Corrective Action Plans

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Management is aware and understands the importance of compliance with the federal requirements and will ensure the meal counts will be properly reported in the future.
Management is aware and understands the importance of compliance with the federal requirements and will ensure the meal counts will be properly reported in the future.
Los Angeles Mission College will strengthen continuity of grant reporting by implementing cross-training and backup coverage for APR) preparation and submission. Grant reporting deadlines will be formally documented in a centralized tracking calendar with automated reminders to ensure timely awarene...
Los Angeles Mission College will strengthen continuity of grant reporting by implementing cross-training and backup coverage for APR) preparation and submission. Grant reporting deadlines will be formally documented in a centralized tracking calendar with automated reminders to ensure timely awareness despite staffing fluctuations. Management will perform a pre-deadline status check to confirm readiness for submission. These actions will ensure timely APR submission going forward while accommodating temporary staffing constraints. Personnel Responsible for Implementation: Tara Ward-Thompson Position of Responsible Personnel: Dean, Academic Affairs Expected Date of Implementation: January 1, 2026
The campus agrees with the finding. To address this issue and prevent recurrence, Los Angeles Southwest College will implement the following corrective actions: 1. Policy Implementation and Alignment: Fully implement District time and effort policies at the College level, with clear guidance on docu...
The campus agrees with the finding. To address this issue and prevent recurrence, Los Angeles Southwest College will implement the following corrective actions: 1. Policy Implementation and Alignment: Fully implement District time and effort policies at the College level, with clear guidance on documentation requirements for employees funded by multiple federal awards. 2. Standardized Procedures: Utilize the establish standardized procedures and templates for time and effort reporting, including defined timelines for completion, supervisory review, and record retention. 3. Training and Communication: Provide mandatory training for grant-funded employees, supervisors, and administrators on federal time and effort requirements and District procedures. 4. Oversight and Monitoring: Designate responsible administrators to monitor compliance, conduct periodic internal reviews, and ensure records are properly maintained and readily available in multiple platforms. Los Angeles Southwest College is committed to strengthening its internal controls, ensuring full compliance with federal and District requirements, and maintaining accurate and reliable documentation to support all federally funded activities. Personnel Responsible for Implementation: Dr. Tangelia Alfred. Position of Responsible Personnel: Vice President of Student Services Expected Date of Implementation: January 5, 2026
A. Late Submission and Non-Submission of Annual Performance Reports (APR) : Los Angeles Southwest College- Student Support Services Program (Award No. P042A201884); Student Support Services STEM Program (Award No. P042A201432) If the program is reinstated in the future, we will establish a centraliz...
A. Late Submission and Non-Submission of Annual Performance Reports (APR) : Los Angeles Southwest College- Student Support Services Program (Award No. P042A201884); Student Support Services STEM Program (Award No. P042A201432) If the program is reinstated in the future, we will establish a centralized shared drive to ensure organized storage and easy access to all relevant documentation during report preparation. Personnel Responsible for Implementation: Dean/Vice President Student Services in place during implementation Position of Responsible Personnel: Dean, Student Services/Vice President Student Services Expected Date of Implementation: N/A – Program will not be in place moving forward B. Lack of Supporting Documentation for Student Information Los Angeles Southwest College – Student Support Services Program (Award No. P042A201884) If the program is reinstated in the future, we will establish a centralized shared drive to store all relevant documentation. This will ensure organized access, improved transparency, and efficient management of program-related materials. Personnel Responsible for Implementation: Dean/Vice President Student Services in place during implementation Position of Responsible Personnel: Dean, Student Services/Vice President Student Services Expected Date of Implementation: N/A – Program will not be in place moving forward C. Inaccurate Key Line-Item Information: Los Angeles City College - Student Support Services Program (Award No. P042A200354) Management concurs with the finding. The exceptions noted resulted from inadvertent data entry oversights during preparation of the 2023–2024 APR submission. Specifically, a data field was incorrectly reported as ““8 = No degree/certificate, still enrolled at grantee institution”” for two students who, based on transcript review, had earned associate degrees prior to the end of the reporting period. While these errors were isolated, management recognizes the importance of accuracy in federally reported performance data. Program staff will implement an additional verification step requiring cross-checks of APR data against official student records prior to submission and will provide refresher training on APR reporting requirements. These measures will reduce the risk of future misreporting and strengthen the reliability of program data submitted to the Department of Education. Personnel Responsible for Implementation: TRIO Director, Student Support Services Position of Responsible Personnel: TRIO SSS, Director Expected Date of Implementation: As of Winter Session 2026 (January 5, 2026) Los Angeles Valley College - Student Support Services Program (Award No. P042A201769) Los Angeles Valley College acknowledges the reporting discrepancies identified in the 2023-2024 APR. The participant status and grade level for the student noted has been reviewed and will be reported in alignment with institutional records and prior APR submissions in future APR reporting cycles. To prevent recurrence, the campus will enhance its APR preparation and review process by implementing additional verification steps, including cross-referencing student-level APR data against PeopleSoft records and prior year APR submissions before final submission to the U.S. Department of Education. Personnel Responsible for Implementation: TRIO Director, Student Support Services Program Position of Responsible Personnel: Director, TRIO Programs Expected Date of Implementation: March 31, 2026
A. Lack of Formal Review of Student Eligibility Determination Los Angeles City College (Student Support Services Program – Award No. P042A200354) Los Angeles City College acknowledges that internal controls to demonstrate student eligibility for the TRIO SSS Program will need to be modified to ensur...
A. Lack of Formal Review of Student Eligibility Determination Los Angeles City College (Student Support Services Program – Award No. P042A200354) Los Angeles City College acknowledges that internal controls to demonstrate student eligibility for the TRIO SSS Program will need to be modified to ensure there is documented evidence showing approval and eligibility determination by a designated responsible official within the program. TRIO SSS at Los Angeles City College will revise the TRIO SSS application to require a “wet signature” from the TRIO SSS Director. This will ensure that reliable documented internal controls continue to meet and align with federal requirements, adding accountability for student eligibility decisions. Personnel Responsible for Implementation: TRIO Director, Student Support Services Position of Responsible Personnel: TRIO SSS, Director Expected Date of Implementation: As of Winter Session 2026 (January 5, 2026) B. Missing Student Eligibility Documentation Los Angeles Southwest College (Student Support Services Program – Award No. P042A201884) The department will create a Shared Drive to house all pertinent documentation related to the program, if the program is reinstated in the future. Personnel Responsible for Implementation: Dean/Vice President Student Services in place during implementation. Position of Responsible Personnel: Dean, Student Services/Vice President Student Services Expected Date of Implementation: Not Applicable – Program will not be in place moving forward.
Management concurs with the finding and recommendation. The condition resulted from a process gap in which payroll reallocations were made to comparable programs without a corresponding post-adjustment review against certified time and effort documentation. While initial certifications were obtained...
Management concurs with the finding and recommendation. The condition resulted from a process gap in which payroll reallocations were made to comparable programs without a corresponding post-adjustment review against certified time and effort documentation. While initial certifications were obtained, a control step was not in place to ensure that subsequent allocation changes remained aligned with after-the-fact certifications. To address this, program management will implement a formal, standardized time and effort process that includes periodic after-the-fact certifications and a required reconciliation between certified effort and payroll distributions before charges are finalized to federal awards. Management will also establish clear internal controls to govern reallocations, require supervisory review of variances, and provide targeted training to staff on 2 CFR §200.430(i) requirements. Personnel Responsible for Implementation: Nyame-Tease Prempeh Position of Responsible Personne: Director of Accounting Expected Date of Implementation: February 1, 2026
The District is in the process of upgrading PS SIS PeopleTools after which we will determine the most expedient path to implementing database encryption. The target completion for the PS SIS database encryption is Q3 of 2026. • The District is in the process of implementing encryption of the SAP dat...
The District is in the process of upgrading PS SIS PeopleTools after which we will determine the most expedient path to implementing database encryption. The target completion for the PS SIS database encryption is Q3 of 2026. • The District is in the process of implementing encryption of the SAP database as part of the HANA upgrade project. The target completion for the SAP database encryption is Q3 of 2026. Personnel responsible for implementation: Carmen V. Lidz Position of responsible personnel: Vice Chancellor & Chief Information Office Expected Date of Implementation: Q3 of 2026
A. Incorrect Calculation of Return of Title IV Funds The District’s Central Financial Aid Unit will collaborate with the Office of Information Technology (OIT) to utilize the last date of academically related activity (also known as the last date of participation) as the withdrawal date for R2T4 (Re...
A. Incorrect Calculation of Return of Title IV Funds The District’s Central Financial Aid Unit will collaborate with the Office of Information Technology (OIT) to utilize the last date of academically related activity (also known as the last date of participation) as the withdrawal date for R2T4 (Return to Title IV) calculation purposes. Personnel Responsible for Implementation: Steve Giorgi Position of Responsible Personnel: District Financial Aid Systems Manager Expected Date of Implementation: Fall 2026 B. Distance Education (DE) Courses – Implementation of Formal Process to Determine Accuracy of Student Withdrawal Date – Partial Implementation of Prior Year Corrective Action Plan (CAP) The District’s Educational Program & Institutional Effectiveness office (EPIE) will continue to provide updated guidance and resources to enable faculty to identify academic participation in online classes and to accurately determine the last date of academically related activity. For distance education courses, the process will consistently translate instructor-documented last dates of academic participation, as captured on instructor exclusion rosters, into the withdrawal dates recorded in SIS for R2T4 calculation purposes. Personnel Responsible for Implementation: Mily Kudo Position of Responsible Personnel: Associate Vice Chancellor, Educational Programs and Institutional Effectiveness Expected Date of Implementation: Fall 2026
The District’s Educational Programs & Institutional Effectiveness (EPIE) and Information Technology (IT) divisions will continue reviewing the current programming, analyzing test cases, and studying the more complex system changes required to address the misalignment between the student status effec...
The District’s Educational Programs & Institutional Effectiveness (EPIE) and Information Technology (IT) divisions will continue reviewing the current programming, analyzing test cases, and studying the more complex system changes required to address the misalignment between the student status effective date reported to the NSC and the date recorded in the PeopleSoft enrollment reporting system. Because the necessary programming updates are more intricate than initially anticipated, additional analysis and testing will be needed before implementing a long-term solution. EPIE will continue to monitor post-submission errors and warning reports to assess the effectiveness of the programming changes. Personnel Responsible for Implementation: Mily Kudo, Andrew Alvarez, Stan Levin Position of Responsible Personnel: Associate Vice Chancellor, IT Business Analyst, Research Analyst Expected Date of Implementation: March 2026
Management concurs with the audit finding and has implemented a corrective action plan.
Management concurs with the audit finding and has implemented a corrective action plan.
U.S. Department of Health and Human Services U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organization review controls in place to ensure payroll expenses are approved and maintain evidence of approval. Explanation of disagreement with au...
U.S. Department of Health and Human Services U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organization review controls in place to ensure payroll expenses are approved and maintain evidence of approval. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management is reviewing standard operating procedures with the program staff. All expenses will be supported with proper approvals. Management will perform periodic reviews to ensure expenses have evidence of approval. Name(s) of the contact person(s) responsible for corrective action: Christopher Paris, Senior Director of Finance Planned completion date for corrective action plan: June 30, 2025 and Ongoing
U.S. Department of State U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organization review controls in place to ensure expenses are approved and maintain evidence of approval. Explanation of disagreement with audit finding: There is no dis...
U.S. Department of State U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organization review controls in place to ensure expenses are approved and maintain evidence of approval. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management is reviewing standard operating procedures with the program staff. All expenses will be supported with proper approvals. Management will perform periodic reviews to ensure expenses have evidence of approval. Name(s) of the contact person(s) responsible for corrective action: Christopher Paris, Senior Director of Finance Planned completion date for corrective action plan: June 30, 2025 and Ongoing
U.S. Department of Health and Human Services and U.S Department of State Refugee and Entrant Assistance State/Replacement Designee Administered Programs Assistance Listing No. 93.566 U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organizati...
U.S. Department of Health and Human Services and U.S Department of State Refugee and Entrant Assistance State/Replacement Designee Administered Programs Assistance Listing No. 93.566 U.S. Refugee Admissions Program - Assistance Listing No. 19.510 Recommendation: It is recommended that the Organization review controls in place to ensure expenses are approved and maintain evidence of approval. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management is reviewing standard operating procedures with the program staff. All expenses will be supported with proper approvals. Management will perform periodic reviews to ensure expenses have evidence of approval. Name(s) of the contact person(s) responsible for corrective action: Christopher Paris, Senior Director of Finance Planned completion date for corrective action plan: June 30, 2025 and Ongoing
Special Tests & Provisions – Gramm-Leach-Bliley Act – Student Information Security Responses UNLV agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV Office of Informatio...
Special Tests & Provisions – Gramm-Leach-Bliley Act – Student Information Security Responses UNLV agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV Office of Information Technology (OIT) notes that all safeguards noted within the finding are in place and operating effectively. The action necessary relates to an update within the written information security program. This corrective action was taken immediately at the beginning of the current fiscal year, with the updated UNLV written information security program effective July 2025. ● How compliance and performance will be measured and documented for future audit, management and performance review. The UNLV Chief Information Security Officer will review the written information security program at least annually, to occur by the end of each fiscal year, to ensure documentation matches the control environment in practice. Additionally, UNLV engages a third party to perform a robust review of the overall GLBA environment to ensure the institution is appropriately addressing risk areas (most recently in FY25). ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The GLBA regulation requires designation of a Qualified Individual within the organization who is responsible for overseeing and implementing the Information Security Program. At UNLV, this is the Chief Information Security Officer and this individual is the responsible party to exercise oversight and accountability in this area. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Special Tests & Provisions – Enrollment Reporting Responses CSN – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; CSN is implementing additional validation steps in the mo...
Special Tests & Provisions – Enrollment Reporting Responses CSN – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; CSN is implementing additional validation steps in the monthly learinghouse report submission process to ensure all required information is accurate and complete. In addition, a monthly quality control review will be conducted on submitted data. Ongoing professional development will also be provided through scheduled monthly and annual trainings, as well as on an ad hoc basis as needed. ● How compliance and performance will be measured and documented for future audit, management and performance review. Under the direction of the Assistant Registrar, the Program Officer II responsible for processing enrollment reporting submissions will distribute error report data. The Assistant Registrar will also conduct a monthly validation by reviewing a random sample of files on the Clearinghouse website to ensure accurate submissions. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. CSN Registrar will be responsible. NSU – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; NSU has reviewed the finding and continues to monitor measures that have been put in place to ensure compliance. Also, some additional procedures have been identified and others further refined. All processes will be fully in place within the next 30 to 45 days. o Continue bi-weekly enrollment reporting schedule to the National Student Clearinghouse (NSC). o Maintain bi-weekly calendar reminders to ensure timely submission of enrollment updates, supplementing NSC notifications. o Establish end-of-term calendar reminders to ensure prompt reporting of graduated statuses. o Continue coordination with NSC to identify students included in submitted enrollment reports whose statuses were not updated. o Review NSC response and reject files following each submission to identify discrepancies. Address any identified discrepancies promptly, even if students do not appear in the reject file. Confirm that updated enrollment statuses are reflected within the National Student Loan Data System (NSLDS). o Maintain documentation of submission dates and communications with NSC. ● How compliance and performance will be measured and documented for future audit, management and performance review. To ensure compliance and strengthened performance in reporting changes in student enrollment status, Nevada State University (NSU) will continue and enhance the following tracking, monitoring, and documentation measures: o NSU will conduct documented monthly reconciliations of enrollment status reports to verify the accuracy, completeness, and timeliness of submissions to the National Student Clearinghouse (NSC). These reviews will include confirmation of submission dates, validation of reported status changes, and resolution of any identified discrepancies prior to the next reporting cycle. o Detailed logs of all enrollment status submissions and NSC notifications will be maintained and centrally retained. Documentation will include timestamps, submission confirmations, reconciliation records, exception reports, and evidence of follow-up actions to ensure a clear and complete audit trail. o Periodic internal compliance reviews will be conducted to assess adherence to the bi-weekly and end-of-term reporting schedule. Review results will be formally documented and provided to management to support oversight and continuous process improvement. o Key performance indicators (KPIs) will continue to be tracked and formally reviewed on a quarterly basis. These KPIs will include:  Percentage of reports submitted within required timelines  Accuracy rate of enrollment status updates  Timeliness of discrepancy resolution o Any discrepancies identified during monthly reconciliations or internal reviews will be addressed promptly, with documented corrective actions, assigned responsible parties, and established resolution timelines. o NSU will compile an annual compliance summary outlining monitoring activities, audit results, corrective actions implemented, and overall performance metrics. This report will be maintained for executive oversight and future audit and management review. o Beginning in March 2026, these measures outlined above will be formally documented and maintained to ensure ongoing compliance. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The Student Information and Scheduling Systems Analyst is primarily responsible for ensuring accurate and timely enrollment status reporting. A new Registrar assumed the role at the start of FY2026 and has begun overseeing compliance with established internal controls, including bi-weekly and end-of-term reporting requirements. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Special Tests & Provisions – Return of Title IV (R2T4) Responses CSN – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; CSN added additional resources to the R2T4 program b...
Special Tests & Provisions – Return of Title IV (R2T4) Responses CSN – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; CSN added additional resources to the R2T4 program by hiring a Senior Specialist to ensure R2T4 queries are frequently run, and accounts are reviewed on a weekly basis. CSN also contracted the services of a PeopleSoft consultant to assess, streamline, and automate R2T4 queries. Additionally, R2T4 staff, PeopleSoft Consultant and third-party vendor meet on an ongoing basis and implement necessary changes to meet compliance requirements. CSN is also providing professional development opportunities to staff through our trade organizations. ● How compliance and performance will be measured and documented for future audit, management and performance review. Under the direction of the Assistant Director, the newly hired Senior Specialist position runs queries and assigns identified files to staff twice a week to ensure accounts are reviewed within the federally mandated timeframe. CSN also continues to train staff on the processing of R2T4 and schedule regular team meetings to ensure updates and changes are communicated in real time and R2T4 procedures are applied accurately and consistently. CSN continues to perform quality control through the review of processed R2T4 files. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. CSN Director of Financial Aid will be responsible. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Eligibility Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; The Financial Aid Office has implemented a daily query to check for awards not matching the aca...
Eligibility Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; The Financial Aid Office has implemented a daily query to check for awards not matching the academic program and level. The query is run by the data team and then again by the Compliance team to mitigate improper awarding due to manual changes. ● How compliance and performance will be measured and documented for future audit, management and performance review. This revised process ensures that any mismatched program awards are resolved without negatively impacting students and resolution occurs within established time frames. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The Assistant Director for Compliance and Processing, Program Manager of Federal Funding, and the Interim Financial Aid Director. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Cash Management Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; The Financial Aid Office has implemented enhanced reconciliation and cash management proced...
Cash Management Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; The Financial Aid Office has implemented enhanced reconciliation and cash management procedures designed to strengthen internal controls and mitigate future risk. The monthly reconciliation process has been revised to ensure that each reconciliation clearly documents all outstanding items, including timing differences and variances. ● How compliance and performance will be measured and documented for future audit, management and performance review. Under the revised process, the Assistant Director for Compliance and Processing ensures drawdowns are supported by detailed reconciliation schedules, discrepancies are formally identified and tracked, and resolution occurs within established timeframes. The updated procedures have been fully implemented and are operating as designed. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The Assistant Director for Compliance and Processing and the Interim Financial Aid Director. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Subrecipient Monitoring Responses UNLV agrees with this finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV OSP has implemented a comprehensive policies and procedures document covering ...
Subrecipient Monitoring Responses UNLV agrees with this finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV OSP has implemented a comprehensive policies and procedures document covering the entire subrecipient lifecycle, which includes internal controls such as a checklist, review of risk before issuance, a biannual sub monitoring review of financial audit, and authorized purposes review. ● How compliance and performance will be measured and documented for future audit, management and performance review. The internal controls will be added by OSP to enhance sub monitoring to include a review of the budget-to-actuals for subrecipients' invoices for alignment to the project. Additional guidelines will be included in the invoice review process for the principal investigators as well. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The UNLV OSP Executive Director is accountable for exercising oversight and responsibility. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Period of Performance Responses UNLV Health agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Prospectively, UNLV Health will ensure that expenditures are charged to the gra...
Period of Performance Responses UNLV Health agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Prospectively, UNLV Health will ensure that expenditures are charged to the grant within the correct period. UNLV Health will be updating the template for payroll hours to ensure only time from the invoiced month is captured. ● How compliance and performance will be measured and documented for future audit, management and performance review. The UNLV Health Finance Administrator and Accounting department will continue to review and approve the completed template along with supporting documentation, including ADP reports. Signed invoices will serve as the documentation that these were reviewed and approved. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The UNLV Health Accounting department is accountable for maintaining and approving documents. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Allowable Costs/Cost Principles Responses UNLV Health agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV Health is implementing a process to require employees to certify...
Allowable Costs/Cost Principles Responses UNLV Health agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; UNLV Health is implementing a process to require employees to certify time spent working on a grant. They will sign a timesheet at the end of the month. UNLV Health will then true-up the payroll costs allocated to the grant with the actual time spent for employees charged to the program on a quarterly basis. ● How compliance and performance will be measured and documented for future audit, management and performance review. Program administrators will provide the UNLV Health Finance Administrator and Accounting department with the support documentation from the EMR system. UNLV Health Finance Administrators and accounting will continue to review all support documentation for compliance and performance. The grant expenditures details are maintained and tracked via spreadsheet. Additionally, the State also conducts independent audits and UNLV Health received a clean audit from the State for this specific grant in FY24. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. The UNLV Health Accounting department is accountable for maintaining and approving documents. Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Reporting Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Management staff, independent of the preparer, will review and sign off on each report. This revi...
Reporting Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Management staff, independent of the preparer, will review and sign off on each report. This review process will include verifying that all information is correctly entered. ● How compliance and performance will be measured and documented for future audit, management and performance review. Compliance and performance will be measured through the independent review process, where management will verify and sign off on each report to ensure accuracy. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. Associate Director of Post Award Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Allowable Costs/Cost Principles Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; All relevant staff will complete targeted training on payroll cost transfer...
Allowable Costs/Cost Principles Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; All relevant staff will complete targeted training on payroll cost transfer requirements and proper process to ensure payroll adjustments are completed accurately. ● How compliance and performance will be measured and documented for future audit, management and performance review. Completion of staff training will be tracked and documented. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. Associate Director of Post Award Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
Period of Performance Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Training will be provided to all relevant staff on cost allowability and period of pe...
Period of Performance Responses UNR – Agrees with the finding. ● Detailed corrective action taken, including what will be done to avoid the identified issues in the future, and when these measures will be in place; Training will be provided to all relevant staff on cost allowability and period of performance requirements. This training will reinforce that costs must be incurred within approved project period. ● How compliance and performance will be measured and documented for future audit, management and performance review. Completion of staff training will be tracked and documented. ● Who will be responsible and may be held accountable in the future if repeat or similar observations are noted. Associate Director of Post Award Official Contact: Rhett R. Vertrees, Assistant Chief Financial Officer 2601 Enterprise Road, Reno NV 89512-1666 Phone: (775)784-3409, Fax: (775)784-1127 Email: rvertrees@nshe.nevada.edu
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