Corrective Action Plans

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2022-003: Enrollment Reporting Management?s view and corrective action plan Management concurs with the findings regarding the delay and insufficient graduation reporting to NSLDS. The University Registrar is aware of the 6-day delinquency in reporting for summer term due to the timing of the degree...
2022-003: Enrollment Reporting Management?s view and corrective action plan Management concurs with the findings regarding the delay and insufficient graduation reporting to NSLDS. The University Registrar is aware of the 6-day delinquency in reporting for summer term due to the timing of the degree awards for the May graduates on the East Falls campus. Degree audits will be checked to ensure are awarded in a timely manner. We also will work with NSC to ensure all enrollment reporting schedules are updated in accordance with the academic calendar of the appropriate branch, limiting any issue with the 60-day certification date during our Summer term, as all other terms have been reported correctly. This will happen every semester on a 4?6 week basis, in tandem with enrollment report submissions. This will resolve the 60-day certification issue. Academic Services makes every effort to report clean enrollments accurately and on time. However, we continue to find inconsistencies with the NSC transmissions to NSLDS and are aware of the need for additional oversight of the NSC process as well as the development of a process to audit NSC transmissions to NSLDS. This will also aid in the elimination of reporting errors between NSC and NSLDS, as in the case of the three graduation records. The Office of Academic Services is working to identify resources to address the above action plans. Implementation date: July 2023 Raelynn Cooter Vice Provost for Academic Infrastructure and Effectiveness
Corrective Action Plan Finding 2022-001 In response to the reported deficiency of internal controls over compliance with the preparation of the Schedule of Expenditures of Federal Awards (SEFA), Riverside is implementing the following Corrective Action Plan: 1. Upon notification from the Contracts ...
Corrective Action Plan Finding 2022-001 In response to the reported deficiency of internal controls over compliance with the preparation of the Schedule of Expenditures of Federal Awards (SEFA), Riverside is implementing the following Corrective Action Plan: 1. Upon notification from the Contracts Department of new awards or modifications, the Program Controller will review the Project Setup with an emphasis on ensuring the Project Type is correctly assigned. 2. Prior to approving the Project Setup in Cost Point by the Contracts Department, the Contracts Manager will ensure the Project Setup is accurate. 3. Riverside will perform a rigorous review of the SEFA in advance of submitting the document to our external auditors. This will include reviewing the Project Type of each project identified as required to be reported in the SEFA. Individual(s) Responsible for the Corrective Action Plan: Vivian Arthur, Controller, (703) 908-2135, Gary Van Gorder, (937) 427-7009. Anticipated Completion Date: December 2023
The CFO contacted HRSA PRB Inquiries to reopening the report submission and revise to the underlying data. The PRF Team reported "At this time, the reporting portal to submit an PRF report is closed, and changes can no longer be made to this report. During the next reporting period (Reporting Period...
The CFO contacted HRSA PRB Inquiries to reopening the report submission and revise to the underlying data. The PRF Team reported "At this time, the reporting portal to submit an PRF report is closed, and changes can no longer be made to this report. During the next reporting period (Reporting Period 5 opens on July 1, 2023) the change can be made and is acceptable to change it at that time." The CFO will correct the report during Reporting Period 5 when it opens.
Finding 35848 (2022-001)
Significant Deficiency 2022
United States Department of Health and Human Services Infinity Health respectfully submits the following corrective action plan for the year ended November 30, 2022. Audit period: December 1, 2021 ? November 30, 2022 The findings from the schedule of findings and questioned costs are discussed be...
United States Department of Health and Human Services Infinity Health respectfully submits the following corrective action plan for the year ended November 30, 2022. Audit period: December 1, 2021 ? November 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. FINDINGS?FINANCIAL STATEMENT AUDIT None FINDINGS?FEDERAL AWARD PROGRAMS AUDITS United States Department of Health and Human Services 2022-001 Reporting ? Assistance Listing No. 93.224/93.527 Recommendation: We recommend that multiple members of management be involved in the preparation and review process of the UDS report, and that supporting documentation, which agrees to the amounts in the report, be saved in a manner which allows for easy access and recovery if needed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: We believe the inability to provide sufficient supporting documentation for the 2021 UDS report to be an anomaly due to the extenuating circumstance of a flood that closed Infinity Health?s main administrative building during the preparation of the 2021 UDS report. The preparation of the 2022 UDS report was completed by the CEO, CFO, COO and Director of Quality and Efficiency. All supporting documentation has been reviewed and saved on a network drive that allows for easy access, recovery and back up retrieval if necessary. Name(s) of the contact person(s) responsible for corrective action: Samantha Cannon, CEO, and Michelle Leonard, CFO. Planned completion date for corrective action plan: 4/26/2023
The Agency will investigate opportunities to provide additional training to staff.
The Agency will investigate opportunities to provide additional training to staff.
Finding 35839 (2022-003)
Significant Deficiency 2022
Finding 2022-003 Federal Agency Name: Department of Agriculture Program Name: Community Facilities Loans and Grants CFDA # 10.766 Finding Summary: The Health Center?s FY2023 operating budget and prior year audited financial statements were not submitted to USDA within the submission timeframe. Res...
Finding 2022-003 Federal Agency Name: Department of Agriculture Program Name: Community Facilities Loans and Grants CFDA # 10.766 Finding Summary: The Health Center?s FY2023 operating budget and prior year audited financial statements were not submitted to USDA within the submission timeframe. Responsible Individuals: Crystal Richter, Chief Financial Officer Corrective Action Plan: Once the operating budget is approved by the Board of Directors at the June quarterly meeting, the approved budget will be submitted to USDA in a timely manner. Audited financial statements will be submitted to USDA in a timely manner after the audit is presented to the Board of Directors. Anticipated Completion Date: June 2023
Finding 2022-003 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grant Cluster Federal Financial Assistance Listing #10.766 Reporting: Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: The fiscal year 2021...
Finding 2022-003 Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grant Cluster Federal Financial Assistance Listing #10.766 Reporting: Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: The fiscal year 2021 audit report was either not submitted to USDA or submitted to USDA with no retained documentation to support when the report was submitted. The FY 2023 operating budget was not submitted to USDA during the period under audit. Responsible Individuals: Sandra Schlechter, Chief Financial Officer, and Bradley Burris, Chief Executive Officer Corrective Action Plan: There will be internal reminders set up in management?s yearly calendar for information to be sent to USDA for submission of the annual audited financial statements and operating budget for the next fiscal year. Anticipated Completion Date: February 2023
Following is Mineral County School District?s Plan of Corrective Action for Fiscal Year 2022 referring to the audit findings under the Uniform Guidance. In reviewing the finding from the financial audit on page 121, the following corrective actions will be monitored for compliance. The District Su...
Following is Mineral County School District?s Plan of Corrective Action for Fiscal Year 2022 referring to the audit findings under the Uniform Guidance. In reviewing the finding from the financial audit on page 121, the following corrective actions will be monitored for compliance. The District Superintendent is responsible for the corrective actions. 2022-007 Federal Financial Reporting Management recognizes that there is an inherent and elevated risk associated with vacancies in key positions and inexperienced key personnel in certain positions. At present, all key positions are filled, and personnel are fully participating in NDE sponsored projects including program compliance monitoring, technical assistance support and evaluation studies as required. Two of the District?s Top Priorities are recruiting, retaining, and training (including cross-training in basic duties) essential personnel and updating policies, procedures and ARs to ensure internal controls and fiscal responsibility.
Finding 35826 (2022-001)
Significant Deficiency 2022
Finding 2022-001: Enrollment reporting Condition: For 5 out of 25 students tested for NSLDS reporting, it was noted that these students were not reported within 60 days as required for all schools participating in Title IV aid. Crowe had management perform an independent analysis in order to quantif...
Finding 2022-001: Enrollment reporting Condition: For 5 out of 25 students tested for NSLDS reporting, it was noted that these students were not reported within 60 days as required for all schools participating in Title IV aid. Crowe had management perform an independent analysis in order to quantify the total number of students with enrollment reporting issues due to the 5 identified as part of our testing. Through further testing procedures performed and analysis performed by management it was noted that a total of 38 students were not reported timely to the NSLDS. Recommendation: We recommend that the University enhance its review and monitoring of the enrollment reporting to NSLDS to ascertain accuracy and timeliness of the submission. Views of Responsible Officials Management agrees with the finding related to enrollment reporting. Management has taken steps to change the process, adding review of filings by the Office of the Registrar, Financial aid, and Institutional Research. Additionally, a calendar has been created for future reporting dates of enrollment reports and degree conferral reports to be filed with the National Student Clearinghouse. Corrective Action Plan Management is developing a new process for reporting student enrollments. The Office of Institutional Research will review the specifications for reporting from the National Student Clearinghouse (NSC) and National Student Loan Data System (NSLDS) to ensure that the proper data is being reported. The Office of the Registrar will develop an annual calendar of filing dates for enrollment and graduation reports. Reports will be generated by Institutional Research and upon approval of the Registrar submitted to the NSC. Any errors in reporting will be remediated by the Registrar. And the Financial Aid Office will verify that reports sent to the National Student Clearinghouse are accurately reported to the National Student Loan Data System, by auditing both systems with assistance from the Office of institutional Research and Office of the Registrar. This process will be in place by February 2023.
Responsible Contact Person(s): John Moore, Acting Chief Financial Officer Eric Billings, Deputy Director of Fiscal and Grants Management Corrective Action Planned: The fiscal team will work with OMS to define boundaries and duties in regards to ensuring that federal subrecipient awards to CSBs and n...
Responsible Contact Person(s): John Moore, Acting Chief Financial Officer Eric Billings, Deputy Director of Fiscal and Grants Management Corrective Action Planned: The fiscal team will work with OMS to define boundaries and duties in regards to ensuring that federal subrecipient awards to CSBs and non-CSBs are entered into the system. An agreement of duties will be reached so that all federal subrecipient awards above the reporting minimum are reported into the system on a monthly basis. Estimated Completion Date: 4/1/2023
Financial Statements Management?s Response and Planned Corrective Action: Management has improved their process for preparing, reviewing, and posting the quarterly reports. All required reports, outside of the Q3 2022 reporting, were posted timely. Corrective Action Plan Pages Finding Number: 2022-...
Financial Statements Management?s Response and Planned Corrective Action: Management has improved their process for preparing, reviewing, and posting the quarterly reports. All required reports, outside of the Q3 2022 reporting, were posted timely. Corrective Action Plan Pages Finding Number: 2022-003 Federal Assistance Listing Number: 84.425 Education Stabilization Fund Year Ended: August 31, 2022 Responsible Individual: Christine Lasch Comptroller Management?s Response and Corrective Action Plan: The College agrees with the finding and recommendation. The College posted the Q3 2022 report to their website after the applicable deadline. All prior and subsequent reports were reviewed. All other reports were submitted and posted on time. Management has improved their process for preparing, reviewing, and posting the quarterly reports. All required reports, outside of the Q3 2022 reporting, were posted timely. The above procedures have already been implemented.
Neighbor to Neighbor acknowledges initial monthly or annual reconciliations related to grant revenue contained insufficient secondary controls to identify misstatements earlier versus later in the process. After a thorough review of reconciliations, all reports were deemed materially correct. Neigh...
Neighbor to Neighbor acknowledges initial monthly or annual reconciliations related to grant revenue contained insufficient secondary controls to identify misstatements earlier versus later in the process. After a thorough review of reconciliations, all reports were deemed materially correct. Neighbor to Neighbor communicated with the departments involved and necessary improvements to the internal controls were agreed upon in order to prevent the misstatements from occurring in the future. Neighbor to Neighbor is refining procedures ensuring all monthly, quarterly and annual reports, reviews and communications are performed, reviewed and completed timely and accurately.
Finding Number: 2022-004 Planned Corrective Action: The Treasurer will include the correct amounts on the FERs moving forward as required. ...
Finding Number: 2022-004 Planned Corrective Action: The Treasurer will include the correct amounts on the FERs moving forward as required. Anticipated Completion Date: Fall 2023 FER filings Responsible Person: Maria Robinson, Treasurer
Waubay School District Business Official, Marie J. Hlavacek, is the contact person responsible for the corrective action plan for this finding. The finding is due to limited staff employed within the Waubay School's Business Office. Staffing the office at an efficient and financially feasible leve...
Waubay School District Business Official, Marie J. Hlavacek, is the contact person responsible for the corrective action plan for this finding. The finding is due to limited staff employed within the Waubay School's Business Office. Staffing the office at an efficient and financially feasible level precludes the hiring of adequate personnel to provide an ideal environment for internal controls. Waubay School District has adopted an Internal Controls and Procedures policy in February 2018. We are aware of the weakness in our internal controls and will adhere to policies and procedures we have in place to try to reduce the risk. This will be an ongoing finding and we will continue to monitor our processes.
Finding Type: Significant Deficiency for 84.425D. Name of Contact Person: Greg Frehner, Superintendent. Recommendation: We recommend that the Superintendent review the quarterly expenditure reports and supporting documentation to ensure all costs are reported timely and accurately. Corrective ...
Finding Type: Significant Deficiency for 84.425D. Name of Contact Person: Greg Frehner, Superintendent. Recommendation: We recommend that the Superintendent review the quarterly expenditure reports and supporting documentation to ensure all costs are reported timely and accurately. Corrective Action: The Superintendent will review the quarterly reports submitted to ISBE and agree with the District's accounting software before they are submitted. Proposed Completion Date: Fiscal year 2023.
Responsible Contact Person(s): Naveen Abraham, Chief of Core Infrastructure Services Corrective Action Planned: 1. VITA, working with VITA multi-sourcing services integrator (MSI), opened a multi-supplier project to reduce and eliminate unpremeditated vulnerabilities. 2. With respect to agency acce...
Responsible Contact Person(s): Naveen Abraham, Chief of Core Infrastructure Services Corrective Action Planned: 1. VITA, working with VITA multi-sourcing services integrator (MSI), opened a multi-supplier project to reduce and eliminate unpremeditated vulnerabilities. 2. With respect to agency access to security log information, all logs are being monitored. VITA intends to further enhance services during the remainder of calendar year 2023. VITA is also working on additional tools and implementation of zero trust. Security compliance of enterprise IT services overall is assessed on an ongoing basis through System Security Plan (SSP) submission and review. Estimated Completion Date: 9/30/2023
Responsible Contact Person(s): Barry Davis, Chief Information Security Officer Melinda Raines, Director of Human Resources Karen Holt, Human Resource Business Process Consultant Corrective Action Planned: An agency-wide work group will be established to determine the exact processes need to implemen...
Responsible Contact Person(s): Barry Davis, Chief Information Security Officer Melinda Raines, Director of Human Resources Karen Holt, Human Resource Business Process Consultant Corrective Action Planned: An agency-wide work group will be established to determine the exact processes need to implement the controls necessary to address this finding. Estimated Completion Date: 6/30/2023
2022-001 Provider Relief Fund (?PRF?) Lost Revenue Reporting Cluster: Not applicable Grantor: Health Resources and Services Administration Award Name: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: PRF Period 3 Award Number: Not applicable Assista...
2022-001 Provider Relief Fund (?PRF?) Lost Revenue Reporting Cluster: Not applicable Grantor: Health Resources and Services Administration Award Name: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: PRF Period 3 Award Number: Not applicable Assistance Listing Number: 93.498 Based on guidance in Step 6 of the Steps on Reporting on Use of Funds section of the June 11, 2021 Provider Relief Fund (PRF) General and Targeted Distribution Post-Payment Notice of Reporting Requirements, Harrington?s quarterly revenues from January 1, 2019 to June 30, 2022 were reported for Period 2 on March 31, 2022 and Period 3 on September 30, 2022 to HHS via the PRF Reporting Portal. During the upload process to the Reporting Portal, the revenue amounts for two quarters were transposed when the data was entered. Management has reviewed the data reported via the Portal, the source documents, and the calculation of Lost Revenues and Unused Lost Revenues. Management has determined that the errors did not impact the funds received. Management has reached out to HHS regarding any further actions required. Any further submissions to the PRF Reporting Portal will undergo an appropriate detailed review of draft submissions and support by management prior to final submission. Primary responsibility of implementing the Corrective Action Plan for this finding rests with John Bronhard, CFO of UMass Memorial Health? Harrington, Inc., (508) 486-5804.
Finding 2022-003 Reporting Allowable/Allocable Costs We have made considerable progress in fully documenting all costs by funding source in our accounting system. We have now fully implemented a detailed customer/job tracking capacity in QuickBooks and have created a coding system to match all inc...
Finding 2022-003 Reporting Allowable/Allocable Costs We have made considerable progress in fully documenting all costs by funding source in our accounting system. We have now fully implemented a detailed customer/job tracking capacity in QuickBooks and have created a coding system to match all income and costs associated with government contracts to specific customer/jobs. As of March 2023 this structure has been implemented for all costs with the exception of indirect costs. We will complete work on properly allocating indirect costs to customer/jobs (including securing board approval of the plan) by May 1, 2023. All improvements in accounting by customer/job will be implemented for the full fiscal year ended June 30, 2023. Each government contract is now reviewed on a monthly basis by both our Executive Director and our CFO to assure that appropriate recording of income and costs have been implemented.
Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Compliance Requirement: Reporting ...
Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Compliance Requirement: Reporting Views of Responsible Officials and Planned Corrective Actions: Procedures will be put in place to review accuracy of reporting prior to submission. Completion Date 2/1/23 Accounting Name of Contact Person: Jenny Englerth, President/CEO
Responsible Contact Person(s): Ida Witherspoon, Chief Financial Officer Corrective Action Planned: Prepare procedures that documents where the number of eligible individuals contained in the SSBG-Post expenditure are derived. Also include screen prints of the actual reports used to obtain the data ...
Responsible Contact Person(s): Ida Witherspoon, Chief Financial Officer Corrective Action Planned: Prepare procedures that documents where the number of eligible individuals contained in the SSBG-Post expenditure are derived. Also include screen prints of the actual reports used to obtain the data with the report as supporting documentation. Estimated Completion Date: 6/30/2023
Responsible Contact Person(s): Ida Witherspoon, Chief Financial Officer Corrective Action Planned: Send periodic e-mail reminders to program staff responsible for submitting FFATA data to the Federal Reporting Unit for submission to the federal government. Estimated Completion Date: 12/31/2023
Responsible Contact Person(s): Ida Witherspoon, Chief Financial Officer Corrective Action Planned: Send periodic e-mail reminders to program staff responsible for submitting FFATA data to the Federal Reporting Unit for submission to the federal government. Estimated Completion Date: 12/31/2023
Responsible Contact Person(s): Angela Morse, Director of Benefits Programs Mark Golden, Economic Assistance and Employment Manager - Division of Benefit Programs Corrective Action Planned: Perform an analysis of identified reporting errors to determine causality and the appropriate actions to resolv...
Responsible Contact Person(s): Angela Morse, Director of Benefits Programs Mark Golden, Economic Assistance and Employment Manager - Division of Benefit Programs Corrective Action Planned: Perform an analysis of identified reporting errors to determine causality and the appropriate actions to resolve reporting errors. Create a systems modification request to correct errors that are identified as occurring as a result of inaccurate programming in the data modification phase of federal report creation. Estimated Completion Date: 6/30/2023
he District agrees with Crowe's recommendation and the Accounting and Engineering team will work together to develop and document detailed procedures for CIP, as well as specific written procedures related to each agreement/contract. We will also hold meetings monthly to discuss project status, new ...
he District agrees with Crowe's recommendation and the Accounting and Engineering team will work together to develop and document detailed procedures for CIP, as well as specific written procedures related to each agreement/contract. We will also hold meetings monthly to discuss project status, new projects and other items related to open projects, including any projects without recent activity and those close to completion. Additionally, the District will document specific procedures related to accounting for retainage and accruals regarding completed projects and track the financial impact. Once complete, management will conduct training to ensure the new documented procedures are shared with the Engineering and Accounting personnel involved in the CIP process.
CORRECTIVE ACTION PLAN Audit Finding Reference Number: 2022-002 U.S. Department of Health and Human Services COVID-19 ? Provider Relief Fund (?PRF?) and American Rescue Plan (?ARP?) Rural Distribution ? Period 1 and Period 2 Reporting ? Assistance Listing Number 93.498 Contact Information: Chief ...
CORRECTIVE ACTION PLAN Audit Finding Reference Number: 2022-002 U.S. Department of Health and Human Services COVID-19 ? Provider Relief Fund (?PRF?) and American Rescue Plan (?ARP?) Rural Distribution ? Period 1 and Period 2 Reporting ? Assistance Listing Number 93.498 Contact Information: Chief Financial Officer 303 Sandy Corner Road El Campo, Texas 77437 Plan of Corrective Action: During the District's FY 2022 ended March 31, 2022, all nursing homes that were participants in the Quality Incentive Payment Program with the District received Federal governmental payments from the PRF and ARP programs. These types of payments to the nursing homes are rare and almost all of the nursing homes were inexperienced in handling the accounting and reporting aspects of these federal programs. The District will create a monthly monitoring process to ensure that all participating nursing homes have reliable systems in place to accurately report financial matters related to the receipts, expenditures, and lost revenue that are required to be reported in compliance with all federal grant programs. Implementation Date: March 1, 2023
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