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Corrective Action Plans

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Finding 617 (2023-001)
Significant Deficiency 2023
Stevens Senior Housing of Ludlow, Inc.
MA
Cash Management HUD Housing Programs
Responsible Official - Laureen Borgatti, Chief Operating Officer Plan Detail - Management will ensure the Project is reimbursed for the erroneously paid invoice. Additionally, management will ensure future non-project operating invoices are not paid with Project operating cash. Anticipated Completio...
Responsible Official - Laureen Borgatti, Chief Operating Officer Plan Detail - Management will ensure the Project is reimbursed for the erroneously paid invoice. Additionally, management will ensure future non-project operating invoices are not paid with Project operating cash. Anticipated Completion Date - The corrective action is in the process of being implemented and expected to be completed in fiscal year 2024.
View Audit 1193
Finding 590 (2023-001)
Significant Deficiency 2023
Community Health Centers of Western Kentucky, Inc.
KY
Special Tests & Provisions Eligibility Matching / Level of Effort / Earmarking
The accounting department, under direction of the CFO, will conduct monthly audits of random patients' accounts for whom the sliding fee schedule has been applied, as well as training for receptionist to minimize errors. Receptionists have been mandated, along with assistance from internal billing s...
The accounting department, under direction of the CFO, will conduct monthly audits of random patients' accounts for whom the sliding fee schedule has been applied, as well as training for receptionist to minimize errors. Receptionists have been mandated, along with assistance from internal billing staff, to review all patients' accounts (including income verification) at least annually.
View Audit 1185
Finding 589 (2023-005)
Material Weakness 2023
Scott-Morgan Cusd 2
IL
Internal Control / Segregation of Duties
FINDINGS- MAJOR FEDERAL AWARD PROGRAMS Material Weakness U.S. DEPARTMENT OF EDUCATION- Education Stablization Fund Under the Coronavirus Aid, Relief and Economic Security Act- AL Number 84.425 Finding No.: 2023-005 Condition: The District's accounting function is controlled by a limited numbe...
FINDINGS- MAJOR FEDERAL AWARD PROGRAMS Material Weakness U.S. DEPARTMENT OF EDUCATION- Education Stablization Fund Under the Coronavirus Aid, Relief and Economic Security Act- AL Number 84.425 Finding No.: 2023-005 Condition: The District's accounting function is controlled by a limited number of individuals resulting in the inadequate segregation of duties. Recommendation: The District should segregate duties where possible. The Board should be aware of this problem and closely review and approve all financial related information. Action Taken: The District concus with the recommendation. The District has reviewed and continues to review its financial policies and procedures to better segregate duties where possible. The Superintendent continually reminds the Board of their responsibility in regards to reviewing and approving financial items and asking questions. It is not cost feasible to hire additional personnnel. Anticipated Date of Completion: Ongoing
View Audit 1183
Finding 588 (2023-001)
Significant Deficiency 2023
Valley Family Health Care, Inc.
ID
Special Tests & Provisions Internal Control / Segregation of Duties
Finding: 2023-001 Special Tests and Provisions Name of Contact Person: Cheri Hung, CFO Corrective Action: Valley Family Health Care, Inc. (VFHC) believes the significant deficiency noted in the Schedule of Findings and Questioned Costs was related to the implementation of our new billing software in...
Finding: 2023-001 Special Tests and Provisions Name of Contact Person: Cheri Hung, CFO Corrective Action: Valley Family Health Care, Inc. (VFHC) believes the significant deficiency noted in the Schedule of Findings and Questioned Costs was related to the implementation of our new billing software in 2022. It is important to note that in the instance identified, our patient was not harmed and was charged less per visit than indicated by our sliding fee discount guidance. In the short term, VFHC recognizes the need for additional training and heighted internal review of sliding fee discounts. We have submitted this issue to our 3rd party billing software firm to identify the system issues that led to the incorrect automated application of the sliding fee discount to the patient account. If our 3rd party billing software cannot identify and correct the system issues, VFHC is prepared to amend their board-adopted policy to a methodology that can be fully automated. Proposed Completion Date: We anticipate these actions to begin immediately and to be completed by the end of the 3rd quarter.
View Audit 1156
Finding 581 (2023-001)
Material Weakness 2023
Narragansett Bay Commission
RI
Procurement, Suspension & Debarment
Corrective Action Plan/Auditee Views –- NBC will implement procedures for ensuring compliance with all the required contract language requirements and the federal suspension and debarment requirements for all federally funded contracts. Specifically, NBC will include the required contract language a...
Corrective Action Plan/Auditee Views –- NBC will implement procedures for ensuring compliance with all the required contract language requirements and the federal suspension and debarment requirements for all federally funded contracts. Specifically, NBC will include the required contract language and certifications in professional service procurements and contracts and verify that the entity is not debarred, suspended or otherwise excluded from participating in federally funded contracts. NBC will also amend previously executed, but still active, professional service contracts to include the required contract language and certifications. Anticipated Completion Date – September 21, 2023 Contact Person - Richard Bernier
View Audit 1131
Finding 573 (2023-002)
Significant Deficiency 2023
East China School District
MI
Internal Control / Segregation of Duties Subrecipient Monitoring Allowable Costs / Cost Principles
Management will work with various departments to review current policies and procedures related to federal grant awards. We will focus on the related controls necessary to avoid transactions paid in advance that extend passed the expenditure period. Grant procedures will include review, approval a...
Management will work with various departments to review current policies and procedures related to federal grant awards. We will focus on the related controls necessary to avoid transactions paid in advance that extend passed the expenditure period. Grant procedures will include review, approval and consideration during the grant planning process.
View Audit 1118
Finding 567 (2023-001)
Significant Deficiency 2023
Covenant College, Inc. and Supporting Foundation
GA
Subrecipient Monitoring Significant Deficiency
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: 1) Written Annual report to the Board of Directors on the overall status of ISP and GLBA compliance does not address risk management and control decisions, results of testing, security events or violations and management's respon...
Gramm-Leach-Bliley Act (GLBA) Compliance Planned Corrective Action: 1) Written Annual report to the Board of Directors on the overall status of ISP and GLBA compliance does not address risk management and control decisions, results of testing, security events or violations and management's response to each, and recommendations for changes in the Program. A report was submitted to the Board of Trustees in September 2023 for their review at the October meeting on campus. The Board will meet on campus again in March 2024 should any additional information or changes be needed. 2) MFA is not enabled for Banner by Ellucian and National Student Clearinghouse - § 314.4(c)(5) of the GLBA. This is in progress. Technical specifications for MFA in Banner have been reviewed. Testing of three possible options should be started in October 2023. Our Registrar has contacted the NSC and requested MFA on our accounts. 3) No annual penetration testing of information systems. This is in progress. As of September 2023 five vendors were being reviewed and evaluated for this engagement. 4) Vendors are only evaluated at contract initiation. This is in progress. Review of templates and approval needed has already started. Person Responsible for Corrective Action Plan: Dr. H. Collin Messer, Vice President for Academic Affairs Anticipated Date of Completion: May 1, 2024
View Audit 1114
Finding 558 (2023-001)
Significant Deficiency 2023
Augustana College
IL
Subrecipient Monitoring Significant Deficiency Internal Control / Segregation of Duties
Department of Education Augustana College respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 to June 30, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistentl...
Department of Education Augustana College respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 to June 30, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT There were no financial statement findings in the current year. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS Department of Education 2023-001 Student Financial Aid Cluster – Assistance Listing No.: Various Recommendation: We recommend that the College review the updated GLBA requirements and ensure their WISP includes all required elements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Augustana’s WISP will be revised to address GLBA required elements. Name of the contact person responsible for corrective action: Chris Vaughan Planned completion date for corrective action plan: January 1, 2024 If the United States Department of Education has questions regarding this schedule, please call Jacob Bobbitt at 309-794-7154.
View Audit 1111
Finding 553 (2023-002)
Significant Deficiency 2023
Waterloo Community Unit School District #5
IL
Procurement, Suspension & Debarment § 200.318 § 200.320 § 200.326
Condition: The District did not follow the small purchase method for procurement that is required for purchases made between $10,000 and $250,000. This method requires that price or rate quotations must be obtained from an adequate number of qualified sources (2 CFR section 200.320(b). Recommenda...
Condition: The District did not follow the small purchase method for procurement that is required for purchases made between $10,000 and $250,000. This method requires that price or rate quotations must be obtained from an adequate number of qualified sources (2 CFR section 200.320(b). Recommendation: We recommend that care is taken to ensure that all the procurement requirements are followed based on the amount of the purchase being made with the federal funds. Management Response: We will follow the procurement standard when not in urgent situations for the product or service we are seeking. Anticipated Date of Completion: June 30, 2024
View Audit 1099
Finding 552 (2023-001)
Significant Deficiency 2023
Waterloo Community Unit School District #5
IL
Reporting
Condition: There were three inconsistencies in the accounts used to record the expenditures in the general ledger vs what was reported on the expenditure reports. Recommendation: It is recommended that a check of account numbers is done quarterly when the reports are filed to ensure that the acco...
Condition: There were three inconsistencies in the accounts used to record the expenditures in the general ledger vs what was reported on the expenditure reports. Recommendation: It is recommended that a check of account numbers is done quarterly when the reports are filed to ensure that the account numbers are consistent. Management Response: We will code timesheets correctly and check quarterly. Anticipated Date of Completion: June 30, 2024
View Audit 1099
Onaway Area Community Schools
MI
Questioned Costs Cash Management
Corrective Action: The District understands the issue and will make sure to only draw disbursed funds moving forward.
Corrective Action: The District understands the issue and will make sure to only draw disbursed funds moving forward.
View Audit 1084 Questioned Costs: $1
Onaway Area Community Schools
MI
Questioned Costs
Corrective Action: The District understands the issue and will begin comparing each transaction to the approved grant application and to ensure proper coding and allowability in all areas.
Corrective Action: The District understands the issue and will begin comparing each transaction to the approved grant application and to ensure proper coding and allowability in all areas.
View Audit 1084 Questioned Costs: $1
Rural Housing for the Elderly, Inc.
NH
Eligibility HUD Housing Programs Internal Control / Segregation of Duties
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for July 31, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for July 31, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
View Audit 1082
Snhs Elderly Housing V, Inc.
NH
Eligibility HUD Housing Programs Internal Control / Segregation of Duties
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for June 30, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for June 30, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
View Audit 1072
Rural Housing for the Elderly Ii, Inc.
NH
Eligibility HUD Housing Programs Internal Control / Segregation of Duties
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for June 30, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
Completed corrective action: Manager completed correction and new HUD 50059A recertification's corrected for June 30, 2023. Ongoing Corrective Action: Additional file review after recertifications and move-ins. Additional trainings for Income VS Assets for all managers.
View Audit 1071
Tawas Area Schools
MI
Questioned Costs Allowable Costs / Cost Principles
The District understands the issue and will reclassify the excess expenses charged to the ESSER grant and include/incur other allowable expenses in those charged to the grant.
The District understands the issue and will reclassify the excess expenses charged to the ESSER grant and include/incur other allowable expenses in those charged to the grant.
View Audit 1068 Questioned Costs: $1
St. Timothy Park Apartments, Inc.
OH
Questioned Costs Internal Control / Segregation of Duties Reporting
St. Timothy Park Apartment, Inc. agrees with the recommendation of depositing underfunded amount into the replacement reserve account. . Management has corrected all items and completed the deposit into the replacement reserve account on September 26, 2023.
St. Timothy Park Apartment, Inc. agrees with the recommendation of depositing underfunded amount into the replacement reserve account. . Management has corrected all items and completed the deposit into the replacement reserve account on September 26, 2023.
View Audit 1057 Questioned Costs: $1
Finding 529 (2023-001)
Significant Deficiency 2023
Cascade Court Housing Association
WA
HUD Housing Programs Reporting
Management agrees with the finding and is in the process of repaying the funds.
Management agrees with the finding and is in the process of repaying the funds.
View Audit 1051
Finding 524 (2023-002)
Significant Deficiency 2023
Faulkner University
AL
Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking
Corrective Action Plan for Finding 2023-002 - The University has provided additional training and instruction to our Student Accounts representatives and will make modification to the disbursement process to ensure that credit balances resulting from federal student financial aid are refunded to the...
Corrective Action Plan for Finding 2023-002 - The University has provided additional training and instruction to our Student Accounts representatives and will make modification to the disbursement process to ensure that credit balances resulting from federal student financial aid are refunded to the student in compliance with the 14-day requirement. The corrective action was implemented Setember 5, 2023 by Jenny Cox, Director of Student Accounts.
View Audit 1049
Finding 519 (2023-001)
Significant Deficiency 2023
Faulkner University
AL
Student Financial Aid Special Tests & Provisions Reporting
Corrective Action Plan for Finding 2023-001 - The University experienced turnover in the Institutional Research position that attributed to the reporting errors. The University will provide additional training and monitoring to ensure that information reported to the National Student Loan Data Syst...
Corrective Action Plan for Finding 2023-001 - The University experienced turnover in the Institutional Research position that attributed to the reporting errors. The University will provide additional training and monitoring to ensure that information reported to the National Student Loan Data System (NSLDS) is timely and accurate. The University also has a team represented by personnel from the Financial Aid office and Registrar's office that are evaulating our third-party agent assisting with enrollment verification reporting to the NSLDS, and the University will make a change in that relationship if warranted. The corrective action is currently in process and is being coordinated by Michelle Otwell, Assistant Professor and University Registrar; Breanna Yarbrough, Assistant Professor and Director of the Center for Assessment, Research, Effectiveness & Enhancement (CAREE); Linda Pynes, Director of Financial Aid. The corrective training will be completed immediately and monitoring will be an ongoing activity. The decision on whether to make a change in the agent assisting with transmitting data to the NSLDS will be made before May 31, 2024.
View Audit 1049
Community Health Service Agency, Inc.
TX
Carevide has experienced much turnover in the front office/eligibility positions since the onset of COVID-19. In response to this finding, Carevide is re-training all front office and eligibility staff to assure patients are accurately placed on the appropriate sliding fee scale. Additionally, Carev...
Carevide has experienced much turnover in the front office/eligibility positions since the onset of COVID-19. In response to this finding, Carevide is re-training all front office and eligibility staff to assure patients are accurately placed on the appropriate sliding fee scale. Additionally, Carevide has purchased and will be implementing an electronic eligibility software (PointCare) that will aid in reducing errors through the eligibility process. Estimated Completion Date: As soon as the software can be installed within the next few months. Responsible Party Contact Information: Name: Michael Glas Email address: mglas@carevide.org
View Audit 1048
Mainline Health Systems, INC
AR
Special Tests & Provisions
Name: Mainline Health Systems, Inc. Contact Name: Tafta McCain Contact Phone Number: 870.538.5414 Auditor/Audit Firm: FORVIS, LLP Audit Period: January 31, 2023 Finding #2023-001 – Statement of Condition Patients did not receive the proper sliding fee adjustments under the Organization's policy. Res...
Name: Mainline Health Systems, Inc. Contact Name: Tafta McCain Contact Phone Number: 870.538.5414 Auditor/Audit Firm: FORVIS, LLP Audit Period: January 31, 2023 Finding #2023-001 – Statement of Condition Patients did not receive the proper sliding fee adjustments under the Organization's policy. Response: The Organization concurs with the finding and management has implemented procedures to ensure that eligible patients receive discounts in accordance with the sliding fee scale. The Office Managers will review all new sliding fee application on a monthly basis to ensure accuracy. The Billing Manager will conduct quarterly audits of sliding fee claims to ensure the adjustments are entered correctly by the billing department.
View Audit 1032
Finding 476 (2023-001)
Material Weakness 2023
219 Health Network, Inc.
IN
Procurement, Suspension & Debarment § 200.320
219 Health Network will develop a policy and checklist to maintain written documentation of vendor selection and procurement process, along with the review and approval process required under the Uniform Guidance requirements.
219 Health Network will develop a policy and checklist to maintain written documentation of vendor selection and procurement process, along with the review and approval process required under the Uniform Guidance requirements.
View Audit 1023
Finding 467 (2023-002)
Significant Deficiency 2023
Global Learning Public Charter School
MA
Internal Control / Segregation of Duties Reporting Matching / Level of Effort / Earmarking
The Global Learning Charter Public School Administration and Board of Trustees acknowledge that the limitations present with the segregation of financial duties are the direct result of the size of the school’s financial operation. Over the next year, GLCPS will be undergoing a change in leadership ...
The Global Learning Charter Public School Administration and Board of Trustees acknowledge that the limitations present with the segregation of financial duties are the direct result of the size of the school’s financial operation. Over the next year, GLCPS will be undergoing a change in leadership that will provide the school with greater opportunity to enhance internal financial oversight, further augmenting existing procedures. GLCPS will continue evaluating these procedures and implementing changes as recommended. The Global Learning Charter Public School Foundation will also be reviewing the composition of its Board of Directors to clearly delineate the roles and responsibilities of its members.
View Audit 1016
Finding 466 (2023-001)
Significant Deficiency 2023
Global Learning Public Charter School
MA
Internal Control / Segregation of Duties Procurement, Suspension & Debarment Subrecipient Monitoring
The Global Learning Charter Public School Administration and Board of Trustees acknowledge that the limitations present with the segregation of financial duties are the direct result of the size of the school’s financial operation. Over the next year, GLCPS will be undergoing a change in leadership ...
The Global Learning Charter Public School Administration and Board of Trustees acknowledge that the limitations present with the segregation of financial duties are the direct result of the size of the school’s financial operation. Over the next year, GLCPS will be undergoing a change in leadership that will provide the school with greater opportunity to enhance internal financial oversight, further augmenting existing procedures. GLCPS will continue evaluating these procedures and implementing changes as recommended. The Global Learning Charter Public School Foundation will also be reviewing the composition of its Board of Directors to clearly delineate the roles and responsibilities of its members.
View Audit 1016
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