Corrective Action Plans

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Finding No. 2022-001 Name of the contact person responsible for corrective action: Michael Pagano, CFO 1. Corrective action planned: Management will ensure that all future reporting will be prepared by an accounting official and be reviewed by a reviewer who is a level above the preparer. Manageme...
Finding No. 2022-001 Name of the contact person responsible for corrective action: Michael Pagano, CFO 1. Corrective action planned: Management will ensure that all future reporting will be prepared by an accounting official and be reviewed by a reviewer who is a level above the preparer. Management will also maintain evidence of the review process. 2. Anticipated completion date: The new processes and expense reconciliation will be implemented immediately for any future PRF submissions. 3. If the client does not agree with the audit findings or believes corrective action is not required, include an explanation and specific reasons: We agree with finding No. 2022-001
University of Holy Cross will develop a formal process to monitor the submission of all required reports to ensure that all reports are submitted timely in compliance with the requirements of Higher Education Emergency Relief Fund (HEERF) terms and agreements.
University of Holy Cross will develop a formal process to monitor the submission of all required reports to ensure that all reports are submitted timely in compliance with the requirements of Higher Education Emergency Relief Fund (HEERF) terms and agreements.
Incorrect Pell Calculations Planned Corrective Action: The University will establish additional controls over changes in enrollment status after the initial enrollment date and return of Title IV funds, including verification of enrollment status after the third week of initial enrollment and verif...
Incorrect Pell Calculations Planned Corrective Action: The University will establish additional controls over changes in enrollment status after the initial enrollment date and return of Title IV funds, including verification of enrollment status after the third week of initial enrollment and verification of enrollment status upon return of Title IV funds. Person Responsible for Corrective Action Plan: Roberta Martinez, Manager of Student Financial Services Anticipated Date of Completion: February 2023
View Audit 32580 Questioned Costs: $1
Finding # 2022-003 Response South Lyon Medical Center received the provider relief funds in May 2020. Immediately after award, and using HRSA?s authorized usage of the funds, Administration reviewed weaknesses in the facility needed to mitigate the COVID19 pandemic. After due diligence and several...
Finding # 2022-003 Response South Lyon Medical Center received the provider relief funds in May 2020. Immediately after award, and using HRSA?s authorized usage of the funds, Administration reviewed weaknesses in the facility needed to mitigate the COVID19 pandemic. After due diligence and several meetings on the funding guidelines, SLMC determined the greatest benefit to the community and patients was to upgrade the original HVAC system in its 1963 skilled nursing facility as the most effective way for SLMC to prevent, prepare for, and respond to coronavirus. The facility?s architect/engineer was immediately tasked with the creation of a feasibility report and design plans to perform the needed upgrades, removing the 1963 antiquated system and replacing it with a modern efficient system and the process of finding a contractor to complete the project. In October 2020, plans were completed and submitted to contractors in the surrounding area in pursuit of a proposal. The project was awarded to Miles Construction in March 2021 and a contract was signed on May 5th, 2021. HVAC projects at hospitals require a significant amount of time to plan, design, and build under normal circumstances, even before taking into consideration complications added by the pandemic, which included contractor shortages, labor availability issues, and supply chain issues. These obstacles are much more pronounced in rural areas. There were additional delays in receiving State approval due to the increased number of projects submitted for review to the state during this period. The Medical Center committed funds to the project and entered into the contract in good faith, using the guidance available at the time of the commitment. The project was part of the Medical Center?s initiative to prevent, prepare for, and respond to coronavirus and, accordingly, the Provider Relief Fund grants were used to help fund the initiative. The FAQs available at the time the contract was executed did not include a requirement that the capital project be fully complete by the end of the Period of Availability to be an allowable use of the funds. This requirement was added on August 30, 2021, which is two months after the end of the period 1 Period of Availability, June 30, 2021. Responsible Party David Bezard, CFO South Lyon Health Center, Inc. Estimated Completion The Project was completed and put into service in September 2022 after the Fire Marshall?s final inspection and the Contractor/Architect signed off on the project?s completion.
View Audit 32577 Questioned Costs: $1
January 31, 2023 Caroline County School Board respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3106 Electric Road Roanoke, VA 24018 Audit period: June 30, 2022 The ...
January 31, 2023 Caroline County School Board respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Brown, Edwards & Company, L.L.P. 3106 Electric Road Roanoke, VA 24018 Audit period: June 30, 2022 The findings from the June 30, 2022 Schedule of Findings and Questioned Costs (the "Schedule") are discussed below. The findings are numbered consistently with the number assigned in the Schedule. FINDINGS - FINDINGS AND QUESTIONED COSTS - MAJOR FEDERAL AWARD PROGRAMS AUDIT 2022-002: Procurement Policies and Procedures -COVID-19 Governor's Emergency Education Relief Fund - AL# 84.425C, COVID-19 Elementary and Secondary School Emergency Relief Fund - AL# 84.425D, and COVID-19 American Rescue Plan Elementary and Secondary School Emergency Relief Fund-AL#84.425U Condition: The School Board adheres to and follows Virginia Public Procurement Act "VPPA" for procurement, however, under the requirements of Uniform Guidance, the School Board does not have complete, written procurement policies that are in compliance with the additional standards required by the Uniform Guidance (2 CFR Part 200). Criteria: Under the requirements in the Uniform Guidance, all entities are required to have written procurement policies that conform to applicable Federal laws and regulations and standards. The complete procurement standards are located at 2 CFR Part 200, Sections 317 through 326. Cause: The School Board does not have its own written procurement policies that conform to applicable Federal laws and regulations and standards. Effect: The lack of the School Board's own written policies under the specific requirements of Uniform Guidance could result in potential improper procurement using Federal funds. Questioned Costs: Not applicable Perspective Information: Not applicable Repeat Finding: Not applicable Recommendation: Management should update existing written procurement procedures to align with Uniform Guidance requirements for all purchases to be made with Federal funds. Views of Responsible Officials and Planned Corrective Action: CCPS School Board had approved updated procurement policies in July 2021 in response to the FY20 management letter comment on Uniform Guidance Policies. Upon receipt of the FY21 management letter, which included a repeat comment on Uniform Guidance Policies for the school board, CCPS staff contacted the previous auditors and shared with them the updated policies that the school board had previously updated and approved. The prior audit firm confirmed all required policies that pertained to the management letter comment had been updated. The new audit firm does not believe the school board policy updates that were approved previously were sufficient. Management has begun to review the existing written procurement policies and procedures and will complete another update to comply with the Uniform Guidance no later than May 2023. If the Federal Audit Clearinghouse has questions regarding this plan, please call Marcia Stevens, Chief Operations Officer at 804-633-5088 ext 1095. Sincerely yours, Marcia S. Stevens, CPA Chief Operations Officer
Corrective Action Plan Responsible Official: Iman Riddick, Registrar and T.J. Snowden, Director of Financial Aid Anticipated Completion Date: Dec 15, 2022 Finding 2022-001: Enrollment Reporting and Documentation of Controls Views of Responsible Officials and Planned Corrective Action: Management ...
Corrective Action Plan Responsible Official: Iman Riddick, Registrar and T.J. Snowden, Director of Financial Aid Anticipated Completion Date: Dec 15, 2022 Finding 2022-001: Enrollment Reporting and Documentation of Controls Views of Responsible Officials and Planned Corrective Action: Management agrees with the recommended corrective action for which the Institute immediately began to remediate. This relates to the National Student Loan Data System (NSLDS) site modernization resulting in NSLDS functionality/operational pauses that included the data flow from National Student Clearinghouse (NSC) to NSLDS. This issue has been resolved. The Institute has established a procedure to ensure this does not happen again. It should also be noted that as of December 2022, the Director of Financial Aid and Registrar have implemented procedures and controls to ensure that all required reporting to the NSLDS is performed accurately and in a timely manner. Each month?s enrollment data submission to National Student Clearinghouse by the Registrar will be reviewed by the Director of Financial Aid to verify the consistency of the data in NSLDS; The Director of Admissions and the Registrar will review submission of the 10 business days after the original submission and on the 14th of each month prior to the submission of the next batch of enrollment data to the National Student Clearinghouse. This will allow IWP to correct any inaccurate reporting and verify timely submissions to both systems, providing a preventive control in addition to the resolution of the NSLDS functionality pause.
2022-001 Material Weakness in Internal Control Over Compliance and Compliance Finding Recommendation: We recommend that the District follow its procurement policies as well as requirements within the Uniform Guidance to perform the proper verification procedures on all covered transactions entered i...
2022-001 Material Weakness in Internal Control Over Compliance and Compliance Finding Recommendation: We recommend that the District follow its procurement policies as well as requirements within the Uniform Guidance to perform the proper verification procedures on all covered transactions entered into with federal funds. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The District will work to revise its procedures and policies over procurement to ensure that the District performs the proper suspension and debarment procedures prior to entering into a covered transaction, either through a sam.gov check or by including self-certification language in the contract. Name(s) of the contact person(s) responsible for corrective action: Pam Jensen, Finance Manager. Planned completion date for corrective action plan: June 30, 2023
Corrective Action Plan for Current Year Finding Tulsa Educare, Inc. submits the following corrective action plans for the identified finding for the audit period July 1, 2021, through June 30, 2022. Finding 2022-001: Submission of Data Collection Form Corrective Action: Tulsa Educare has added a ...
Corrective Action Plan for Current Year Finding Tulsa Educare, Inc. submits the following corrective action plans for the identified finding for the audit period July 1, 2021, through June 30, 2022. Finding 2022-001: Submission of Data Collection Form Corrective Action: Tulsa Educare has added a task to its financial audit checklist of ensuring the data collection form and reporting package is submitted to the Federal Audit Clearinghouse within the required timeframe. Person Responsible: Brad Weber, Director of Finance Timing for Implementation: Immediate
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Grant County Health District January 1, 2022 through December 31, 2022 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Feder...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Grant County Health District January 1, 2022 through December 31, 2022 This schedule presents the corrective action the District is planning to take for findings included in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District?s internal controls were inadequate for ensuring compliance with federal requirements for suspension and debarment requirements. Name, address, and telephone of the District contact person: Darcy Moss, Finance Services Program Facilitator, 1038 W Ivy Ave Ste 1, Moses Lake, WA 98837 (509)-766-7960 Ext #23 Corrective action the auditee plans to take in response to the finding: Grant County Health District agrees with the finding and will update its written procurement policy and procedures that conform with Uniform Guidance standards (2 CFR 200.318-327) that will formalize a process to check all new contractor?s exclusion records in the System for Award Management (SAM.gov) and to retain copies of those searches in the vendor?s file including those searches where the vendor is not found in the system. Anticipated date to complete the corrective action: The updated policy will go before the board for review and approval no later than March 2024.
CORRECTIVE ACTION PLAN Audit Firm: Winkel Green & Company LLP Audit Period: January 1, 2022 through December 31, 2022 CAP Prepared by: Name: Beth Fetzer-Rice Position: Executive Director Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Fin...
CORRECTIVE ACTION PLAN Audit Firm: Winkel Green & Company LLP Audit Period: January 1, 2022 through December 31, 2022 CAP Prepared by: Name: Beth Fetzer-Rice Position: Executive Director Current Findings on the Schedule of Findings, Questioned Costs and Recommendations 1. Finding 2022-001 a. Comments on the Finding and Recommendation. Uniform Guidance stipulates that reimbursements are paid to subrecipients in a timely manner. The Organization did not pay subrecipients in a timely manner for the months of April through December 2022, resulting in $234,254 of untimely reimbursements. b. Action Taken or Planned on the Finding The Organization will meet with subgrantees to establish increased control processes, including outlining documentation requirements, timeframes for reimbursement submission, identifying correct staff contacts for timely communications, and formalizing a timeframe for approving/distributing subrecipient disbursements. The Organization has paid all reimbursements through December 2022 as of August 30, 2023.
View Audit 34608 Questioned Costs: $1
Our Katahdin will implement a process where their employee enters all payments due, and the Board Treasurer will review and approve those payments. Because of limited staff, both of these individuals will be authorized signers, which is partially mitigated through the dual control over reconciliatio...
Our Katahdin will implement a process where their employee enters all payments due, and the Board Treasurer will review and approve those payments. Because of limited staff, both of these individuals will be authorized signers, which is partially mitigated through the dual control over reconciliations and review. Our Katahdin will also assign a board member without account signing authority to perform a monthly activity review. Responsible official: Nancy DeWitt, Treasurer (207) 618-9187 Expected completion date: October 31, 2023
Action Taken: In December 2022, HACS staff (maintenance and Interim Executive Director) attended NSPIRE inspection standards training. NSPIRE standards are due to go live in 2023. The HUD Recovery Administrators are providing a HUD engineer on site to provide Technical assistance. Additionally, HACS...
Action Taken: In December 2022, HACS staff (maintenance and Interim Executive Director) attended NSPIRE inspection standards training. NSPIRE standards are due to go live in 2023. The HUD Recovery Administrators are providing a HUD engineer on site to provide Technical assistance. Additionally, HACS management is drafting, and will provide to its board and its audit firm prior to March 31, 2023, a schedule of Public Housing inspections to be completed in the coming calendar year.
Action Taken: HACS Interim Executive Director has reviewed the applicable HUD notices and will prepare and recommend a change to its current procurement policy by 3/30/2023 to codify this action for future engagements.
Action Taken: HACS Interim Executive Director has reviewed the applicable HUD notices and will prepare and recommend a change to its current procurement policy by 3/30/2023 to codify this action for future engagements.
View Audit 31989 Questioned Costs: $1
Action Taken: HACS Interim Executive Director is preparing, and will advertise no later than January 31, 2023, RFQs and RFPs for all vendors and services cited in the audit. Additionally, HACS management will recommend to its Board adjustments to the procurement policy by March 31, 2023 so that bidd...
Action Taken: HACS Interim Executive Director is preparing, and will advertise no later than January 31, 2023, RFQs and RFPs for all vendors and services cited in the audit. Additionally, HACS management will recommend to its Board adjustments to the procurement policy by March 31, 2023 so that bidding thresholds are more representative of the needs of a small housing authority.
Action Taken: HACS Management has begun training staff in SEMAP reporting standards. By June 30, 2023 HACS Interim Executive Director will designate a single responsible person and will issue procedures for SEMAP reporting and recordkeeping that are consistent with HUD regulations. As part of the pr...
Action Taken: HACS Management has begun training staff in SEMAP reporting standards. By June 30, 2023 HACS Interim Executive Director will designate a single responsible person and will issue procedures for SEMAP reporting and recordkeeping that are consistent with HUD regulations. As part of the process, HACS will increase its sample size for all indicators, ensuring that it is within compliance with regulation.
Finding 35099 (2022-001)
Significant Deficiency 2022
Federal Award Finding Finding 2022-001 Lack of Internal Controls and Noncompliance over Subrecipient Monitoring Name of Contact Person: Dora Cross, Finance Director Corrective Action Plan: The Borough Manager will either assign grant-related monitoring staff in the finance department or ensure th...
Federal Award Finding Finding 2022-001 Lack of Internal Controls and Noncompliance over Subrecipient Monitoring Name of Contact Person: Dora Cross, Finance Director Corrective Action Plan: The Borough Manager will either assign grant-related monitoring staff in the finance department or ensure that non-finance department staff assigned to a grant participate in grant training to ensure they are fully aware of subrecipient monitoring requirements. Proposed Completion Date: December 31, 2022
2022-005 Procurement Federal Assistance Listing Number: 10.CNC District will update their procurement policy for small purchases and proposals with aggregate expenditures over $10,000 by obtaining price quotes from a minimum of two vendors. Responsible Official: Karl Volkmann, Business Manager ...
2022-005 Procurement Federal Assistance Listing Number: 10.CNC District will update their procurement policy for small purchases and proposals with aggregate expenditures over $10,000 by obtaining price quotes from a minimum of two vendors. Responsible Official: Karl Volkmann, Business Manager Anticipated Completion Date: June 30, 2023
2022-004 Special Tests and Provisions ? Verification of Free and Reduced Price Applications Federal Assistance Listing Number: 10.CNC District is in the process of establishing procedures and controls by the Business Manager to oversee the retention of verification documentation and information ...
2022-004 Special Tests and Provisions ? Verification of Free and Reduced Price Applications Federal Assistance Listing Number: 10.CNC 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. Responsible Official: Karl Volkmann, Business Manager Anticipated Completion Date: June 30, 2023
2022-003 Segregation of Duties ? Reporting Federal Assistance Listing Number: 10.CNC Management is cognizant of the District?s internal control structure and continues to evaluate cost effective opportunities to further improve segregation of duties. It is the District?s plan to train an indivi...
2022-003 Segregation of Duties ? Reporting Federal Assistance Listing Number: 10.CNC Management is cognizant of the District?s internal control structure and continues to evaluate cost effective opportunities to further improve segregation of duties. It is the District?s plan to train an individual in the process of submitting claims in order to create a review process of the grant management process. Responsible Official: Karl Volkmann, Business Manager Anticipated Completion Date: June 30, 2023
Name of contact person: Laura Shola, Business Manager Corrective Action: We were under the false notion that purchases made through the Commonwealth of Pennsylvania?s cooperative purchasing program (COSTAR) satisfied compliance of quote/bid requirements of federal purchases. We will follow our ...
Name of contact person: Laura Shola, Business Manager Corrective Action: We were under the false notion that purchases made through the Commonwealth of Pennsylvania?s cooperative purchasing program (COSTAR) satisfied compliance of quote/bid requirements of federal purchases. We will follow our policy for federal purchases subject to quotation/bid requirements moving forward. When federal money is used, we will not use cooperative purchasing programs as the only source of quotation/bid for federal purchases. We also implemented processes to improve documentation relating to purchases that meet sole source criteria. Anticipated Completion Date: The District will implement the above procedure immediately.
View Audit 31736 Questioned Costs: $1
Name of contact person: Laura Shola, Business Manager Corrective Action: The process of reporting eligible federal expenditures will be modified to ensure that remittances to request reimbursement occur in a timely manner. Anticipated Completion Date: The District will implement the above proced...
Name of contact person: Laura Shola, Business Manager Corrective Action: The process of reporting eligible federal expenditures will be modified to ensure that remittances to request reimbursement occur in a timely manner. Anticipated Completion Date: The District will implement the above procedure immediately.
Procurement, Suspension, and Debarment Recommendation: We recommend the District review and update the procurement and suspension and debarment policies. We also recommend that the District ensure that approved policies that meet federal requirements are consistently followed. Explanation of disagr...
Procurement, Suspension, and Debarment Recommendation: We recommend the District review and update the procurement and suspension and debarment policies. We also recommend that the District ensure that approved policies that meet federal requirements are consistently followed. Explanation of disagreement with audit finding: There is no disagreement with the finding. Action taken in response to finding: The District is in the process of updating the District?s policy and providing training to those affected. Name of the contact person responsible for corrective action: Peter Grender, Finance Director Planned completion date for corrective action plan: 12/31/2023
Finding 2022-003 Name of Contact Person: Terry Dudney, Chief Finance Officer Corrective Action Plan: Management will implement controls and procedures to ensure that expenditures do not exceed DPI allotments. Proposed Completion Date: As soon as possible.
Finding 2022-003 Name of Contact Person: Terry Dudney, Chief Finance Officer Corrective Action Plan: Management will implement controls and procedures to ensure that expenditures do not exceed DPI allotments. Proposed Completion Date: As soon as possible.
View Audit 23893 Questioned Costs: $1
Finding 2022-002 Name of Contact Person: Terry Dudney, Chief Finance Officer Corrective Action Plan: Management will implement controls and procedures to ensure that federal funds are expended in a timely manner. Proposed Completion Date: As soon as possible.
Finding 2022-002 Name of Contact Person: Terry Dudney, Chief Finance Officer Corrective Action Plan: Management will implement controls and procedures to ensure that federal funds are expended in a timely manner. Proposed Completion Date: As soon as possible.
Finding #2: Finding: Current procedures did not produce an accurate estimate of the potential shortfall of the PAI requirement in order to request an adequate waiver. Person responsible for resolution: Fiscal Department Expected completion date March 2023 Finding response: Management will updat...
Finding #2: Finding: Current procedures did not produce an accurate estimate of the potential shortfall of the PAI requirement in order to request an adequate waiver. Person responsible for resolution: Fiscal Department Expected completion date March 2023 Finding response: Management will update the procedures to ensure compliance with the requirements of 45 CFR ? 1614. LASP hired a new Pro Bono Director in December 2021, a newly created position. Her hire will assist in ensuring that LASP will meet LSC PAI requirements going forward.
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