Corrective Action Plans

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The size of the Organization prohibits hiring additional personnel. Duties have always been segregated where possible and currently another staff person is being trained in recording and summarizing transactions to further break out duties. The Board of Directors is involved where possible.
The size of the Organization prohibits hiring additional personnel. Duties have always been segregated where possible and currently another staff person is being trained in recording and summarizing transactions to further break out duties. The Board of Directors is involved where possible.
Management accepts the finding and notes that the prior year finding was not reported until near the end of the current audit period, contributing to the repeat finding. Effective in June 2022, payroll authorizations were directed through the PeopleSoft system to the Payroll Manager who prepared and...
Management accepts the finding and notes that the prior year finding was not reported until near the end of the current audit period, contributing to the repeat finding. Effective in June 2022, payroll authorizations were directed through the PeopleSoft system to the Payroll Manager who prepared and documented the necessary allocation calculation. This calculation, along with a copy of the original payroll authorization for the employee and the superseding payroll authorization were sent to the Associate Controller for review and verification. This secondary review was marked approved and returned to the Payroll Manager for final entry in the payroll system and records archiving. Further, a campus committee with representatives from the offices of; Controller, Information Technology, Sponsored Research Services, Payroll and Academic Affairs Operations was formed to further review and address this prior year finding. The Committee has developed a form within PeopleSoft that will allow for entering payroll authorization data, system calculation of applicable fringe adjustments, and a system driven workflow review and approval process from initial entry by the Principal Investigator to approval by Sponsored Research Services to the approval by either the Research Accountant or the Associate Controller for posting of all prior period reallocations. Any adjustments affecting future periods will be processed through the existing payroll authorization process and system entered by the Payroll Office. This cost transfer process was implemented on April 1, 2023. A further enhancement of automating a portion of the related journal entry posting upon final approval by the Research Accountant or Associate Controller was implemented in June 2023. In light of the repeat finding, the University engaged an outside firm, Bowers and Company CPAs PLLC in May 2023, to conduct an internal review evaluation of the Payroll Department with a focus on reviewing assessing current internal controls and processes from employees set up through issuance of compensation and filing of state and federal forms relating to payroll procedures and transactions. The outcome of this review was to identify areas of potential weakness, process improvement, and current utilization of existing financial systems and tools. The results of this review evaluation were received in August 2023. In the limited scope review they identified no reportable findings and provided several recommendations to improve University-wide payroll processes. The implementation of these recommendations improved University-wide payroll processes. Additionally, we carried out an internal audit encompassing all federally funded research payroll transactions involving students, staff, and research faculty for the fiscal year 2022. We compared payroll authorizations against the actual payroll amounts for a total of 231 faculty, staff and students. We identified 6 findings, in addition to the findings from KPMG during the initial audit, between payroll authorizations or graduate appointments and the actual amounts charged to federal accounts, which is an overall error rate of 5.6%. Clarkson’s Payroll Department is conducting monthly review of allocations in payroll to proactively identify errors, aiming to facilitate prompt corrections. In addition to the monthly review, Sponsored Research Services will continue in processing cost transfers whenever errors are identified, necessitating adjustments to the allocation of payroll to federal awards.
Management accepts this finding. A detailed set of procedures was documented immediately after the discovery of this error in preparing the Schedule. Included in these procedures, a query is run of research projects. This query is sent to Sponsored Research Services (SRS) to review to verify the rep...
Management accepts this finding. A detailed set of procedures was documented immediately after the discovery of this error in preparing the Schedule. Included in these procedures, a query is run of research projects. This query is sent to Sponsored Research Services (SRS) to review to verify the reporting status and AL numbers, and other items are correct and complete. Once SRS has verified the data in the query is complete and accurate, then the Controller’s office will proceed with preparing the Schedule as well as reconciling it to the Statement of Activities (SOA) In the procedures, we have added that SRS and the Controller, and/or Chief Financial Officer review the Schedule prior to initiation of the audit review process.
Management acknowledges deficiencies in internal controls that resulted in a number of entries posted to correct previous improper postings. Management is implementing an action plan with measurable objectives to correct this deficiency. This action plan includes a review of current processes to ide...
Management acknowledges deficiencies in internal controls that resulted in a number of entries posted to correct previous improper postings. Management is implementing an action plan with measurable objectives to correct this deficiency. This action plan includes a review of current processes to identify opportunities to further limit manual data entry to limit key punch errors. Further, processes will be revised to include secondary review prior to posting. Quarterly data reviews will be utilized to identify developing variances for investigation and further action as necessary. A more robust system of account reconciliation will be developed, with particular attention to high activity and / or high value accounts. Finally, year end processes will continue to be enhanced to ensure proper and timely completion of consolidated financial statements.
Internal communication processes for direct pay projects were used in conjunction with ODOT reports to capture these offsetting revenues and expenditures as well as the additions to capital assets in 2023.
Internal communication processes for direct pay projects were used in conjunction with ODOT reports to capture these offsetting revenues and expenditures as well as the additions to capital assets in 2023.
Cause: Lack of submission was due to the inability of the Organization's staff to provide accurate account reconciliations and supporting documentation including preparation of a complete and accurate SEFA on a timely basis to complete the audit. Effect: Per CFR 200.512, the auditor must report the ...
Cause: Lack of submission was due to the inability of the Organization's staff to provide accurate account reconciliations and supporting documentation including preparation of a complete and accurate SEFA on a timely basis to complete the audit. Effect: Per CFR 200.512, the auditor must report the following as audit findings in a schedule of findings and questioned costs. The Organization is not in compliance with the Data Collection Form reporting deadline. Management's Response/Corrective Action Plan: Meals on Wheels Programs & Services of Rockland, Inc. receives the majority of its Federal Funding as a pass through the Rockland County Office for the Aging. We rely on information and documentation of Federal funds provided by the Rockland County Office for the Aging in order to prepare our data collection form and annual SEFA reporting. The timing of the request for this information as well as receiving it resulted in untimely submission of the Data Collection Form. Our corrective action plan will include requesting this information on a timely basis in order to complete the audit timely.
SEE RESPONSE AND CORRECTIVE ACTION PLAN 2021-002
SEE RESPONSE AND CORRECTIVE ACTION PLAN 2021-002
Finding Reference Number: 2022-002 Federal Agency: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus Relief Fund ALN Number: 21.019 Responsible Official: County Commission Views of Responsible Individuals: We understand the importance of having adequate documentation for Federal Gra...
Finding Reference Number: 2022-002 Federal Agency: U.S. Department of the Treasury Program Name: COVID-19 Coronavirus Relief Fund ALN Number: 21.019 Responsible Official: County Commission Views of Responsible Individuals: We understand the importance of having adequate documentation for Federal Grant programs. We hired an outside agency to oversee the Coronavirus Relief Fund who did not provide us the adequate documentation needed. We did; however, provide email confirmations that the monies spent were reported to the Treasury. The County will handle all Federal Grant programs in the future to ensure that adequate documentation is maintained by the County.
Recommendation: The federal single audit report must be submitted to the FAC in accordance with the deadlines set forth in the federal guidelines. Management’s Response: Management recognizes the need to submit federal single audit reports to the FAC in accordance with federal deadlines in...
Recommendation: The federal single audit report must be submitted to the FAC in accordance with the deadlines set forth in the federal guidelines. Management’s Response: Management recognizes the need to submit federal single audit reports to the FAC in accordance with federal deadlines in order to remain compliant with requirements. Management will make an effort to correct their timeliness and file their federal single audits within the appropriate deadlines going forward.
Finding 2022-006 Federal Agency Name: U.S. Department of Agriculture Assistance Listing Number: #10.766 Program Name: Community Facilities Loans and Grants Cluster, Community Facilities Loans and Grants Compliance Requirement: Other Finding Summary: The Authority does not have an internal control s...
Finding 2022-006 Federal Agency Name: U.S. Department of Agriculture Assistance Listing Number: #10.766 Program Name: Community Facilities Loans and Grants Cluster, Community Facilities Loans and Grants Compliance Requirement: Other Finding Summary: The Authority does not have an internal control system designed to provide for a complete and accurate schedule of expenditures of federal awards being audited. We were requested to draft the schedule of expenditures of federal awards. Responsible Individuals: Doran Hammett, Chief Financial Officer Corrective Action Plan: Ongoing
Misapplication of the Sliding Fee Scale The department responsible for gathering and recording patient income data, and applying sliding fee discounts, experienced high attrition rates due to the role being entry-level. Recognizing these challenges, the Organization is in the process of revising th...
Misapplication of the Sliding Fee Scale The department responsible for gathering and recording patient income data, and applying sliding fee discounts, experienced high attrition rates due to the role being entry-level. Recognizing these challenges, the Organization is in the process of revising the training plan for this department and establishing a quality assurance process for monitoring. Additionally, the Organization will review and revise the sliding fee policy to enhance clarity of the process for application of discounts and proof of income documentation. Responsible Parties: Mark Groeller, Compliance Director, Lisa DeMallie, Associate Vice President of Patient Experience, and Melissa Darko, Revenue Cycle Director Estimated Completion Date: December 31, 2024
Finding Number: 2022-001 Finding Type: Material noncompliance with laws and regulations and significant deficiency in internal controls over Federal awards. Criteria and Condition: Michigan Falun Dafa Association was required to have an audit in compliance with the requirements of 2 CFR Section 2...
Finding Number: 2022-001 Finding Type: Material noncompliance with laws and regulations and significant deficiency in internal controls over Federal awards. Criteria and Condition: Michigan Falun Dafa Association was required to have an audit in compliance with the requirements of 2 CFR Section 200.501 and submit its audit to the Federal Audit Clearinghouse as required by 2 CFR Section 200.512, which was due by September 30, 2023. Auditors’ Recommendation: The auditors recommended Michigan Falun Dafa Association’s strengthening of internal controls procedures over the award process to ensure that all existing and any new compliance requirements are communicated to all involved in the process to ensure timely adherence to all or any requirements. Michigan Falun Dafa Association’s Response to the Finding and Corrective Action Plan: This is the first year the Michigan Falun Dafa Association expended $750,000 or more of federal award received, and as a result, was not aware of the requirement for a compliance audit. Michigan Falun Dafa Association will strengthen its internal control processes and procedures to ensure that compliance requirements will be communicated to all involved in grant administration to ensure timely adherence to all or any requirements for any new grants received. Responsible Individuals: Zhiwei, Xu, President Xinhua Yu, Treasurer Planned Completion Date: Immediate.
We agree with the finding that CAC could not provide evidence in some instances that required demographic information, monthly, quarterly, or cumulative annual reports were submitted or submitted in a timely manner. In order to ensure that CAC maintains evidence of timely submission of all required...
We agree with the finding that CAC could not provide evidence in some instances that required demographic information, monthly, quarterly, or cumulative annual reports were submitted or submitted in a timely manner. In order to ensure that CAC maintains evidence of timely submission of all required reports in adherence to the requirements of 2 CFR 200.328, the following corrective action plan will be implemented. Beginning in the FY2025 fiscal year, CAC will add a senior level staff position designated as Director of Compliance. The Director of Compliance will review and update current policies and procedures regarding Compliance Reporting and Eligibility. The Director of Compliance will work with the CPO and CFO to develop and ensure reporting guidelines are established and applied. The Director of Compliance will maintain listings of all reporting requirements and work with the CPO and Program Directors to ensure timely reporting for grant award agreements, in accordance with the terms of each agreement. The projected date for full implementation of the corrective action plan for this finding is June 30, 2025. The contact persons for this corrective action are: Barbara Kelly, Executive Director, Windie Wilson CAC Human Resources Director, Misty Goodwin, CAC Chief Program Officer, CAC Director of Compliance, to be selected.
We agree with the finding that the same expenditures were included in reimbursement requests for assistance listings 21.023 and 14.231. The reimbursement requests were compiled using a separate database of individual clients for each assistance listing. Due to a data entry error, the same expenses w...
We agree with the finding that the same expenditures were included in reimbursement requests for assistance listings 21.023 and 14.231. The reimbursement requests were compiled using a separate database of individual clients for each assistance listing. Due to a data entry error, the same expenses were included in both databases. As part of CAC's internal controls, the databases are supposed to be reconciled to the appropriate expenditure accounts of the general ledger for each assistance listing. This reconciliation did not occur for these reimbursement requests. When Management reviewed the reimbursement request prior to submission, that review compared the reimbursement request to the database listing and not the general ledger. The following corrective action plan will minimize the occurrence of reimbursement being requested from multiple grantors for the same allowable expenditures. Beginning in the FY2025 fiscal year, invoices that are submitted to CAC management for review that are based on worksheet or database listings will be accompanied by a copy of the general ledger and amounts shown on the database or worksheet reconciled to the general ledger. The projected date for full implementation of the corrective action plan for this finding is June 30, 2025. The contact person for this corrective action are: Barbara Kelly, Executive Director, David Mincey, CAC Fiscal Services Manager/Internal Auditor, CAC Chief Financial Officer, to be selected.
View Audit 328235 Questioned Costs: $1
We agree that CAC did not summarize agency wide or program specific internal controls and reporting requirements as required by 2CFR 200.303 and the CAC Management Services Manual. In order to ensure that the reporting requirements and specific internal controls of all awards made to CAC are summar...
We agree that CAC did not summarize agency wide or program specific internal controls and reporting requirements as required by 2CFR 200.303 and the CAC Management Services Manual. In order to ensure that the reporting requirements and specific internal controls of all awards made to CAC are summarized in adherence to 2 CFR 200.303 and the CAC Management Services Manual, the following corrective action will be implemented: Beginning in the FY2025 fiscal year, CAC will add a senior level staff position designated as Director of Compliance. The Director of Compliance will review and update current policies and procedures regarding specific internal controls, compliance reporting and eligibility for all awards received by CAC. The Director of Compliance will work with the Chief Program Officer and the Chief Financial Officer to ensure the development and application of program specific procedures and internal controls for reporting and determining eligibility for federal award programs. The projected date for full implementation of the corrective action plan for this finding is June 30, 2025. The contact persons for this corrective action are: Barbara Kelly, Executive Director, Windie Wilson, CAC Human Resources Director, Misty Goodwin, CAC Chief Program Officer, David Mincey, CAC Fiscal Services Manager/Internal Auditor, CAC Director of Compliance, to be selected.
Central Community Transit respectfully submits the following corrective action plan. Audit Period: Year Ending December 31, 2022 FINDINGS – FEDERAL AWARDS PROGRAM Finding 2022-001 Uniform Guidance Audit Reporting Requirements Officer Responsible for Ensuring CAP: Any Nieland, Executive Director Corr...
Central Community Transit respectfully submits the following corrective action plan. Audit Period: Year Ending December 31, 2022 FINDINGS – FEDERAL AWARDS PROGRAM Finding 2022-001 Uniform Guidance Audit Reporting Requirements Officer Responsible for Ensuring CAP: Any Nieland, Executive Director Corrective Action Planned: Corrective action moving forward is to add all dates for annual events and due dates to the shared calendar and share the schedule created with the Central Community Transit Operations and Joint Powers Boards. Planned Completion Date: 11/1/2024
Management is cognizant of this limitation and will implement additional procedures where possible.
Management is cognizant of this limitation and will implement additional procedures where possible.
The financial aid department has developed a Direct Loan workflow process in accordance with federal guidelines. Utilizing Colleague's software, the financial aid office can now accurately assess students' aid eligibility to ensure they are appropriately awarded. Colleague has Award Eligibility Crit...
The financial aid department has developed a Direct Loan workflow process in accordance with federal guidelines. Utilizing Colleague's software, the financial aid office can now accurately assess students' aid eligibility to ensure they are appropriately awarded. Colleague has Award Eligibility Critiera (AEC) rules invoked at transmittal to determine if the student is eligible to receive loan funds.
The Univesity implemented a comprehensive ERP software tool, Ellucian Colleague in FY2021 and FY2022 and hired more staff. The built-in internal control structure, which includes access to enrollment reports and data coupled with a complete reconciliation process with the Office of Financial Aid, Of...
The Univesity implemented a comprehensive ERP software tool, Ellucian Colleague in FY2021 and FY2022 and hired more staff. The built-in internal control structure, which includes access to enrollment reports and data coupled with a complete reconciliation process with the Office of Financial Aid, Office of the Registrar and Student Account wills prevent this from recurring.
Finding: Unable to support $13,395 of estimated salaries for SJH employees administering nursing home COVID testing. Corrective Action: Since the employees administering tests are primarily exempt employees and do not clock in to track specific tasks, St. John’s Health created a sign in sheet which ...
Finding: Unable to support $13,395 of estimated salaries for SJH employees administering nursing home COVID testing. Corrective Action: Since the employees administering tests are primarily exempt employees and do not clock in to track specific tasks, St. John’s Health created a sign in sheet which indicates when an employee is engaged in manning a testing station. The employee fills in their name, date, time in, time out, and a description of what they were doing during that time. The sign in sheet is reviewed by someone who is familiar with the grant conditions and the reviewer also signs off on the sheet verifying that the time spent would meet the intent of the grant reimbursement. The corrective action plan is fully implemented as of September 2024. The contact person at the Hospital responsible for the plan is Alisa Lane, alane@stjohns.health.
View Audit 328059 Questioned Costs: $1
Corrective action: Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and filed the 2022 single audit reporting package in November 2024.
Corrective action: Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and filed the 2022 single audit reporting package in November 2024.
Finding 2022-001—Reporting The administrative staffing turnover BAERI experienced was detrimental to our ability to meet the reporting deadline for the 2022 audit. Moving forward, BAERI will ensure that our audit report and SF-SAC form are submitted to the Federal Audit Clearinghouse within nine mon...
Finding 2022-001—Reporting The administrative staffing turnover BAERI experienced was detrimental to our ability to meet the reporting deadline for the 2022 audit. Moving forward, BAERI will ensure that our audit report and SF-SAC form are submitted to the Federal Audit Clearinghouse within nine months after the end of the audit period. Corrective Action Plan for Finding 2022-001—Reporting BAERI has taken the following steps in order to meet the reporting and deadline requirements outlined in 2 CFR 200.512 moving forward: 1. Implement policies and procedures to ensure that the internal documentation needed for our annual audit is easily accessible by finance staff and not onerous for staff to compile for the auditor. 2. Hire and train additional finance staff in order to implement the above mentioned policies and procedures needed to allow for a smooth, timely audit.
Condition and Context: The System did not complete the PRF Period 1 reporting in accordance with the U.S. Department of Health and Human Services guidance. The System did not enter the correct amounts from its data supporting lost revenues for all quarters; it also did not enter the correct amounts ...
Condition and Context: The System did not complete the PRF Period 1 reporting in accordance with the U.S. Department of Health and Human Services guidance. The System did not enter the correct amounts from its data supporting lost revenues for all quarters; it also did not enter the correct amounts from its data supporting eligible expenditures. The adjustments needed within the PRF reports to correct the errors decreased year over year lost revenues from $21,664,944 to $11,771,346 and decreased eligible expenditures from $7,527,194 to $4,334,813, on total distributions of PRF funding of $14,972,846. In summary, the data supporting amounts for lost revenues and eligible expenses totals $16,104,159 on total distributions of PRF funding of $14,972,846 in this reporting period. Corrective Action Plan: System management agrees with the finding and has updated its lost revenue calculation. Management attempted to update lost revenue amounts with filing of its Period 4 reports; however, additional data entry errors were made. Management has worked extensively over the past two years to monitor the changing guidelines surrounding the various programs designed to respond to the COVID-19 pandemic. Management has furthered this effort by attending continuing professional education on this topic and reading available guidance to ensure that the final recordkeeping maintained by the System follows the guidance as established by HRSA.
RE: Corrective Action Plan for Single Audit for the Year Ended December 31, 2022 (REF #2022-001) Finding: One federal award expenditure amount was incorrectly reported on the initial Schedule of Expenditures of Federal Awards (SEFA). Total expenditures of $2.1 million reported for the Coronavirus ...
RE: Corrective Action Plan for Single Audit for the Year Ended December 31, 2022 (REF #2022-001) Finding: One federal award expenditure amount was incorrectly reported on the initial Schedule of Expenditures of Federal Awards (SEFA). Total expenditures of $2.1 million reported for the Coronavirus State and Local Fiscal Recovery Fund were increased by $3.4 million to bring the final expenditures total for the cluster to $5.5 million for the year ended December 31, 2022. Cause: Internal controls and review processes were not in place to ensure the accuracy of expenditures reported on the annual SEFA. Recommendation: Management should implement procedures to help ensure that controls are in place that will allow for the accurate preparation of the SEFA. We recommend that the County perform a detailed analysis of expenditures for all significant awards on an annual basis. Corrective Action Plan: Effective immediately, the County will put in additional controls and verify all grants are monitored under additional scrutiny and are reported accurately in quarterly reports and the County’s Annual Comprehensive Financial Report (ACFR). Staff Responsible for Implementation: Matt Davis, County Auditor; Mike Sloan, Senior Associate; Jordan Wilson, Grant Associate Implementation Date: December 31, 2024 Status: In progress
Management acknowledges the finding and commits to taking corrective action. A thorough review of the factors contributing to the late filing will be conducted, and procedural enhancements will be implemented to ensure timely compliance with the submission requirements outlined in the Uniform Guidan...
Management acknowledges the finding and commits to taking corrective action. A thorough review of the factors contributing to the late filing will be conducted, and procedural enhancements will be implemented to ensure timely compliance with the submission requirements outlined in the Uniform Guidance. Management will also establish monitoring mechanisms to prevent future occurrences of late filings and ensure ongoing compliance.
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