Corrective Action Plans

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Condition: The School District must submit monthly claims for reimbursement for meals served to eligible students within 60 days following the last day of the month covered by the claim (7 CFR sections 210.8, 220.11, 215.10, and 225.15 (c)). Upon preparation of meal reimbursement claims, the School ...
Condition: The School District must submit monthly claims for reimbursement for meals served to eligible students within 60 days following the last day of the month covered by the claim (7 CFR sections 210.8, 220.11, 215.10, and 225.15 (c)). Upon preparation of meal reimbursement claims, the School District is required to have controls in place to ensure the accuracy of the request for reimbursement. For certain periods during the year the School District asserts there was a review process in place over the reimbursement requests; however, the review was not documented, and therefore we were not able to verify if the control was in place and operating effectively. For other periods during the year, the School District did not have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the School District being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The School District's business office performed a detailed review of all meal claim submissions for the 2023-2024 fiscal year. Ultimately, the lack of a review control during the 2023-2024 fiscal year did not result in inaccurate reporting or incorrect amount of reimbursement paid by the Michigan Department of Education. The Business Office has since implemented a formalized internal control procedure beginning in July 2024, whereby a formal documented review of the meal claim submission is performed. Contact person responsible for corrective action: Kevin Taratuta, Chief Financial and Operations Officer Anticipated Completion Date: August 1, 2024
Additional care will be taken in the future to ensure compliance with prevailing wage requirements.
Additional care will be taken in the future to ensure compliance with prevailing wage requirements.
District responsible individual to implement this plan: Mike Klosowski, CFO The findings from the June 30, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Finding – Federal Award Finding Finding 2024...
District responsible individual to implement this plan: Mike Klosowski, CFO The findings from the June 30, 2024 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Finding – Federal Award Finding Finding 2024-001: Considered a significant deficiency in internal control over compliance. Recommendation: The District should perform annual on-site reviews of buildings where breakfast and lunch are served prior to February 1st each year as required by Michigan Department of Education. This should be documented by using the Michigan Department of Education’s School Nutrition Program On-Site Review Form. Action to be Taken: Management agrees with the finding and has implemented procedures to make sure the on-site reviews are completed annually by the due date.
Action taken: Management agrees with the finding and commits to following the provided recommendations.
Action taken: Management agrees with the finding and commits to following the provided recommendations.
A plan has been put in place that involves the Accounting Director monitoring the FFATA reporting activity monthly to ensure that the Foundation meets the reporting requirements of the program. Each month, the Accounting Director contacts the Grant Administrator to determine if any new first-tier s...
A plan has been put in place that involves the Accounting Director monitoring the FFATA reporting activity monthly to ensure that the Foundation meets the reporting requirements of the program. Each month, the Accounting Director contacts the Grant Administrator to determine if any new first-tier subaward contracts have been signed during the last 30 days. If any contracts have been signed, the Accounting Director obtains a copy of the FFATA report that the Grant Administrator filed during the month to verify that it contains those subaward contracts and that they have been reported on a timely basis and in the correct amount. In addition, the Accounting Director compares information on the monthly FFATA reports to a master list of approved sub awardees to verify contract amounts and to ensure that all contracts are being reported.
Finding 2024-002 - Material Weakness and Material Non-Compliance: Special Test and Provisions related to the Education Stabilization Fund, Assistance Listing Number, 84.425U, Award Number 213713/2122 Corrective Action: Both Finance and Operations Department will work simultaneously on preparing bid...
Finding 2024-002 - Material Weakness and Material Non-Compliance: Special Test and Provisions related to the Education Stabilization Fund, Assistance Listing Number, 84.425U, Award Number 213713/2122 Corrective Action: Both Finance and Operations Department will work simultaneously on preparing bid offers associated to all grant funding. Department of Operations will provide the Finance with copies of all grant funded bid projects and review for approval prior to engagement. In addition, we will seek legal guidance regarding contractual terms. Corrective Action Date of Completion: Beginning October 2024 and ongoing Responsible Party: Executive Director of Finance and Director of Operations
View Audit 327697 Questioned Costs: $1
Habitat for Humanity of the Charlotte Region (HCR) verifies suspension and debarment status through SAM.gov. This was an isolated incident. Of the 19 items reviewed, only one verification was not completed. This specific contractor self-certified that they were not suspended or debarred from workin...
Habitat for Humanity of the Charlotte Region (HCR) verifies suspension and debarment status through SAM.gov. This was an isolated incident. Of the 19 items reviewed, only one verification was not completed. This specific contractor self-certified that they were not suspended or debarred from working on government contracts before the contract was awarded. The ARPA contract that governs this grant allows contractor self-certification to meet compliance requirements. The validation was not done prior to grant award, but it was subsequently validated on SAM.gov that the contractor is not debarred or suspended. We are updating our process documentation to ensure that verification of self-certification is completed prior to contract award.
Recommendation - The College should implement a procedure to timely complete and file the FFATA reporting required by Title 2 CFR Part 70, Subpart A. Action Taken: Based on the auditor's recommendation the College will implement a procedure to timely complete and file the FFATA reporting required by...
Recommendation - The College should implement a procedure to timely complete and file the FFATA reporting required by Title 2 CFR Part 70, Subpart A. Action Taken: Based on the auditor's recommendation the College will implement a procedure to timely complete and file the FFATA reporting required by Title 2 CFR Part 70, Subpart A.
Finding No. 2024-002 ...
Finding No. 2024-002 Recommendation: The College should develop a Title IV monitoring system to ensure timely return of funds. Management Response: The College concurs with the finding. College Corrective Plan: The Office of Financial Aid has met with the Bursars Office to develop a multi-pronged approach to track withdrawal of studens and the return of Title IV funds. The office will add to the Withdrawal Process currently implemented in WorkDay to include a confirmation funds were returned. In addition to the update in the WorkDay process, a return deadline will be stored and monitored in PowerFAIDS as a scheduled task for the Associate Director and Director of Financial Aid, to insure funds are returned and confirmed prior to thirty days of the determined withdrawal. We believe this delay in the return of funds to be an isolated issue. But the additional notification and tasks will insure that it does not happen in the future.
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Life Pacific University has engaged in a contractual partnership with Vertical Computers to accurately address and proactively mitigate audit findings and deficiencies, thereby ensuring sustained adherence to regulatory standards an...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: Life Pacific University has engaged in a contractual partnership with Vertical Computers to accurately address and proactively mitigate audit findings and deficiencies, thereby ensuring sustained adherence to regulatory standards and operational excellence. Vertical Computers specializes in Voice over IP (VoIP), networking, virtualization, open-source integration, IT management, project management, data backup solutions, cloud services, remote monitoring, and offsite backup. Below will address all findings and deficiencies outlined by the Gramm-Leach-Bliley Act (GLBA). Person Responsible for Corrective Action Plan: George Bostanic - COO and Vice President of Student Life, Alex Wright — Director of Audio, Visual, and Technology, Service Provider Vertical Computers Anticipated Date of Completion: All areas of findings and deficiencies outlined by the Gramm- Leach-Bliley Act (GLBA) are being actively addressed
Charlton Heston Academy respectfully submits the following corrective action plan for the year ended June 30, 2024. Auditor: Maner Costerisan 2425 E. Grand River Avenue, Suite 1 Lansing, MI 48912 Audit Period Year ended June 30, 2024 Academy Contact Person: Frank Patterson, Chief Financial Officer F...
Charlton Heston Academy respectfully submits the following corrective action plan for the year ended June 30, 2024. Auditor: Maner Costerisan 2425 E. Grand River Avenue, Suite 1 Lansing, MI 48912 Audit Period Year ended June 30, 2024 Academy Contact Person: Frank Patterson, Chief Financial Officer Finding 2024-001 – Significant deficiency Recommendation: We recommend the Academy establish improved controls for preparing and reviewing year-end reconciliations. The Academy should ensure that reconciliations are completed in a timely manner and agree to the general ledger. Actions to be taken: The Academy concurs with the facts of this finding and are in the process of adding human capital/capacity, developing a revised formal timeline, and checklist of year-end procedures as recommended. Finding 2024-002 – Significant deficiency Recommendation: The Academy should consistently utilize a point-of-sale system to track and claim the number of meals served. Action to be Taken: The Academy concurs with the facts of this finding and has implemented procedures to prevent this in the future.
Finding 2024-001: Internal Controls Over the Federal Expenditure Report Type of Finding: Control U.S. Department of Education Pass-through Entity: Michigan Department of Education Assistance Listing Number: 84.425D Award Numbers: COVID-19 213712-2021, COVID-19 213782-2223 Award Year End: Sep...
Finding 2024-001: Internal Controls Over the Federal Expenditure Report Type of Finding: Control U.S. Department of Education Pass-through Entity: Michigan Department of Education Assistance Listing Number: 84.425D Award Numbers: COVID-19 213712-2021, COVID-19 213782-2223 Award Year End: September 30, 2023 Recommendation: The School District should establish procedures to require the documented review and approval of all reports by an individual with adequate skills, knowledge, and experience prior to submission. Action Taken: The School District has implemented a new procedure requiring that all reports be reviewed and approved by a designated reviewer before submission. The reviewer, who must possess the appropriate skills, knowledge, and experience relevant to the report's content, will ensure that the information is accurate, complete, and compliant with organizational standards and regulatory requirements. Responsible Person and Anticipated Completion Date: Director of Business Services, September 2024. If the Michigan Department of Education has questions regarding this plan, please call Mark Mesbergen at (231) 719-4102.
Issue: Material Weakness in Internal Controls Over Financial Reporting and Material Noncompliance - Allowable Activities and Chart of Accounts and Budget Monitoring Corrective Action Plan: The district is updating and correcting all accounts in accordance with the 1022 manuals.
Issue: Material Weakness in Internal Controls Over Financial Reporting and Material Noncompliance - Allowable Activities and Chart of Accounts and Budget Monitoring Corrective Action Plan: The district is updating and correcting all accounts in accordance with the 1022 manuals.
View Audit 327038 Questioned Costs: $1
Management is in the process of drafting an updated procurement policy to comply with the requirements of the Uniform Guidance.
Management is in the process of drafting an updated procurement policy to comply with the requirements of the Uniform Guidance.
Student Status Changes The process of reporting enrollment to the NSLDS has historically been housed within the Student Financial Services department. The compliance issues with enrollment reporting during the prior award year were a result of having only one individual trained in transmitting our m...
Student Status Changes The process of reporting enrollment to the NSLDS has historically been housed within the Student Financial Services department. The compliance issues with enrollment reporting during the prior award year were a result of having only one individual trained in transmitting our monthly file to the National Student Clearinghouse. Over the past few months, staff from our Records Office have been receiving training on preparing enrollment reporting files for transmission to the National Student Clearinghouse. During the current award year, collaborative meetings have been scheduled to have the principal agent from the Records Office and the principal agent from the Student Financial Services department meet to transmit data files to the Clearinghouse. Subsequent meetings are scheduled within 24-48 hours of each file transmission date to ensure error reports posted to the Clearinghouse are resolved in a timely manner. Zach Greenlee Director, Student Financial Services Phone: 314-392-2398 Email: zach.greenlee@mobap.edu
Return of Title IV Funds (R2T4) Due to the specialized skills and knowledge required for processing returning funds through the R2T4 process, Missouri Baptist University will be reassigning the responsibility for reviewing withdrawals within the Student Financial Services department to the Director ...
Return of Title IV Funds (R2T4) Due to the specialized skills and knowledge required for processing returning funds through the R2T4 process, Missouri Baptist University will be reassigning the responsibility for reviewing withdrawals within the Student Financial Services department to the Director of Student Financial Services. All withdrawals will be evaluated by the Director and all calculations using the R2T4 calculator available on the Common Origination and Disbursement (COD) system will be performed by the Director. Additional staff within the department will be tasked with verifying accuracy of returns to help provide exposure to the highly technical work of R2T4, thus providing training that will enable broader sharing of the responsibility in the future. An internal report has been created to give a daily summary of students who have withdrawn since the following day. This will complement the existing reporting structure which consists of individual withdrawal paperwork processed by our Records Department. Bi-weekly reports will be given to the Senior Vice President for Business Affairs to monitor compliance. Zach Greenlee Director, Student Financial Services Phone: 314-392-2398 Email: zach.greenlee@mobap.edu
Planned Corrective Actions The District has experienced a large amount of turnover in various administrative positions. These positions include grant directors, business official, and superintendent. With new perman...
Planned Corrective Actions The District has experienced a large amount of turnover in various administrative positions. These positions include grant directors, business official, and superintendent. With new permanent staff in place, the business official (Assistant Superintendent for Operations and Finance) will be working closely with the grant director (Assistant Superintendent for Instruction) to ensure all expenses being reported are allowable. Those procedures were implemented on July 8, 2024 with immediate effect.
View Audit 326752 Questioned Costs: $1
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: For the special tests and provisions compliance requirement testing, of the ...
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: For the special tests and provisions compliance requirement testing, of the 49 disbursements tested, eleven payments were made outside of the 30-day requirement. Responsible Individuals: Denise Albertson, ESG Administrator Amy Eldridge – Director of Rental Housing Development Corrective Action Plan: The ESG Administrator will track the days between receipt and disbursement to be able to meet the 30-day requirement. Anticipated Completion Date: September 30, 2024
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: In three instances, the amount reimbursed to subrecipients were paid out bas...
Federal Agency Name: U.S. Department of Housing and Urban Development Program Name and FALN #: FALN # 14.231 COVID-19 Emergency Solutions Grant Program (ESG – CV) and Emergency Solutions Grant Program (ESG) Finding Summary: In three instances, the amount reimbursed to subrecipients were paid out based on the persons paycheck stub showing allocation of hours which did not match backup provided for hours worked under the program, Responsible Individuals: Denise Albertson, ESG Administrator Amy Eldridge – Director of Rental Housing Development Corrective Action Plan: The ESG Administrator will review the timesheet information to ensure the hours and amounts for payroll costs are correctly allocated by the subrecipient to the program. Any differences in the allocation between the timesheets and paycheck stubs will be reviewed prior to disbursements. Anticipated Completion Date: September 30, 2024
Condition: Of the thirty-six employees charged to the grant, five employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the ...
Condition: Of the thirty-six employees charged to the grant, five employees did not have semiannual certifications available. The Academy was able to provide alternative support for the allowability of these costs through review of the activities performed as compared to activities included in the approved grant budget. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure semi-annual certificates are completed and reviewed for each employee being charged to the Title 1 grant. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being re...
Condition: The Academy does not currently have a control in place where a review of the meal counts entered into the Michigan Nutrition Data (MiND) system takes place, which could result in incorrect reporting of the number of free and reduced priced meals, which could result in the Academy being reimbursed an incorrect amount by the Michigan Department of Education. Planned Corrective Action: The Academy will implement proper procedures and controls to ensure meal counts are reviewed and agree to underlying records of meals served prior to submitting meal claims. Contact person responsible for corrective action: Molly Brown Anticipated Completion Date: 12/01/2024
To Health Resources and Services Administration United Methodist Western Kansas Mexican-American Ministries, Inc. d/b/a Genesis Family Health respectfully submits the following corrective action plan for the year ended April 30, 2024. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Perio...
To Health Resources and Services Administration United Methodist Western Kansas Mexican-American Ministries, Inc. d/b/a Genesis Family Health respectfully submits the following corrective action plan for the year ended April 30, 2024. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: April 30, 2024 The findings from the April 30, 2024, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Financial Statement Findings: Finding 2024.001 - Sliding Fee Scale Documentation Recommendation The Organization should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income. Action Taken GFH implemented an O&E Department (Onboarding and Enrollment) July 2023. This has been a timely process, but we now have it implemented at all clinic sites. The purpose of this department is to make sure all required documentation is current, accurate, scanned in chart and applied to patients EMR. This process includes current registration, slide application, POIs, IDs and insurance verification for coverage. When adding or updating charges with the GFH Fee Schedule, a new process has been implemented to run a report “CPT’s in Multiple Groups” to verify the charge (CPT Code) is not duplicated within another CPT group. This report will be run by the Billing Director and reviewed for accuracy. If there are any question regarding this plan, please e-mail Amanda Vaughan at Amanda.Vaughan@GenesisFH.org. Sincerely, Amanda Vaughan (electronically signed 10/10/2024) Amanda Vaughan Chief Financial Officer
Finding 504094 (2024-002)
Significant Deficiency 2024
Corrective Action Plan – The University has engaged the Chief Information Security Officer, IT Security personnel and the Chief Information Officer to review all elements of the Gramm-Leach Bliley Act requirements to ensure that the University complies with all required elements of the Act. A detail...
Corrective Action Plan – The University has engaged the Chief Information Security Officer, IT Security personnel and the Chief Information Officer to review all elements of the Gramm-Leach Bliley Act requirements to ensure that the University complies with all required elements of the Act. A detailed listing of all elements had been prepared; however, full assessment and implementation of remediation needed was not completed in a timely manner. Fifty five percent (55%) of the identified actions were completed at the time of the audit. Remaining items including a Written Information Security Plan were scheduled to be completed by February, 2025. Implementation – The responsible parties for implementation of the corrective action plan and ongoing compliance include the Chief Information Officer, Karl Horvath. As stated previously, over half of the needed items were completed prior to the audit, the Written Information Security Plan was completed by October 1, 2024 and the remaining items are due to be completed by February 28, 2025.
ESF Section 1 – Elementary and Secondary Education – Davis Bacon Prevailing Wage Requirements Condition: The Federal Compliance Supplement requires that recipients and subrecipients that use ESF funds for minor remodeling, renovation or construction contracts that are over $2,000 and use laborers a...
ESF Section 1 – Elementary and Secondary Education – Davis Bacon Prevailing Wage Requirements Condition: The Federal Compliance Supplement requires that recipients and subrecipients that use ESF funds for minor remodeling, renovation or construction contracts that are over $2,000 and use laborers and mechanics must meet Davis-Bacon prevailing wage requirements. To ensure this, the District is required to review the weekly certified payrolls, ensuring that the proper prevailing wages were paid. During the audit, it was noted that certified payrolls were not consistently being reviewed, which allowed for one contractor to not pay the correct rate to their employees. We would like to note that once this situation was uncovered, the contractor did in fact correct the prior pays so that all employees were paid the appropriate prevailing wages. Corrective Action: The District understands the issue and will work with their Construction Manager to ensure that certified payrolls are reviewed weekly moving forward. Please see the attached Corrective Action Plan prepared by the District. Contact Person Responsible for Corrective Action: Chanda Cleaves, Finance Director for Shared Business Services and Teresa Graham, Assistant Finance Director for Shared Business Services Completion Date: This issue will be corrected moving forward.
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