Corrective Action Plans

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The municipal management, especially the Finance Department, is addressing this situation with the level of responsibility it requires. Therefore, I undertake to thoroughly evaluate all internal areas involved, as well as the performance of consulting and auditing firms, with the aim of implementing...
The municipal management, especially the Finance Department, is addressing this situation with the level of responsibility it requires. Therefore, I undertake to thoroughly evaluate all internal areas involved, as well as the performance of consulting and auditing firms, with the aim of implementing the necessary corrections and adjustments to prevent this situation from happening again in the future.
We recommend of the municipality has issued clear and specific instructions to the director of this area, demanding that she and her team take immediate measures to ensure that these types of findings are not repeated in future fiscal periods or in the years to come.
We recommend of the municipality has issued clear and specific instructions to the director of this area, demanding that she and her team take immediate measures to ensure that these types of findings are not repeated in future fiscal periods or in the years to come.
Internal Control over Compliance and Compliance with Activities Allowed or Unallowed and Allowable Costs and Cost Principles   Contact: Chad Bender   Title: Controller  Phone Number: 202-785-0072 Estimated Completion Date – ongoing  Corrective Action  The results of the 2024 audit will be sh...
Internal Control over Compliance and Compliance with Activities Allowed or Unallowed and Allowable Costs and Cost Principles   Contact: Chad Bender   Title: Controller  Phone Number: 202-785-0072 Estimated Completion Date – ongoing  Corrective Action  The results of the 2024 audit will be shared with appropriate staff and reiterated in training to ensure that adequate attention and guidance is provided on recording expenses within the correct accounting period. PSI delivers in person training to its global finance and program staff and will continue to offer training during 2025 to address such issues.
Allegations of Fraud    Contact: Chad Bender Title: Controller Phone Number: 202 785-0072 Estimated Completion Date – ongoing   Corrective Action  PSI keeps managing fraud risk through combination of preventative, detective and monitoring controls, and reinforces PSI’s expectations regarding ...
Allegations of Fraud    Contact: Chad Bender Title: Controller Phone Number: 202 785-0072 Estimated Completion Date – ongoing   Corrective Action  PSI keeps managing fraud risk through combination of preventative, detective and monitoring controls, and reinforces PSI’s expectations regarding ethical behavior through training and communications. PSI will continue to proactively report and investigate allegations of fraud and to raise awareness of the actions to be taken when there is suspicion of fraud. PSI Global Internal Audit and Investigations team will continue to share lessons learned from the work performed. Given the challenging operating environments in which PSI implements its programs, there is an ongoing risk of fraud, which PSI actively monitors, investigates, and mitigates.
Finding 571962 (2024-001)
Significant Deficiency 2024
Pacific Union College transmits enrollment information to NSDLS through the National Student Clearinghouse (NCS), a third-party organization. PUC was faced with an unprecedented series of events related to data reporting to the National Student Clearinghouse between January and May 2024. During the ...
Pacific Union College transmits enrollment information to NSDLS through the National Student Clearinghouse (NCS), a third-party organization. PUC was faced with an unprecedented series of events related to data reporting to the National Student Clearinghouse between January and May 2024. During the month of February 2024, the College Registrar resigned without notice and the Director of Institutional Research tragically passed away within one ten day period. At that time the Director of College Admissions was asked to serve as the emergency Registrar and emergency IR Director. The above events led to some gaps in reporting to the NSC during the months noted above including some gaps in reporting that had occurred before the Registrar resigned. Communication with the NSC began immediately and during this time a series of reporting deadlines were “forgiven” by the NSC liaisons in support of PUC during a difficult series of one time events. Since the above dates PUC has been consistent and timely with all reporting to the NSC and the college anticipates that current staffing levels and cross training will prevent any such occurrences in the future.
Finding 571953 (2024-001)
Significant Deficiency 2024
Pursuant to federal regulations, Uniform Administrative Requirements Section 200.511, the following is the finding as noted in Bay County’s Single Audit report for the year ended December 31, 2024, and corrective action to be completed. 2024-001 – Variance in Quarterly Reporting Auditor Descript...
Pursuant to federal regulations, Uniform Administrative Requirements Section 200.511, the following is the finding as noted in Bay County’s Single Audit report for the year ended December 31, 2024, and corrective action to be completed. 2024-001 – Variance in Quarterly Reporting Auditor Description of Condition and Effect: During the audit, we noted a variance between amounts reported in all quarterly P&E reports and amounts recorded in the general ledger and presented on the schedule of expenditures of federal awards (SEFA) for fiscal year 2024. This resulted in an overall total difference of $320,511 between the 2024 P&E reports and the County's general ledger and SEFA. Auditor Recommendation: We recommend that the County reconcile quarterly P&E reporting with amounts in the general ledger to ensure that all expenditures reported are classified in the correct project category on the P&E reporting and in the correct reporting period. We recommend an independent review is completed to ensure the reporting is accurate. Corrective Action: Management will conduct the final review and cross-check between the general ledger entries and amounts reported on the quarterly P&E reports to ensure accuracy in the amounts reported for the period. Responsible Person: Scott Trepkowski, Finance Officer Anticipated Completion Date: 12/31/2025
Finding 571941 (2024-001)
Significant Deficiency 2024
To mitigate this risk in the future, management intends to hire an additional Accounting Manager in the Summer 2025 that will in part be tasked with ensuring that development-related transactions are properly recorded between CHN and its affiliated entities.
To mitigate this risk in the future, management intends to hire an additional Accounting Manager in the Summer 2025 that will in part be tasked with ensuring that development-related transactions are properly recorded between CHN and its affiliated entities.
The Community Development Division took corrective actions regarding submission of HUDs Integrated Disbursement and Information System (IDIS) Cash on Hand Quarterly Reports (formerly known as Federal Financial Report /Standard Form SF-425). Moving forward, the Cash on Hand Quarterly Reports will be ...
The Community Development Division took corrective actions regarding submission of HUDs Integrated Disbursement and Information System (IDIS) Cash on Hand Quarterly Reports (formerly known as Federal Financial Report /Standard Form SF-425). Moving forward, the Cash on Hand Quarterly Reports will be submitted within IDIS every quarter and no later than 30 days after the last day of each reporting quarter and will be reviewed by a supervisor prior to submission. As the grantee, we understand HUDs Cash On Hand Quarterly Report is required every quarter, regardless of whether expenses were incurred or not, once the project(s) has begun.
2024-004) Late Completion and Filing of Single Audit Assistance Listing Numbers Name of Federal Program or Cluster 97.036 Disaster Grants-Public Assistance (Presidentially Declared Disasters) Management will implement procedures referenced in Finding 2023-001 and 2023-003 that will help facil...
2024-004) Late Completion and Filing of Single Audit Assistance Listing Numbers Name of Federal Program or Cluster 97.036 Disaster Grants-Public Assistance (Presidentially Declared Disasters) Management will implement procedures referenced in Finding 2023-001 and 2023-003 that will help facilitate gathering information necessary for proper recording at year end to avoid this issue in the future and allow timely completion of the audit. Persons responsible: Dennis Bent, C.F.O.; Martha Witherwax, Director of Accounting Expected Completion date: July, 2025
2024-003) Preparation of Schedule of Expenditures and Federal Awards CFDA Listing Numbers Name of Federal Program or Cluster 97.036 Disaster Grants-Public Assistance (Presidentially Declared Disasters) Disaster Grants through FEMA are managed by rules and processes that are not easily acco...
2024-003) Preparation of Schedule of Expenditures and Federal Awards CFDA Listing Numbers Name of Federal Program or Cluster 97.036 Disaster Grants-Public Assistance (Presidentially Declared Disasters) Disaster Grants through FEMA are managed by rules and processes that are not easily accounted for in traditional accounting systems. Procedures will be strengthened to fully and accurately identify all federal program expenditures and record in the appropriate accounting funds. Procedures will be implemented to prepare documentation necessary to support the information in the financial statements earlier and more accurately, for the information to be completed, available and provided to auditors for the audit. Persons responsible: Dennis Bent, C.F.O.; Martha Witherwax, Director of Accounting Expected Completion date: July, 2025
PRAC Budgets Recommendation: We recommend audits are completed timely to ensure the annual budget is submitted to HUD as required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The process for submitting the budg...
PRAC Budgets Recommendation: We recommend audits are completed timely to ensure the annual budget is submitted to HUD as required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The process for submitting the budget for 2025 has already begun. Management is monitoring the process to ensure timely submission. Name(s) of the contact person(s) responsible for corrective action: Alex Lueth, VP of Finance Planned completion date for corrective action plan: June 2025
PRAC Budgets Recommendation: We recommend audits are completed timely to ensure the annual budget is submitted to HUD as required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The process for submitting the budg...
PRAC Budgets Recommendation: We recommend audits are completed timely to ensure the annual budget is submitted to HUD as required. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The process for submitting the budget for 2025 has already begun. Management is monitoring the process to ensure timely submission. Name(s) of the contact person(s) responsible for corrective action: Alex Lueth, VP of Finance Planned completion date for corrective action plan: June 2025
Finding Number: 2024-003 Planned Corrective Action: The District will closely review the Final Expenditure Report for all grants to ensure accuracy. Anticipated Completion Date: 6/30/26 Responsible Contact Person: Kaitlin Huck, Treasurer/CFO
Finding Number: 2024-003 Planned Corrective Action: The District will closely review the Final Expenditure Report for all grants to ensure accuracy. Anticipated Completion Date: 6/30/26 Responsible Contact Person: Kaitlin Huck, Treasurer/CFO
Material Adjustment to Fund Balance and Net Position Condition: The District audit resulted in a material restatement to fund balance/net position that was detected by auditing procedures. Plan: The District acknowledges the finding and will continue to review new standards as part of the fiscal aud...
Material Adjustment to Fund Balance and Net Position Condition: The District audit resulted in a material restatement to fund balance/net position that was detected by auditing procedures. Plan: The District acknowledges the finding and will continue to review new standards as part of the fiscal audit process. Anticipated Date of Completion: The District will immediately implement yearly review of new standards as part of the fiscal audit process. Name of Contact Person: Nicki Ells, Business Manager Management Response: The District acknowledges the Plan and will begin reviewing regulatory requirements and capital assets on an annual basis.
Finding #2024-002: Completion and Submission of Annual Single Audit - Significant Deficiency/Noncompliance Condition: The Program's Single Audit and reporting package was delayed for the year ended June 30, 2023 beyond the nine-month due date, as a result of turnover and delays in reconciling feder...
Finding #2024-002: Completion and Submission of Annual Single Audit - Significant Deficiency/Noncompliance Condition: The Program's Single Audit and reporting package was delayed for the year ended June 30, 2023 beyond the nine-month due date, as a result of turnover and delays in reconciling federal and state award activity with the Commonwealth. Criteria: Pursuant to the provisions of the Uniform Guidance, under §200.512(a), the Program is required to complete and submit its Single Audit and related Data Collection Form within nine months of the end of its fiscal period (March 31) of the following year. Root Cause Analysis: The audit for the period ending June 30, 2023 was started in December 2023 and was completed and submitted in June 2024. In accordance with Uniform Guidance, the deadline is March 31st annually to have the audit completed and submitted. To meet this deadline, the year-end close and audit process needs to begin at least two months sooner to achieve this deadline. Planned Corrective Action Steps: Move up the year-end close and plan to start the audit in November annually. Responsible Party: MHDS Fiscal Director and MHDS Fiscal Unit Timeline for Completion: 1. Action Step #1 – November 2025 Comments: At the time of this publication, this timeline has already passed for the current period under audit (June 30, 2024). We plan to have this issue fixed for the June 30, 2025 audit period.
2024-007 – Preparation of the Schedule of Expenditures of Federal Awards (SEFA) (Significant Deficiency) Department of Education, SFA Cluster, Special Tests and Provisions Criteria: According to 2 CFR 200.210(b), a recipient of Federal awards is required to prepare a SEFA for the period covered by t...
2024-007 – Preparation of the Schedule of Expenditures of Federal Awards (SEFA) (Significant Deficiency) Department of Education, SFA Cluster, Special Tests and Provisions Criteria: According to 2 CFR 200.210(b), a recipient of Federal awards is required to prepare a SEFA for the period covered by the entity’s financial statement which must include the total Federal awards expended. In addition, 2 CFR 200.303 requires non-Federal entities to, among other things, establish, document, and maintain effective internal control over Federal awards that provides reasonable assurance that the non-Federal entity is managing the Federal awards in compliance with Federal statutes, regulations, and the terms and conditions of the Federal awards. Effective internal controls should include procedures to ensure expenditures are properly reported on the SEFA. In addition to providing an accurate SEFA, an organization must also be able to demonstrate that it has a system of internal control that supports the preparation of the SEFA. Condition: The University did not have an adequate process in place to prepare and review its SEFA. Cause: The University’s internal control process for preparing the SEFA did not include review and approval of the SEFA prior to providing it to the auditor. Effect: Failure to accurately report federal expenditures on the SEFA could result in noncompliance with federal regulations. Repeat Finding from a Prior Year: Not a repeat finding. Recommendation: We recommend the University establish, document, and maintain effective internal controls over the preparation of the SEFA. At a minimum, an organization should be able to show documentation that the SEFA was reviewed and approved by an individual who was not directly involved with the initial preparation of the SEFA. The review process should include checking both the reported expenditures of federal awards and the assistance listing numbers reported for each grant program. Management Response: The University acknowledges the identified deficiency in the internal control process related to the preparation and review of the Schedule of Expenditures of Federal Awards (SEFA). In response, the University has implemented a formalized and documented process to ensure the SEFA is accurately prepared, thoroughly reviewed, and approved in compliance with 2 CFR 200.210(b) and 2 CFR 200.303. The corrective actions taken include: 1) Independent Review and Approval: The SEFA is now subject to a formal review and approval process by an individual who is independent of the initial preparation. This review involves verifying the accuracy of vreported expenditures, confirming the proper listing of assistance numbers (CFDA numbers), and ensuring that all program titles match the federal award documentation. 2) Internal Control Documentation: The University has documented its SEFA preparation and review procedures as part of its internal control framework. This documentation includes roles, responsibilities, timelines, and sign-off requirements to provide an audit trail for compliance verification. 3) Staff Training and Cross-Departmental Coordination: Staff involved in grants accounting and financial reporting will receive targeted training on SEFA requirements. Additionally, coordination among the Financial Aid Office and Finance Office has been strengthened to ensure the complete and accurate sharing of data related to federal award expenditures. Responsible Party and contact information: Joshua Henry – Executive Director of Financial Aid, henryjs@webber.edu, Jennifer Mueller – Assistant Vice President of Finance, muellerjj@webber.edu. Expected Date of Correction: 8/1/2025
2023-006 – Last Date of Attendance at an Academically Related Activity (Significant Deficiency) Department of Education, SFA Cluster, Special Tests and Provisions Criteria: If an institution is not required to take attendance, the withdrawal date is (1) the date, as determined by the institution, th...
2023-006 – Last Date of Attendance at an Academically Related Activity (Significant Deficiency) Department of Education, SFA Cluster, Special Tests and Provisions Criteria: If an institution is not required to take attendance, the withdrawal date is (1) the date, as determined by the institution, that the student began the withdrawal process prescribed by the institution; (2) the date, as determined by the institution, that the student otherwise provided official notification to the institution, in writing or orally, of his or her intent to withdrawal; (3) if the student ceases attendance without providing official notification to the institution of his or her withdrawal, the midpoint of the payment period or, if applicable, the period of enrollment; or (4-6) other special circumstances as documented by the institution. An institution that is not required to take attendance at an academically related activity may use, as the withdrawal date, the last date of attendance at an academically related activity as documented by the institution (34 CFR 668.22(c)). Condition: From a population of 163 students that officially or unofficially withdrew, we tested nineteen students and noted that documentation of the last date of attendance could not be provided for six students that unofficially withdrew and six students that officially withdrew. Cause: Controls are not functioning properly. Effect: Since documentation of the last date of attendance could not be provided, it could not be determined whether students that unofficially withdrew attended through the end of the period or students that officially withdrew had the correct date of last attendance. Repeat Finding from a Prior Year: Not a repeat finding. Recommendation: We recommend the University implement a policy to document the last date of attendance for students that unofficially withdrawal. In addition, we recommend the University maintain student-initiated withdrawal documentation for students that officially withdrawal. Management Response: The University acknowledges the deficiency in documenting the last dates of attendance for students who withdrew and has taken corrective actions to strengthen compliance with 34 CFR 668.22(c). To address this issue, the following steps have been implemented: 1)Revised Withdrawal Procedures: The University has formalized and updated its withdrawal procedures to require consistent documentation of the last date of attendance at an academically related activity for both official and unofficial withdrawals. Faculty are now required to report the last date a student participated in an academically related activity when submitting final grades or withdrawal notifications. 2) Mandatory Faculty Participation: Training will be provided to faculty and department chairs, emphasizing the importance of recording the last date of attendance for all students who cease attendance. The Registrar’s Office will incorporate this requirement into end-of-term processes and will enforce compliance before grade submission is finalized. 3) Retention of Student-Initiated Withdrawal Forms: A centralized and secure repository has been implemented to retain all student-initiated withdrawal requests. The Registrar’s Office is now responsible for maintaining this documentation and conducting periodic audits to ensure proper archiving. 4) Ongoing Monitoring: The Financial Aid and Registrar’s Offices will initiate a joint term-by-term reconciliation process to identify discrepancies in withdrawal reporting and verify the completeness of documentation. Responsible Party and contact information: Webber Registrar, Registrarmailbox@webber.edu, Pamela Denton - Financial Aid Counselor, dentonpe@webber.edu. Expected Date of Correction: 8/1/2025
Condition: Supporting documentation for the monthly food service meals provided did not align with the claims reported for reimbursement by free, reduced, and paid categories. Plan: The District will keep physical copies of reports and claims submitted. As students switched categories (free, reduced...
Condition: Supporting documentation for the monthly food service meals provided did not align with the claims reported for reimbursement by free, reduced, and paid categories. Plan: The District will keep physical copies of reports and claims submitted. As students switched categories (free, reduced, and paid), the electronic system failed to keep that in account, leading to discrepancies. Anticipated Date of Completion: The District anticipates completion during the 2024-2025 fiscal year. Name of Contact Person: Nathan Knitt, Director of Business Services
View Audit 362828 Questioned Costs: $1
Reporting Administration will work to ensure that a procedure is in place for reconciliation which is documented and reviewed by the VP for Administrative Services and the College Controller by the end of 2025.
Reporting Administration will work to ensure that a procedure is in place for reconciliation which is documented and reviewed by the VP for Administrative Services and the College Controller by the end of 2025.
Description:Significant deficiency in FFATA reporting threshold. Planned Corrective Action: CGS will familiarize itself with all FFATA reporting requirements to ensure that the $30,000.00 threshold for first-tier subawards will be reported to FSRS with all reporting deadlines observed by building th...
Description:Significant deficiency in FFATA reporting threshold. Planned Corrective Action: CGS will familiarize itself with all FFATA reporting requirements to ensure that the $30,000.00 threshold for first-tier subawards will be reported to FSRS with all reporting deadlines observed by building this requirement into the grants management calendaring system. Completion Date: October 1, 2025 Responsible Person: Keith Peregonov, VP for Finance, Human Resources and Operations
Description: The SEFA schedule included unallowable costs. Planned Corrective ActionL CGS will revise its SEFA preparation procedures to ensure that only allowable and properly reimbursable expenditures on federal awards are reported. Additional training will be scheduled for those responsible sta...
Description: The SEFA schedule included unallowable costs. Planned Corrective ActionL CGS will revise its SEFA preparation procedures to ensure that only allowable and properly reimbursable expenditures on federal awards are reported. Additional training will be scheduled for those responsible staff members to ensure that this error does not happen in the future. Anticipated Completion Date: October 1, 2025 Responsible Person: Keith Peregonov, VP for Finance, Human Resources and Operations
Finding 571782 (2024-001)
Significant Deficiency 2024
Prc
CA
Corrective Action Plan For the year ended June 30, 2024 2024-001 Compliance Over Reporting Response and Corrective Action Plan: The June 30, 2024 audit package were delayed due to several factors including a change in finance leadership whereby the new leadership was not part of the 2023-2024 accoun...
Corrective Action Plan For the year ended June 30, 2024 2024-001 Compliance Over Reporting Response and Corrective Action Plan: The June 30, 2024 audit package were delayed due to several factors including a change in finance leadership whereby the new leadership was not part of the 2023-2024 accounting oversight. Additionally, during the fiscal year several system transitions occurred including a change in accounting software, change in accounts payable approval software, change in banks and investment accounts. Finally, without permanent accounting leadership, proper account reconciliations had been neglected are prepared well after the fiscal year end. A full time, permanent CFO was hired July 1, 2024 and has been working with the existing finance team to maintain proper accounting records including an updated general ledger reconciled to sub ledgers for all balance sheet accounts. It is anticipated that the audit package for fiscal year end June 30, 2025 will be completed timely. Anticipated Completion Date: The process to improve timely audit package report has been ongoing throughout fiscal year 2025 and the 2025 audit is projected to be completed by December31, 2025. Responsible party: Brent Willman, CFO and Lanny Suwarno, Controller
Finding 571781 (2024-001)
Significant Deficiency 2024
Corrective Action Plan For the year ended June 30, 2024 2024-001 Compliance Over Reporting Response and Corrective Action Plan: The June 30, 2024 audit package was delayed due to several factors including a change in finance leadership whereby the new leadership was not part of the 2023-2024 account...
Corrective Action Plan For the year ended June 30, 2024 2024-001 Compliance Over Reporting Response and Corrective Action Plan: The June 30, 2024 audit package was delayed due to several factors including a change in finance leadership whereby the new leadership was not part of the 2023-2024 accounting oversight. Additionally, during the fiscal year several system transitions occurred including a change in accounting software, change in accounts payable approval software, change in banks and investment accounts. Finally, without permanent accounting leadership, proper account reconciliations had been neglected are prepared well after the fiscal year end. A full time, permanent CFO was hired July 1, 2024 and has been working with the existing finance team to maintain proper accounting records including an updated general ledger reconciled to sub ledgers for all balance sheet accounts. It is anticipated that the audit package for fiscal year end June 30, 2025 will be completed timely. Anticipated Completion Date: The process to improve timely audit package report has been ongoing throughout fiscal year 2025 and the 2025 audit is projected to be completed by December31, 2025. Responsible party: Brent Willman, CFO and Lanny Suwarno, Controller
The City will continue to work with all agencies receiving HOPWA to complete their annual CAPER correctly and in a timely manner. This emphasis will be reiterated throughout the awarding process and will be subject to regular status updates to ensure compliance and accuracy. Further, the City will w...
The City will continue to work with all agencies receiving HOPWA to complete their annual CAPER correctly and in a timely manner. This emphasis will be reiterated throughout the awarding process and will be subject to regular status updates to ensure compliance and accuracy. Further, the City will work with HUD to establish a correct methodology in reporting consistency with IDIS.
The City has taken several steps to strengthen its FFATA compliance. In response to this audit finding, the City has implemented the following corrective actions: 1. Standardized Data Collection: An updated subrecipient data collection form has been developed to ensure consistent and complete captur...
The City has taken several steps to strengthen its FFATA compliance. In response to this audit finding, the City has implemented the following corrective actions: 1. Standardized Data Collection: An updated subrecipient data collection form has been developed to ensure consistent and complete capture of all required FFATA elements prior to contract execution. 2. Formal Tracking System: The City created a FFATA Tracking Spreadsheet to systematically document and monitor all required reporting elements, including the correct obligation date, which is now tied to the legal execution date of the subaward. 3. Policy and Procedure Development: FFATA reporting policy and procedures have been developed to codify roles, timelines, and compliance responsibilities. This includes guidance on identifying the proper obligation date, data verification steps, and the timeline for submission to SAM.gov (within 30 days of obligation). 4. Staff Training and Oversight: Relevant staff will be trained on FFATA compliance requirements, and the Grants Management Division will conduct quarterly spot checks to ensure accuracy and timeliness of reporting.
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