Corrective Action Plans

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Finding 58377 (2022-001)
Significant Deficiency 2022
To Whom It May Concern: Midland University Single Audit Report: Corrective Action Plan - Year ended May 31, 2022 Finding 2022-001 ? Title IV Credit Balances Condition/Context: For 4 of 25 students tested, the credit balance was not resolved in compliance with the regulations, the student?s Title I...
To Whom It May Concern: Midland University Single Audit Report: Corrective Action Plan - Year ended May 31, 2022 Finding 2022-001 ? Title IV Credit Balances Condition/Context: For 4 of 25 students tested, the credit balance was not resolved in compliance with the regulations, the student?s Title IV credit balances on their accounts were held and applied to future charges without student or parent authorization. The first student?s Title IV credit balance was $759 of Direct Loan funds, the second student?s was $3,702 of Direct Loan funds, the third student?s was $390 of Direct Loan funds and the fourth student?s was $2,850 of Direct Loan funds and $943 of Teach Grant funds. The sample was not a statistically valid sample. Corrective Action Plan The University agrees with the finding. The occurrence of Title IV credit balances occurs primarily with graduate program students. A review is being conducted of current internal control processes and evaluating what additional reporting is capable within the student information system to assist in identifying these Title IV credit balances in a more timely manner. Title IV credit balances are being monitored during the Spring 2023 terms and new procedures will be put in place for the Fall 2024 term.
View Audit 54189 Questioned Costs: $1
Finding 58376 (2022-001)
Significant Deficiency 2022
U.S. Department of Housing and Urban Development Program Name: Section 202 Supportive Housing for the Elderly Federal Assistance Listing Number 14.157 Grant Number: 065-EE015 Gabriel Manor II, Inc. HUD Project No. 065-EE015, respectfully submits the following corrective action plan for the year end...
U.S. Department of Housing and Urban Development Program Name: Section 202 Supportive Housing for the Elderly Federal Assistance Listing Number 14.157 Grant Number: 065-EE015 Gabriel Manor II, Inc. HUD Project No. 065-EE015, respectfully submits the following corrective action plan for the year ended September 30, 2022. Audit Firm: McNorton Ishee & Jones, PC 3662 Dauphin St., Ste. E Mobile, AL 36608 Audit period: September 30, 2022 Finding 2022-001: Other Finding State of Condition: The project has not filed their prior year annual single audit reporting package in the Federal Audit Clearinghouse website. Corrective Action: Management will ensure that they submit the project?s annual single audit reporting package in the Federal Audit Clearinghouse website. If the Department of Housing and Urban Development should have any questions or comments regarding this plan, please contact Craig Bounds at (228) 435-1642.
Finding 58353 (2022-001)
Significant Deficiency 2022
Management agrees with the finding and corrective measures have been taken.
Management agrees with the finding and corrective measures have been taken.
Summary description - The School District failed to maintain proper time and activity reports for employees charged to the Title I grant. Corrective Action Plan - That the School District time and activity reports must be completed within federal guidelines for salaries charged to Title 1 program. ...
Summary description - The School District failed to maintain proper time and activity reports for employees charged to the Title I grant. Corrective Action Plan - That the School District time and activity reports must be completed within federal guidelines for salaries charged to Title 1 program. Method of Implementation - Enhanced internal controls and additional staff training. Person Responsible for Implementation - Chief Academic Officer Planned Completion Date of Implementation - September 1, 2023
FY 2022 SFA Audit Corrective Action Plan Audit Firm: RSM US LLP 30 S Wacker Drive, Suite 3300 Chicago, IL 60606 Audit Period: 1/1/2022 ? 12/31/2022 Comments on Findings and Recommendations: Finding 2022-001 ? Error in Reporting for NSLDS Finding: Herzing University did not properly report the studen...
FY 2022 SFA Audit Corrective Action Plan Audit Firm: RSM US LLP 30 S Wacker Drive, Suite 3300 Chicago, IL 60606 Audit Period: 1/1/2022 ? 12/31/2022 Comments on Findings and Recommendations: Finding 2022-001 ? Error in Reporting for NSLDS Finding: Herzing University did not properly report the student enrollment change for a student who received federal student aid to the National Student Loan Data System (NSLDS). Condition: The University did not report a student?s Program-Level or Campus-Level enrollment status change to NSLDS. Out of the 60 students tested, we noted 1 student (1.7%) whose status change at the Program-Level and Campus-Level was not reported to NSLDS. Action Taken: In this instance, the student identified was withdrawn from the University and was correctly reported to NSLDS as such through our standard enrollment reporting processes. The student then subsequently re-enrolled at the University in the subsequent academic period becoming an Active student, and then withdrew again prior to our next standard enrollment reporting process occurring (one month after the previously reported withdrawn status). At the point of the second standard enrollment reporting timeframe, the student status was once again withdrawn, therefore an update did not occur to their enrollment status. Our process did not have a mechanism to identify the student changing statuses in between those reporting periods so that the active enrollment status was reported and then changed back to withdrawn versus simply staying at a withdrawn status. In August 2022, Herzing University updated our enrollment reporting policy to send in enrollment reporting biweekly instead of monthly. This was done to ensure that each student?s enrollment status was accurately reported as soon as possible and to prevent issues that occur from delays in proper enrollment statuses being reported to NSLDS. This update inherently decreased the likelihood that status timing issues would occur given the condensed timeframe for reporting. In addition, as of May 1st, 2023 Herzing University has developed and implemented an exception reporting process that will identify any student that has status updates that occur but reverts back to the original status within the timeframe of the two enrollment reporting periods. Using the student identified in this finding as an example, if the student is at a withdrawn status at the first enrollment reporting period, then moves to an active status immediately after that but then withdraws again within that 2 week window and therefore goes back to a withdrawn status in the subsequent enrollment reporting period, while our standard reporting would still show the student withdrawn for both standard enrollment reporting timeframes, the exception report will flag that student for review since a status change occurred in between the two withdrawn statuses being reported out. Upon review of the exception report, all relevant status progressions will be correctly reported to NSLDS. The required corrective action for Finding 2022-001 listed in the SFA audit for the period 1/1/2022 ? 12/31/2022 was completed on 5/1/2023. The person responsible for completion of the corrective action was Kevin McShane, Vice President of Financial Aid & Compliance.
Criteria or specific requirement: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award requires compliance with procurement. Cherry Creek School District No. 5 (the District) should have internal controls designed to ensure compliance with tho...
Criteria or specific requirement: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award requires compliance with procurement. Cherry Creek School District No. 5 (the District) should have internal controls designed to ensure compliance with those provisions. Condition: We noted that the District does have policies and procedures in place for compliance with procurement requirements. However, we noted three out of ten vendors did not have the secondary approval required for emergency purchases stated in their purchasing policy. Questioned costs: None. Context: Due to the increase in number of meals served as part of the free meals offered to students and an increase in prices of food, the District encountered more emergency purchases than in previous years. In the case of an emergency purchase, the District requires two approvals, with the personnel level varying depending on the dollar threshold of the purchase. The District did not obtain the secondary approval required for emergency purchases, as stated in their purchasing policy, for three out of ten vendors tested. Cause: The District did not follow their purchasing policy surrounding approvals of emergency purchases. Effect: The auditor noted an instance of noncompliance with their purchasing policy. The District did not obtain the second level of approvals regarding emergency purchases. Repeat Finding: No. Recommendation: We recommend the District review their controls and procedures surrounding procurement to ensure their purchasing policy is followed for approvals of emergency purchases. Views of responsible officials: There is no disagreement with the audit finding.
Finding Type: Compliance and Material Weakness. Name of Contact Person: Eric Witges, Superintendent. Recommendation: We recommend that a supervisor review the quarterly expenditure reports and supporting documentation to ensure all costs are reported timely and accurately. Corrective Action: ...
Finding Type: Compliance and Material Weakness. Name of Contact Person: Eric Witges, Superintendent. Recommendation: We recommend that a supervisor review the quarterly expenditure reports and supporting documentation to ensure all costs are reported timely and accurately. Corrective Action: We will ensure that more time is dedicated to this procedure and more accuracy is implemented with an additional administrator review. Proposed Completion Date: Immediately.
Finding Type: Material Weakness. Name of Contact Person: Eric Witges, Superintendent. Recommendation: We recommend that the District check the Excluded Parties List System or collect certifications from any vendor that the District expects to spend more than $25,000 for the year. Corrective Ac...
Finding Type: Material Weakness. Name of Contact Person: Eric Witges, Superintendent. Recommendation: We recommend that the District check the Excluded Parties List System or collect certifications from any vendor that the District expects to spend more than $25,000 for the year. Corrective Action: The District will begin making all significant vendors sign a certification. Proposed Completion Date: Immediately.
Finding 58303 (2022-003)
Significant Deficiency 2022
Finding # 2022-003 Immaterial Noncompliance U.S. Department of Labor 17.249 WIOA Youth Activities Finding: One case file out of fifteen tested did not meet eligibility criteria Recommendation: Procedures should be in place to ensure eligibility is properly documented and exceptions are obtained. ...
Finding # 2022-003 Immaterial Noncompliance U.S. Department of Labor 17.249 WIOA Youth Activities Finding: One case file out of fifteen tested did not meet eligibility criteria Recommendation: Procedures should be in place to ensure eligibility is properly documented and exceptions are obtained. Corrective Action: Management understands exceptions are allowed with explicit approval and that document is maintained Anticipated Completion Date: June 30, 2023
Finding 58302 (2022-002)
Significant Deficiency 2022
Finding # 2022-002 Immaterial Noncompliance U.S. Department of Labor 17.249 WIOA Youth Activities Finding: Expenses were charged for services outside of the contract period Recommendation: Procedures should be in place to ensure invoices are accrued and charged to the proper period when services/...
Finding # 2022-002 Immaterial Noncompliance U.S. Department of Labor 17.249 WIOA Youth Activities Finding: Expenses were charged for services outside of the contract period Recommendation: Procedures should be in place to ensure invoices are accrued and charged to the proper period when services/goods were performed or received. Corrective Action: Expenses will be reviewed during month end close to ensure proper recording. Management will provide training to program personnel. Anticipated Completion Date: June 30, 2023
Finding 58301 (2022-001)
Significant Deficiency 2022
Finding # 2022-001 Significant Deficiency U.S. Department of Labor 17.249 WIOA Youth Activities Finding: Control processes in place are not consistently followed and documented for review and approvals of timesheets for accuracy. Recommendation: Procedures should be in place to ensure reviews are...
Finding # 2022-001 Significant Deficiency U.S. Department of Labor 17.249 WIOA Youth Activities Finding: Control processes in place are not consistently followed and documented for review and approvals of timesheets for accuracy. Recommendation: Procedures should be in place to ensure reviews are being done by supervisory personnel with documentation included. Corrective Action: Management will implement procedures to ensure that all staff timesheets, if not signed by a supervisor, are accompanied by some other form of approval such as an e-mail. Anticipated Completion Date: December 31, 2022
2022-001 HEERF Reporting Recommendation: We recommend that the University review their reporting policies and procedures to ensure accurate reporting. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Immediate act...
2022-001 HEERF Reporting Recommendation: We recommend that the University review their reporting policies and procedures to ensure accurate reporting. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Immediate action was taken to update the quarterly report and post the updated report to our university?s website. Error was made due to data file showing category under other uses in previous quarterly reports. When new quarterly report was prepared the amount was reported on proper lost revenue line but was not deducted from the other uses total. This resulted in an overstatement of expenditures. An additional step was implemented to confirm total balance with data spreadsheet balance of expenditures. Name(s) of the contact person(s) responsible for corrective action: Jennifer Martell, Controller Planned completion date for corrective action plan: This was immediately corrected when brought to our attention on 5/26/22 for the quarterly report ending 3/31/22 which was originally posted to our website on 4/10/22.
FINDINGS-FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2022-001 Segregation of duties- Procedures should be established and implemented where the Organization segregates duties in the receipts and expenditures cycles and implements additional controls over the accounting and recording functions. ...
FINDINGS-FINANCIAL STATEMENT AUDIT MATERIAL WEAKNESS 2022-001 Segregation of duties- Procedures should be established and implemented where the Organization segregates duties in the receipts and expenditures cycles and implements additional controls over the accounting and recording functions. Involvement by the Board of Directors can help mitigate the risk of error or fraud. The Board of Directors should remain involved in the financial affairs of the Organization with oversight and independent review of internal control functions. Action Taken: We agree the size of the Organization prohibits hiring additional personnel. Duties have been segregated where possible. The Board of Directors is involved where possible.
The District has maintained strong internal controls for time and effort compliance for several years. Time and effort applicability has been determined in August of every year prior to the new year starting. Semi-annual certifications have been routinely obtained for each building (all schoolwide...
The District has maintained strong internal controls for time and effort compliance for several years. Time and effort applicability has been determined in August of every year prior to the new year starting. Semi-annual certifications have been routinely obtained for each building (all schoolwide schools) for all certificated staff. The District has also maintained a consistent approach for time and effort for classified staff using timesheets as the time and effort record. When a classified staff member is working under multiple cost objectives, the split of time is documented on the timesheet using program codes. The District has not included the federal program name or number on the timesheet if the staff member is fully funded by one federal program. The District?s position is that if a para-educator is assigned to a special education classroom working with special needs students for a full day, the program name or number would not be necessary on the time and effort record. The assignment is clearly in a special education classroom. This process has been used for several years without audit exception. The District level certificated staff fully funded by Title I were overlooked this past year for semi annual certifications as they were added at the district level that year. The focus has always been on school level funded staff as district level staffing did not exist within the Title I program. Corrective Action: Since that time, most of these positions have been eliminated, but the District has already implemented semi-annual certifications for the existing staff member at the district level who is fully funded by the Title I program and will do so for any other positions added in the future. Corrective Action: The District will also ensure moving forward that all classified timesheets include a program number (or name) for employees fully funded by one federal program. Staff working under multiple cost objectives had timesheets that were in compliance with time and effort requirements including program codes and time for each recorded on the timesheets. A similar record will continue to serve as the time and effort record for classified staff working in one or more federal programs. A full analysis of the Frontline online timesheets (implemented the current 2022-23 school year) will be performed and adjustments made to ensure full compliance with federal time and effort requirements.
Finding 58236 (2022-001)
Significant Deficiency 2022
CareArc was notified of the 2022 annual audit finding related to Sliding Fee Discounts being applied incorrectly according to the Health Center Program Compliance Manual and out of compliance with our sliding fee policy. CareArc?s CFO and CEO was notified it was a finding at our 5/11/23 meeting wit...
CareArc was notified of the 2022 annual audit finding related to Sliding Fee Discounts being applied incorrectly according to the Health Center Program Compliance Manual and out of compliance with our sliding fee policy. CareArc?s CFO and CEO was notified it was a finding at our 5/11/23 meeting with Forvis. The finding was identified that a patient on a Slide higher than Slide A was given a sliding fee discount after third-party insurance payments were completed putting their final charge below the nominal fee assessed to Slide A patients. The incorrect adjustment was in the identified patient?s financial favor and did not result in the patient paying more to the Health Center. The corrective action plan is to prevent future automated sliding fee discounts being assessed to insured patients when those charges after payment and contractual adjustments are below the nominal fees charged to Slide A patients. CareArc is working with Health Choice Network (HCN). HCN is our vendor that helps program and implement EPIC (our new electronic medical records system). CareArc changed to EPIC on 11/5/22. Seresa Howe, CFO and Michelle Cole, Billing Manager has had two conversations with HCN team to get assistance on how to identify those patients and how to set up a qualifying rule in EPIC to prevent the automatic sliding fee discount from being processed when total fees fall below the applicable nominal charge for medical, dental, and behavioral health services. CareArc has a ticket open with HCN to complete the process. HCN is using their resources as they work with other Federally Qualified Health Center?s to mimic the rules set up for sliding fee discounts to stay in compliance with Health Center Program Compliance Manual. The corrective action plan is still in process of being implemented by CareArc with the assistance of HCN/EPIC with an estimated completion in July 2023.
Wingo Elderly Housing Corporation d/b/a Locust Ridge Apartments respectfully submits the following Corrective Action Plan for the year ended December 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Cr...
Wingo Elderly Housing Corporation d/b/a Locust Ridge Apartments respectfully submits the following Corrective Action Plan for the year ended December 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 200 Indianapolis, Indiana 46256 Finding 2022-001 Corrective Action Planned ? Management will deposit the $1,370 of delinquent deposits into the residual receipts account as soon as possible. Management will implement controls to ensure the proper deposits are made in the future. Contact Person(s) Responsible ? Amy Hobbs, Property Manager Anticipated Completion Date ? 04/20/2023 Auditee Disagreements ? N/A This corrective action plan was prepared by Brookside Development Corporation Management, the management company, on behalf of Wingo Elderly Housing Corporation d/b/a Locust Ridge Apartments. ?????????_____________________________ _________________ Name, Title Date Brookside Development Corporation Management 312 Brookside Drive Mayfield, KY 42006 (270) 247-6391
View Audit 55978 Questioned Costs: $1
Villa South (III) d/b/a Villa Madonna III Apartments, Inc. respectfully submits the following Corrective Action Plan for the year ended December 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspo...
Villa South (III) d/b/a Villa Madonna III Apartments, Inc. respectfully submits the following Corrective Action Plan for the year ended December 31, 2022. Name and address of the independent public accounting firm who conducted the related audit: Comer, Nowling And Associates, P.C. 10475 Crosspoint Boulevard, Suite 200 Indianapolis, Indiana 46256 Finding 2022-001 Corrective Action Planned ? Management will deposit the $3,403 of delinquent deposits into the residual receipts account as soon as possible. Management will implement controls to ensure the proper deposits are made in the future. Contact Person(s) Responsible ? Amy Hobbs, Property Manager Anticipated Completion Date ? 05/31/2023 Auditee Disagreements ? N/A This corrective action plan was prepared by Brookside Development Corporation Management, the management company, on behalf of Villa South (III) d/b/a Villa Madonna III Apartments, Inc.. ?????????_____________________________ _________________ Name, Title Date Brookside Development Corporation Management 312 Brookside Drive Mayfield, KY 42006 (270) 247-6391
View Audit 55134 Questioned Costs: $1
Finding 58233 (2022-003)
Significant Deficiency 2022
Finding 2022-003 Condition One of the two reports selected for testing were not independently reviewed before submission. The sample is not statistically valid. Corrective Action Plan Corrective Action Planned: The City does not currently have sufficient staffing to provide segregation of duties...
Finding 2022-003 Condition One of the two reports selected for testing were not independently reviewed before submission. The sample is not statistically valid. Corrective Action Plan Corrective Action Planned: The City does not currently have sufficient staffing to provide segregation of duties in all areas. Upon start of employment of a new City Administrator/Treasurer on October 9, 2023, that position employee will be reviewing such reports and financial documents on a regular basis as part of his job duties. Name of Contact Person Responsible for Corrective Action: Barbara J. Van Clake, City Clerk/Deputy Treasurer. Anticipated Completion Date: October 2023.
Finding 58232 (2022-001)
Significant Deficiency 2022
2022-1 Excess Residual Receipts Condition: The Project did not prepare a HUD 9250 to remit excess residual receipts nor did it mail a check or transmit a wire of those funds. Criteria: According to the Consolidated Appropriations Act, 2017, owners subject to a Section 202 or 811 Project Rental Assis...
2022-1 Excess Residual Receipts Condition: The Project did not prepare a HUD 9250 to remit excess residual receipts nor did it mail a check or transmit a wire of those funds. Criteria: According to the Consolidated Appropriations Act, 2017, owners subject to a Section 202 or 811 Project Rental Assistance Contract (PRAC) are required to remit any excess balance in a Residual Receipts account, greater than $250 per unit, to HUD?s Accounting Center upon termination or renewal of the PRAC contract. Effect: The allowable balance is $11,000 ($250 X 44 units), resulting in excess residual receipts. Recommendation: I recommend the Property prepare the HUD 9250 requesting to remit excess funds to HUD. Management Response: It is our understanding that the Board of Directors will be requesting a meeting with HUD to discuss the dissolution of this item. Upon meeting with HUD it will be discharged.
Finding 58230 (2022-002)
Significant Deficiency 2022
Reference Number: 2022-002 Description: Procurement Policy Corrective Action Plan: The Organization will work with Wegner CPAs to assist with developing a written procurement policy that is in compliance with Uniform Guidance. ? Threshold and process for the five procurement methods Anticipated C...
Reference Number: 2022-002 Description: Procurement Policy Corrective Action Plan: The Organization will work with Wegner CPAs to assist with developing a written procurement policy that is in compliance with Uniform Guidance. ? Threshold and process for the five procurement methods Anticipated Corrective Action Plan Completion Date: September 2023 Contact Information: For additional information regarding this finding, please contact Brandi Grayson, CEO/Founder, at (608)520-3062.
Corrective Action Plan: The Young Women's Christian Association of Canton, Ohio did not file the annual SF-429 and SF-429-A Real Property Report, as required under the special reporting requirements for Head Start. Management has ensured fiscal staff receives formal training from the Office of Hea...
Corrective Action Plan: The Young Women's Christian Association of Canton, Ohio did not file the annual SF-429 and SF-429-A Real Property Report, as required under the special reporting requirements for Head Start. Management has ensured fiscal staff receives formal training from the Office of Head Start through its Fiscal Institute. Management has submitted the past due SF-429 ? Real Property Report forms and added the SF-429 and SF-429A to the Master Reporting Deadlines Calendar maintained and monitored by the Finance Department to ensure this oversight does not recur. In addition, Management has dedicated a staff accountant to oversee fiscal reporting requirements for the Office of Head Start.
Corrective Action Item 2022-002: Reporting on Federal Awards Individual Responsible: Paul Huberty, Executive Director Anticipated Completion Date: September 2023 Corrective Action: WRDF will develop a new system for monitoring and tracking grant reporting requirements and deadlines. In additi...
Corrective Action Item 2022-002: Reporting on Federal Awards Individual Responsible: Paul Huberty, Executive Director Anticipated Completion Date: September 2023 Corrective Action: WRDF will develop a new system for monitoring and tracking grant reporting requirements and deadlines. In addition, WRDF will utilize QuickBooks to track each grant, develop workflows to ensure that all deadlines are met, monitor its performance, and provide regular updates to its Board of Directors.
Finding Number: 2022-002 Condition: The lost revenue methodologies reported in the Period 3 and Period 4 portal submissions were incorrect, as the report said the Organization used actual to actual (option i); however, an alternative method under option iii was actually utilized when calculating los...
Finding Number: 2022-002 Condition: The lost revenue methodologies reported in the Period 3 and Period 4 portal submissions were incorrect, as the report said the Organization used actual to actual (option i); however, an alternative method under option iii was actually utilized when calculating lost revenue. Planned Corrective Action: Controls are now in place to ensure proper levels of review are implemented for federal program report submissions. Contact person responsible for corrective action: John Renner, CFO Anticipated Completion Date: 9/30/2022
The District agrees and intends to continue supervision and monitoring of accounting information and operations, including obtaining explanations for variances from unexpected results. The Superintendent will continue to sign off on all payroll check registers and journal entries.
The District agrees and intends to continue supervision and monitoring of accounting information and operations, including obtaining explanations for variances from unexpected results. The Superintendent will continue to sign off on all payroll check registers and journal entries.
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