Corrective Action Plans

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The Department of Children and Family Services management agrees with the findings and will reinforce existing policies and procedures within the Department to ensure that all documents are properly retained and signed.
The Department of Children and Family Services management agrees with the findings and will reinforce existing policies and procedures within the Department to ensure that all documents are properly retained and signed.
Finding 2023-001 – Information Technology General Controls Identification of the federal program: Federal Program: Student Financial Assistance Cluster: Federal Pell Grant Program (Assistance Listing No. 84.063) and Federal Direct Student Loans (Assistance Listing No. 84.268) Federal Agency: United ...
Finding 2023-001 – Information Technology General Controls Identification of the federal program: Federal Program: Student Financial Assistance Cluster: Federal Pell Grant Program (Assistance Listing No. 84.063) and Federal Direct Student Loans (Assistance Listing No. 84.268) Federal Agency: United States Department of Education BJC HealthCare Location: Goldfarb School of Nursing (GSON) Award Periods: January 1, 2023 through June 30, 2023 (included in award year July 1, 2022 through June 30, 2023) and July 1, 2023 through December 31, 2023 (included in award year July 1, 2023 through June 30, 2024) Views of responsible officials and planned corrective actions: BJC HealthCare (BJC) agrees with the findings as reported. GSON is committed to complying with program requirements and meeting program objectives as defined in Section 200.303(a) of the Uniform Guidance, regarding auditee internal controls. To facilitate these requirements, GSON has instituted the following controls: • Establishment of a formal provisioning and deprovisioning process for Banner system access • Refinements to formal access review process to include an independent review of system access, as well as an overseer or manager approval. • Establishment of a formal testing process for Banner system patches or updates to include review from key functional areas within GSON. Responsible Parties: Michael Durbin, Interim Director Information Technology, Goldfarb School of Nursing Completion Date: The corrective action plan was implemented in Q3 2024
County of Cambria’s Children and Youth does concur with the finding. A list of all the required state submission dates are listed to ensure knowledge and time frame of submissions to current and new fiscal staff. Consistent vacancies in the fiscal department impact the global functioning of the agen...
County of Cambria’s Children and Youth does concur with the finding. A list of all the required state submission dates are listed to ensure knowledge and time frame of submissions to current and new fiscal staff. Consistent vacancies in the fiscal department impact the global functioning of the agency. During 2023 the vacancy rate in the fiscal department varied from 62% to 88% at any given time. Support staff is just that – support to the caseworkers, supervisors, and administration. However, with consistent vacancies, there are fewer individuals sharing the same amount of the workload. And the result of that is burnout and potential loss of more employees. Some fiscal responsibilities have been temporarily shifted onto clerical and management staff. The adjustments to these vacancies are experienced as increased workloads for other already fully-tasked staff members. Cambria County will continue to utilize a consultant company to train and assist the fiscal department to meet the requirements of Cambria County Children and Youth until the fiscal vacancies can be filled and timely submissions are accomplished. Management with collaborate with the Controller’s and the Commissioner’s Offices as vacancies are filled and duties are shifted. Cambria County Children and Youth management will review the work flow in the fiscal department to determine if any change is needed to enhance efficiency regarding timely submissions.
County of Cambria’s Children and Youth does concur with the finding. A list of all the required state submission dates are listed to ensure knowledge and time frame of submissions to current and new fiscal staff. Consistent vacancies in the fiscal department impact the global functioning of the agen...
County of Cambria’s Children and Youth does concur with the finding. A list of all the required state submission dates are listed to ensure knowledge and time frame of submissions to current and new fiscal staff. Consistent vacancies in the fiscal department impact the global functioning of the agency. During 2023 the vacancy rate in the fiscal department varied from 62% to 88% at any given time. Support staff is just that – support to the caseworkers, supervisors, and administration. However, with consistent vacancies, there are fewer individuals sharing the same amount of the workload. And the result of that is burnout and potential loss of more employees. Some fiscal responsibilities have been temporarily shifted onto clerical and management staff. The adjustments to these vacancies are experienced as increased workloads for other already fully-tasked staff members. Cambria County will continue to utilize a consultant company to train and assist the fiscal department to meet the requirements of Cambria County Children and Youth until the fiscal vacancies can be filled and timely submissions are accomplished. Management with collaborate with the Controller’s and the Commissioner’s Offices as vacancies are filled and duties are shifted. Cambria County Children and Youth management will review the work flow in the fiscal department to determine if any change is needed to enhance efficiency regarding timely submissions.
Finding 498422 (2023-009)
Significant Deficiency 2023
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2023 State Agency: Department of Social Services (DSS) – Division of Finance and Administrative Services (DFAS) Audit Finding Number: 2023–009 - Adoption Savings Name of the contact person responsibl...
State of Missouri Single Audit Corrective Action Plan Year Ended June 30, 2023 State Agency: Department of Social Services (DSS) – Division of Finance and Administrative Services (DFAS) Audit Finding Number: 2023–009 - Adoption Savings Name of the contact person responsible for corrective action: Sheena Frazer Anticipated completion date for corrective action: N/A Recommendation: The DSS through the DFAS strengthen internal controls and procedures to ensure Annual Adoption Savings Calculation and Accounting Reports are accurately prepared and submitted to ensure compliance with federal adoption savings requirements. DSS Response: The DSS agrees with this finding. The DSS has experienced staff transitions and actively works to ensure staff familiarity with federal workbook instructions and desk procedures. Corrective action planned is as follows: The DSS plans to implement the SAO’s recommendations to further strengthen internal controls and procedures and will adhere to these processes to ensure the federal report is accurate and compliant.
NEED FROM CLIENT….
NEED FROM CLIENT….
View Audit 320671 Questioned Costs: $1
Corrective Action Plan:. The Student Financial Services Office members will attend and participate in training sessions provided by NASFAA that cover NSLDS reporting, determination of withdrawal, importance of reporting timely and the consequences of late reporting. Policy and procedures have been u...
Corrective Action Plan:. The Student Financial Services Office members will attend and participate in training sessions provided by NASFAA that cover NSLDS reporting, determination of withdrawal, importance of reporting timely and the consequences of late reporting. Policy and procedures have been updated to review and monitor rosters on a regular basis. The Student Financial Services Office will work with the Registrar to monitor the by-weekly reports and determine if increased rosters and/or corrections will be needed/required. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person: Karrie M. Trautman
Corrective Action Plan:. The Student Financial Services Office members will attend and participate in training sessions provided by NASFAA that cover NSLDS reporting, determination of withdrawal, importance of reporting timely and the consequences of late reporting. Policy and procedures have been u...
Corrective Action Plan:. The Student Financial Services Office members will attend and participate in training sessions provided by NASFAA that cover NSLDS reporting, determination of withdrawal, importance of reporting timely and the consequences of late reporting. Policy and procedures have been updated to review and monitor rosters on a regular basis. The Student Financial Services Office will work with the Registrar to monitor the by-weekly reports and determine if increased rosters and/or corrections will be needed/required.   Timeline for Implementation of Corrective Action Plan: Immediately Contact Person: Karrie M. Trautman
Corrective Action Plan:. BCC Student Financial Services and the Business Office have reviewed policies and procedures regarding correct disbursement of Pell and timeline for federal reporting to COD. A Microsoft TEAMS folder accessible by both offices will keep track of said disbursements and monito...
Corrective Action Plan:. BCC Student Financial Services and the Business Office have reviewed policies and procedures regarding correct disbursement of Pell and timeline for federal reporting to COD. A Microsoft TEAMS folder accessible by both offices will keep track of said disbursements and monitoring of COD records will be reviewed on weekly basis. The BCC Business Office has been given review access of COD disbursement and reconciliation records for continuous assessment and scrutinization. Additionally, reconciliation of Pell disbursements between both offices will be monitored on a weekly basis and by-weekly meetings between both offices will be conducted to review processes. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person: Karrie M. Trautman
Corrective Action Plan:. BCC has reviewed its policies and procedures regarding the overaward and has made changes to ensure that funds are processed, calculated correctly, and disbursed/returned within timely manner. $533 has been returned to meet federal requirements/standards and to correct the s...
Corrective Action Plan:. BCC has reviewed its policies and procedures regarding the overaward and has made changes to ensure that funds are processed, calculated correctly, and disbursed/returned within timely manner. $533 has been returned to meet federal requirements/standards and to correct the student record within cost of attendance. Monitoring reports are being created with the assistance of IT and Institutional Effectiveness along with delivered reports from Ellucian. A policy and procedure has been established for when outside resources are received for processing between the Student Financial Services and Business Office. Additional steps will be taken at the time of loan disbursement to ensure proper disbursement and avoidance of overawards. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person: Karrie M. Trautman
View Audit 320442 Questioned Costs: $1
Finding 497462 (2023-002)
Significant Deficiency 2023
Finding 2023‐002 Condition We selected three monthly submissions of GEARS and SPARC reports across multiple programs received by the Wisconsin Department of Human Services and the Wisconsin Department of Children and Families. One of the three GEARS and SPARC reports tested was not reviewed by an in...
Finding 2023‐002 Condition We selected three monthly submissions of GEARS and SPARC reports across multiple programs received by the Wisconsin Department of Human Services and the Wisconsin Department of Children and Families. One of the three GEARS and SPARC reports tested was not reviewed by an independent person before submission for reimbursement. Our sample was not statistically valid. Corrective Action Plan Corrective Action Planned: In September 2023, a review process was established and implemented starting with the August Claim to ensure that required reports are reviewed by someone other than the preparer of the reports prior to submission. Name(s) of Contact Person(s) Responsible for Corrective Action: Reports prepared by Kozue Bush, Finance Manager, will be reviewed by Chad Lillethun, FMS Division Administrator prior to submission. Anticipated Completion Date: Review process was implemented with the August 2023 claim.
FEDERAL DIRECT STUDENT LOANS Federal Assistance Listing Number: #84.268; Student Financial Aid Cluster, Department of Education Criteria According to the Department of Education 2022-2023 Federal Student Aid Handbook Volume 3 Chapter 5, “Direct Loan Periods and Amounts,” the minimum period for whic...
FEDERAL DIRECT STUDENT LOANS Federal Assistance Listing Number: #84.268; Student Financial Aid Cluster, Department of Education Criteria According to the Department of Education 2022-2023 Federal Student Aid Handbook Volume 3 Chapter 5, “Direct Loan Periods and Amounts,” the minimum period for which a school may originate a Direct Loan varies depending on the school’s academic calendar: For credit-hour programs with standard terms (semesters, quarters, or trimesters), or with SE9W nonstandard terms, the minimum loan period is a single academic term. For example, if a student will be enrolled in the fall semester only and will skip the spring semester, you may originate a loan with a loan period that covers only the fall term. The loan amount must be based on the reduced costs and EFC for that term, rather than for the full academic year. Observation/Condition/Context The College over-awarded and over-disbursed Direct Subsidized and Direct Unsubsidized Loans to one student out of forty tested. The College originated and disbursed Direct Subsidized and Direct Unsubsidized Loans for a full academic year when the student only enrolled in one semester. Questioned Cost The College awarded $2,250 more in Direct Subsidized and $4,000 more in Direct Unsubsidized than was required. Cause/Effect A manual adjustment to the student’s financial aid packaging was required. Due to the manual processing, a flag on the student’s account did not appear when the student was over-awarded, and the College did not have a process in place to catch the error outside of the system flag, which resulted in the College over-awarding the student Direct Subsidized and Direct Unsubsidized Loans. Recommendation We recommend that the College implement a procedure to review manually processed financial aid packaging. Planned Corrective Action A process will be put in place to flag manually processed financial aid packaging for secondary review. Implementation Date Beginning August 1, 2024 Responsible Personnel Registrar and Director of Financial Aid Contact Information Samantha Dancel Director of Financial Aid Tel: 415.703.9577Email: sdurant@cca.edu
View Audit 318809 Questioned Costs: $1
Finding 486153 (2023-005)
Significant Deficiency 2023
Contact Person: Stephani Berry, Director of Financial Aid Views of Responsible Officials and Planned Corrective Action: Donnelly College concurs with the finding. The Director of Financial Aid has implemented procedures to post aid in batches and to coordinate the timing of the postings with the Bus...
Contact Person: Stephani Berry, Director of Financial Aid Views of Responsible Officials and Planned Corrective Action: Donnelly College concurs with the finding. The Director of Financial Aid has implemented procedures to post aid in batches and to coordinate the timing of the postings with the Business Office. Financial Aid staff review documentation from each batch posted and compare the data to the awards posted on COD. Each month the Director reconciles her records to COD. Anticipated Completion Date: Completed
The organization will ensure that financial records are maintained on a current basis, reconciled timely and audited within nine months after year end. Additional support has been put in place within the accounting department to records are current, reconciled timely and audit is completed within ni...
The organization will ensure that financial records are maintained on a current basis, reconciled timely and audited within nine months after year end. Additional support has been put in place within the accounting department to records are current, reconciled timely and audit is completed within nine months after year end.
Finding number: 2023-004 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: Franklin Cummings Tech will implement a process where both the Enrollment Submissions and the Graduation ...
Finding number: 2023-004 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: Franklin Cummings Tech will implement a process where both the Enrollment Submissions and the Graduation Submissions are reviewed after the file is submitted to the National Student Clearinghouse. • The File will be submitted no later than the last day of each month. • The Error Report will be reviewed, and corrections made no later than the 5th Day of the subsequent month. • For enrollment submissions, the Registrar will establish a monthly meeting with the Director of Financial Aid to occur no later than the 10th day of the month to review the NSLDS Reporting and the Enrollment Reporting (Reject Detail) reports from the Clearinghouse. • Regarding the degree report, the Registrar will review the Degree Verify Report from the Clearinghouse within seven days of submitting the Degree Verification Report to the Clearinghouse. • All errors will be corrected no later than the 15th day of the month. The registrar will review the Degree Error Reports from last year to ensure that students are being reported as graduates in a timely manner. This review of prior graduates will be completed by the last day of March. Timeline for Implementation of Corrective Action Plan: March 31, 2024 Contact Person: James Klasen, Registrar
Finding number: 2023-003 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: Franklin Cummings Tech has taken the following steps to establish internal control procedures to ensure t...
Finding number: 2023-003 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: Franklin Cummings Tech has taken the following steps to establish internal control procedures to ensure that R2T4 calculations are performed timely. • Additional training was completed with the Registrar’s Office to clarify the importance of notifying all official and unofficial withdrawals to the Office of Financial Aid and Student Accounts Office. • The Leadership Team met with and provided additional training to the Office of Financial Aid and Student Accounts Office to review the Return of Title IV Federal Student Aid Policy and the importance regarding the timeline for the institutions refund policy. • To ensure all unofficial withdrawals have been identified the Registrar’s Office will run an additional report, twice a month (2 nd and 4th Tuesday) during each semester, that spans the entire term. This report will be provided to the Financial Aid and Student Accounts Office. This step will assist in the assurance that all unofficial withdrawals have been captured and that there is adequate time to complete all R2T4 calculations and refunds timely. • An R2T4 calculation will be completed for every student, regardless of the date it was determined the student withdrew to confirm every student is refunded according to the institution's refund policy. Timeline for Implementation of Corrective Action Plan: May 1, 2024 Contact Person: Shani Wilkerson, Director of Financial Aid
View Audit 318688 Questioned Costs: $1
Finding number: 2023-002 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: The Registrar will provide the Financial Aid Office a Withdrawal Report. • Provided each Wednesday by 5:0...
Finding number: 2023-002 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.063, 84.268 Award year: 2023 Corrective Action Plan: The Registrar will provide the Financial Aid Office a Withdrawal Report. • Provided each Wednesday by 5:00 p.m. • The report will include Student ID, Date of Withdrawal and Withdrawal Reason • The report will be monitored weekly by the Director of Financial Aid (DOF) to ensure that all students have been worked through the R2T4 process regardless of withdrawal date. This control will also ensure that R2T4 calculations are completed in a timely manner. The DOF will request appropriate follow-up between the Registrar and FA Solutions if a student is held for processing for more than 10 days. Timeline for Implementation of Corrective Action Plan: May 1, 2024 Contact Person: Shani Wilkerson, Director of Financial Aid
Finding number: 2023-001 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.033, 84.063, 84.268 Award year: 2023 Corrective Action Plan: An in-depth review will be completed for each student who is designated with a SAP Status from th...
Finding number: 2023-001 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing #: 84.033, 84.063, 84.268 Award year: 2023 Corrective Action Plan: An in-depth review will be completed for each student who is designated with a SAP Status from the Registrar before Federal Aid is disbursed. SAP designations will be kept as part of the student’s financial aid file from one semester to the next and this status will be reviewed before any Title IV Aid is disbursed. Timeline for Implementation of Corrective Action Plan: May 1, 2024 Contact Person: Shani Wilkerson, Director of Financial Aid
View Audit 318688 Questioned Costs: $1
Finding 485527 (2023-004)
Significant Deficiency 2023
Administration will implement appropriate controls and train staff to ensure compliance with cash management practices for future federal awards.
Administration will implement appropriate controls and train staff to ensure compliance with cash management practices for future federal awards.
Finding 485421 (2023-002)
Significant Deficiency 2023
Corrective Action Plan - Finding 2023-002 Internal Control over Eligibility Department of Health and Human Services Foster Care Title IV-E - ALN #93.658 and Adoption Assistance Title IV-E - ALN #93.659. The County has reimplemented the previously performed procedure of completion and a sign off of a...
Corrective Action Plan - Finding 2023-002 Internal Control over Eligibility Department of Health and Human Services Foster Care Title IV-E - ALN #93.658 and Adoption Assistance Title IV-E - ALN #93.659. The County has reimplemented the previously performed procedure of completion and a sign off of a checklist of the documents reviewed in the Tile IV-E eligibility file. This review will be performed by an independent employee. This will typically be the TANF eligibility employee. A check mark will be placed on the check list beside each document that is reviewed and will include the initials of the employee completing the review. Any questions or concerns will be directed back to the original employee that performed the initial verification. Anticipated Completion Date: August 9, 2024. Person Responsible for Corrective Action: William Kepple Financial Operations Officer Human Services Department County of Butler PO Box 1208 Butler, PA 16003-1208. 724-284-5120. wkepple@co.butler.pa.us
Finding 485329 (2023-002)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agenci...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agencies. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure timely notice is given to other departments of an individual’s termination and the information provided to granting agencies is reviewed. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
Finding 485328 (2023-001)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no ...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
Finding 485159 (2023-002)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agenci...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures for giving timely notice of an individual’s termination or resignation to other departments as well as ensuring departments are reviewing the information provided to granting agencies. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure timely notice is given to other departments of an individual’s termination and the information provided to granting agencies is reviewed. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
Finding 485158 (2023-001)
Significant Deficiency 2023
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no ...
Foster Care Title IV-E – Assistance Listing No. 93.658 Recommendation: We recommend the County reviews its procedures to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The County will incorporate procedures and controls to ensure all casefile reviews are documented and all issues in the casefiles are followed up on and remedied properly. Name of the contact person responsible for corrective action: Steven Jones (Budget Analyst) Planned completion date for corrective action plan: December 31, 2024.
ALN: Various, Corrective Action Plan: Noncompliant Cost Allocation - DPHHS - The Montana Department of Public Health and Human Services has completed its cost allocation business improvement review, which looked at the department's cost pool allocation methodology, the creation of new pools, and t...
ALN: Various, Corrective Action Plan: Noncompliant Cost Allocation - DPHHS - The Montana Department of Public Health and Human Services has completed its cost allocation business improvement review, which looked at the department's cost pool allocation methodology, the creation of new pools, and the timeliness of updates and appropriateness to the Public Assistance Cost Allocation Plan (PACAP). All internal controls, processes and procedures were updated, training of department staff and training material was implemented, and new processes were effective as of quarter one state fiscal year 2024. The department has moved to quarterly PACAP submissions to assure that changes are caught timely. The department now sets the effective date of amended cost allocation plans to be the first day of the calendar quarter following the date of the amendment. Person(s) Responsible for Corrective Measures: Corinne Kyler, Administrator, Montana Department of Public Health and Human Services, Target Date: Completed
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