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The Geneva Foundation (Foundation) submits the following corrective action plan in response to the finding identified during the audit for the year ending December 31, 2025. 1. Finding 2025-001: Research and Development Cluster - Suspension and Debarment; U.S Department of Defense/War (DoD/DoW) and ...
The Geneva Foundation (Foundation) submits the following corrective action plan in response to the finding identified during the audit for the year ending December 31, 2025. 1. Finding 2025-001: Research and Development Cluster - Suspension and Debarment; U.S Department of Defense/War (DoD/DoW) and U.S. Department of Health and Human Services (HHS) – Various R&D Assistance Listings Questioned Costs: None Condition: The Foundation did not follow internal control procedures designed to ensure compliance with suspension and debarment requirements for covered contracts. During our testing of procurement transactions subject to suspension and debarment requirements, we noted that the Foundation did not retain documentation demonstrating that it had reviewed the System for Award Management (SAM.gov) exclusion records prior to entering into contractual agreements. Specifically, there was no evidence that a SAM.gov printout was reviewed or approved to verify that vendors were not suspended or debarred at the time of contract execution. In conjunction with the audit, we reviewed the SAM Exclusions for all transactions in our sample and we noted that no transactions were with entities that were suspended or debarred. 2. Corrective Action: The Foundation will review and update its procurement and vendor eligibility procedures to ensure compliance with federal suspension and debarment requirements under 2 CFR Part 180 and applicable Uniform Guidance requirements. The revised procedures will: a. Define when SAM.gov exclusion verification is required. b. Identify personnel responsible for performing and documenting the verification. c. Require retention of date-stamped evidence of the SAM.gov review within the procurement file prior to contract execution. d. Establish supervisory review procedures to confirm required documentation is present before procurement approval is granted. e. Incorporate suspension and debarment verification requirements into procurement checklists, vendor onboarding procedures, and procurement approval workflows. f. Require that covered procurement actions cannot proceed to contract execution without documented evidence of suspension and debarment verification. g. Incorporate periodic compliance monitoring to assess adherence to the revised procedures and identify any exceptions requiring corrective action. These actions are designed to strengthen the Foundation's internal control environment, enhance documentation practices, and ensure consistent compliance with federal suspension and debarment requirements. Management believes these corrective actions adequately address the root cause of the finding and will reduce the risk of recurrence in future audit periods. 3. Responsible Party: The Director and Financial Controller will jointly oversee the policy review, procedural updates, and ongoing monitoring to ensure compliance with federal requirements. Day-to-day implementation and monitoring will be coordinated by the Procurement Manager, with oversight and periodic compliance review performed by the Financial Controller. 4. Anticipated Completion Date: December 31, 2026. Key milestones include: a. Revised procedures drafted and approved by October 31, 2026 b. Procurement workflow and checklist updates completed by November 15, 2026 c. Staff training completed by November 30, 2026 d. Updated controls and workflow requirements implemented by November 30, 2026 e. Compliance review completed by December 31, 2026 5. Implementation Details: To implement the updated procedures, the Foundation will incorporate SAM.gov suspension and debarment verification requirements into its procurement workflow, vendor onboarding process, and procurement file review procedures. Prior to execution of any covered contract subject to federal requirements, designated personnel will perform a SAM.gov exclusion search and retain date-stamped evidence of the search within the procurement file. Procurement approvals will not be finalized until the required documentation has been obtained and reviewed. In addition, Finance personnel processing covered transactions will verify that required suspension and debarment documentation is maintained within the procurement file before payments are processed. Transactions lacking required suspension and debarment documentation will be returned to Procurement for correction and completion prior to contract execution or payment processing, as applicable. The Procurement Manager will conduct periodic reviews of procurement files to verify compliance with documentation requirements. Any exceptions identified will be documented and reported to the Director and Financial Controller for resolution and corrective action. Additionally, procurement personnel and other employees involved in vendor onboarding, contracting, and accounts payable activities will receive training regarding federal suspension and debarment requirements, documentation standards, and revised approval procedures. During FY27, management will conduct and document quarterly reviews of a sample of covered procurement transactions to verify compliance with the revised controls. Any deficiencies identified will be evaluated and corrective actions implemented as necessary. Sincerely, Matt Rueckert Chief Operating Officer (COO)
The Geneva Foundation (Foundation) submits the following corrective action plan in response to the finding identified during the audit for the year ending December 31, 2025. 1. Finding 2025-001: Research and Development Cluster - Suspension and Debarment; U.S Department of Defense/War (DoD/DoW) and ...
The Geneva Foundation (Foundation) submits the following corrective action plan in response to the finding identified during the audit for the year ending December 31, 2025. 1. Finding 2025-001: Research and Development Cluster - Suspension and Debarment; U.S Department of Defense/War (DoD/DoW) and U.S. Department of Health and Human Services (HHS) – Various R&D Assistance Listings Questioned Costs: None Condition: The Foundation did not follow internal control procedures designed to ensure compliance with suspension and debarment requirements for covered contracts. During our testing of procurement transactions subject to suspension and debarment requirements, we noted that the Foundation did not retain documentation demonstrating that it had reviewed the System for Award Management (SAM.gov) exclusion records prior to entering into contractual agreements. Specifically, there was no evidence that a SAM.gov printout was reviewed or approved to verify that vendors were not suspended or debarred at the time of contract execution. In conjunction with the audit, we reviewed the SAM Exclusions for all transactions in our sample and we noted that no transactions were with entities that were suspended or debarred. 2. Corrective Action: The Foundation will review and update its procurement and vendor eligibility procedures to ensure compliance with federal suspension and debarment requirements under 2 CFR Part 180 and applicable Uniform Guidance requirements. The revised procedures will: a. Define when SAM.gov exclusion verification is required. b. Identify personnel responsible for performing and documenting the verification. c. Require retention of date-stamped evidence of the SAM.gov review within the procurement file prior to contract execution. d. Establish supervisory review procedures to confirm required documentation is present before procurement approval is granted. e. Incorporate suspension and debarment verification requirements into procurement checklists, vendor onboarding procedures, and procurement approval workflows. f. Require that covered procurement actions cannot proceed to contract execution without documented evidence of suspension and debarment verification. g. Incorporate periodic compliance monitoring to assess adherence to the revised procedures and identify any exceptions requiring corrective action. These actions are designed to strengthen the Foundation's internal control environment, enhance documentation practices, and ensure consistent compliance with federal suspension and debarment requirements. Management believes these corrective actions adequately address the root cause of the finding and will reduce the risk of recurrence in future audit periods. 3. Responsible Party: The Director and Financial Controller will jointly oversee the policy review, procedural updates, and ongoing monitoring to ensure compliance with federal requirements. Day-to-day implementation and monitoring will be coordinated by the Procurement Manager, with oversight and periodic compliance review performed by the Financial Controller. 4. Anticipated Completion Date: December 31, 2026. Key milestones include: a. Revised procedures drafted and approved by October 31, 2026 b. Procurement workflow and checklist updates completed by November 15, 2026 c. Staff training completed by November 30, 2026 d. Updated controls and workflow requirements implemented by November 30, 2026 e. Compliance review completed by December 31, 2026 5. Implementation Details: To implement the updated procedures, the Foundation will incorporate SAM.gov suspension and debarment verification requirements into its procurement workflow, vendor onboarding process, and procurement file review procedures. Prior to execution of any covered contract subject to federal requirements, designated personnel will perform a SAM.gov exclusion search and retain date-stamped evidence of the search within the procurement file. Procurement approvals will not be finalized until the required documentation has been obtained and reviewed. In addition, Finance personnel processing covered transactions will verify that required suspension and debarment documentation is maintained within the procurement file before payments are processed. Transactions lacking required suspension and debarment documentation will be returned to Procurement for correction and completion prior to contract execution or payment processing, as applicable. The Procurement Manager will conduct periodic reviews of procurement files to verify compliance with documentation requirements. Any exceptions identified will be documented and reported to the Director and Financial Controller for resolution and corrective action. Additionally, procurement personnel and other employees involved in vendor onboarding, contracting, and accounts payable activities will receive training regarding federal suspension and debarment requirements, documentation standards, and revised approval procedures. During FY27, management will conduct and document quarterly reviews of a sample of covered procurement transactions to verify compliance with the revised controls. Any deficiencies identified will be evaluated and corrective actions implemented as necessary. Sincerely, Matt Rueckert Chief Operating Officer (COO)
Condition: NIST Recovery Reports were prepared without evidence of a secondary review or approval by an individual independent of the preparer and knowledgeable of grant requirements. Planned Corrective Action: The Controller will prepare the monthly NIST Recovery Report and submit the report to the...
Condition: NIST Recovery Reports were prepared without evidence of a secondary review or approval by an individual independent of the preparer and knowledgeable of grant requirements. Planned Corrective Action: The Controller will prepare the monthly NIST Recovery Report and submit the report to the Vice President of Operations for review and approval. The Vice President of Operations will provide documented evidence of the review and approval to the Controller. Upon receipt of the documented evidence of review, the Controller will request that the Vice President of Operations initiate the recovery of the monthly NIST reimbursement amount. Contact person responsible for corrective action: Alan Kowalewski Anticipated Completion Date: 08/20/2026
Finding Number 2025-003: Matching – Significant Deficiency in Internal Control over Compliance and Noncompliance Corrective Action: Management will update its matching procedures to require staff to verify that each cost is allowable under the applicable grant before including it in the matching poo...
Finding Number 2025-003: Matching – Significant Deficiency in Internal Control over Compliance and Noncompliance Corrective Action: Management will update its matching procedures to require staff to verify that each cost is allowable under the applicable grant before including it in the matching pool. The procedures will specifically exclude unrecovered indirect costs from CoC Program match unless HUD provides prior written approval. Grant accounting staff will retain support for each matching cost, and a supervisor will review and approve the matching schedule before submission. Any ineligible costs identified will be removed and corrected. Name of Responsible Individual(s): Jason Brenier and Judy Bokhari Anticipated Completion Date: December 2026
Finding Number 2025-001: Special Tests and Provisions – Significant Deficiency in Internal Control Over Compliance Corrective Action: Management will further enhance its rental assistance procedures to require a documented rent reasonableness determination before a participant moves in and before an...
Finding Number 2025-001: Special Tests and Provisions – Significant Deficiency in Internal Control Over Compliance Corrective Action: Management will further enhance its rental assistance procedures to require a documented rent reasonableness determination before a participant moves in and before any change in rent or lease terms is charged to the program. The determination will be supported by comparable rental information and retained with the lease, amendments, rent notices, and other documentation supporting the approved rent amount. Program staff will use a standardized checklist to confirm that the determination and required lease documents are complete before approving initial assistance or a rent change. A supervisor will review and sign the checklist. Management will also review rent reasonableness at least annually for participants whose rent has not changed during the preceding year and retain the results in the participant file. Management will train applicable staff on the revised procedures and periodically review a sample of files to confirm that determinations are timely, adequately supported, and retained. Identified gaps will be corrected and addressed through follow-up training as needed. Name of Responsible Individual(s): Jason Brenier, Judy Bokhari, Luz Gonzales-Toscano and Thu Huynh-Vien Anticipated Completion Date: December 2026
Following the NSC security breach and incorrect institution linking, the College worked with NSC to restore the correct connection, which was resolved in November 2023. The Registrar redeveloped reporting queries and resumed accurate submissions in June 2024. Enhanced processes now allow files to be...
Following the NSC security breach and incorrect institution linking, the College worked with NSC to restore the correct connection, which was resolved in November 2023. The Registrar redeveloped reporting queries and resumed accurate submissions in June 2024. Enhanced processes now allow files to be reviewed, corrected, and finalized within approximately one week, and all reporting was brought current by the end of 2025.
Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Jennifer Bakkelund, Fiscal and Support Supervisor Corrective Action Planned:...
Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Jennifer Bakkelund, Fiscal and Support Supervisor Corrective Action Planned: Work with courthouse to make salary adjustment entry to move the working costs to admin codes for the months prior to joining Time study. Once finished, will resubmit reports to show this change and the change of reporting the reduction in revenue on the 2556 report where it was only shown on the expense side and not the revenue side of the report in accordance with DHS instructions. Anticipated Completion Date: September 30, 2026
Finding Number: 2025-001 Finding Title: Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Erin Sandbo - Support Services and Accounting Supervisor (Human Services) Corrective Action Planned: The cause of the errors resulted from two iss...
Finding Number: 2025-001 Finding Title: Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Erin Sandbo - Support Services and Accounting Supervisor (Human Services) Corrective Action Planned: The cause of the errors resulted from two issues within the County's cost allocation and the County's Local Collaborative Time Study breakout process. First, the Public Health cost allocation was inadvertently entered using a "dup" (duplicate) key on the keyboard that was also being used for the Income Maintenance cost allocation. As a result, the same account code was used for two separate program allocations. This caused the allocation calculation to be carried forward incorrectly and resulted in Q1-2025 amount not being appropriately included in each subsequent quarterly calculation. The error ultimately affected the accuracy of the annual allocation reporting. Second, an adjustment was made to the County's "LCTS Breakout" spreadsheet that is used quarterly to calculate the line entries on the LCTS Cost Schedule. Following this spreadsheet adjustment, only a portion of the salary and fringe associated with the CHS Supervisor was deducted from the allocation amount. The entire salary and fringe amount should have been deducted. This resulted in an additional error in the allocation calculation and contributed to the overstatement of reported expenses. The County reviewed the affected DHS-3220 reports and corrected and resubmitted them to DHS on September 1, 2026. In addition, the County has reviewed the allocation process and will ensure that: • The appropriate account number/code is used for each program allocation. • Allocation calculations are accurate and consistent from quarter to quarter. • Compare the IFS User Selected Budget Report to the IFS Account Activity Report to verify that the allocation amounts are accurate and recorded in the appropriate program area. The County has revised and strengthened the "LCTS Breakout" spreadsheet developed by the Fiscal Officer. The revised spreadsheet is designed to provide greater assurance that salary and fringe amounts are accurately reflected and appropriately deducted. The Supervisor will continue to review and sign off on quarterly reports to provide a secondary level of verification to ensure that costs are allowed, properly allocated, and accurately reported. Anticipated Completion Date: The County has corrected and resubmitted the 2025 DHS-3220 reports to OHS as of September 1, 2026.
Finding Number: 2025-004 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 93.563 Child Support Services Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Corrective Action Planned: The ...
Finding Number: 2025-004 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 93.563 Child Support Services Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify eligible revenue and expenditures for each report and resubmit any report corrections timely. A process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate programs. Anticipated Completion Date: December 31, 2026
Finding Number: 2025-005 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles, and Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Correctiv...
Finding Number: 2025-005 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles, and Reporting Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify eligible revenue and expenditures for each report and resubmit any report corrections timely. A process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate programs. Anticipated Completion Date: December 31, 2026
Finding Number: 2025-006 Finding Title: Eligibility - MAXIS Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Kathryn Herding – Eligibility Supervisor Ashley VanOverbeke – Eligibility Supervisor Chantelle Fogelson – Eligibility Supervisor Correct...
Finding Number: 2025-006 Finding Title: Eligibility - MAXIS Program: 93.778 Grants to States for Medicaid Name of Contact Person Responsible for Corrective Action: Kathryn Herding – Eligibility Supervisor Ashley VanOverbeke – Eligibility Supervisor Chantelle Fogelson – Eligibility Supervisor Corrective Action Planned: The planned corrective action is to continue reminding and reviewing with staff on a regular basis and at unit meetings the need to utilize checklists with all applications and renewals, so all required documentation is on file, verify income and asset requirements, and complete case transfers correctly. Supervisors and/or Lead Workers will also complete case reviews for accuracy. Anticipated Completion Date: December 31, 2026
Finding Number: 2025-003 Finding Title: Procurement, Suspension, and Debarment Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Tiffany Bailey – Fiscal Manager Corrective Action Planned: T...
Finding Number: 2025-003 Finding Title: Procurement, Suspension, and Debarment Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to improve and update the agency policy and procedures for procurement and implement a process with supporting documentation that ensures federal requirements are met. Anticipated Completion Date: December 31, 2026
Finding Number: 2025-002 Finding Title: Procurement Policy Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned correctiv...
Finding Number: 2025-002 Finding Title: Procurement Policy Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to improve and update the agency policy for procurement that ensures the required federal components are met. Anticipated Completion Date: December 31, 2026
Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer...
Finding Number: 2025-001 Finding Title: Activities Allowed or Unallowed and Allowable Costs/Cost Principles Program: 10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program Name of Contact Person Responsible for Corrective Action: Jenny Severson – Fiscal Officer Tiffany Bailey – Fiscal Manager Corrective Action Planned: The planned corrective action is to review report instructions regularly, accurately identify eligible revenue and expenditures for each report and resubmit any report corrections timely. A process has been implemented for verifying FTE payroll splits and verifying staff time is allocated to the appropriate programs. Anticipated Completion Date: December 31, 2026
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Spokane Conservation District January 1, 2025 through December 31, 2025 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regula...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Spokane Conservation District January 1, 2025 through December 31, 2025 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2025-001 Finding caption: The District did not have adequate internal controls for ensuring compliance with federal subrecipient monitoring and suspension and debarment requirements, and it did not comply with federal suspension and debarment requirements.Name, address, and telephone of District contact person: Cori Turntine, Operations Director 4422 E 8th Avenue, Spokane Valley, WA 99212 (509) 535-7274 Corrective action the auditee plans to take in response to the finding: The District concurs with Finding 2025-001. The District acknowledges that although staff performed searches of the Federal Audit Clearinghouse for both subrecipients and were aware of the suspension and debarment requirements, the District did not retain documentation demonstrating these verifications, as required by 2 CFR 200.303 and 2 CFR 200.332. The District has taken the following corrective action: Subrecipient Monitoring: District staff performed searches of the Federal Audit Clearinghouse for both subrecipients during the audit period; however, documentation of those searches was not retained. The District has since followed up in writing with both subrecipients and obtained written confirmation that neither subrecipient exceeded $1,000,000 in federal expenditures during fiscal year 2025 and that neither expects to exceed the single audit threshold in fiscal year 2026. This written correspondence is retained in the subaward files. Going forward, all subrecipient monitoring activities - including Federal Audit Clearinghouse searches, single audit determinations, follow-up on audit findings, and management decisions - will be documented and retained in each subaward file at the time the verification is performed. Suspension and Debarment: The District concurs that documentation was not retained for the suspension and debarment verification of the contractor paid $185,998 in federal funds. The contractor was subsequently verified as not suspended or debarred, and no further contracting activity occurred under the affected award. The District has implemented controls requiring verification of suspension and debarment status (via SAM.gov exclusion checks, written certification, or contract clause) before entering into any contract or purchase expected to equal or exceed $25,000, paid in whole or in part with federal funds, consistent with 2 CFR 200.214 and 2 CFR Part 180. Documentation of each verification is retained in the procurement file at the time of award. Project Management System: To provide sustained assurance and to address both components of this finding, the District is implementing a project management system with automated reminders and checklists covering the full life cycle of federal awards, subawards, and procurements. Training: Suspension and debarment and subrecipient monitoring requirements will be incorporated into the District's annual contract and procurement training for all relevant staff. Anticipated date to complete the corrective action: 12/31/2026
Student Financial Aid Cluster – Special Tests and Provisions – NSLDS Recommendation: We recommend that the College continue to enhance its policies and procedures regarding enrollment reporting including additional monitoring over the third-party service provider to ensure that reporting is complete...
Student Financial Aid Cluster – Special Tests and Provisions – NSLDS Recommendation: We recommend that the College continue to enhance its policies and procedures regarding enrollment reporting including additional monitoring over the third-party service provider to ensure that reporting is completed accurately and timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Office of the Registrar reports enrollment to NSLDS using the National Student Clearinghouse (NSC). The Office of the Registrar has added a Systems Analyst position, who is now responsible for Clearinghouse submissions, including enrollment reporting and monitoring and resolving errors. As recommended by CLA, the Registrar’s Office is reviewing its process for Clearinghouse submissions with support from our software provider Jenzabar, the National Student Clearinghouse, and the College’s Information Technology Department and Advising Office to ensure that enrollment reporting and error resolution is accurate and timely. Recommended changes to the enrollment reporting were adopted and added to the written procedures. The College reviewed the instances identified in the audit and determined that they resulted from one enrollment file submitted to the National Student Clearinghouse (NSC) that was rejected. At the time, the FTP submission method did not provide the submitting employee with a readily visible processing status, and the rejection notice was sent to a former institutional contact. The College has transitioned to the NSC's Data Upload tool, which displays the processing status of submitted enrollment files. Following each submission, the Registrar Systems Analyst now verifies that the file was successfully processed and addresses any rejection or processing error promptly. Name(s) of the contact person(s) responsible for corrective action: Rachel Nielson (Registrar Systems Analyst), Nicholas Jobe (Registrar), and Sheia Pleasant (Financial Aid Director). Planned completion date for corrective action plan: February 11, 2026 If the U.S. Department of Education, State of Florida or Florida Department of Education have questions regarding these plans, please call Sheia Pleasant at (904) 819-6435
Student Financial Aid Cluster – Special Tests and Provisions – Credit Balance Recommendation: We recommend that the College reviews its internal control processes for improvements and to detect potential non-compliance issues related to timeliness. Explanation of disagreement with audit finding: The...
Student Financial Aid Cluster – Special Tests and Provisions – Credit Balance Recommendation: We recommend that the College reviews its internal control processes for improvements and to detect potential non-compliance issues related to timeliness. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Student refund payments will be prioritized for processing at the first payment date following notification of the credit balance. To ensure continuity of operations during employee absences, leave, and staffing transitions, the College has established authorization for multiple individuals to review and approve refund payments. Additionally, the College has enhanced its refund monitoring procedures. Following each refund batch submission, the Student Accounts Office will monitor and verify that EFT transactions and/or paper checks have been successfully processed and completed within the required 14-day timeframe. The College expects these enhancements to promote the timely and consistent processing of credit balance refunds and to reduce the risk of future delays resulting from staffing availability or processing issues. Name(s) of the contact person(s) responsible for corrective action: Brittney Percival (Director of Students Account) and Theresa Lincoln (Controller) Planned completion date for corrective action plan: Ongoing and effective immediately.
Auditor’s Recommendation: It is recommended that the Organization consistently implement and document the review and approval controls established by its policies, including continued Board/Treasurer oversight over expenditures. It is also recommended that the Organization continue use of formal tim...
Auditor’s Recommendation: It is recommended that the Organization consistently implement and document the review and approval controls established by its policies, including continued Board/Treasurer oversight over expenditures. It is also recommended that the Organization continue use of formal timesheets to document and support employee time. Views of Responsible Officials and Planned Corrective Actions: Management acknowledges the finding and agrees with the recommendation. The Organization implemented Board/Treasurer oversight during the middle of 2025 and formal timesheets effective October 27, 2025. Management will continue to maintain documented review and approval controls and utilize formal timesheets to support payroll activity.
Finding 2025-003 I. Procurement and Suspension and Debarment Information on the federal program: Grantor: Department of Health and Human Services Program Name: Research and Development Cluster Assistance Listing No.: Various Views of responsible officials and planned corrective actions: Mount Sinai ...
Finding 2025-003 I. Procurement and Suspension and Debarment Information on the federal program: Grantor: Department of Health and Human Services Program Name: Research and Development Cluster Assistance Listing No.: Various Views of responsible officials and planned corrective actions: Mount Sinai has taken corrective actions to address this issue. During 2025, the Health System created a process to ensure a vendor is not considered suspended or debarred. All existing vendors in the vendor master file, as well as all newly onboarded vendors through our credentialing process, are screened monthly through our designated sanction screening provider. In addition, we have implemented a new monthly manual control to review, confirm, and reconcile our vendor master against the files submitted to our sanction-screening provider. Our Internal Audit team also performs periodic, independent sanction screening checks on a sample of vendors to validate the accuracy and completeness of the third party screening results. Name of responsible official: Franco Sagliocca Corporate Director, Supply Chain Franco.sagliocca@mountsinai.org Projected completion date: December 31, 2025.
Finding Subject: 2025-003 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov View of Responsib...
Finding Subject: 2025-003 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov View of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: As explained and demonstrated by the County Administrator to the SBOA at the time of the audit, the online reporting system for the U.S. Treasury quarterly reports had malfunctioned. When the County Administrator attempted to enter the correct amounts, the report would be rejected. The only way to get the quarterly reports to be accepted was by adjusting the numbers, resulting in the issues pointed out by the SBOA. As the SBOA is aware, the reports were on a time-sensitive deadline and had to be submitted. The County will follow up with the U.S. Treasury in the event of future problems with the online reporting system. The County Administrator did follow up with the U.S. Treasury in 2025. No response was given. In 2026, the U.S. Treasury provided a webinar stating that if the municipality could not close out or lock awards due to unbalanced figures, then the municipality should leave the project “unlocked.” There was no guidance on reopening previous quarterly reports to correct any mistakes. Therefore, the County Administrator could not correct previous reports. Anticipated Completion Date: September 30, 2026.
Finding Subject: 2025-002 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov Vi...
Finding Subject: 2025-002 Finding Subject: COVID-19 Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Debbie Bennett-Stearsman Contact Phone Number and Email Address: 812-319-9068 and dbennett-stearsman@warrickcounty.gov View of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: In the future, the County Administrator (who also serves as Grants Development Director) intends to abide by 2 CFR Part 200 and 31 CFR Part 19. The County will verify vendors and /or contractors through one of the following methods: 1) Primary Verification Method (SAM.gov): The County's primary method for verifying the Contractor's eligibility is by checking the System for Award Management (SAM.gov), which has superseded the Excluded Parties List System (EPLS). The Contractor acknowledges and agrees that the County may, at its discretion, verify the Contractor's status on SAM.gov. 2) Alternative Verification Method (Affidavit): If the Contractor is not registered on SAM.gov, or if the County, in its sole discretion, determines that a SAM.gov check is not feasible or necessary for this particular transaction, the Contractor shall sign and submit an "Affidavit of Non-Exclusion and Non-Disqualification" swearing under penalties of perjury that the Contractor and its principals are not excluded or disqualified under 31 CFR 19.300. The County Administrator has implemented the above corrective plan actions. However, the County Administrator did not realize that last year’s corrective plan included going back in contracts from 2024 and rechecking debarment or asking contractors to sign the alternative verification. The County Administrator will check all active contractors from this date forward and implement the corrective action plan. Anticipated Completion Date: August 12, 2026.
Late Submission of Reporting Package and Data Collection Form Corrective Action Plan: Management has established procedures to improve the timeliness of the annual audit and related Federal Audit Clearinghouse submission. The Federal Audit Clearinghouse reporting deadline has been added to the Organ...
Late Submission of Reporting Package and Data Collection Form Corrective Action Plan: Management has established procedures to improve the timeliness of the annual audit and related Federal Audit Clearinghouse submission. The Federal Audit Clearinghouse reporting deadline has been added to the Organization’s annual compliance calendar, and responsibility for monitoring the deadline has been assigned to the Executive Director. Management will actively monitor the progress of the annual audit, timely provide requested information to the auditors, and communicate with the auditors regarding outstanding items that could delay completion of the audit. The Board will provide oversight of the process. These procedures are intended to facilitate completion of the audit and submission of the reporting package and Data Collection Form within the timeframe required by Uniform Guidance. Responsible Party: Executive Director, Board of Directors (oversight) Planned Completion Date: Procedures implemented; corrective action remains ongoing through timely completion and submission of the 2025 audit reporting package and Data Collection Form.
Finding COVID-19 – 2025-001 Allowable Costs/Cost Principles Information on the federal program: Federal agency: U.S. Department of Homeland Security Pass-through program from: State of New York Division of Homeland Security and Emergency Services Federal Assistance Listing Number: 97.036 COVID-19 Di...
Finding COVID-19 – 2025-001 Allowable Costs/Cost Principles Information on the federal program: Federal agency: U.S. Department of Homeland Security Pass-through program from: State of New York Division of Homeland Security and Emergency Services Federal Assistance Listing Number: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Contract/pass-through entity identifying number: 140215 Award period of performance: January 20, 2020 – July 1, 2022 Planned corrective action: COVID-19-eligible pharmacy costs consisted of a high volume of lower-cost items and were identified through a process distinct from other cost categories. Cost data were obtained from NYP’s materials management system, which records purchase orders placed with primary vendors for medications and supplies. NYP submitted for FEMA reimbursement only those medication costs identified as related to the treatment of patients during the COVID-19 pandemic. Pharmacy vendors may adjust purchase orders when medications or supplies are unavailable or available in quantities different from those requested. The internal control process for the pharmacy portion of NYP’s COVID-19 submissions did not verify that purchase orders were fulfilled as recorded, supported by vendor invoices and receipt documentation, and paid before the associated costs were included in reimbursement claims. Going forward, designated Finance and Pharmacy personnel will reconcile purchase orders to vendor invoices, receipt records, and proof of payment before submission; exceptions will be resolved and documented, and management will periodically review the control’s operation to confirm that only eligible, incurred, and paid costs are claimed. Name of responsible officials: Richard Einwechter Vice President, Financial Operations (212) 585-6589 rie9001@nyp.org Gary Sorkin Vice President Insurance and Risk Management (212) 297-5714 gas9063@nyp.org
Views of Responsible Officials and Planned Corrective Actions: To address financial management and compliance deficiencies within the Federal Transit Cluster, the County will implement a robust monitoring and reconciliation process by taking the following measures: Dedicated Grant Tracking and Calen...
Views of Responsible Officials and Planned Corrective Actions: To address financial management and compliance deficiencies within the Federal Transit Cluster, the County will implement a robust monitoring and reconciliation process by taking the following measures: Dedicated Grant Tracking and Calendaring: A specialized grant calendar and tracking log will be established by the Transit Manager, specifically for Federal Transit programs. This log will track the live status of all open grants, reimbursement claims and drawdowns (submitted, pending, approved, and paid) alongside required programmatic documentation. Routine Reconciliations: The Transit Manager will perform monthly reconciliations matching grant drawdowns and reimbursement claims directly against underlying eligible expenditure details, the general ledger, and the Schedule of Expenditures of Federal Awards (SEFA). Oversight and Cutoff Reviews: Documented Budget Office review will be mandated for all quarterly transit grant reconciliations and period-end cutoff evaluations to confirm that federal grant receivables and deferred revenue/inflows are accurately recorded. Specialized Training: The County will provide targeted training to both Transit Department personnel, Budget Office, and Treasurer’s Office staff to ensure full compliance with Uniform Guidance financial management standards, reconciliation rules, and federal award reporting criteria.
The Borough has implemented procedures to ensure Federal Single Audit requirements are identified, monitored, and completed within required deadlines. Finance staff will maintain a schedule of applicable federal reporting and audit requirements, monitor federal expenditures throughout the fiscal yea...
The Borough has implemented procedures to ensure Federal Single Audit requirements are identified, monitored, and completed within required deadlines. Finance staff will maintain a schedule of applicable federal reporting and audit requirements, monitor federal expenditures throughout the fiscal year, and coordinate with the Borough's auditors to ensure Single Audit requirements are identified and addressed timely. The Finance Director will provide oversight of this process and ensure required documentation and filings are completed within applicable deadlines. These procedures are expected to fully resolve this finding during FY2026. Expected Completion Date: June 30, 2026.
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