Corrective Action Plans

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Finding 2023-001 Condition The University did not notify the National Student Loan Data System (NSLDS) in a timely manner for 3 students with status changes in our sample of 25 students. The sample was not a statistically valid sample. Corrective Action Plan Corrective Action Planned: • Documen...
Finding 2023-001 Condition The University did not notify the National Student Loan Data System (NSLDS) in a timely manner for 3 students with status changes in our sample of 25 students. The sample was not a statistically valid sample. Corrective Action Plan Corrective Action Planned: • Documentation will be updated to include the following: o Adjustment to the frequency by which reports are run. o How to handle students with a G Not Applied error from the National Student Clearinghouse. o Implications for not fixing G Not Applied records with the 60-day requirement window. • Monthly reports of graduates will be run and submitted to the National Student Clearinghouse unless there are no graduates for the reporting period. • Existing G Not applied records will be assessed and corrected as needed. • Individuals will be designated as back-ups; they will review all documentation and be trained on the procedures to ensure the appropriate actions can be sustained by the departments should there be turnover in key positions. Name(s) of Contact Person(s) Responsible for Corrective Action: 1. Megan Loibl, Registrar 2. Zachary Hopkins, Director of Institutional Research Assessment and Analytics Anticipated Completion Date: Corrective action with associated documentation will be created, tested, and confirmed that it resolves the root cause of the finding by Friday, May 31st, 2024.
FINDINGS - FEDERAL AWARDS AND QUESTIONED COSTS ...
FINDINGS - FEDERAL AWARDS AND QUESTIONED COSTS MATERIAL WEAKNESS 2023-001 - CONTROLS OVER PERIOD OF PERFORMANCE Recommendation: The auditors recommend the Association implement internal controls and procedures to ensure expenditures are recorded in the proper period. Actions Taken or Planned: During the fiscal year end closing process, invoices will be closely examined to determine proper cut-off procedures are applied and invoices will be matched and recorded in the period that the service is performed and/or the goods are received. In addition, education will be strengthened for Grant Principal Investigators to aid in the determination of recording invoices in the correct fiscal year. Person(s) Responsible: Grant Principal Investigators, Controller, Director of Financial Reporting and Compliance and the Chief Financial Officer. Estimated Date of Completion: The plan will be incorporated into our processes immediately to allow for ample time for education and refinement. The plan will be fully implemented by August 31, 2024.
The Director of Nutrition Services, hired August 2023, has been trained on the verification process and procedures along with timeline compliance requirements.
The Director of Nutrition Services, hired August 2023, has been trained on the verification process and procedures along with timeline compliance requirements.
The Director of Nutrition Services, hired August 2023, has been trained on the verification process and procedures along with timeline compliance requirements.
The Director of Nutrition Services, hired August 2023, has been trained on the verification process and procedures along with timeline compliance requirements.
The Director of Nutrition Services, hired in August 2023, has received training on procurement policies and procedures and will work with the Executive Director of Fiscal Services and Purchasing Departments to ensure compliance.
The Director of Nutrition Services, hired in August 2023, has received training on procurement policies and procedures and will work with the Executive Director of Fiscal Services and Purchasing Departments to ensure compliance.
The Chief Business Official and the Executive Director of Fiscal Services will establish procedures to ensure accurate data are reported. In addition, a record retention policy is being established to ensure and substantiation and back-up materials are filed with reports.
The Chief Business Official and the Executive Director of Fiscal Services will establish procedures to ensure accurate data are reported. In addition, a record retention policy is being established to ensure and substantiation and back-up materials are filed with reports.
The Coalition shall maintain ongoing and updated guidance compliance requirements regarding the deliverables and administrative fees on each individual funding source as stated in grant documents and amendments from private, state, and federal sources. It will be the responsibility of executive staf...
The Coalition shall maintain ongoing and updated guidance compliance requirements regarding the deliverables and administrative fees on each individual funding source as stated in grant documents and amendments from private, state, and federal sources. It will be the responsibility of executive staff to review on a monthly basis to make sure current guidance is followed.
The Executive Director and one other authorized signer will be required to review all supporting documentation for State or Federal Award program expense paid with any with any type of grant funding using the updated two signature paymont request form which specifies which grant fund is being used. ...
The Executive Director and one other authorized signer will be required to review all supporting documentation for State or Federal Award program expense paid with any with any type of grant funding using the updated two signature paymont request form which specifies which grant fund is being used. Routine indirect general office expenses will require approval by the Executive Director and a second authorized signer. However, the invoice may be reviewed and initialed, omitting the payment request form. However, any funding that is used as a grant administrative cost, will require the two-signature payment request form.
Finding 389481 (2023-002)
Significant Deficiency 2023
Finding Reference 2023-002 Finding: In testing the Campus-Level enrollment reporting data elements as reported to NSLDS, key items to test are: OPEID Number, Enrollment Effective Date, Enrollment Status, and Certification Date. In testing the Program-Level enrollment reporting data elements, key it...
Finding Reference 2023-002 Finding: In testing the Campus-Level enrollment reporting data elements as reported to NSLDS, key items to test are: OPEID Number, Enrollment Effective Date, Enrollment Status, and Certification Date. In testing the Program-Level enrollment reporting data elements, key items to test, if applicable, are: OPEID Number, CIP Code, CIP Year, Credential Level, Published Program Length Measurement, Published Program Length, Program Begin Date, Program Enrollment Status, and Program Enrollment Effective Date. Of the 40 students with enrollment changes that we selected for testwork, we identified 13 students whose changes in enrollment status were not timely or accurately transmitted to NSLDS, as follows: • KPMG identified that 9 students had enrollment statuses that did not agree between campus-level and program-level NSLDS data. • KPMG identified that 2 students had Program Enrollment Effective Dates that did not agree the College’s records. • KPMG identified that 2 students had status changes that were reported to NSLDS more than 60 days after the date that the College became aware of the changes. None of the items that were exceptions described above resulted in changes to the amounts awarded or disbursed to students by the College for the current fiscal year. Endicott College Responsible Contact: Karen Loomer, Registrar, Corrective Action Plan: The issues caused by the current processes and the following action has been taken to improve the situation. Endicott will review and enhance its process related to enrollment reporting. To that end, the Registrar’s Office has reviewed all reports being used to gather enrollment reporting information and has created new reports to ensure that both the campus level and program level data are being reported correctly and within appropriate time controls. Anticipated Completion Date: February 2024
Finding 389480 (2023-001)
Significant Deficiency 2023
Finding Reference: 2023-001 Finding: During testing of student loan notifications, it was identified that one of forty students selected for test work did not receive a notification for three loan disbursements during the year. The item that was an exception described above did not result in changes...
Finding Reference: 2023-001 Finding: During testing of student loan notifications, it was identified that one of forty students selected for test work did not receive a notification for three loan disbursements during the year. The item that was an exception described above did not result in changes to the amounts awarded or disbursed to students by the College for the current fiscal year. The condition identified was the result of a student that selected to opt-out of College email notifications, which resulted in federal loan notifications to not be delivered. The College did not have adequate processes in place to ensure appropriately notification in accordance with federal regulations when a student selected to opt-out of receiving College communications. Endicott College Responsible Contact: Bryan Cain, Senior VP for Student and External Engagement Corrective Action Plan: This finding was the result of students being allowed to opt out of all notifications from Endicott College, which are initiated thru a notification system called EMMA. EMMA is the system of record used for notifying students of loan disbursements and as a result of students being able to opt out of all EMMA notifications this student was not notified of their loan disbursements. As a result of this finding the college has disabled the ability for students to be able to opt out of all EMMA notifications and thus being unable to opt out of student financial notifications such as loan disbursements. Anticipated Completion Date: February 2024
Management's Response The Management of Elevate Youth Services (EYS) acknowledges the importance of subrecipient monitoring in accordance with program compliance regulations set forth in our grant agreements with the U.S. Department of Housing and Urban Development (HUD). EYS further acknowledges th...
Management's Response The Management of Elevate Youth Services (EYS) acknowledges the importance of subrecipient monitoring in accordance with program compliance regulations set forth in our grant agreements with the U.S. Department of Housing and Urban Development (HUD). EYS further acknowledges the compliance findings of Davis & Hodgdon Associates CPAs as detailed in Elevate's FY23 financial audit that subrecipient monitoring did not occur within the VCRHYP HUD Project as required during the year under audit. The following context for, and plan to address, findings are offered by management. Context: As EYS continued to see the impact of the changes in the labor market stemming from the pandemic, the VCRHYP team experienced ongoing turnover and subsequent slow hiring to fill vacant positions. The resultant impact was a delay in the implementation of key programmatic responsibilities - primarily subcontract recipient monitoring. Toward the end of the FY22 audit year, a new VCRHYP Director was hired. Early work included the codification of new program approaches and policies and the development of a preliminary program monitoring tool. Additionally, the agency submitted a new technical assistance request to HUD in January of 2023, to support the new staffing. A new TA provider was assigned to us in February of 2024. While waiting for additional technical assistance, the VCRHYP team began monitoring the existing programs. Notifications of monitoring visits were sent out June 5th, 2023 and 7 out of 8 subrecipient programs were visited by the end of July. The final site visit was delayed due to catastrophic flooding witnessed by the State of VT on July 13th, 2023. Final reports generated by these site visits has been delayed. However, VCRHYP staff will be preparing monitoring reports from those visits and, further, will be iterating on current monitoring tools with the expectation that current VCRHYP staffing will allow for annual monitoring visits per HU D's expectations, moving forward. While we expect this tool to be further modified with input from our TA provider, VCRHYP's current monitoring tool for the HUD projects includes: • VCRHYP Client Checklist - This checklist is used by the VCRHYP Team during each site monitoring visit to ensure compliance with HUD Program guidelines for: Housing Navigation, Diversion, Joint: Transitional Housing Component, Joint: Rapid Rehousing Component, and Rapid Rehousing. The VCRHYP client checklist also include clients served by subgrantees under the Basic Center and Transitional Living Programs funding from the Family and Youth Service Bureau. • HR File Review - Personnel File Survey is used for VCRHYP's YHDP site monitoring to ensure that staff are hired within the HUD guidelines and that items including background checks, job description, hiring documentation and and performance evaluations are included in employee personnel files. • HUD Monitoring Exhibits 29-1 Guide for Review of Homeless and At-Risk Determination/Recordkeeping Requirements, HUD Exhibit 29-4 Guide for Review of Continuum of Care(CoC) Program Subrecipient Grant Management, and HUD Exhibit 29- 11 Guide for Review of CoC Match Requirements are also standard monitoring tools used during site visits to ensure the Subrecipient is providing services to participants that meet HUD's homelessness definition; to determine that the management of program is maintained; and to ensure that the required expenditure match is being met in accordance with the HUD's guidelines. Ongoing mitigation: Currently, the VCRHYP Program Director has a cohesive team. The VCRHYP Director is meeting regularly with our assigned TA on a variety of program and procedural approaches to ensure that ongoing compliance issues are being addressed. We anticipate having a new year of monitoring visits initiated during the summer of 2024. All monitoring visits conducted in that time period will be informed by TA support and will be accompanied by a written report shared with EYS leadership and the subrecipient being monitored. In addition to programmatic monitoring, EYS Management will develop protocols to include a random desk audit of subrecipient financials to accompany the ongoing financial monitoring currently occurring through the collection and analysis of submitted invoices. This financial monitoring will be included in the program monitoring scheduled for the summer of 2024. Elevate Youth Service's Data and Quality Assurance Manager will develop a tracking tool in the agency's data system to record the status of individual subrecipient monitoring. EYS acknowledges the challenging impact of staff shortages on program compliance. However, we do feel that the staffing and support from HUD is already in place to ensure that we will be able to bring this element of program compliance into regular conformity with expectations by the end of the ist quarter of FY24.
Management concurs with the auditor's findings and recommendations. The management agent is making several organizational changes to help track and monitor compliance with contracts and agreements.
Management concurs with the auditor's findings and recommendations. The management agent is making several organizational changes to help track and monitor compliance with contracts and agreements.
Contact Person Dara Lee, Executive Director of Clay County HRA (Authorized Representative and Agent) Corrective Action Plan Error occurred due to lack of oversight in review of tenant files. Planned Completed Date for CAP Immediately
Contact Person Dara Lee, Executive Director of Clay County HRA (Authorized Representative and Agent) Corrective Action Plan Error occurred due to lack of oversight in review of tenant files. Planned Completed Date for CAP Immediately
Finding 2023-002: Quality Control Inspections Recommendation: The Authority should implement procedures to ensure that all housing quality control inspections are being performed timely, as required by HUD and the Uniform Guidance. Action Taken: The Authority has staff members that are HQS certif...
Finding 2023-002: Quality Control Inspections Recommendation: The Authority should implement procedures to ensure that all housing quality control inspections are being performed timely, as required by HUD and the Uniform Guidance. Action Taken: The Authority has staff members that are HQS certified that will perform quality control inspections. The Authority continues to perform all quality control inspections as required by HUD and the Uniform Guidance.
Finding 389465 (2023-005)
Significant Deficiency 2023
2023-005 Internal Controls over Grant Management (Significant Deficiency and Noncompliance) Recommendation: We recommend the City develop a grants manual or additional written policies that comply with the requirements of 2 CFR 200 and ensure compliance. Response to 2023-005 Internal Co...
2023-005 Internal Controls over Grant Management (Significant Deficiency and Noncompliance) Recommendation: We recommend the City develop a grants manual or additional written policies that comply with the requirements of 2 CFR 200 and ensure compliance. Response to 2023-005 Internal Controls over Grant Management (Significant Deficiency and Non-Compliance) In response to the Deficiency in the City of Wetumpka’s previous corrective action plan, the City was in the process of establishing a written financial management system in accordance with 2 CFR 200.302 to include written procedures to implement requirements for payment methods and determine allowability of costs in accordance with subpart E. Before the current audit was performed, the staff member writing these procedures separated from our organization. Due to the City of Wetumpka being a small town, we did not have the staff available to complete the task due in part to the lack of individuals looking for work in a post COVID world. Because of our lack of personnel and the fact we did not feel we would meet the $750,000 threshold required for a Single Audit, the project was abandoned. The City of Wetumpka has financial management internal controls in place. All of the City’s grant activities (Federal and State) are tracked in a separate fund from the general operating funds under unique assigned general ledger numbers for each grant awarded to the City. All grant funds are deposited into a dedicated bank account and are not co-mingled with other funds of any kind.
Identifying Number: 2023-001: Adjustments to Project Rental Assistance Payments Condition/Finding: During our review of eligibility testing support, we noted that for the tenant’s annual reexaminations and certifications under HUD Project Rental Assistance Contract Number FL29-S951-006, the incor...
Identifying Number: 2023-001: Adjustments to Project Rental Assistance Payments Condition/Finding: During our review of eligibility testing support, we noted that for the tenant’s annual reexaminations and certifications under HUD Project Rental Assistance Contract Number FL29-S951-006, the incorrect amount of contract rent was being utilized on the forms to calculate the projects tenant assistance payment. The Project incorrectly double counted the utility allowance of $51 and was using a gross rent rate of $833 to calculate the tenant rental assistance payment when it should have only used a gross rent rate of $782 per the contact. This resulted in the Project requesting a tenant rental assistance payment that was $51 more than what it should have been for each tenant on the Housing Owner’s Certification and Application for Housing Assistance Payments (HAP) for 3 months of fiscal year 2023. Upon the Project’s analysis, it was determined that the total amount of the error, net of vacancies, was $14,724. Corrective Action Taken or Planned: Management has established procedures to ensure that there is a better process to check the amounts of contract rent being approved on the re-examinations and certifications of tenants. This includes, but is not limited to, an additional review step and control for confirmation of the correct contracted and billed amounts. These additional procedures also include processes with more closely reviewed monthly HAP forms by the appropriate personnel to ensure that the amounts being requested of HUD are in line with the appropriate contract rates. Corrective action has been implemented with all corrections approved by and reconciled with HUD. This has already been fully implemented at the organization as of the date of this letter. The primary designated official is the Chief Financial Officer. With our best regards, Paul Dennison Chief Financial Officer
View Audit 300427 Questioned Costs: $1
This finding was self-identified and addressed. Procedures allocating payroll expenditures in accordance with actual time records and wage amounts were implemented during the year ended June 30, 2023.
This finding was self-identified and addressed. Procedures allocating payroll expenditures in accordance with actual time records and wage amounts were implemented during the year ended June 30, 2023.
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, were established and implemented during the year ended June 30, 2023.
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, were established and implemented during the year ended June 30, 2023.
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, that includes a procedure to verify that contractors are not suspended, debarred or otherwise excluded prior to entering into a contact and that such procedures were documented, established and implemente...
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, that includes a procedure to verify that contractors are not suspended, debarred or otherwise excluded prior to entering into a contact and that such procedures were documented, established and implemented during the year ended June 30, 2023.
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, were established and implemented during the year ended June 30, 2023.
Written procurement and conflict of interest policies, in accordance with the Uniform Guidance, were established and implemented during the year ended June 30, 2023.
Finding 389459 (2023-001)
Significant Deficiency 2023
Finding 2023-001 Condition The Corporation lacks proper segregation of duties with respect to the calculation of lost revenue. Proper segregation of duties is necessary to prevent a situation where one individual handles a transaction from beginning to end in order to reduce the potential for nonc...
Finding 2023-001 Condition The Corporation lacks proper segregation of duties with respect to the calculation of lost revenue. Proper segregation of duties is necessary to prevent a situation where one individual handles a transaction from beginning to end in order to reduce the potential for noncompliance due to error or fraud. During the audit of the lost revenue calculation, six months out of fifty-six were input incorrectly into the calculation from the source documents in error. Using the correct revenue amounts for those six months results in a higher total of lost revenue for the period. As a result of the lack of proper segregation of duties, noncompliance due to error or fraud could occur without being detected and corrected, timely. Corrective Action Plan Corrective Action Planned: The Corporation will have more than one person complete a full review of the lost revenue calculation for each report submission. After the information is gathered and reported by the Chief Financial Officer (CFO) but before the information is submitted, the Controller will be asked to review the data. After review and documentation that there has been a review, the reporting will be submitted. Name(s) of Contact Person(s) Responsible for Corrective Action: Brent Foster, Chief Financial Officer Anticipated Completion Date: Review process will be implemented immediately.
We are in agreement and have educated staff by reviewing the “Time and Effort” information provided by KSDE along with the “Time and Effort Clarification Enclosure C”. The Executive Director of Teaching & Learning will review the positions being paid from federal funds to determine if the position i...
We are in agreement and have educated staff by reviewing the “Time and Effort” information provided by KSDE along with the “Time and Effort Clarification Enclosure C”. The Executive Director of Teaching & Learning will review the positions being paid from federal funds to determine if the position is considered a “single cost objective”. Once this is determined, the business office (or assigned staff) will move forward with collecting the Certification of Time or Personnel Activity Report (PAR). These forms will be available to the auditor during the annual fiscal audit.
Finding Description: There was a significant audit adjustment pertaining to housing assistance payment revenue that was required in order to properly state certain account balance in accordance with U.S. GAAP. Corrective Action Taken or Planned: A secondary supervisory review and approval of the hou...
Finding Description: There was a significant audit adjustment pertaining to housing assistance payment revenue that was required in order to properly state certain account balance in accordance with U.S. GAAP. Corrective Action Taken or Planned: A secondary supervisory review and approval of the housing assistance payment vouchers conducted by the CFO will now be required before authorization for billing can be granted to the third party vendor for billing to HUD. Contact Person Responsible for Corrective Action: Danny Rosario, CFO Anticipated Completion Date: March 31, 2024
COVID-19 Education Stabilization Fund: Higher Education Emergency Relief Funds – Assistance Listing No. 84.425 Recommendation: We recommend that the College implement a process to ensure the maintenance of documentation supporting the completion of the suspension and debarment process in accordance...
COVID-19 Education Stabilization Fund: Higher Education Emergency Relief Funds – Assistance Listing No. 84.425 Recommendation: We recommend that the College implement a process to ensure the maintenance of documentation supporting the completion of the suspension and debarment process in accordance with the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College has taken corrective action to ensure review of suspension and debarment is documented in accordance with updated procurement policies. Name of the contact person responsible for corrective action: Shona Campbell, Business Office Director Planned completion date for corrective action plan: June 30, 2024
Management will review any future reporting requirements and revise future reports as necessary. We have researched the applicable reporting requirements and developed a plan to ensure accurate reports are submitted for any future reporting periods as necessary.
Management will review any future reporting requirements and revise future reports as necessary. We have researched the applicable reporting requirements and developed a plan to ensure accurate reports are submitted for any future reporting periods as necessary.
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