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CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Treasury The City of Peabody, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Powers & Sullivan, LLC 100 Qu...
CORRECTIVE ACTION PLAN Oversight Agency for Audit: U.S. Department of Treasury The City of Peabody, Massachusetts respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Powers & Sullivan, LLC 100 Quannapowitt Parkway, Suite 101 Wakefield, MA 01880 Audit period: July 1, 2021 through June 30, 2022 The finding from the June 30, 2022, schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. DEPARTMENT OF EDUCATION Passed through Massachusetts Department of Elementary and Secondary Education Special Education Cluster Special Education Grants to States Federal Assistance Listing No. 84.027 Special Education Preschool Grants Federal Assistance Listing No. 84.173 2022-001: Controls for Monitoring Payroll Charged to the Grant Compliance Requirement: Allowable Costs/Cost Principles Type of Finding: Compliance and Internal Control Over Compliance ? Other Matter Criteria or Specific Requirement: Grantees must provide reasonable assurance that Federal Awards are expended only for allowable activities and that the costs of goods and services charged to Federal awards are allowable and in accordance with applicable cost principles. Condition: Payroll expenditures charged to the Special Education Cluster grant are required to be supported with documentation (i.e., semi-annual certifications and personnel activity reports) substantiating that the employees are eligible to be charged to the grant and that the payroll charged relates to time spent accomplishing grant objectives. The City utilizes semi-annual time and effort certification forms to document the eligibility of the employees paid out of the grant. These forms, however, were not consistently completed for each employee charged out of the grant. Furthermore, the forms that were completed did not include all data required by federal and state guidelines. Context: The City did not maintain sufficient documentation to demonstrate compliance with federal and state time and effort reporting requirements in accordance with the provisions of Title 2 U.S. Code of Federal Regulations Part 225 Cost Principals for State, Local, and Indian Tribal Governments. Effect: The City has not complied with the federal and state time and effort reporting requirements. Cause: Management has not established written guidelines and procedures outlining the time and effort reporting and documentation requirements that department heads must adhere with to ensure compliance with federal and state time and effort reporting requirements. Such guidelines and procedures should indicate under what circumstances semi-annual certifications and personnel activity reports (PARS) are required. Management also has not adopted and implemented standardized forms that include all data as required by federal and state guidelines to demonstrate compliance with these requirements. Questioned Costs: Total payroll costs charged to the grant in 2022 totaled $2,026,400, which was paid on a bi-weekly basis throughout the year. Three of the pay periods were selected for testing, which totaled $136,921 for 72 employees paid out of the grant during those pay periods. From the pay periods selected for testing, the following known questioned costs were identified: "SEE CORRECTIVE ACTION PLAN FOR TABLE" Repeat Finding: This matter was reported as a finding in the previous year as finding 2021-002. Recommendation: The City should establish written policies and procedures outlining the time and effort reporting and documentation requirements that must be adhered with to ensure compliance with federal and state time and effort reporting requirements. Management should adopt and implement standardized forms that include all data required by federal and state guidelines and provide training to ensure that program personnel understand the time and effort reporting requirements. Views of Responsible Officials and Planned Corrective Actions: The School District immediately began redesigning the form used for time and effort reporting, and the School District will immediately begin reissuing and recollecting the forms for the special education grant for 2022, as well as into future periods. If the Oversight Agency has questions regarding this plan, please call Samuel Rippin, School Business Manager, at 978-536-6520. Sincerely yours, Samuel Rippin School Business Manager City of Peabody
View Audit 32942 Questioned Costs: $1
Corrective Action Plan for Finding 2022-002 We are in receipt of the ?Findings Required to be Reported? by Uniform Guidance, regarding reporting. Management agrees with the finding and will perform a detailed review of the reporting requirements in accordance with the final guidelines set by HRSA. ...
Corrective Action Plan for Finding 2022-002 We are in receipt of the ?Findings Required to be Reported? by Uniform Guidance, regarding reporting. Management agrees with the finding and will perform a detailed review of the reporting requirements in accordance with the final guidelines set by HRSA. As deemed necessary, the District will modify policies and procedures over federal grant reporting. Management has completed an analysis and determined that while the net patient service revenue by financial class was improperly allocated, the calculated lost revenue that the District reported still exceeds the Provider Relief Funding received. Further, the information submitted for Period 2 was the exact same information submitted and audited for Period 1, which did not have any findings during the September 30, 2021 single audit. Grant Trollope, ACFO, is responsible to oversee and implement the corrective action plan. This corrective action plan will be implemented by September 30, 2023.
Corrective Action Plan for Finding 2022-001 We are in receipt of the finding required to be reported by Uniform Guidance, regarding questioned costs and material instance of noncompliance with respect to Allowable Costs/Cost Principles. Management agrees with the finding. Policies and procedures o...
Corrective Action Plan for Finding 2022-001 We are in receipt of the finding required to be reported by Uniform Guidance, regarding questioned costs and material instance of noncompliance with respect to Allowable Costs/Cost Principles. Management agrees with the finding. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information, including ensuring that expenditures are not reimbursed by more than one federal funding source. Additionally, management notes that the funding represented a loan from the City of Odessa and was fully repaid during December 2022. Grant Trollope, ACFO, will be responsible to ensure that the corrective action plan is followed. This corrective action plan will be implemented by September 30, 2023.
View Audit 30226 Questioned Costs: $1
Finding Number: 2022-001 Condition: The Organization does not have a review process in place related to the required reporting submissions to the U.S. Department of Health and Human Services for the PRF program. The Organization selected Option iii for reporting lost revenues, however the Organizat...
Finding Number: 2022-001 Condition: The Organization does not have a review process in place related to the required reporting submissions to the U.S. Department of Health and Human Services for the PRF program. The Organization selected Option iii for reporting lost revenues, however the Organization had mathematical footing errors in the calculation/determination of lost revenue for the second quarter of 2021 and second quarter of 2022. Planned Corrective Action: Mary Rutan will implement a process to ensure an independent review of the reporting submission is completed in future periods. Mary Rutan has updated the lost revenue calculations to correct the mathematical footing errors that were identified. Given the lost revenue reported in the period 4 portal submission was under reported to HHS, no further correction action is deemed necessary as the portal submission can no longer be modified. If any further funding is received that requires further reporting of lost revenues to HHS, Mary Rutan will ensure the lost revenue reported for quarter two of 2021 and quarter two of 2022 are properly reported based on the corrected calculations. Contact person responsible for corrective action: Tom Denbow, VP of Finance & Development Anticipated Completion Date: 9/30/2023
Finding 38252 (2022-002)
Significant Deficiency 2022
Federal program Coronavirus State and Local Fiscal Recovery Funds ? 21.027 Compliance requirements Reporting Recommendation We recommend the County review its grant reporting procedures and implement controls to ensure that grant reports are completed accurately and submitted timely. Comments on...
Federal program Coronavirus State and Local Fiscal Recovery Funds ? 21.027 Compliance requirements Reporting Recommendation We recommend the County review its grant reporting procedures and implement controls to ensure that grant reports are completed accurately and submitted timely. Comments on the Finding Recommendation Turnover in several key positions that were heavily involved in reporting for this program caused a lack of prior knowledge in reporting guidelines. This resulted in some clerical errors in submitting the annual report. Action Taken Employees tasked with reporting for federal programs will make every effort possible to complete reporting in an accurate and timely way according to program guidance. Employees reporting for federal programs will coordinate with the granting agency to make sure all questions are answered, and all reporting is in line with the granting agency?s guidelines before submitting any reports. This will be implemented as of 8/3/2023.
Finding 38251 (2022-001)
Significant Deficiency 2022
Federal program Coronavirus State and Local Fiscal Recovery Funds ? 21.027 Compliance requirements Activities allowed or unallowed, allowable costs/cost principles Recommendation We recommend the County review its controls to ensure that mistakes made during the calculation of expenditures for fe...
Federal program Coronavirus State and Local Fiscal Recovery Funds ? 21.027 Compliance requirements Activities allowed or unallowed, allowable costs/cost principles Recommendation We recommend the County review its controls to ensure that mistakes made during the calculation of expenditures for federal program reimbursement are caught and corrected in a timely manner. Comments on the Finding Recommendation With the complicated nature of the calculation of some of these federal expenditures, and the lack of reliable automation from our accounting system, minor mistakes were made in the calculation of some payroll related expenditures. Action Taken The County will make sure that any manually calculated payroll expenditures agree with the numbers processed through the accounting system. Additionally, the payroll clerk will double check the calculations to catch any errors the preparer may have missed. This will be implemented as of 8/3/2023.
We will update our written policies to include the required written policies under Uniform Guidance.
We will update our written policies to include the required written policies under Uniform Guidance.
Management has a better understanding of the requirements and will update the website to include the required communication to the public in regards to student funding.
Management has a better understanding of the requirements and will update the website to include the required communication to the public in regards to student funding.
PCC's Federal Grant Compliance Policy has been updated to ensure that the Development and Finance Departments will discuss with HRSA Program Officers all capital and other awards to obtain their concurrence and approval prior to any capital or other grant award draw. This will prevent miscommunicati...
PCC's Federal Grant Compliance Policy has been updated to ensure that the Development and Finance Departments will discuss with HRSA Program Officers all capital and other awards to obtain their concurrence and approval prior to any capital or other grant award draw. This will prevent miscommunication on unallowable costs for those grants.
View Audit 31234 Questioned Costs: $1
PCC will comply with all provisions of Notices of Awards for capital and all other grants awards by reading and signing off on the grant award provisions. In addition, specifically for all federal capital awards, the Development and Finance Departments will discuss the draw in advance with the HRSA ...
PCC will comply with all provisions of Notices of Awards for capital and all other grants awards by reading and signing off on the grant award provisions. In addition, specifically for all federal capital awards, the Development and Finance Departments will discuss the draw in advance with the HRSA Program Officer and HRSA Capital Program Officer prior to the actual drawdown of the award for their concurrence and approval.
PCC uses an integrated solution to AthenaOne for pre-registration called EPION. Patients are able to update family size and household income, if necessary, during mobile pre-registration. A Patient Care Representative (PCR) is responsible for reviewing any changes that occur in the pre-registration ...
PCC uses an integrated solution to AthenaOne for pre-registration called EPION. Patients are able to update family size and household income, if necessary, during mobile pre-registration. A Patient Care Representative (PCR) is responsible for reviewing any changes that occur in the pre-registration module and, in the case of family size and household income, recalculating the sliding fee scale to accurately reflect the patient record. PCC is retraining and reviewing this procedure with the PCRs.
vendors prior to commencement of their affiliation with PCC and simultaneously adding all new vendors to the existing monthly search for suspended and debarred vendors in the federal exclusions database with the Senior Executive Assistant responsible for queries. The Senior Executive Assistant to re...
vendors prior to commencement of their affiliation with PCC and simultaneously adding all new vendors to the existing monthly search for suspended and debarred vendors in the federal exclusions database with the Senior Executive Assistant responsible for queries. The Senior Executive Assistant to review entire list of vendors on a monthly basis to ensure all current vendors have been added to the master list prior to running query each month. The Senior Executive Assistant will work with CEO to identify any new vendors prior to commencement of their affiliation with PCC in a timely manner.
The appropriate staff at PCC were re-educated to ensure that the existing PCC procurement policy will be adhered to. This policy will be reviewed at the quarterly SEFA meetings and documented as such.
The appropriate staff at PCC were re-educated to ensure that the existing PCC procurement policy will be adhered to. This policy will be reviewed at the quarterly SEFA meetings and documented as such.
The Organization agrees with the finding. The staff assigned to this particular client had performance issues related to completing paperwork. The staff and their supervisor created a plan to complete outstanding reports, but the staff was terminated before this report was prepared. The Organization...
The Organization agrees with the finding. The staff assigned to this particular client had performance issues related to completing paperwork. The staff and their supervisor created a plan to complete outstanding reports, but the staff was terminated before this report was prepared. The Organization developed a revised tracking and submission system, and additional training on the new system will take place in November 2022.
View Audit 30040 Questioned Costs: $1
The District will implement the following procedures immediately to ensure all compliance requirements related to Davis Bacon are met: 1. An attached document will be included in all contracts with the section marked and discussed, signed off on stating there is a clear understanding of the require...
The District will implement the following procedures immediately to ensure all compliance requirements related to Davis Bacon are met: 1. An attached document will be included in all contracts with the section marked and discussed, signed off on stating there is a clear understanding of the requirements to pay laborers not less than one time a week and submit weekly payroll records to the District. 2. The District will present a schedule with a list of items that need to be submitted to the contractor. 3. The Treasurer or designee will monitor timely receipts of the payroll details and check for completeness ? then log the receipt of each item presented on the Contractor Log for each project. 4. As invoices are presented for payment, the Treasurer or designee will compare the date on the invoice to the payroll record log to ensure that all required documents have been received, checked for compliance and logged. 5. If all records have been received and noted, the invoice can move to Accounts Payable to obtain the proper approvals and be paid. 6. If all payroll records have not been received, the invoice will be returned to the vendor with a clear explanation of reason and a list of items that are missing. 7. Once all items are received and compliant, the invoice can move to Accounts Payable to obtain the proper approvals and be paid. Anticipated Completion Date: These procedures will be put into place immediately; all projects in process will be addressed to ensure these compliance procedures are implement and documents are received prior to issuance of future payments. Responsible Contact Person: Terri Eyerman, Treasurer
Finding 38221 (2022-002)
Significant Deficiency 2022
Views of Responsible Officials: Management concurs with the finding and will ensure that the reports are filed timely.
Views of Responsible Officials: Management concurs with the finding and will ensure that the reports are filed timely.
Cook County BOE FA 2022-001 Improve Controls over Cash Management Compliance Requirement: Cash Management Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of E...
Cook County BOE FA 2022-001 Improve Controls over Cash Management Compliance Requirement: Cash Management Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Federal Awarding Agency: U.S. Department of Education Pass-Through Entity: Georgia Department of Education Assistance Listing Number and Title: COVID-19 - 84.425D - Elementary and Secondary School Emergency Relief Fund COVID-19 - 84.425U - American Rescue Plan Elementary and Secondary School Emergency Relief Fund Federal Award Number: S425D210012 (Year: 2021) S425U2120012 (Year: 2021) Questioner Costs: $195,559 Description: The School District made cash drawdowns in excess of the immediate cash needs of the Elementary and Secondary School Emergency Relief Fund program. Corrective Action Plans: In order to prevent drawdowns from being mixed up between two federal grants, an additional financial staff member will sign off on the drawdowns. Estimated Completion Date: August 1, 2023 Contact Person: Jackie Sparks, Finance Director Telephone: (229)-896-2294 Email: jsparks@cook.k12.ga.us
View Audit 37553 Questioned Costs: $1
Enrollment Reporting - Executed in FY23 The University agrees with this finding. As a result, the University has taken the following action: The Office of the Registrar has adjusted their processes so that students who are on a LOA will continue to be in an AS- Active Student status for 180 days aft...
Enrollment Reporting - Executed in FY23 The University agrees with this finding. As a result, the University has taken the following action: The Office of the Registrar has adjusted their processes so that students who are on a LOA will continue to be in an AS- Active Student status for 180 days after their LOA and will have an active enrollment status (WL - LOA Withdrawn (NSC)) on the student registration form to ensure they are sent to the National Student Clearinghouse in a timely manner. The Office of the Registrar has also adjusted their processes so that students withdrawing at the end of a semester will have an active enrollment status (WE - Withdrawn EOT) on their student registration form to ensure they are sent to the National Student Clearinghouse in a timely manner.
2022-001 ALN 14.871 ? Housing Voucher Cluster ? Activities Allowed or Unallowed The Executive Director acknowledges the finding and is following the auditor's recommendation ...
2022-001 ALN 14.871 ? Housing Voucher Cluster ? Activities Allowed or Unallowed The Executive Director acknowledges the finding and is following the auditor's recommendation as listed in the Schedule of Findings and Questioned Costs. In 2021, the Authority was instructed by Keith Landrum of the Columbia, South Carolina HUD Field Office to stop making payments until the matter could be further investigated to see what amounts, if any, are still owed. Management will continue to monitor budgets to ensure that funds are adequate. Management has and will continue to make budget revisions to reduce unessential operating costs. The Authority has designed and implemented a Board approved formal repayment agreement. Person Responsible for Correction of Finding: Mark Fountain, Executive Director Projected Completion Date: June 30, 2023
View Audit 35961 Questioned Costs: $1
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: We have enhanced our capability in extracting student head count and number of students receiving HEERF awards for any future quarterly reporting. Anticipated Completion Date: June 30, 2023
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: We have enhanced our capability in extracting student head count and number of students receiving HEERF awards for any future quarterly reporting. Anticipated Completion Date: June 30, 2023
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: Policies and procedures were updated and reviewed by staff. Disbursement notifications will be sent on the day the loans disburse and staff will cross check to ensure that the notification has been recorded in Pfaids com...
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: Policies and procedures were updated and reviewed by staff. Disbursement notifications will be sent on the day the loans disburse and staff will cross check to ensure that the notification has been recorded in Pfaids communication log and Reconciliation screen in Powerfaids. Anticipated Completion Date: August 1, 2022
Contact Person: Kathleen Boody, Associate Vice President for Student Retention/Registrar Corrective Action: The primary reason for the errors in enrollment reporting is due to a change in the enrollment reporting schedule through the National Clearing House. The National Clearing house had adopted ...
Contact Person: Kathleen Boody, Associate Vice President for Student Retention/Registrar Corrective Action: The primary reason for the errors in enrollment reporting is due to a change in the enrollment reporting schedule through the National Clearing House. The National Clearing house had adopted a change to automate the enrollment reporting schedule to mimic the year prior. When they did it the Summer Graduates Only Report was dropped from the schedule in summer 2021. All the errors in this report were related to the summer graduated only report. The Registrar went in through the NSCH and updated student records for this period to ensure they were actually graduated through the system. Additionally, the Registrar went into NSCH and double checked that all graduation periods are scheduled for a graduate?s only report in a timely manner. Anticipated Completion Date: March 31, 2023
Contact Person: Steven Schissler, Interim Director Student Accounts Corrective Action: The University has experienced instability of personnel in the Student Accounts are which has caused inconsistencies in the review process for credit balances. A new analyst started in October 2022 and credit bal...
Contact Person: Steven Schissler, Interim Director Student Accounts Corrective Action: The University has experienced instability of personnel in the Student Accounts are which has caused inconsistencies in the review process for credit balances. A new analyst started in October 2022 and credit balances are currently being reviewed for multiple terms, which will ensure that late disbursements and account adjustments for prior terms are incorporated into the review process for credit balances. In addition, GCU will change the timing of disbursements to limit the account adjustments that will occur after disbursements take place. Additionally, an upgrade the student accounts computing system should increase reporting capability to better comply with regulations regarding return of credit balances. This upgrade is expected to be in place by June 2023. Anticipated Completion Date: June 1, 2023
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: Staff members have and will continue to participate in NASFAA verification webinars as well as complete Verification training through the Federal Student Aid training center. Internal staff training was conducted, and an...
Contact Person: Cynthia McCarthy, Director of Financial Aid Corrective Action: Staff members have and will continue to participate in NASFAA verification webinars as well as complete Verification training through the Federal Student Aid training center. Internal staff training was conducted, and an additional quality assurance program has been instituted. Policies and procedures were reviewed and updated. Anticipated Completion Date: August 1, 2022
View Audit 35960 Questioned Costs: $1
Finding 38200 (2022-001)
Material Weakness 2022
Finding Number: 2022-001 Finding Title: Performance Reporting Program: 97.036 Disaster Grants ? Public Assistance (Presidentially Declared Disasters) Name of Contact Person Responsible for Corrective Action: Nick Brozek Corrective Action Planned: FEMA reports will be submitted quarterly. Reports wil...
Finding Number: 2022-001 Finding Title: Performance Reporting Program: 97.036 Disaster Grants ? Public Assistance (Presidentially Declared Disasters) Name of Contact Person Responsible for Corrective Action: Nick Brozek Corrective Action Planned: FEMA reports will be submitted quarterly. Reports will be prepared and signed by the Ditch Inspector, and verified by the Director. Director will initial reports. Anticipated Completion Date: 6/30/2023
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