Corrective Action Plans

Finding 51385 (2022-002)

Significant Deficiency 2022

Durham County

NC

Eligibility HUD Housing Programs Significant Deficiency

Finding 2022-002 Significant Deficiency in Internal Controls over Compliance, Nonmaterial Noncompliance Name of Contact Person(s): Rhonda Stevens and Lynn Thomas QAT will provide refresher training to staff to reiterate the importance of correcting case errors timely and reports available to assist ...

Finding 2022-002 Significant Deficiency in Internal Controls over Compliance, Nonmaterial Noncompliance Name of Contact Person(s): Rhonda Stevens and Lynn Thomas QAT will provide refresher training to staff to reiterate the importance of correcting case errors timely and reports available to assist in managing deadlines. Proposed completion date: December 31, 2022 FEI Supervisors will review QAT cases cited in error within 10 days of receipt to verify correction/rebuttal. Supervisors are to key the date corrected in the QC tool within 30 days of the review date. FEI Supervisors are to document this expectation has been reviewed in the weekly check-in meeting minutes. Proposed completion date: December 31, 2022

View Audit 47801

Finding 51384 (2022-001)

Significant Deficiency 2022

University of Massachusetts Global-9 Month Audit

CA

Student Financial Aid Reporting Matching / Level of Effort / Earmarking

40 files were sampled, and 3 files were found to have late reporting. We agree with the findings and have placed an action plan to ensure this is not a repeated finding. The findings were all unique system related issues. Registrar will conduct an additional QA process to ensure that not only statu...

40 files were sampled, and 3 files were found to have late reporting. We agree with the findings and have placed an action plan to ensure this is not a repeated finding. The findings were all unique system related issues. Registrar will conduct an additional QA process to ensure that not only statuses are reported timely, but any changes to student?s status after reporting has been reviewed for accuracy. Two of the students were students that were in withdrawal status and later graduated. Our system report does (grad only file) not capture students in withdrawal status, therefore, an additional report is required to ensure the Graduated status is captured and reported to National Students Clearinghouse. One of the students was student on a leave of absence that was reported after 60 days. The leave of absence requests is recorded outside of our Student Information System. Registrar will work on enhancing the leave of absence report and ensure they are correctly reported on the enrollment submissions sent to National Student Clearinghouse. Registrar will run an additional report to review any conferrals or leave of absences and submit enrollment update if any discrepancies are found. Implementation of new control:Registrar to run an enrollment status change report and identify any status changes that need to be updated. This QA process will ensure that enrollment status is accurately reported in situations where the system report does not automatically generate the accurate status. Name of contact person responsible for corrective action plan: Greg Ball Anticipated Completion Date: Already implemented.

View Audit 47800

Finding 51382 (2022-004)

Material Weakness 2022

Alliance Public Schools

NE

Subrecipient Monitoring Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Finding 2022-004: Compliance with Davis Bacon Act and Lack of Documentation on Expenditures of Federal Awards the District's internal control system was not designed to monitor the requirements of the Davis Bacon Act, specifically the prevailing wage requirements, for federal expenditures of the Ele...

Finding 2022-004: Compliance with Davis Bacon Act and Lack of Documentation on Expenditures of Federal Awards the District's internal control system was not designed to monitor the requirements of the Davis Bacon Act, specifically the prevailing wage requirements, for federal expenditures of the Elementary and Secondary School Emergency Relief Funds (ESSERII). The District will obtain the documentation to support the prevailing wage requirements when subject to the Davis Bacon Act and ensure that all expenditures of federal awards have proper documentation to support the expenditure of federal awards.

View Audit 47798

Finding 51381 (2022-004)

Significant Deficiency 2022

The Naples Players, Inc.

FL

Questioned Costs Cash Management Significant Deficiency

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered c...

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS 2022-004 Shuttered Venue Operators Grant ? Assistance Listing No. 59.075 Recommendation: We recommend company credit cards are not used for personal expenses. If a company credit card is used in error, the transaction should be recorded to a liability account to ensure reimbursement from the employee. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Qualified finance staff in place to oversee and record properly. Implementation of new credit card system (divvy.com) that allows improved oversight of spending and budgets. Name(s) of the contact person(s) responsible for corrective action: Kenzie Currie Planned completion date for corrective action plan: February 2023

View Audit 45158 Questioned Costs: $1

Finding 51380 (2022-003)

Significant Deficiency 2022

The Naples Players, Inc.

FL

Questioned Costs Significant Deficiency Internal Control / Segregation of Duties

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered c...

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS 2022-002 Material Weakness in Internal Control over Segregation of Duties Recommendation: We recommend the Organization develop internal control policies to implement segregation of duties to the extent possible. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: CFO and experienced accounting assistant hired. Banking transactions have been segregated. Bookkeeping duties are completed by accounting assistant and reviewed by CFO. Payments are approved by CEO. Monthly reconciliations to bank statement, ticket sales, receivables and payables are prepared or reviewed by CFO. Name(s) of the contact person(s) responsible for corrective action: Doren Danis Planned completion date for corrective action plan: June, 2022 ? May, 2023

View Audit 45158 Questioned Costs: $1

Finding 51379 (2022-002)

Material Weakness 2022

The Naples Players, Inc.

FL

Internal Control / Segregation of Duties Material Weakness

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered c...

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FINANCIAL STATEMENT AUDIT Small Business Administration 2022-002 Material Weakness in Internal Control over Segregation of Duties Recommendation: We recommend the Organization develop internal control policies to implement segregation of duties to the extent possible. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: CFO and experienced accounting assistant hired. Banking transactions have been segregated. Bookkeeping duties are completed by accounting assistant and reviewed by CFO. Payments are approved by CEO. Monthly reconciliations to bank statement, ticket sales, receivables and payables are prepared or reviewed by CFO. Name(s) of the contact person(s) responsible for corrective action: Doren Danis Planned completion date for corrective action plan: June, 2022 ? May, 2023

View Audit 45158

Finding 51378 (2022-001)

Material Weakness 2022

The Naples Players, Inc.

FL

Material Weakness Reporting Internal Control / Segregation of Duties

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered c...

Small Business Administration Naples Players, Inc. respectfully submits the following corrective action plan for the year ended April 30, 2022. Audit period: May 1, 2021 ? April 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FINANCIAL STATEMENT AUDIT Small Business Administration 2022-001 Material Weakness in Internal Control Over Financial Reporting Recommendation: We recommend the Organization develop internal control policies to ensure preparation of financial statements and related disclosures in accordance with accounting principles generally accepted in the United States of America. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: CFO and experienced accounting assistant hired. Monthly internal financial statements are analyzed and prepared in accordance with GAAP Reviewed by CEO and Treasurer. Name (s) of the contact person(s) responsible for corrective action: Bryce Alexander, CEO Planned completion date for corrective action plan: May, 2022

View Audit 45158

Finding 51374 (2022-001)

Material Weakness 2022

Caminar

CA

Material Weakness Reporting Program Income

Finding 2022-001 Contact Person responsible for corrective action: ? Alex Cheung ? Director of Finance and Accounting ? Lynna Magnuson ? Director of Supported Housing Anticipated completion date: 6/30/23 Corrective Action Plan: 1. All rents that were able to be recalculated for June 2022, were recal...

Finding 2022-001 Contact Person responsible for corrective action: ? Alex Cheung ? Director of Finance and Accounting ? Lynna Magnuson ? Director of Supported Housing Anticipated completion date: 6/30/23 Corrective Action Plan: 1. All rents that were able to be recalculated for June 2022, were recalculated and have been provided 2. The SO Rent Worksheet will be updated with the correct rent calculations reflecting for June 2022 and submitted as evidence of corrective action 3. Going forward, rents will be calculated initially upon program entry and at least annually, in addition to any time income changes for a client, in accordance with HUD guidelines 4. Rent calculations and supporting documentation will be uploaded to a Shared file with Caminar?s Finance Department to allow for audit, cross-referencing, reporting, and security of information 5. Records will be audited and quality assured internally at least quarterly 6. An annual rent calculation checklist will ensure that all documents are gathered within the 120 days prior to the annual certification and rent calculation. a. The annual checklist should be prepared by the staff and approved by the Program Director on an annual basis. b. The same annual checklist will be reviewed by Accounting Department.

View Audit 45154

Finding 51371 (2022-002)

Significant Deficiency 2022

Caminar

CA

Reporting Significant Deficiency

Finding 2022-002 Contact Person responsible for corrective action: ?Alex Cheung ? Director of Finance and Accounting ?Simon Huo ? Finance Manager ?Jenny Nguyen ? Senior Accountant Anticipated completion date: 6/30/23 Corrective Action Plan: 1.Setup a review process to review the General Ledger (GL) ...

Finding 2022-002 Contact Person responsible for corrective action: ?Alex Cheung ? Director of Finance and Accounting ?Simon Huo ? Finance Manager ?Jenny Nguyen ? Senior Accountant Anticipated completion date: 6/30/23 Corrective Action Plan: 1.Setup a review process to review the General Ledger (GL) detail to ensure the proper awardnumber was listed on the description during the billing process. 2.Senior Accountant will prepare the SEFA on a quarterly basis. 3.The quarterly SEFA will be reviewed by Finance Manager and Director of Accounting andOperation for the accuracy of the following. a. Proper award number b. Proper coding c. Proper expense cut off for each award year

View Audit 45154

Finding 51366 (2022-001)

Significant Deficiency 2022

South Orange County Community College District

CA

Subrecipient Monitoring Special Tests & Provisions Student Financial Aid

Department of Education, South Orange County Community College District respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The find...

Department of Education, South Orange County Community College District respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 ? June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS Department of Education 2022 ? 001 Special Tests and Provisions Recommendation: The District should strengthen internal controls to ensure that they are identifying students who withdraw without notification in a timely manner. Additionally, the District should also establish controls for further review of the Return to Title IV (R2T4) calculations to ensure that the data utilized in preparing the calculation is accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: In order to ensure R2T4 calculations are performed within 30 days of the end of the period of enrollment, Saddleback College Financial Aid will review the report that identifies students who withdraw without providing notification to the institution periodically throughout the term. Initially after the freeze date, a second time after the grade posting deadline date for each term, and a third time within 30 days from the day the term ends. Scheduled review dates will also be included on the annual R2T4 Schedule. Further, in order to ensure the data utilized to calculate the R2T4 is accurate, all R2T4 worksheets and supporting documentation will be reviewed by the Senior Financial Aid Specialist or Director, Financial Aid prior to processing the return of funds. In addition, corrected calculations were completed and additional funds were returned, as required.Name(s) of the contact person(s) responsible for corrective action: Anthony Becerra (Saddleback College, Director, Financial Aid) and Christian Alvarado (Saddleback College, Dean, Enrollment Services) Planned completion date for corrective action plan: June 30, 2023 If the Department of Education has questions regarding this plan, please call Richard Kudlik, District Internal Auditor, at (949)582-4647

View Audit 45150

Finding 51363 (2022-003)

Material Weakness 2022

Independent School District 544

MN

Material Weakness Reporting Internal Control / Segregation of Duties

Finding 2022-003 Activities Allowed or Unallowed Material Weakness in Internal Control Over Compliance Finding Summary: The District has no procedure in place for review of account coding for expenditures of federal awards. Responsible Individuals: Jeff Drake, Superintendent, Superintendent Correcti...

Finding 2022-003 Activities Allowed or Unallowed Material Weakness in Internal Control Over Compliance Finding Summary: The District has no procedure in place for review of account coding for expenditures of federal awards. Responsible Individuals: Jeff Drake, Superintendent, Superintendent Corrective Action Plan: A thorough review and reconciliation of accounts for expenditures of federal awards will take place prior to the beginning of the audit. This review will be done at both the accounting staff and accounting supervisory levels. Anticipated Completion Date: June 30, 2023

View Audit 49052

Finding 51362 (2022-002)

Significant Deficiency 2022

College of Biblical Studies

TX

Procurement, Suspension & Debarment § 200.303

2022-002 Internal Controls over Suspension and Debarment (Significant Deficiency) U.S. Department of Education COVID -19: Education Stabilization Fund: Higher Education Emergency Relief Fund 84.425F ? COVID-19 Institutional Portion Recommendation: The College should establish proc...

2022-002 Internal Controls over Suspension and Debarment (Significant Deficiency) U.S. Department of Education COVID -19: Education Stabilization Fund: Higher Education Emergency Relief Fund 84.425F ? COVID-19 Institutional Portion Recommendation: The College should establish procedures to ensure that controls related to suspension and debarment are devised, are consistently implemented and that all written records are maintained to support that the compliance requirement is met. Corrective Action: The College subsequently collected a certification from the respective companies affirming that the companies are not suspended/debarred. Purchasing policies and procedures will be updated to include a control to verify that a company?s status is not suspended or debarred from receiving federal funding as required by 2 CFR Section 180, Subpart C. Responsible Parties: A. Benjamin Chelladurai, VP/CFO and Paul Keith, VP/COO Date Corrected: This recommendation was implemented with immediate effect.

View Audit 49051

Finding 51361 (2022-001)

Significant Deficiency 2022

College of Biblical Studies

TX

Cash Management Significant Deficiency Matching / Level of Effort / Earmarking § 200.303

2022-001 Compliance and Internal Controls over Cash Management (Significant Deficiency) U.S. Department of Education COVID -19: Education Stabilization Fund: Higher Education Emergency Relief Fund 84.425E ? COVID-19 Student Portion Recommendation: While not applicable for HEERF fun...

2022-001 Compliance and Internal Controls over Cash Management (Significant Deficiency) U.S. Department of Education COVID -19: Education Stabilization Fund: Higher Education Emergency Relief Fund 84.425E ? COVID-19 Student Portion Recommendation: While not applicable for HEERF funding since this has been fully utilized, for all related federal awards to students, we recommend that in order to minimize the time between funds drawn and eventual disbursement to students, the Business Office should only make draws after communication from the Student Financial Aid department that all student reviews have been completed and these are ready to be paid. Evidence of this communication should also be maintained to allow for proper audit trail. Corrective Action: The College will implement procedures related to federal awards to students that includes the authorization for draws only after formal written communication from the Student Financial Department that all student reviews have been completed with written authorization that they are final and ready for payment. Responsible Parties: A. Benjamin Chelladurai, VP/CFO and Dr. Lisa Stewart, VP/Director of Financial Aid Date Corrected: This recommendation was implemented with immediate effect.

View Audit 49051

Finding 51360 (2022-001)

Significant Deficiency 2022

Saranac Community Schools

MI

Cash Management Procurement, Suspension & Debarment Significant Deficiency

Saranac Community Schools Corrective Action Plan For the Year Ended June 30, 2022 Saranac Community Schools respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit Period: June 30, 2022 District responsible individual to implement this plan: Jammie Sprank, F...

Saranac Community Schools Corrective Action Plan For the Year Ended June 30, 2022 Saranac Community Schools respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit Period: June 30, 2022 District responsible individual to implement this plan: Jammie Sprank, Finance Director The findings 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. Finding: Financial statement audit Finding 2022-001 ? Significant Deficiency Recommendation: The District should monitor revenues more closely and adjust food service program to match revenues. Management should complete the planned expenditures needed to maintain acceptable fund balance. A spend-down plan should be developed and followed to reduce fund balance below acceptable levels. Planned Corrective Action: Management agrees with the finding and we are in the process of developing a spend down plan. The spend down plan will include completion of the fixed asset purchases and other upgrades to equipment. Management is looking at changing food choices including increasing healthy food options as a means of matching expenditures with revenues. Planned Completion Date: The District's spend down plan is anticipated to be completed by June 30, 2023. Kitchen equipment availability is severely limited due to national supply chain delays. The installation of some equipment may be limited to times when school is not in session. Due to this the District may not complete the spend spend down by June 30, 2023.

View Audit 49049

Finding 51356 (2022-003)

Significant Deficiency 2022

Bethel University and Affiliates

MN

Questioned Costs Student Financial Aid Eligibility

Student Financial Assistance Cluster Recommendation: We recommend the University review its procedures to ensure the students' academic level is correctly reported to ensure proper awarding. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken...

Student Financial Assistance Cluster Recommendation: We recommend the University review its procedures to ensure the students' academic level is correctly reported to ensure proper awarding. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Financial Aid Director and Associate Director reviewed the student?s file associated with this finding. The error in certifying was associated with a one-time deviation from normal business practices in certifying loans. Financial aid staff involved in certifying loans were reminded, by the Associate Director, of the need to follow established business practices so these types of errors do not occur. Name of the contact person responsible for corrective action: Jeffrey Olson, Director of Financial Aid Planned completion date for corrective action plan: February 20, 2023

View Audit 42899 Questioned Costs: $1

Finding 51338 (2022-006)

Significant Deficiency 2022

Bethel University and Affiliates

MN

Questioned Costs Student Financial Aid Significant Deficiency

Student Financial Assistance Cluster Recommendation: We recommend the University review the return of Title IV funds requirements and implement procedures to ensure the return of Title IV funds calculations are using the correct number of break days and are accurately completed. Explanation of disag...

Student Financial Assistance Cluster Recommendation: We recommend the University review the return of Title IV funds requirements and implement procedures to ensure the return of Title IV funds calculations are using the correct number of break days and are accurately completed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The financial aid office reviewed all R2T4 calculations for the 2021-2022 award year, recalculating the ?percent of aid earned? calculation when necessary. Information gleaned from the review of 2021-2022 R2T4 calculations was used to modify the spreadsheet used to process R2T4 calculations for 2022-2023. All 2022-2023 R2T4 calculations made prior to fixing the ?percent of aid earned? calculations were reviewed and adjusted, as needed. The audit tool we used to double-check the 2021-2022 ?percent of earned aid? calculations was added to the 2022-2023 R2T4 tool, as a way to flag calculation inconsistencies for 2022-2023 R2T4 calculations. Financial aid staff involved in processing R2T4 calculations were trained in how to use the revised R2T4 calculation tool. Name of the contact person responsible for corrective action: Jeffrey Olson, Director of Financial Aid Planned completion date for corrective action plan: February 20, 2023

View Audit 42899 Questioned Costs: $1

Finding 51337 (2022-005)

Significant Deficiency 2022

Bethel University and Affiliates

MN

Student Financial Aid Reporting Significant Deficiency

Student Financial Assistance Cluster Recommendation: We recommend the University review its reporting procedures to ensure that students? statuses are accurately and timely reported to NSLDS and all errors are corrected with the appropriate timeframe as required by regulations. Explanation of disagr...

Student Financial Assistance Cluster Recommendation: We recommend the University review its reporting procedures to ensure that students? statuses are accurately and timely reported to NSLDS and all errors are corrected with the appropriate timeframe as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: First, we will do a full audit of our report schedule to ensure the correct information is pulling into the correct report. Our current schedule shows that regular enrollment reports are submitted to the Clearinghouse every month. In addition, corrections are made within a few days of receiving the error reports. We will confirm with NSC that they are receiving all of our transmissions and corrections. Second, we will also ensure that that multiple staff are thoroughly trained on the process of submitting files and correcting errors. This will provide redundancy to ensure transmissions and corrections are done in the required windows of time. Name of the contact person responsible for corrective action: Cheryl Fisk, Registrar Planned completion date for corrective action plan: June 1, 2023

View Audit 42899

Finding 51336 (2022-004)

Significant Deficiency 2022

Bethel University and Affiliates

MN

Student Financial Aid Reporting Significant Deficiency

Student Financial Assistance Cluster Recommendation: We recommend the University evaluate its procedures and policies around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit finding: There is no disagreement w...

Student Financial Assistance Cluster Recommendation: We recommend the University evaluate its procedures and policies around reporting disbursements to COD to ensure that student information is reported accurately and timely. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Financial aid staff will review procedures related to reporting Pell disbursements to COD, and promptly responding to rejected records, to ensure that student information is reported accurately and timely. Name of the contact person responsible for corrective action: Jeffrey Olson, Director of Financial Aid Planned completion date for corrective action plan: May 31, 2023

View Audit 42899

Finding 51335 (2022-002)

Significant Deficiency 2022

Bethel University and Affiliates

MN

Student Financial Aid Reporting Significant Deficiency

Student Financial Assistance Cluster Recommendation: We recommend the University review its reporting procedures to ensure the students' statuses are accurately reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit findi...

Student Financial Assistance Cluster Recommendation: We recommend the University review its reporting procedures to ensure the students' statuses are accurately reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: First, we will do a full audit of our report schedule to ensure the correct information is pulling into the correct report. Our current schedule shows that regular enrollment reports are submitted to the Clearinghouse every month. In addition, corrections are made within a few days of receiving the error reports. We will confirm with NSC that they are receiving all of our transmissions and corrections. Second, a very complex reporting system was previously set up based on programs and location. That system will be reviewed to determine if the current set up is best way to divide out the enrollment reporting. Corrective adjustments will be made once this thorough review is completed. Name of the contact person responsible for corrective action: Cheryl Fisk, Registrar Planned completion date for corrective action plan: June 1, 2023

View Audit 42899

Finding 51334 (2022-002)

Significant Deficiency 2022

North Mississippi Health Services, Inc.

MS

Allowable Costs / Cost Principles Cash Management Reporting § 200.303

See Corrective Action Plan for chart/table

View Audit 53146

Finding 51333 (2022-001)

Material Weakness 2022

North Mississippi Health Services, Inc.

MS

Reporting § 200.303 § 200.502 § 200.510

See Corrective Action Plan for chart/table

View Audit 53146

Finding 51332 (2022-003)

Significant Deficiency 2022

Sonoran University of Health Sciences

AZ

Student Financial Aid Significant Deficiency Matching / Level of Effort / Earmarking

2022-003 Student Financial Aid Cluster ? Assistance Listing No. Various Recommendation: We recommend the University update their R2T4 calculation process to eliminate the students that completed 49% of the payment period days in their modular classes. We also recommend the University use the R2T4 fo...

2022-003 Student Financial Aid Cluster ? Assistance Listing No. Various Recommendation: We recommend the University update their R2T4 calculation process to eliminate the students that completed 49% of the payment period days in their modular classes. We also recommend the University use the R2T4 form for all calculations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Financial Aid team is completing the training modules offered by Federal Student Aid to gain a better understanding of the R2T4 calculation process for programs offered in modules. Our processes will be updated to reflect these changes and ensure that future calculations are accurate and meet federal guidelines. Name(s) of the contact person(s) responsible for corrective action: Ana Borjas, Student Financial Aid Director Planned completion date for corrective action plan: April 30, 2023

View Audit 53576

Finding 51331 (2022-002)

Significant Deficiency 2022

Sonoran University of Health Sciences

AZ

Student Financial Aid Reporting Significant Deficiency

2022-002 Student Financial Aid Cluster ? Assistance Listing No. Various Recommendation: We recommend the reporting system to COD be reviewed to ensure the information reported is accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken i...

2022-002 Student Financial Aid Cluster ? Assistance Listing No. Various Recommendation: We recommend the reporting system to COD be reviewed to ensure the information reported is accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Financial Aid Director is meeting with a PowerFAIDS (reporting system) team member to assist me in identifying the cause for our student records to update, when data has not been modified by a financial aid staff member. Once the issue has been identified, we will document a process to ensure this occurrence does not occur in future quarters. Name(s) of the contact person(s) responsible for corrective action: Ana Borjas, Student Financial Aid Director Planned completion date for corrective action plan: April 30, 2023

View Audit 53576

Finding 51329 (2022-001)

Significant Deficiency 2022

Mid-America Christian University

OK

Questioned Costs Student Financial Aid Matching / Level of Effort / Earmarking

Corrective Action Plan for Reference Number 2022-01; Student Financial Assistance Cluster: The University hired a new Director of Financial Aid (the ?Director?) in June 2022. The University has implemented weekly reviews of R2T4s beginning in July 2022 to help eliminate late returns and accuracy iss...

Corrective Action Plan for Reference Number 2022-01; Student Financial Assistance Cluster: The University hired a new Director of Financial Aid (the ?Director?) in June 2022. The University has implemented weekly reviews of R2T4s beginning in July 2022 to help eliminate late returns and accuracy issues regarding the return calculations. In August 2022, the Director of Financial Aid implemented the following corrective actions plan: ? We have created a system that requires two different staff members to review the R2T4 to ensure it is calculated accurately using the correct date of determination and amount of aid awarded/disbursed. This process also ensures that the correct term dates and any breaks are accounted for in the calculation. ? The first staff member must complete the R2T4 within 20 days of the date of determination to allow time for the second staff member to review the calculation. ? A second staff member verifies accurate processing of the R2T4 calculation prior to the funds being returned. Any return required will take place within 30 days of the date of determination to comply with University-established policy that R2T4 is to be completed within 30 days to ensure compliance with the 45-day requirement established by regulations. ? The first staff member will then double-check that return roster to ensure the correct funds and amounts were actually returned at COD. The double check on the return roster must be completed by day 37. ? Additional personnel will be trained to assist with the R2T4 process in the event of turnover and/or absence. ? The Director of Financial Aid will perform monthly quality assurance checks to see that the policies and procedures are followed. The Director of Financial Aid and both employees that are currently processing R2T4 will review the Self-Study Guide: Return of Title IV Funds by October 31, 2022. They will also view the 2022-2023 R2T4 for Clock-Hour Program Learning Track offered by the Department of Education by November 15, 2022. Mid-America Christian University?s Director of Financial Aid, Rita Castleberry, will serve as the responsible party to be sure this corrective action plan is followed as outlined. Rita can be reached at rita.castleberry@macu.edu or 405-703-8247.

View Audit 51931 Questioned Costs: $1

Finding 51328 (2022-001)

Significant Deficiency 2022

Southeasthealth System, Inc.

MO

Cash Management § 200.305

Views of Responsible Officials and Planned Corrective Actions - SoutheastHEALTH ("SEH") has developed an organization policy for cash management for federally sponsored grant programs. SEH will generally use the reimbursement method unless there is an immediate cash need to minimize the time elapsin...

Views of Responsible Officials and Planned Corrective Actions - SoutheastHEALTH ("SEH") has developed an organization policy for cash management for federally sponsored grant programs. SEH will generally use the reimbursement method unless there is an immediate cash need to minimize the time elapsing between the drawdown and disbursement of funds. Responsible Party: Krista Berry, Controller

View Audit 52363

Corrective Action Plans

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