Corrective Action Plans

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Finding 286696 (2022-063)
Significant Deficiency 2022
In December 2022, the Office of Financial Aid strengthened its internal control over the reporting requirements for the Higher Education Emergency Relief Fund (HEERF), by adding the report due dates to the internal operational calendar. Additional level reviews were also added to the submission proc...
In December 2022, the Office of Financial Aid strengthened its internal control over the reporting requirements for the Higher Education Emergency Relief Fund (HEERF), by adding the report due dates to the internal operational calendar. Additional level reviews were also added to the submission process before the required reports will be sent to the Department of Education and posted on the financial aid website.
Finding 286695 (2022-062)
Significant Deficiency 2022
In January 2023, the Executive Director of Financial Aid and Scholarships implemented a code of conduct that addresses and prohibits University personnel from awarding financial aid to their family members or other persons considered conflicts of interest. The Office of Financial Aid and Scholarship...
In January 2023, the Executive Director of Financial Aid and Scholarships implemented a code of conduct that addresses and prohibits University personnel from awarding financial aid to their family members or other persons considered conflicts of interest. The Office of Financial Aid and Scholarships will draft policy by June 30, 2023, to address the segregation of duties that prohibits awarding and disbursing federal, state, or institutional funding to students by one employee.
View Audit 282464 Questioned Costs: $1
Finding 286694 (2022-064)
Significant Deficiency 2022
Management agrees. After the notification of the missing HEERF report in December 2021, the UCCS Controller proposed a ?cross-check? process to ensure all future reporting is in compliance and reported in a timely manner. This process is used for both the quarterly and annual reporting process. In ...
Management agrees. After the notification of the missing HEERF report in December 2021, the UCCS Controller proposed a ?cross-check? process to ensure all future reporting is in compliance and reported in a timely manner. This process is used for both the quarterly and annual reporting process. In the quarterly reporting process, the UCCS Controller completes the institutional report and emails the report to the UCCS Financial Aid office Senior Executive Director for verification of the amounts and the data submitted. The Senior Executive Director then enters the student aid portion?s information and provides this to the UCCS Controller for verification of the data. Once verified, the report is uploaded to the UCCS website and a confirmation email is sent to the UCCS Controller as well as the heerfreporting@ed.gov for verification of completion of the website posting.
(A) Going forward, the Director of Purchasing will perform all Sam.Gov searches. The secondary reviews to ensure compliance for the System's procurement and suspension and debarment procedures will be conducted by the Vice President of Administration and Finance. (B) The corresponding documents sup...
(A) Going forward, the Director of Purchasing will perform all Sam.Gov searches. The secondary reviews to ensure compliance for the System's procurement and suspension and debarment procedures will be conducted by the Vice President of Administration and Finance. (B) The corresponding documents supporting procurement transactions and suspension and debarment checks will be scanned and filed along with the Purchase order. (C) Training will be provided to fiscal and grant staff for identifying when suspension and debarment must be checked for vendors of federal programs, processes and websites to access, and methodology for documenting with the purchase documentation.
View Audit 282464 Questioned Costs: $1
(A) Otero College has adopted the system offices Sole Source justification form that will be posted to the State procurement site, requires supervisory approval, and has put that into place as of August 2022. (B) Otero College will ensure they maintain supporting documentation for procurements. (C...
(A) Otero College has adopted the system offices Sole Source justification form that will be posted to the State procurement site, requires supervisory approval, and has put that into place as of August 2022. (B) Otero College will ensure they maintain supporting documentation for procurements. (C) Otero College has a new procurement official that has attended various trainings regarding procurement rules.
View Audit 282464 Questioned Costs: $1
(A) Beginning in October 2022, the duty was moved from the Principal Investigator or instructional staff previously responsible for this step to the Director of Purchasing to ensure compliance for all grant transactions. (B) Training will be provided for identifying when suspension and debarment mu...
(A) Beginning in October 2022, the duty was moved from the Principal Investigator or instructional staff previously responsible for this step to the Director of Purchasing to ensure compliance for all grant transactions. (B) Training will be provided for identifying when suspension and debarment must be checked for vendors of federal programs, processes and websites to access, and methodology for documenting with the purchase, to fiscal and grant staff.
View Audit 282464 Questioned Costs: $1
Finding 286570 (2022-060)
Significant Deficiency 2022
Mines was delayed in processing NSLDS files due to staffing changes and employee leave. Mines has constructed a process to ensure timely future reporting along with an agreed upon trained back-up for the primary person if they are out for an extended time. Additionally, we have changed how often we ...
Mines was delayed in processing NSLDS files due to staffing changes and employee leave. Mines has constructed a process to ensure timely future reporting along with an agreed upon trained back-up for the primary person if they are out for an extended time. Additionally, we have changed how often we report enrollment files to the Clearinghouse (NSC). We are now reporting every two weeks. The error reports generated after the files are submitted are reviewed as soon as they?re posted, a copy downloaded from NSC and reviewed for corrections which are then completed as soon as possible. Mines is working on an updating the documentation for the full process, including all of the cleanup reports that are run in COGNOS and the Banner jobs before the enrollment file is even processed.
Name of contact person: Sue Ledford, Executive Director Corrective Action: Improve documentation of inspections and follow-up with landlords and tenants to ensure compliance with Administrative Plan. Utilize the following methods: a. Continue monthly meeting with Housing Specialist/Outreach W...
Name of contact person: Sue Ledford, Executive Director Corrective Action: Improve documentation of inspections and follow-up with landlords and tenants to ensure compliance with Administrative Plan. Utilize the following methods: a. Continue monthly meeting with Housing Specialist/Outreach Workers. Implemented 7/1/22. b. Ensure minutes reflect internal audit of files and document in FSCA Common Drive. Implemented 12/15/22. c. Ensure ongoing quality review and follow up inspections conducted per administration plan. Implemented 7/1/22. Proposed Completion Date: 2/15/23.
Name of Contact Person: Sue Ledford, Executive Director. Corrective Action and Proposed Completion Dates: 1. ED monthly 1:1 with Directors meetings to continue. Implemented 5/1/2022. 2. Monthly Group meeting with Directors/Leadership Team to continue. Implemented 5/1/2022. 3. Internal Audit ...
Name of Contact Person: Sue Ledford, Executive Director. Corrective Action and Proposed Completion Dates: 1. ED monthly 1:1 with Directors meetings to continue. Implemented 5/1/2022. 2. Monthly Group meeting with Directors/Leadership Team to continue. Implemented 5/1/2022. 3. Internal Audit (monitoring) to be conducted quarterly by each Departmental Director. Partner with Leadership Team to complete. Implement by 3/30/23. a. Review mandated contractual compliance, financial compliance, and adequate documentation processes. b. Documentation to filed on FSCA Common Drive. 4. Continue internal audits/monitoring of HUD tenant files with focus on compliance to Administrative Plan, HUD notices, and proper documentation. Implemented 7/1/22.
2022-001 ? Allowable Costs/Cost Principles During our audit, we noted that Valley Packaging Industries, Inc. utilizes a direct cost allocation methodology to allocate shared costs to benefitting programs. However, Valley Packaging Industries, Inc. did not adequately document the activities for perso...
2022-001 ? Allowable Costs/Cost Principles During our audit, we noted that Valley Packaging Industries, Inc. utilizes a direct cost allocation methodology to allocate shared costs to benefitting programs. However, Valley Packaging Industries, Inc. did not adequately document the activities for personnel that are directly charged through a cost allocation to support the charging of costs to programs as direct under the Uniform Guidance. The allocation methodology would result in a similar allocation of costs if an indirect cost rate were to be used. Corrective Action Plan VPI continues to look for simple and cost effective ways to allocate the time for personnel that are not directly charged to a specific program. VPI hasn?t found a viable solution yet, but will continue to look for options. VPI will be moving to a managed IT partner during the second half of 2023 and will seek input from them for a possible answer. Person(s) Responsible: Jim Patten, CFO Timing for Implementation: This will continue to be evaluated going forward.
Management is planning on submitting its FY22 data collection form on time.
Management is planning on submitting its FY22 data collection form on time.
2022-003: NON-COMPLIANCE WITH AUDITEE RESPONSIBILITIES RELATED TO REPORTING REQUIREMENTS UNDER UNIFORM GUIDANCE Responsible Person: Tracy Izell Corrective Action Planned: COCAA has shifted more of the day to day input responsibilities to the Finance Office Manager. In addition, COCAA will retain...
2022-003: NON-COMPLIANCE WITH AUDITEE RESPONSIBILITIES RELATED TO REPORTING REQUIREMENTS UNDER UNIFORM GUIDANCE Responsible Person: Tracy Izell Corrective Action Planned: COCAA has shifted more of the day to day input responsibilities to the Finance Office Manager. In addition, COCAA will retain the services of an MIP Expert recommended to us by other CAA?s. Anticipated Completion Date: Started but will be ongoing. The MIP Expert will be dependent upon schedules, but we are looking within the next 6 months. COCAA?s overall response to the audit experience can be summed up in disappointment. The lack of clear communication which we believe could have been prevented. In all the other audits I have been through, the field auditor would meet with us to explain what they found, why they found it and asked us for our input. Many times, this is simply a communication error and can be cleared up in that meeting. However, that meeting never happened. In fact, there was no communication and we were told by Saunders twice, there were no findings, only to get this report. COCAA has acknowledged the timeliness issue and have made adjustments in order to remedy this particular finding. I would also like to add that I have requested clarification for the journal entries made and still have not received a response. COCAA also acknowledges the auditors have had turmoil in their personal lives. We, at COCAA, are truly saddened by these events as we believe and wish everyone good fortune which, as well all know, doesn?t come all the time. We totally understand that Saunders has not been engaged since they are dealing with other issues. However, we do feel the audit events were not reflective of COCAA?s Management or Board or the way the COCAA handles their business. This audit experience has been abysmal at best.
ElderHomes Corporation dba project:HOMES and Subsidiaries agrees with the finding and the recommend procedures have been implemented.
ElderHomes Corporation dba project:HOMES and Subsidiaries agrees with the finding and the recommend procedures have been implemented.
ElderHomes Corporation dba project:HOMES and Subsidiaries agrees with the finding and the recommend procedures have been implemented.
ElderHomes Corporation dba project:HOMES and Subsidiaries agrees with the finding and the recommend procedures have been implemented.
The Food Bank has updated the weight and has implemented procedures to ensure products are updated annually.
The Food Bank has updated the weight and has implemented procedures to ensure products are updated annually.
CAP Services, Inc. submits the following corrective action plan for the identified finding for the audit period January 1, 2022 through December 31, 2022: Finding 2022-001 Tri-Partite Board Composition As stated in CAP's bylaws, the composition of CAP's Board of Directors requires tri-partite repr...
CAP Services, Inc. submits the following corrective action plan for the identified finding for the audit period January 1, 2022 through December 31, 2022: Finding 2022-001 Tri-Partite Board Composition As stated in CAP's bylaws, the composition of CAP's Board of Directors requires tri-partite representation from three sectors: low-income community, community at large, and public elected officials. CAP is the locally designated community action agency for five counties. The Board composition includes four members from each county and one member elected by CAP's Head Start Policy Council for a total of twenty-one members. One-third (7 of 21) represent each of the three sectors. In 2022, CAP experienced two unexpected resignations of low-income representatives during the course of the year and retained the remaining nineteen members. As a result of the vacancies, the one-third representation was not met as the remaining members were actively engaged in their respective seats (average 90% participation). Recruitment was ongoing and several low-income community members expressed interest in the seats, however, the continued uncertainty of the ongoing pandemic was a challenge and a barrier. Corrective Action Plan for Future: ? CAP's Governance Committee will take a more active role in recruitment and retention of Board members. ? CAP's executive team will maintain a list of interested candidates and send regular communication to keep candidates engaged and ready if a seat becomes available. ? CAP's bylaws will be reviewed for consideration of shifting designated seats to offer more flexibility that will better ensure at least one-third low-income representation when unexpected vacancies occur. ? CAP will consult with other community action agencies and the National Community Action Partnership to explore best practices related to recruitment of low-income representatives. As of the date of this letter, CAP's 21-member Board of Directors is fully seated and meets the tri-partite board requirement.
Finding 279107 (2022-002)
Significant Deficiency 2022
2022-002: Special Tests and Provisions Recommendation: We recommend that management implement a procedure to maintain documentation of employees written acceptance of the policies. Explanation of disagreement with audit finding: There is no disagreement with this finding. Action taken in respon...
2022-002: Special Tests and Provisions Recommendation: We recommend that management implement a procedure to maintain documentation of employees written acceptance of the policies. Explanation of disagreement with audit finding: There is no disagreement with this finding. Action taken in response to finding: The Organization will implement a process whereby new staff sign an acknowledgment that they have received and reviewed the Organization?s policies. This will happen during the HR onboarding process. For existing staff members, the Organization will separately secure written acknowledgement and retain in our organizational files. Name of the contact person responsible for corrective action: McKenzie Marks, Director of Human Resources Planned completion date for corrective action plan: September 30, 2023
Finding 279106 (2022-001)
Significant Deficiency 2022
2022-001: Eligibility Recommendation: We recommend that management implement a control to ensure documentation is maintained to support that all cases have been reviewed when closed. Explanation of disagreement with audit finding: There is no disagreement with this finding. Action taken in respon...
2022-001: Eligibility Recommendation: We recommend that management implement a control to ensure documentation is maintained to support that all cases have been reviewed when closed. Explanation of disagreement with audit finding: There is no disagreement with this finding. Action taken in response to finding: We will draft a supervisor case closing checklist. We will distribute the checklist to supervisors once it is finalized. We will then pull a random sample of recently closed cases in October to see if supervisors are completing the review as instructed. Name of the contact person responsible for corrective action: Daniel Lindsey, Chief Litigation Officer Planned completion date for corrective action plan: September 30, 2023
Finding: 2022-002 Internal Control over Compliance with Reporting Agency: Greater Cleveland Food Bank Name of responsible contact person and title: Jessica Morgan, CPO & Valissa Turner Howard, VP of Talent and Legal Affairs Anticipated completion date: 7/31/2023 Agency's response: Concur Planned Cor...
Finding: 2022-002 Internal Control over Compliance with Reporting Agency: Greater Cleveland Food Bank Name of responsible contact person and title: Jessica Morgan, CPO & Valissa Turner Howard, VP of Talent and Legal Affairs Anticipated completion date: 7/31/2023 Agency's response: Concur Planned Corrective Action(s): ? The Agency Services Analyst will complete the quarterly report within 35 days of the end of the quarter to ensure proper review, approval, and corrections if necessary, in order to be submitted within the 45-day requirement. Prior to the report being submitted, the Director of Agency Services will continue to review and will provide oversight for timely submission. ? Include in our Internal Auditing Program of the OAF/TANF contract, review of all supporting documents to validate timely reporting. ? The VP of Talent and Legal Affairs with the support of the Compliance Manager will review the timelines for all required reporting to the Ohio Association of Food banks on an annual basis with supervisors and those employees responsible for reporting.
Finding: 2022-001 Internal Control over Compliance with Activities Allowed or Unallowable Agency: Greater Cleveland Food Bank Name of responsible contact person and title: Jessica Morgan, Chief Programs Officer and Dwayne Brake, VP of Operations Anticipated completion date: 7/31/2023 Agency's respon...
Finding: 2022-001 Internal Control over Compliance with Activities Allowed or Unallowable Agency: Greater Cleveland Food Bank Name of responsible contact person and title: Jessica Morgan, Chief Programs Officer and Dwayne Brake, VP of Operations Anticipated completion date: 7/31/2023 Agency's response: Concur Planned Corrective Action(s): ? Reimplementation of pre-COVID delivery and rece iving practices, signed receipts, regarding all food and commodities to sub-recipient agencies. ? Include a review of all supporting documents and signed receipts in our Internal Auditing Program of the TEFAP contract. ? Staff who are responsible for collecting invoice signatures, including the responsible parties, will be retrained on the procedure and will annually review the requirements for signed receipts for government commodities to ensure proper record keeping.
Finding: 2022-002 Agency: U.S. Department of Health and Human Services ? ALN 93.558 ? TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) Name of contact person and title: Shelia Triplett, Executive Director Anticipated completion date: September 2023 MYCAP?s respo...
Finding: 2022-002 Agency: U.S. Department of Health and Human Services ? ALN 93.558 ? TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) Name of contact person and title: Shelia Triplett, Executive Director Anticipated completion date: September 2023 MYCAP?s response: Concur MYCAP agrees with this finding and provided the following response for corrective action: U.S. Department of Health and Human Services ? Significant Deficiency ? Internal Controls over Compliance ? Eligibility Plan of Action: The Support Specialist will gather all required documents for the TANF program, ensuring the application documents and required income are on file. The Chief Operating Officer (COO) will conduct a second review of all TANF files for proper eligibility requirements including recalculations of income, ensuring all files are eligible, marking the file with initial and approval for processing.
Finding: 2022-001 Agency: U.S. Department of Health and Human Services ? ALN 93.558 ? TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) Name of contact person and title: David Drawl, CFO Anticipated completion date: December 2023 MYCAP?s response: Concur ...
Finding: 2022-001 Agency: U.S. Department of Health and Human Services ? ALN 93.558 ? TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) Name of contact person and title: David Drawl, CFO Anticipated completion date: December 2023 MYCAP?s response: Concur MYCAP agrees with this finding and provided the following response for corrective action: U.S. Department of Health and Human Services ? Material Weakness ? Internal Controls over Compliance ? Reporting Plan of Action: The material weaknesses identified by the auditor is correct as presented. Upon learning of the omission, MYCAP immediately adjusted the SEFA and presented the requested information to the auditor in such time that the program mentioned is included in the audit. MYCAP will accept the recommendations presented by the auditor and incorporate them into their fiscal procedures as well as incur additional training in GAAP conversion and preparation for audit.
Project for Pride in Living, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 ? December 31, 2022 The findings from the December 31, 2022, schedule of findings and questioned costs are discussed below. The findings...
Project for Pride in Living, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 ? December 31, 2022 The findings from the December 31, 2022, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Findings ? Financial Statements Audit Material Weakness 2022-001 ? Audit Adjustments Recommendation ? The Organization establish procedures to regularly review out-of-the-ordinary activities to ensure its accounting is complete and accurate. Auditee's comments ? During 2022, PPL experienced turnover in its Corporate Controller position. Transfer of knowledge regarding the acceptance of the donated property and communication regarding the timing of its recording were not properly executed during the transition. Additionally, the nature of the contribution (noncash/property) is unique to our organization and the omission of its recording was not identified within the established internal controls for cash transactions. As such, recording of the donated property was inadvertently overlooked. The Organization is actively working to update its financial policies, to include recording of unique transactions such as non-cash donations of property. When large non-cash donations are made, the Corporate Controller will work with the Chief Financial Officer and auditing firm on the best way to accurately record the transaction in accordance with GAAP. Generally, the transaction will be recorded in the period the donation is received to avoid a similar recording error in the future. Furthermore, PPL Financial Leadership, including the CFO and Corporate Controller, in collaboration with our external auditors, have established a mid-point check-in that will take place at the end of third quarter to reflect on previous year audit takeaways as well as year-to-date financial status. Name(s) and contact person(s) responsible for corrective action: Scott Cordes. Planned completion date for corrective action plan: New procedures have been established and are anticipated to be approved by the Board of Directors in October. A mid-point check-in with our auditing firm has also been scheduled to take place in October 2023. If there are any questions regarding this plan, please contact Scott Cordes at (612) 455-5149.
Finding 2022-06 Report Preparation and Submission Condition: It was discovered that the Organization demonstrated deficiencies in reporting accuracy and completeness, as well as a failure to comply with state law by not filing a required annual report. Upon review of the Organization?s reporting p...
Finding 2022-06 Report Preparation and Submission Condition: It was discovered that the Organization demonstrated deficiencies in reporting accuracy and completeness, as well as a failure to comply with state law by not filing a required annual report. Upon review of the Organization?s reporting practices, it was observed that three out of the five reports selected for testing contained discrepancies, inaccuracies, or incomplete reporting metrics. These discrepancies raise concerns about the reliability of the organization's reported data, which can impact decision-making, program effectiveness, and the organization's ability to fulfill its fiduciary responsibilities. Furthermore, the Organization failed to file the mandatory annual report as required by Indiana Code 5-11-1-4, further indicating a deficiency in compliance with local regulations. Corrective Actions Taken or Planned: The Organization?s Board and Executive Team consisting of the CEO and COO acknowledge the finding related to reporting deficiencies. The Organization has adopted internal policies to address this to include a grants management tracking system that records reporting requirements and a checks and balance system. The required annual report process has been initiated and a 2023 report will be filed in the month of October 2023.
Finding 2022-05 Internal Control over Debarment Condition: An effective internal control system was not in place at the Organization to ensure compliance with requirements related to reviewing the debarment and suspension status of qualifying vendors before issuing federal funds. Corrective Actio...
Finding 2022-05 Internal Control over Debarment Condition: An effective internal control system was not in place at the Organization to ensure compliance with requirements related to reviewing the debarment and suspension status of qualifying vendors before issuing federal funds. Corrective Actions Taken or Planned: The Organization?s Board and Executive Team consisting of the CEO and COO acknowledge the finding related to an internal control to prevent payments to any vendor that is debarred, suspended or otherwise ineligible to receive federal funding. In 2023 the Organization adopted a process to ensure all potential vendors are qualified utilizing the SAM.gov system and internal tracking and record keeping.
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