Corrective Action Plans

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Finding 8545 (2023-003)
Significant Deficiency 2023
Finding: 2023-003 Name of Contact Person: Angela Karchmer, Social Services Director Criteria: In accordance with the Division of Social Services Fiscal Manual, DSS employees should control physical access to the state network terminals or personal computers that are connected to the state mainf...
Finding: 2023-003 Name of Contact Person: Angela Karchmer, Social Services Director Criteria: In accordance with the Division of Social Services Fiscal Manual, DSS employees should control physical access to the state network terminals or personal computers that are connected to the state mainframe. Recommendation: Require the County Data Processing Department to implement procedures to require logout of workstations where access to the state DSS system is granted. The control procedures should include random verification of logout in instances where offices are unattended. Corrective Action/Management’s Response: Management concurs with this finding and will adhere to the Corrective Action Plan in this audit report. The County has implemented the following process: Supervisor held a coaching with the Case Manager on 7/19/2023 Supervisors complete random walk throughs to ensure computers are locked when workers are away from their desk. All staff sign a Confidentiality, Ethical Practices Conflict of Interest Policy annually. Proposed Completion Date: Management and the Board will implement the above procedures immediately.
Procedures will be updated to include verification that a vendor has not been suspended or debarred. A record of this verification will be retained.
Procedures will be updated to include verification that a vendor has not been suspended or debarred. A record of this verification will be retained.
District will review procurement policies and provide additional training and education to ensure the minimum requirements of 2 CFR 200 and the procurement policies established are being followed.
District will review procurement policies and provide additional training and education to ensure the minimum requirements of 2 CFR 200 and the procurement policies established are being followed.
District is in the process of establishing procedures and controls by the Business Manager to oversee the retention of verification documentation and information obtained through the verification process.
District is in the process of establishing procedures and controls by the Business Manager to oversee the retention of verification documentation and information obtained through the verification process.
Department of Health and Human Services Lutheran Family Services of Virginia, Inc. and Subsidiaries d/b/a enCircle respectfully submits the following corrective action plan for the year ended June 30, 2023. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. ...
Department of Health and Human Services Lutheran Family Services of Virginia, Inc. and Subsidiaries d/b/a enCircle respectfully submits the following corrective action plan for the year ended June 30, 2023. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3906 Electric Road Roanoke, Virginia 24018 Audit Period: Year ending June 30, 2023 The finding from the June 30, 2023 schedule of findings and questioned costs is discussed below. Findings – Financial Statement Audit NONE. Findings – Federal Award Programs Audits Department of Health and Human Services 2023-001: Unaccompanied Alien Children – ALN #93.676, Activities Allowed/Unallowed; Allowable Costs and Period of Performance and controls over Activities Allowed/Unallowed; Allowable Costs and Period of Performance. Significant Deficiency Criteria and Condition: Under the requirements of the Uniform Guidance, the drawdown of federal funds must be based on actual expenditures incurred. Context: We tested twenty-five reimbursed amounts from various awards. We noted two instances where the Organization obtained federal funds without incurring the actual expenditure. We also noted one instance where the expenditure occurred outside of the budget period. Cause: The Organization did not properly allocate expenditures within their general ledger and did not have an adequate review process in place. Effect: The lack of an adequate review process can cause federal funds to be obtained prior to the actual expenditure is incurred. Recommendation: We recommend that the Organization develop a review process to ensure the drawdown of federal funds does not occur before funds are expended and that the Organization submit expenditures incurred in the budget period. Action Taken: Management has implemented enhanced review processes to ensure the drawdown of Federal funds does not occur before funds are expended and that enCircle submits only expenditures incurred during the budget period. Name of Contact Person: David Pruett, Chief Financial Officer
View Audit 11512 Questioned Costs: $1
Finding 8518 (2023-001)
Significant Deficiency 2023
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the assessment of apps that are developed by the institution. As a result of this condition, the College isn't meeting the safeguard requirements necessary to comply with the FTC. In addition, th...
Auditor Description of Condition and Effect. The most recent Gramm Leach Bliley Policy fails to address the assessment of apps that are developed by the institution. As a result of this condition, the College isn't meeting the safeguard requirements necessary to comply with the FTC. In addition, the lack of safeguard controls creates an increased risk to highly sensitive data that is possessed by the College. Auditor Recommendation. We recommend that the College implement procedures to ensure that all Gramm Leach Bliley Policies are met and verified by a second individual. Corrective Action. Currently, the College is reviewing the compliance requirements for Gramm Leach Bliley and will amend the current policy to ensure the assessment of apps developed by the institution is covered within the policy. Responsible Person. Kirk Lehr, Director of IT Anticipated Completion Date. June 30, 2024
Finding: 2023-002 – Special Tests and Provisions – Wage Rate Requirements U.S. Department of Education – COVID-19 - Education Stabilization Fund (ALN 84.425D and 84.425U); Passed through MDE; All project numbers. Auditor Description of Condition and Effect: The one contract selected for testing th...
Finding: 2023-002 – Special Tests and Provisions – Wage Rate Requirements U.S. Department of Education – COVID-19 - Education Stabilization Fund (ALN 84.425D and 84.425U); Passed through MDE; All project numbers. Auditor Description of Condition and Effect: The one contract selected for testing that was subject to the Wage Rate Requirements did not include the required provision and the District did not obtain the required certified payrolls. The District did not follow federal requirements to include the prevailing wage rate provision in its contract. Auditor Recommendation: We recommend that the District reviews its policies to ensure that applicable prevailing wage requirements are included in construction contracts whenever federal funds are used and certified payrolls are obtained. Corrective Action: District officials will ensure that construction contracts contain these requirements during the bid process. Responsible Person: Maria Gistinger, Interim Business Manager Anticipated Completion Date: June 30, 2024
View Audit 11501 Questioned Costs: $1
Finding 8513 (2023-001)
Significant Deficiency 2023
j) Corrective Action Plan While appropriate controls exist relative to invoice review and allocation of invoices, opportunities exist to retrain staff to further enhance these controls. k) Anticipated Completion Date June 28, 2023 l) Name of Contract Person for Corrective Action Heather Landry, Dire...
j) Corrective Action Plan While appropriate controls exist relative to invoice review and allocation of invoices, opportunities exist to retrain staff to further enhance these controls. k) Anticipated Completion Date June 28, 2023 l) Name of Contract Person for Corrective Action Heather Landry, Director Accounting
October 25, 2023 School District No. 55-0145, Waverly, Nebraska, respectfully submits the following corrective action plan for the year ended August 31, 2023. Name and address of independent public accounting firm: Romans, Wiemer & Associates, Certified Public Accountants, P.C., 1910 N Lincoln ...
October 25, 2023 School District No. 55-0145, Waverly, Nebraska, respectfully submits the following corrective action plan for the year ended August 31, 2023. Name and address of independent public accounting firm: Romans, Wiemer & Associates, Certified Public Accountants, P.C., 1910 N Lincoln Ave, York, NE 68467 Audit Period: September 1, 2022 through August 31, 2023 The findings from the October 25, 2023 schedule of findings and questioned cost are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2023-001 Internal Control Structure Design Recommendation: While considering the cost of any benefits derived, activities should be segregated and handled by different employees. Action Taken: The cost of implementing a complete set of controls far outweighs the benefits derived by such. It is not financially feasible to have a complete set of controls. FINDINGS – FEDERAL AWARD PROGRAM AUDIT Nebraska Department of Education 2023-002 Internal Control Structure Design Recommendation: While considering the cost of any benefits derived, activities should be segregated and handled by different employees. Action Taken: The cost of implementing a complete set of controls far outweighs the benefits derived by such. It is not financially feasible to have a complete set of controls. If the Nebraska Department of Education has questions regarding this plan, please call Mikal Shalikow at (402) 786-2321.
October 25, 2023 School District No. 12-0056, David City, Nebraska, respectfully submits the following corrective action plan for the year ended August 31, 2023. Name and address of independent public accounting firm: Romans, Wiemer & Associates, Certified Public Accountants, P.C., 1910 N Lincol...
October 25, 2023 School District No. 12-0056, David City, Nebraska, respectfully submits the following corrective action plan for the year ended August 31, 2023. Name and address of independent public accounting firm: Romans, Wiemer & Associates, Certified Public Accountants, P.C., 1910 N Lincoln Ave, York, NE 68467 Audit Period: September 1, 2022 through August 31, 2023 The findings from the October 25, 2023 schedule of findings and questioned cost are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS – FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2023-001 Internal Control Structure Design Recommendation: While considering the cost of any benefits derived, activities should be segregated and handled by different employees. Action Taken: The cost of implementing a complete set of controls far outweighs the benefits derived by such. It is not financially feasible to have a complete set of controls. FINDINGS – FEDERAL AWARD PROGRAM AUDIT Nebraska Department of Education 2023-002 Internal Control Structure Design Recommendation: While considering the cost of any benefits derived, activities should be segregated and handled by different employees. Action Taken: The cost of implementing a complete set of controls far outweighs the benefits derived by such. It is not financially feasible to have a complete set of controls. If the Nebraska Department of Education has questions regarding this plan, please call Chad Denker at (402) 367-4590.
There is no disagreement with the finding. Management has updated their district policy and continues to work with staff members to ensure proper execution of purchases.
There is no disagreement with the finding. Management has updated their district policy and continues to work with staff members to ensure proper execution of purchases.
Finding 8503 (2023-001)
Significant Deficiency 2023
The Director of Grants Accounting has reviewed the procedures surrounding Provider Relief Funds reporting and made the necessary changes to ensure on-going compliance to address the following significant deficiency noted in the 6.30.23 single audit. Root Cause: The root cause of the finding was hu...
The Director of Grants Accounting has reviewed the procedures surrounding Provider Relief Funds reporting and made the necessary changes to ensure on-going compliance to address the following significant deficiency noted in the 6.30.23 single audit. Root Cause: The root cause of the finding was human error and version control of the reporting file. All accurate reporting information was prepared and available for submission. Inadvertently, an outdated reporting file was uploaded to the reporting portal instead of the correct information. Action Plan: 1) The Director of Grants Accounting will provide training on version control of documents on 12/20/23 and annually thereafter. 2) Two additional experienced grants accounting team members have been added on 11/13/23 to allow for additional compliance expertise and review capacity. 3) All future Provider Relief funds reporting will have management review before submission. Responsible Individual: Ruth Shryack, Director of Grants Accounting (ruth.shryack@pfh.org)
Finding 2023-001 Information on the federal program: Federal Program Name: COVID-19 Higher Education Emergency Relief Fund (HEERF) – COVID-19 HEERF Minority Serving Institutions (MSIs) Federal Agency: U.S. Department of Education Federal Assistance Listing Number: 84.425L Award Y...
Finding 2023-001 Information on the federal program: Federal Program Name: COVID-19 Higher Education Emergency Relief Fund (HEERF) – COVID-19 HEERF Minority Serving Institutions (MSIs) Federal Agency: U.S. Department of Education Federal Assistance Listing Number: 84.425L Award Year: July 6, 2020 – June 30, 2023 Criteria or Specific Requirement: Procurement, Suspension and Debarment Condition: The University’s procurement policy does not contain adequate documentation to demonstrate compliance with federal procurement regulations. (Deficiency) Corrective Action Planned: The University will review the federal procurement requirements and revise procurement policies to incorporate all required elements of the federal procurement regulations. Contact Person Responsible for Corrective Action: Sharon Maxwell, Senior Vice President for Business and Finance Anticipated Completion Date: October 31, 2023
1.Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. 2.Actions Planned in Response to Finding: The District will monitor free and reduced lunch applications for the upcoming year. 3.Official Responsible for Ensuring CAP: Frank Norton, Superintendent, is ...
1.Explanation of Disagreement with Audit Finding: There is no disagreement with the audit finding. 2.Actions Planned in Response to Finding: The District will monitor free and reduced lunch applications for the upcoming year. 3.Official Responsible for Ensuring CAP: Frank Norton, Superintendent, is the official responsible for ensuring corrective action. 4.Planned Completion Date for CAP: 6/30/2024 5.Plan to Monitor Completion of CAP: The Board of Education will be monitoring this corrective action plan.
Statement of Condition 2023-001 (Assistance Listing 14.157): During the year ended September 30, 2023, the Corporation paid an expense totaling $920 on behalf of an affiliated entity without HUD approval. Recommendation: The affiliated entity should repay $920 to the Corporation. Management Respon...
Statement of Condition 2023-001 (Assistance Listing 14.157): During the year ended September 30, 2023, the Corporation paid an expense totaling $920 on behalf of an affiliated entity without HUD approval. Recommendation: The affiliated entity should repay $920 to the Corporation. Management Response: Agree. The affiliated entity repaid the Corporation $920 on November 17, 2023.
View Audit 11390 Questioned Costs: $1
Effective with the 2023-2024 fiscal period, the District created an Audit Specialist position within the Business Office. The Audit Specialist will assume responsibility for all grant reporting. The Audit Specialist will receive training on the reporting requirements for each grant. All reporting de...
Effective with the 2023-2024 fiscal period, the District created an Audit Specialist position within the Business Office. The Audit Specialist will assume responsibility for all grant reporting. The Audit Specialist will receive training on the reporting requirements for each grant. All reporting deadlines will be entered on the master department calendar that is maintained in Microsoft Outlook. The Audit Specialist will create the master calendar and the Assistant Superintendent of Business and Operations will verify and approve the calendar. Reminders for each report will be calendared with reminders sent one month prior to the due date, two weeks prior to the due date, one week prior to the due date, and one day prior to the due date. Electronic reports will be printed and physically signed by the person completing the reimbursement or report and the Assistant Superintendent of Business and Operations. The paper copy will be maintained in Grant Files. When available, security access will require one employee to submit the report and the Assistant Superintendent of Business and Operations to approve the report within the grant portal. Estimated Completion Date: August 2024 Management Contact: Margaret Lee
Enrollment data reflects that many of our students did not return in the school years immediately following the COVID-19 pandemic. The impact of fewer students returning and graduating on time resulted in a significant decline in the cohort membership. • In the 21-22 school year, 2,236 seniors were...
Enrollment data reflects that many of our students did not return in the school years immediately following the COVID-19 pandemic. The impact of fewer students returning and graduating on time resulted in a significant decline in the cohort membership. • In the 21-22 school year, 2,236 seniors were enrolled; however, the freshmen class of 18-19 commenced with 3,574 students. • The cohort membership shifted from a freshmen class of 3,574 to a senior class of 2,236. As a result, the following plan is outlined to address the grad rate concerns. Data Analysis • Identify trends: codes most frequently used, subpopulation of students. • Create a profile of students that are exiting that develop a monitoring/warning system. • Meet with principals to discuss the impact of grad cohort on school and district SPS. • Office hours for schools requiring additional support. Inter-departmental collaboration • Engage with other departments to discuss attendance trends and impact on respective department. • Form committee to work collaboratively to address the concerns. • Train appropriate staff members (clerical staff, student support, attendance/truancy/hearing officers). Protocols • Analyze available codes in JCampus to be sure that codes not used in the district are disabled. • Develop process to ensure that all schools are using the proper codes used for exiting students. • Discuss and update the process for “no show” students. • Utilize the Louisiana e-scholar database to search for students appearing on state dropout rosters. • Contact neighboring districts to obtain verification of enrollment documents. • Engage in discussion with the state and SIS to improve measure to locate students appearing in duplicate schools. • Train appropriate staff members on updated protocols. Timeline and Specific Next Steps with Schools: 1. For schools that did not have the proper documentation to support the legitimate leave code, schools will send their school level protocol and process for securing documentation for legitimate leavers to the Executive Director of High School for a review by January 10, 2023. 2. Directors on our Data Management team will review the protocols and processes that schools sent and provide feedback by January 19th. 3. Training and support will be provided directly to schools in order to improve practices at the school level during the weeks of January 22-26 and January 29-February 2nd, 2024.
Condition: To determine that an accurate June 30, 2023 expenditure report was filed with the Illinois State Board of Education. The District reported expenses on the June 30, 2023 expenditure report that were claimed twice. Recommendation: We recommend to review for duplicate or unallowable expe...
Condition: To determine that an accurate June 30, 2023 expenditure report was filed with the Illinois State Board of Education. The District reported expenses on the June 30, 2023 expenditure report that were claimed twice. Recommendation: We recommend to review for duplicate or unallowable expenses before entering into the expenditure report and submitting. Management Response: The District will review the general ledger for duplicate or unallowable expenses before submitting quarterly reports.
Condition: To determine that an accurate June 30, 2023 expenditure report was filed with the Illinois State Board of Education. The District reported expenses on the June 30, 2023 expenditure report that were paid after year end. Recommendation: We recommend reconciling the general ledger AP tot...
Condition: To determine that an accurate June 30, 2023 expenditure report was filed with the Illinois State Board of Education. The District reported expenses on the June 30, 2023 expenditure report that were paid after year end. Recommendation: We recommend reconciling the general ledger AP totals to the expenditure reports before submitting. Management Response: The District will add a verification process to reconcile the general ledger AP totals to the expenditure reports before submitting.
Condition: The amounts used to record expenditures on the quarterly expenditure reports should match the general ledger accounts where the expenditures are recorded. Recommendation: We recommend reviewing the general ledger to the expenditure reports before submitting for more accurate reporting....
Condition: The amounts used to record expenditures on the quarterly expenditure reports should match the general ledger accounts where the expenditures are recorded. Recommendation: We recommend reviewing the general ledger to the expenditure reports before submitting for more accurate reporting. Management Response: The District will review the general ledger to the expenditure reports before submitting.
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management Response: Management will take the necessary ste...
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management Response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated Date of Completion: June 30, 2024
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management Response: Management will take the necessary ste...
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken, including oversight by a second employee, to ensure that all quarterly expenditure reports are filed by the due dates. Management Response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated Date of Completion: June 30, 2024
FINDING 2023-010: Coronavirus Relief Funding (CRF) Reporting – Repeated 2021/2022- 018 Response: We are actively addressing the reporting requirements for Coronavirus Relief Funding. Due to the timing and complexity of our recent audits, we are still in the process of thoroughly identifying all rele...
FINDING 2023-010: Coronavirus Relief Funding (CRF) Reporting – Repeated 2021/2022- 018 Response: We are actively addressing the reporting requirements for Coronavirus Relief Funding. Due to the timing and complexity of our recent audits, we are still in the process of thoroughly identifying all relevant expenditures related to the Transportation Coronavirus Relief Fund (CRF) monies. Our team is committed to continuing this detailed examination, and once we have a complete understanding, we will engage with the appropriate state agency to confirm our course of action. This effort is part of our dedication to ensuring transparency and compliance in the management of these critical funds.
FINDING 2023-009: Wage Rate Compliance Response: We are implementing robust measures to ensure adherence to prevailing wage standards in all future construction contracts. This includes the inclusion of prevailing wage clauses and the requirement of weekly certified payrolls as part of our standard ...
FINDING 2023-009: Wage Rate Compliance Response: We are implementing robust measures to ensure adherence to prevailing wage standards in all future construction contracts. This includes the inclusion of prevailing wage clauses and the requirement of weekly certified payrolls as part of our standard contracting process. Additionally, it's important to note that for the projects referenced in this finding, we did obtain certified payrolls, it just wasn’t done weekly. These additional safeguards will ensure compliance with wage rate regulations and reinforce our commitment to fair labor practices.
Views of responsible officials and planned corrective action: The Authority has an interlocal agreement with a neighboring housing authority for administration of the Section 8 Housing Choice Vouchers Program. The authority understands the reason for the finding, in that the inspection was one month...
Views of responsible officials and planned corrective action: The Authority has an interlocal agreement with a neighboring housing authority for administration of the Section 8 Housing Choice Vouchers Program. The authority understands the reason for the finding, in that the inspection was one month late. Previously a quality control sample of HCV files administered by the neighboring Housing Authority had been reviewed each month. This was with respect to the income calculation, specifically. Housing Kitsap will add a verification of inspection requirements to this process. Heather Blough, Executive Director, will be responsible to implement this corrective action by June 30, 2024.
View Audit 11330 Questioned Costs: $1
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