Corrective Action Plans

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Management acknowledges that FFATA subaward reporting was not submitted as required. The Organization plans to implement formal procedures to identify FFATA-reportable subawards and ensure timely submission of FFATA reports going forward. Management believes these corrective actions will address the...
Management acknowledges that FFATA subaward reporting was not submitted as required. The Organization plans to implement formal procedures to identify FFATA-reportable subawards and ensure timely submission of FFATA reports going forward. Management believes these corrective actions will address the deficiency.
Management acknowledges the delay in submitting the OMB reporting package. The Organization attributes the delay to personnel turnover following year end and has taken steps to strengthen internal processes to ensure timely completion and submission of future audit reporting packages. Management bel...
Management acknowledges the delay in submitting the OMB reporting package. The Organization attributes the delay to personnel turnover following year end and has taken steps to strengthen internal processes to ensure timely completion and submission of future audit reporting packages. Management believes these actions will prevent similar delays in future years.
Regarding the Title III funds, Granite County used the annual public hearing process (per state statute) give public notice, and received permission to use these funds by the RAC liason with the Forest Supervisor of the Deer Lodge Beaverhead National Forest as RAC is not currently functioning. Wile ...
Regarding the Title III funds, Granite County used the annual public hearing process (per state statute) give public notice, and received permission to use these funds by the RAC liason with the Forest Supervisor of the Deer Lodge Beaverhead National Forest as RAC is not currently functioning. Wile the 45 day notice period was not met (30 day notice given), this was harmless error. There was not legal error in gaoing permission from the Forest Supervisor as RAC is only advisory to the Forest Supervisor, who makes the final determination. Granite County, in the future, will comply with the 45 day notice requirement.
Condition: Morton County did not have documented policies in place to verify that vendors receiving federal funds were not suspended or debarred from participation in federal programs. During the audit period, the County did not perform checks of the federal System for Award Management (SAM.gov) or ...
Condition: Morton County did not have documented policies in place to verify that vendors receiving federal funds were not suspended or debarred from participation in federal programs. During the audit period, the County did not perform checks of the federal System for Award Management (SAM.gov) or obtain certifications from vendors to demonstrate compliance with federal suspension and debarment requirements. Management’s Response: We Agree. We will review our current procedures and policies and ensure policies in place include a review of vendors to ensure they are not suspended or debarred. Anticipated Completion Date: FY 2025
Condition: Morton County did not properly report expenditures on the March 31, 2024, Project and Expenditure Report for the Coronavirus State and Local Fiscal Recovery Funds program. The total cumulative expenditures were understated by $233,268. Management’s Response: We Agree. We will ensure futur...
Condition: Morton County did not properly report expenditures on the March 31, 2024, Project and Expenditure Report for the Coronavirus State and Local Fiscal Recovery Funds program. The total cumulative expenditures were understated by $233,268. Management’s Response: We Agree. We will ensure future project and expenditure reports have correct and accurate amounts submitted. Anticipated Completion Date: FY 2025
2024-007 – Coronavirus State and Local Fiscal Recovery Funds – 21.027 – Reporting Condition During review of the annual program reporting, it was noted that cumulative expenditures and current period expenditures were not properly reported. Recommendation We recommend that the City review its grant ...
2024-007 – Coronavirus State and Local Fiscal Recovery Funds – 21.027 – Reporting Condition During review of the annual program reporting, it was noted that cumulative expenditures and current period expenditures were not properly reported. Recommendation We recommend that the City review its grant reporting procedures and implement controls to ensure that grant reports are completed accurately. Additionally, we recommend that all staff involved receive proper training in order to understand the information that is being requested. Comments on the Finding The City is in agreement with the finding. Action Taken Moving forward, a second individual will review and approve the prepared reports and information prior to it being submitted. This was implemented in January 2025.
Audit Finding Reference Number: 2024-003 Federal Program: Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Assistance Listing Number (ALN): 21.027 Federal Agency: U.S. Department of the Treasury Contact Person(s) Responsible for Corrective Action: Jessica Trusty Director of Finance jtrusty@...
Audit Finding Reference Number: 2024-003 Federal Program: Coronavirus State and Local Fiscal Recovery Funds (SLFRF) Assistance Listing Number (ALN): 21.027 Federal Agency: U.S. Department of the Treasury Contact Person(s) Responsible for Corrective Action: Jessica Trusty Director of Finance jtrusty@co.morgan.co.us or 970-542-3508 Planned Corrective Action: The SLFRF funds were one-time funds received during the aftermath of the COVID Pandemic and related recovery. All funds related to this grant have been spent and the grant closed out. I will work with my sta􀀁 to make any necessary corrections to the SLFRF 12/31/2024 report. Morgan County will also implement the following procedures to ensure accurate reporting of all grant expenditures and fiscal year end dates: Establish a review and reconciliation process to ensure all future federal grant compliance reports are reconciled to the Schedule of Expenditures of Federal Awards and underlying accounting records. Provide additional training to sta􀀁 responsible for preparing compliance reports on Uniform Guidance requirements and related grant reporting standards. Assign oversight responsibility to a senior sta􀀁 member to review and approve all grant related compliance reports prior to submission. Anticipated Completion Date: June 30, 2026
Views of Responsible Officials: We agree with the auditor’s comments, and the following actions have been implemented. Corrective Action Plan: Updated processes and internal controls have been implemented to ensure complete, accurate, and timely collection and retention of supporting documentation g...
Views of Responsible Officials: We agree with the auditor’s comments, and the following actions have been implemented. Corrective Action Plan: Updated processes and internal controls have been implemented to ensure complete, accurate, and timely collection and retention of supporting documentation going forward. The Board of A New Entry, Inc., has reviewed the updated controls and believes they are operating effectively. Implementation date: 01 January 2026 Responsible Official: Drew Denett and A New Entry, Inc. Management and Board Members
Views of Responsible Officials: We agree with the auditor’s comments, and the following actions have been implemented. Corrective Action Plan: With respect to the identified nepotism concern, the Board of Directors formally adopted the Chamber of Commerce Board Standards to strengthen governance, in...
Views of Responsible Officials: We agree with the auditor’s comments, and the following actions have been implemented. Corrective Action Plan: With respect to the identified nepotism concern, the Board of Directors formally adopted the Chamber of Commerce Board Standards to strengthen governance, independence, and conflict-of-interest oversight. Upon notification of the adoption of these standards, the prior administration, including Executive Director Soleece Watson, tendered their resignations in full. This resulted in a complete transition of executive leadership and administrative staff. As a result of these corrective actions, including revised governance standards, leadership transitions, and strengthened internal controls, management does not anticipate recurrence of the previously identified issues. The current Board and administration are committed to ongoing compliance, transparency, and adherence to best practices, and believe these measures will prevent similar discrepancies in future audit periods. Implementation date: 01 January 2026 Responsible Official: Drew Denett and A New Entry, Inc. Management and Board Members
Finding No.: 2024-07- Special Tests and Provisions: Enrollment Reporting Recommendation The College should develop and implement a formal process for monitoring and updating students' enrollment status in the NSLDS to ensure compliance with reporting requirements. Establish internal controls to trac...
Finding No.: 2024-07- Special Tests and Provisions: Enrollment Reporting Recommendation The College should develop and implement a formal process for monitoring and updating students' enrollment status in the NSLDS to ensure compliance with reporting requirements. Establish internal controls to track changes in enrollment status and ensure timely updates to the NSLDS. Conduct periodic reviews of the enrollment reporting process to identify and address any inaccuracies or delays. Provide training to relevant staff on the importance of compliance with enrollment reporting requirements and the procedures for accurate and timely updates. Response 1. The College will retain the FAO as the lead unit responsible for NSLDS enrollment reporting, in alignment with Title IV compliance functions. However, the College will strengthen interdepartmental collaboration by establishing a formal partnership with the Registrar’s Office, which maintains the official record of enrollment data. 2. A shared workflow and communication protocol between the FAO and Registrar’s Office will be developed to ensure timely, accurate updates of both campus-level and program-level data. The Registrar’s Office will be responsible for updating student enrollment data, which serves as the source data for NSLDS reporting. The FAO will extract and upload these reports via the Enrollment Reporting Roster (ERR) on the NSLDS Professional Access portal. 3. The College will implement internal controls to track and verify changes in student enrollment status, program information, and key data elements. These controls will include but by no means limited to: a. A monthly reconciliation process between SIS data and NSLDS records. b. Use of exception reports to flag and resolve inconsistencies or delays. c. Documentation of all update logs for audit purposes. Periodic reviews will be conducted at least once per term to assess the accuracy and completeness of enrollment reporting. Any discrepancies will be promptly addressed and procedures updated as necessary to prevent recurrence. Relevant staff in both the FAO and Registrar’s Office will receive regular training on NSLDS reporting requirements, including proper use of record types (Campus vs. Program Level), enrollment status codes, and certification timelines. Training will emphasize the implications of noncompliance and best practices for accurate reporting. Training logs will be maintained by both the FAO and Registrar’s Office to support accountability and audit-readiness. Contact: VPEMSS Completion Date: September 30, 2025
Finding 2024-06 - Special Tests and Provisions: Disbursements to or on Behalf of Students Recommendation The College should implement a comprehensive communication strategy to ensure that all students receive clear and timely notifications regarding their Title IV funds. This should include the deve...
Finding 2024-06 - Special Tests and Provisions: Disbursements to or on Behalf of Students Recommendation The College should implement a comprehensive communication strategy to ensure that all students receive clear and timely notifications regarding their Title IV funds. This should include the development of an award letter of college financing plans that outline the amount and type of funds, as well as the disbursement schedule. Additionally, the College should establish a monitoring system to ensure that credit balances are disbursed within the required 14-day time frame to maintain compliance with federal records. Response The College acknowledges the findings and has initiated a process to address them. A formal request has been submitted to the SIS program developer for the implementation of a notification feature. The SIS vendor has confirmed development will be completed by July 1, 2025. This feature will ensure that students receive email notifications when they are awarded and reimbursed for any overpayments. Furthermore, we will establish an enhanced level of monitoring to ensure that credit balances are disbursed within the designated 14-day timeframe. Contact: Comptroller Completion Date: September 30, 2025
Finding 2024-05 - Special Tests and Provisions: Gramm-Leach-Bliley Act-Student Information Security Recommendation The College should develop and implement a comprehensive GLBA information security program that includes risk assessments, safeguards, and regular testing and monitoring of the effectiv...
Finding 2024-05 - Special Tests and Provisions: Gramm-Leach-Bliley Act-Student Information Security Recommendation The College should develop and implement a comprehensive GLBA information security program that includes risk assessments, safeguards, and regular testing and monitoring of the effectiveness of these safeguards. A qualified individual with the necessary expertise and authority to oversee the GLBA information security program should also be designated. Provide training to relevant staff on GLBA requirements and the importance of information security. Conduct periodic reviews and updates of the information security program to ensure ongoing compliance with GLBA requirements. Response The college acknowledges the finding and will strengthen its student information security by implementing the following: 1. Designate a qualified Information Security Officer from within the IT Division or recruit externally if internal capacity is limited. 2) Develop a GLBA compliance program that includes: • Annual risk assessments • Implementation of administrative, technical, and physical safeguards • Staff training on data privacy • Annual testing of the security protocols Contact: Vice President for Institutional Effectiveness & Quality Assurance (VPIEQA) Completion Date: September 30, 2025
Finding No.: 2024-04 - Special Test and Provisions: Verification Recommendation The College should enhance training programs for staff involved in the verification process to ensure they are fully aware of the requirements and procedures. Establish robust internal controls and review mechanisms to e...
Finding No.: 2024-04 - Special Test and Provisions: Verification Recommendation The College should enhance training programs for staff involved in the verification process to ensure they are fully aware of the requirements and procedures. Establish robust internal controls and review mechanisms to ensure that verification worksheets are completed accurately and consistently with ISIRs. Implement a tracking system to ensure that all required corrections to ISIRs are performed in a timely manner. Response The College acknowledges the audit finding regarding verification errors, including the incorrect application of verification tracking groups, missing documentation, discrepancies between verification worksheets and ISIRs, and failure to make required corrections. In response, the Financial Aid Office (FAO) is committed to strengthening its verification procedures to ensure full compliance with federal regulations and to protect the integrity of Title IV funds. To this end, the College will implement the following corrective actions: 1. Policy and Procedure Enhancement a. The FAO will develop and implement a formal Standard Operating Procedure (SOP) for the verification process, revise and update all existing verification worksheet forms. This SOP will include: • Clear guidelines for identifying and applying the correct verification tracking groups (e.g.,Vl,V4,V5). • Procedures for resolving discrepancies between verification worksheets and ISIRs prior to award disbursement. • Steps for submitting timely and accurate ISIR corrections, as required. • A documentation checklist to ensure all required verification forms and statements of educational purpose are collected and properly stored. 2. Policy and Procedure Enhancement a. To ensure consistent understanding and application of federal verification rules, FAO staff across all campuses will: • Complete mandatory annual training sessions on verification policies, ISIR review, and regularly read updates on the Federal Student Aid (FSA) Knowledge Center. • Participate in internal refresher workshops focused on hands-on case processing and error prevention. • Complete relevant modules from the Federal Student Aid (FSA) training site, including those on verification tracking groups and identity verification requirements. 3. Verification Quality Control Protocol a. The FAO will implement a structured quality control protocol for verification, including: • A two-person verification review system in which one staff member processes the file and another independently reviews it for accuracy and completeness. • Use of a standardized review checklist to ensure all required documents match the ISIR and that any discrepancies are properly resolved and documented. • A log of all verification actions, including corrections submitted to FAFSA Processing System (FPS) and updates made in the student’s file, to support audit readiness. 4. Oversight and Accountability a. The Director of the Financial Aid Office (FAO) will be responsible for overseeing verification compliance and ensuring corrective actions are implemented effectively. This includes: • Monitoring the accuracy of verification tracking group assignments and documentation across all campuses. • Tracking the completion of required training for all FAO staff. • Conducting quarterly file audits to verify ongoing compliance with federal verification standards. • Reporting findings and corrective actions quarterly to the VPEMSS). Contact: VPEMSS Completion Date - September 30, 2025
Finding No.: 2024-03 - Reporting Recommendation The College should establish a systematic process for reviewing and updating the origination records prior to submission to the COD System. Response The College acknowledges the audit finding regarding the use of outdated cost of attendance (COA) figur...
Finding No.: 2024-03 - Reporting Recommendation The College should establish a systematic process for reviewing and updating the origination records prior to submission to the COD System. Response The College acknowledges the audit finding regarding the use of outdated cost of attendance (COA) figures and the uniform application of full-time enrollment status in COD origination records for the 2022-2023 academic year. In response, the Financial Aid Office (FAO) is committed to strengthening its policies and procedures to ensure accuracy, compliance, and proper stewardship of the Title IV funds. To this end, the College will implement the following corrective actions: 1. Policy and Procedure Enhancement a. The FAO will develop and implement a formal Standard Operating Procedure (SOP) for COD reporting. This SOP will include: • A COA validation checklist to ensure the correct, current-year COA from the approved financial aid handbook is applied. • The college has continuously considered the applicants’ enrollment status (full-time, %-time, half-time, or less-than-half-time) when determining the cost of attendance and awards but publishes only one cost of attendance for full time for the purpose of illustration. Hence, the college will start publishing all COA for all enrollment categories in the student financial aid handbook as a published guideline for awarding • A timeline that aligns record origination with student registration/enrollment confirmation to minimize errors and fully utilize the published Pell Recalculation Date (PRD) in the student financial aid handbook b. The SOP will be reviewed annually. 2. Staff Training and Certification a. FAO staff will participate in mandatory annual internal training and refresher workshops on the EDExpress system, COD reporting procedures, and Title IV compliance. The first round of enhanced training will be completed by August 30, 2025. Staff will also complete Federal Student Aid (FSA) training modules related to COD and verification processes to ensure understanding of federal expectations and system updates. 3. Manual Data Verification Protocol • The Financial Aid Office (FAO) will implement a structured manual data verification protocol to ensure accuracy when transferring information from the Student Information System (SIS) to EDExpress. This protocol will include: Use of pre- submission checklists to verify each student’s cost of attendance (COA), enrollment status, and other required data fields against the official records in the SIS. • Designated FAO staff will perform a two-tiered review process, where one staff member enters data and another independently verifies accuracy prior to COD submission. • Maintenance of record logs for each batch of COD submissions, documenting the review steps taken and any discrepancies corrected before submission. 4. Oversight and Accountability a. The Director of the Financial Aid Office (FAO) will be responsible for monitoring adherence to COD reporting requirements to ensure accuracy and compliance. This includes tracking staff training completion related to EDExpress and Title IV regulations, conducting quarterly internal reviews of origination and disbursement records, and verifying the correct use of current cost of attendance figures and enrollment status classifications. The Director will document findings, implement corrective actions as needed, and provide quarterly progress reports to the Vice President for Enrollment Management and Student Services (VPEMSS). Contact: VPEMSS Completion Date: September 30, 2025
Finding #2024-002 Prior Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: The Mount St. James Apartments agrees with ...
Finding #2024-002 Prior Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: The Mount St. James Apartments agrees with the auditor’s recommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact John Lutz, Vice President of Financial Strategy, at (315) 424-1821.
Finding #2024-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: The Mount St. James Apartments agrees wit...
Finding #2024-001 Current Year Reporting Package and Data Collection Not Filed Timely: Recommendation: We recommend that management implement procedures to ensure that reporting packages and data collection forms are filed timely in the future. Action taken: The Mount St. James Apartments agrees with the auditor’s recommendations and will implement procedures to ensure timely filing in the future. For questions regarding this corrective action plan, please contact John Lutz, Vice President of Financial Strategy, at (315) 424-1821.
Finding type: Significant deficiency
Finding type: Significant deficiency
Federal awards: 10.165 Perishable Agricultural Commodities Act Passthrough organization: Pennsylvania Certified Organic 10.188 Organic Market Development Grant (OMDG) Program Passthrough organization: Direct funding/ Northeast Organic Family Farm Partnership 10.331 Gus Schumacher Nutrition Incentive...
Federal awards: 10.165 Perishable Agricultural Commodities Act Passthrough organization: Pennsylvania Certified Organic 10.188 Organic Market Development Grant (OMDG) Program Passthrough organization: Direct funding/ Northeast Organic Family Farm Partnership 10.331 Gus Schumacher Nutrition Incentive Program Passthrough organization: Farm Fresh Rhode Island
Criteria: Organizations spending more than the minimum threshold in Federal awards must submit an audit reporting package to the Federal Audit Clearinghouse within nine months of the end of the fiscal year per the requirements of the Uniform Guidance.
Criteria: Organizations spending more than the minimum threshold in Federal awards must submit an audit reporting package to the Federal Audit Clearinghouse within nine months of the end of the fiscal year per the requirements of the Uniform Guidance.
Condition: The Organization did not submit the reporting package by the required submission date for the year ended December 31, 2024.
Condition: The Organization did not submit the reporting package by the required submission date for the year ended December 31, 2024.
The audit firm has acknowledged that the delay in completing the audit in a timely manner was due to their failure in managing the audit workload. Access to materials necessary to complete a large portion of the audit work was provided within five months of the year end. Furthermore, auditor request...
The audit firm has acknowledged that the delay in completing the audit in a timely manner was due to their failure in managing the audit workload. Access to materials necessary to complete a large portion of the audit work was provided within five months of the year end. Furthermore, auditor requests for more information were answered promptly by the Organization throughout the audit process. The Organization is willing to work with the audit firm to create an audit timeline that will work for both auditee and auditor. The goal is to file audit reports in a timely manner for years going forward. As noted, this was the first year with this audit firm and it is the Organization’s intention to stay with this firm for at least two more years. The audit firm showed a level of professionalism and expertise that has been a great benefit to the Organization.
Management concurs with the finding. The Authority has developed a Compliance Reporting Schedule listing all required federal reporting submissions, their due dates, and the responsible staff. Calendar reminders and verification checkpoints have been implemented to ensure timely submissions. In addi...
Management concurs with the finding. The Authority has developed a Compliance Reporting Schedule listing all required federal reporting submissions, their due dates, and the responsible staff. Calendar reminders and verification checkpoints have been implemented to ensure timely submissions. In addition, the Authority will conduct quarterly internal audits to confirm adherence to HUD reporting requirements. Management anticipates full corrective action by December 2025.
Management concurs with the finding. The Authority has developed a Compliance Reporting Schedule listing all required HUD submissions, their due dates, and the responsible staff. Calendar reminders and verification checkpoints have been implemented to ensure timely submissions. In addition, the Auth...
Management concurs with the finding. The Authority has developed a Compliance Reporting Schedule listing all required HUD submissions, their due dates, and the responsible staff. Calendar reminders and verification checkpoints have been implemented to ensure timely submissions. In addition, the Authority will conduct quarterly internal audits to confirm adherence to HUD reporting requirements. Management anticipates full corrective action by December 2025.
Management concurs with this finding. Steps will be taken to ensure future audit reports are submitted on time.
Management concurs with this finding. Steps will be taken to ensure future audit reports are submitted on time.
JFS is in the process of hiring a new Chief Financial Officer (CFO) with pertinent experience for non-profits, governments, and billing. That person will lead the finance team to ensure best accounting and internal control practices are implemented and followed. During 2025, JFS strengthened its gov...
JFS is in the process of hiring a new Chief Financial Officer (CFO) with pertinent experience for non-profits, governments, and billing. That person will lead the finance team to ensure best accounting and internal control practices are implemented and followed. During 2025, JFS strengthened its governance and internal control environment by implementing a centralized system for tracking all grant-related data in a single, secure location. All grant documentation is now maintained electronically within the organization’s OneDrive system, improving record retention, transparency, and audit readiness. The Finance Department established regular internal finance meetings, in addition to standing leadership meetings, to promote consistent communication, segregation of duties, and oversight across the finance function. Management continues to provide the Finance Committee of the Board with monthly financial reports; supporting ongoing fiscal monitoring and informed decision-making.
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