failed to make the required reserve for replacements deposits in the current fiscal year, which caused an underfunding to the reserve for replacement totaling $33,658. Planned Corrective Action: The project did not have sufficient cash on hand to m...
Finding Number: 2022-001 Condition: The Corporation failed to make the required reserve for replacements deposits in the current fiscal year, which caused an underfunding to the reserve for replacement totaling $33,658. Planned Corrective Action: The project did not have sufficient cash on hand to make the required deposits in May and June. Management believes they have appropriate controls in place to make required deposits to the replacement reserve; however, was unable to do so without sufficient cash on hand. Management intends to make up the underfunded deposits during the year ended June 30, 2023. Contact person responsible for corrective action: Jill Kolb Anticipated Completion Date: 6/30/2023
Finding 2022-001- Material Weakness and Material Noncompliance over Reporting Contact Person: John Milazzo, VP and CFO Management?s Response: We have determined that certain expenses reported through the Department of Health and Human Services PRF reporting portal for periods 1 and 2 did not re...
Finding 2022-001- Material Weakness and Material Noncompliance over Reporting Contact Person: John Milazzo, VP and CFO Management?s Response: We have determined that certain expenses reported through the Department of Health and Human Services PRF reporting portal for periods 1 and 2 did not reconcile to the underlying expense details by nature and/or function, and therefore did not comply with PRF reporting requirements. We have implemented a monitoring control over PRF reporting to ensure that expenses submitted through the PRF portal are properly classified by nature and/or function, and that such amounts reconcile to the underlying details and accounting records. Completion Date: January 31, 2023
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year ? Period 4 TIN #411419064 Federal Financial Assistance Listing: 93.498 Finding Su...
Finding 2022-001 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year ? Period 4 TIN #411419064 Federal Financial Assistance Listing: 93.498 Finding Summary: The Organization claimed lost revenues attributable to coronavirus in which the final lost revenue calculation did not tie to the HHS Report. In addition, the Organization?s special report submitted to the Department of Health and Human Services (HHS) for Period 4 TIN #411419064 did not have documented review and approval by a separate individual outside of the preparer. Responsible Individuals: Dr. Kenneth D. Varble ? Corporate Controller Corrective Action Plan: A policy will be developed outlining the controls to be followed for filing reports with Federal Agencies. This policy will reflect the procedures needed for proper internal controls to provide assurance that the Organization is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Anticipated Completion Date: December 31, 2023
Finding 34897 (2022-001)
Significant Deficiency 2022
Finding 2022-001: Federal Program: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number: 93.498 Criteria: Non-federal entities in receipt of federal funds must comply with the requirements of 2 CFR 200.303(a), which require an entity to est...
Finding 2022-001: Federal Program: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number: 93.498 Criteria: Non-federal entities in receipt of federal funds must comply with the requirements of 2 CFR 200.303(a), which require an entity to establish and maintain effective internal control over the federal award to ensure compliance with federal statutes, regulations, and the terms and conditions of the federal award. Recipients of Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) payments must also comply with the reporting requirements described in the PRF terms and conditions and specified in directions issued by the U.S. Department of Health and Human Services. Condition and Context: The Organization did not complete the PRF reporting in accordance with the U.S. Department of Health and Human Services guidance. The Organization inadvertently excluded from their reporting certain amounts attributable to implicit price concessions. The adjustment needed within the PRF report to correct the exclusion of implicit price concessions decreased cumulative total year over year lost revenues from $2,727,305 to $2,471,405 on total cumulative reported on distributions of PRF funding of $1,161,130. Corrective Action Plan: EmergyCare Inc. agrees with the finding and has implemented controls sufficient to identify and correct errors prior to the completion of PRF reporting, which will include a review of the most recent guidance published by HRSA as well as a separate formal review and approval of the information being reported by an individual with an appropriate amount of knowledge surrounding the Provider Relief Fund. EmergyCare Inc. will update revenue the amounts reported in the Provider Relief Fund reporting portal during the next available reporting period. Contact Person: Abigail Johnson, Director of Finance 1926 Peach Street Erie, PA 16502 Expected Date of Resolution: The policies are expected to be updated effective March 1, 2023. The Provider Relief Fund reporting portal will be updated in the next available reporting period which ends March 31, 2023.
Finding 34896 (2022-002)
Significant Deficiency 2022
The City will make the needed corrections in the next annual performance and expenditure report.
The City will make the needed corrections in the next annual performance and expenditure report.
Views of Responsible Officials and Corrective Action Plan The District concurs. A Fiscal Analyst has now been assigned to the timely submission and posting of the fiscal quarterly reports and will collaborate with the Assistant Director of Financial Aid to ensure that the Student Aid reports are sub...
Views of Responsible Officials and Corrective Action Plan The District concurs. A Fiscal Analyst has now been assigned to the timely submission and posting of the fiscal quarterly reports and will collaborate with the Assistant Director of Financial Aid to ensure that the Student Aid reports are submitted and posted on time as well. The Director of Fiscal Services will ensure that the quarterly reports are timely.
Finding 2022-001 Federal Agency Name: U.S. Department of Treasury Program Name and CFDA #: CFDA #21.02...
Finding 2022-001 Federal Agency Name: U.S. Department of Treasury Program Name and CFDA #: CFDA #21.023 COVID-19 Emergency Rental Assistance Program (ERA) Finding Summary: For the quarterly and annual reports required by Department of Treasury for the ERA Program, there was no documented control in place for review of reports prior to submission. Responsible Individuals: Bridgette Loesch, SD Cares Housing Assistance Program Manager and Lorraine Polak, Executive Director Corrective Action Plan: The Emergency Rental Assistance Procedural Manual will be updated to include the two step process for reviewing quarterly and annual reports prior to submission. The SD Cares Housing Assistance Program Manager will gather the information to complete the reports. The Executive Director will review the draft reports and then submit the reports once they have been verified. Anticipated Completion Date: October 31, 2022
Finding Number:2022-003 Finding: Management did not prepare reconciliations for a portion of the year of residual receipts and reserve for replacement accounts to ensure compliance with program requirements. Management has indicated that due to staff turnover reconciliations were not performed timel...
Finding Number:2022-003 Finding: Management did not prepare reconciliations for a portion of the year of residual receipts and reserve for replacement accounts to ensure compliance with program requirements. Management has indicated that due to staff turnover reconciliations were not performed timely. We recommend management implement timely preparation and review of all cash accounts to ensure proper amounts are deposited into the restricted accounts each year. Corrective Action: The compliance oversight of the Project was maintained by the same individual from the Project's acquisition during 2016 through her retirement in 2022. Due to staffing shortages after the employee's retirement, there was a portion of the year when no review of account reconciliations of the reserve accounts were being completed and reviewed. Management has filled that position and subsequently brought the account reconciliations up-to-date. Anticipated Completion Date: 6/30/2023 Responsible Contact Person: Vice President of Finance
Enrollment Reporting Student - Rodriguez Peria, Joan; ID #M00601823; Term 2022-13 Cause The student's Graduated (G) status was not reported to the NSLDS. The student's graduation application was dated December 2, 2021, but was not paid and submitted until February 12, 2022. The student's degree ...
Enrollment Reporting Student - Rodriguez Peria, Joan; ID #M00601823; Term 2022-13 Cause The student's Graduated (G) status was not reported to the NSLDS. The student's graduation application was dated December 2, 2021, but was not paid and submitted until February 12, 2022. The student's degree was certified in our Banner system on February 23, 2022. By the certification date, the "Graduate-Only" file transmissions to the Clearinghouse (NSCH) for the 2022-13 term had ceased. Once the file transmission for a term ceases, any cases has to be manually reported at NSLDS. Unfortunately, this case was not reported to NSLDS. Action Once the circumstances of this case were identified, the student's status update to a (G) Graduate in NSLDS has been intended several instances over the past few weeks and is still in process due to problems with the NSLDS modernized website. The Electronic Announcement ID: GENERAL-22-76 reports open issues with the NSLDS modernized website. Corrective Action Plan According to the Graduation Certification Calendar submitted to the registrars, we will develop a monitoring process to identify students certified as graduate past the certification deadline. These students will be referred to the registrars for immediate certification at the NSLDS and to the Management Compliance Office for verification at the NSLDS. Contact persons: Mrs. Patricia Alvarez, Ph. D. Associate Vice President of Academic Affairs Prof. Evelyn Aviles Institutional Director for Academic Affairs and Student Services
Finding 34814 (2022-003)
Significant Deficiency 2022
Finding #2022-003 ? Significant Deficiency Condition and context: Brighter Bites? SEFA did not include three federal awards totaling approximately $100,000. Recommendation: Brighter Bites should develop procedures when executing new contracts to review compliance requirements and terms with all ...
Finding #2022-003 ? Significant Deficiency Condition and context: Brighter Bites? SEFA did not include three federal awards totaling approximately $100,000. Recommendation: Brighter Bites should develop procedures when executing new contracts to review compliance requirements and terms with all affected departments. Planned corrective action: Brighter Bites will implement routine meetings to discuss new contracts or grants to ensure that they are correctly presented in the schedule of expenditures of federal awards or the schedule of expenditures of state awards, if applicable. Responsible officer: Gouri Kulkarni and Rich Dachman Estimated completion date: September 30, 2023
Views of Responsible Officials: During the COVID 19 pandemic the District experienced turnover in various key positions resulting from a lapse with record keeping. Management will work to ensure that records related to claim reimbursements are retained for a period of three years. Name of Respon...
Views of Responsible Officials: During the COVID 19 pandemic the District experienced turnover in various key positions resulting from a lapse with record keeping. Management will work to ensure that records related to claim reimbursements are retained for a period of three years. Name of Responsible Person: Jennifer LaBarre, Executive Director of Student Nutrition Services Implementation Date: Fiscal Year 2023-2024
View Audit 24006 Questioned Costs: $1
Oversight Agency for Audit, La Maison Acadienne, Inc. respectfully submits the following corrective action plan for the year ended September 30, 2022. ...
Oversight Agency for Audit, La Maison Acadienne, Inc. respectfully submits the following corrective action plan for the year ended September 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: October 1, 2021 through September 30, 2022 The finding from the September 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 make sufficient deposits to the escrow accounts in a timely manner. Action Taken: The shortfall was due to premium increases and a change in accounting staff. The required additional deposit was deposited in December. If the Oversight Agency for Audit has questions regarding these plans, please call Christine Harris at 954-835-9200. Sincerely yours, Christine Harris Accounting Manager
FINDING 2022-001 ? Financial Close and Reporting Condition Found: During our audit, we noted the following: ? The University did not record the expenses related to the Paycheck Protection Program loan or HEERF funds correctly. Instead of recognizing qualified expenses as revenue, the University ...
FINDING 2022-001 ? Financial Close and Reporting Condition Found: During our audit, we noted the following: ? The University did not record the expenses related to the Paycheck Protection Program loan or HEERF funds correctly. Instead of recognizing qualified expenses as revenue, the University reduced the related expense accounts. ? Discounts for El Camino online students were not recorded correctly. Corrective Action Plan: Management agrees with the auditors? finding. Randall University, beginning in the Fall of 2021 began using an outside accounting firm to assist our business office, finance staff, and financial aid staff with financial reporting and accounting. The contract accounting firm was used in 2021-2022 to address many financial reporting and accounting processes. In response to this finding, Randall University will have an independent review of non-standard journal entries added to the contract accountant?s scope-of-work as a part of Randall University?s financial closing and reporting processes. The contract accountant will communicate with the auditing firm to seek guidance and requirements to better address this issue. Anticipated Completion Date: The corrective action is in process and will completed by June 2023. Contact Person: Todd Jenson, CFO 405-912-9475
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