Corrective Action Plans

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03-026-2020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 003_ Condition: District personnel were unaware of their requirement to ensure that employees of vendors used on projects exceeding $2,000 and paid with f...
03-026-2020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 003_ Condition: District personnel were unaware of their requirement to ensure that employees of vendors used on projects exceeding $2,000 and paid with federal funds were paid prevailing wage rates. Plan: Annually District personnel should read the 2 CFR Part 200, Appendix XI, Compliance Supplement for all federal programs received by the District to ensure they are aware of all applicable compliance requirements. Anticipated Date of Completion: 06/30/2023 Name of Contact Person: Travis Portz Management Response: Management will implement the auditor's recommendation in the year ended June 30, 2023.
03-026-2020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 002__ Condition: The District's property records did not include serial numbers for equipment purchased with Education Stabilization Funding. ...
03-026-2020-26 CORRECTIVE ACTION PLAN FOR CURRENT YEAR AUDIT FINDINGS Year Ending June 30, 2022 Corrective Action Plan Finding No.: 2022-_ 002__ Condition: The District's property records did not include serial numbers for equipment purchased with Education Stabilization Funding. Plan: The District will assign an employee independent of the preparer, preferably with knowledge of applicable federal grant expenditures, to review the District's property records on a periodic basis to ensure the listing meets the requirements of 2 CFR section 200.313(d)(1). Anticipated Date of Completion: 06/30/2023 Name of Contact Person: Travis Portz Management Response: Management will implement the corrective action plan for the year ended June 30, 2023.
The Auditor discovered that two weekly reports for September 2021 lacked documentation. Compared to the number of tests reported overall in 2021-2022, the number of unverified tests constitute a finding for non-compliance and indicative of issues surrounding record keeping. It has since come to ligh...
The Auditor discovered that two weekly reports for September 2021 lacked documentation. Compared to the number of tests reported overall in 2021-2022, the number of unverified tests constitute a finding for non-compliance and indicative of issues surrounding record keeping. It has since come to light that some tests were inconclusive but were not identified as such leading to a higher test count versus negative/positive counts. No program specific corrective action steps shall be instituted as this is not an on-going program. However, it will be important to laboriously work out the details prior to an agreement and specify the need for clerical support in future agreements. In addition, the district will review its records and verify alignment with reports submitted to the Los Angeles COE.
The procedure of maintaining appropriate evidence of approval prior to submitting quarterly reports and requests for reimbursement to the grantor will be implemented in fiscal year 2023.
The procedure of maintaining appropriate evidence of approval prior to submitting quarterly reports and requests for reimbursement to the grantor will be implemented in fiscal year 2023.
Finding 21837 (2022-002)
Significant Deficiency 2022
Replacement Reserve Deposits Recommendation: We recommend that management develop procedures to ensure replacement reserve deposits are updated timely to ensure compliance with the HUD regulatory agreement. Explanation of disagreement with audit finding: There is no disagreement with the audit fin...
Replacement Reserve Deposits Recommendation: We recommend that management develop procedures to ensure replacement reserve deposits are updated timely to ensure compliance with the HUD regulatory agreement. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has developed processes to verify replacement reserve deposits are updated based on the regulatory agreement annually. Name(s) of contact person(s) responsible for corrective action: Theresa Bertram Planned completion date for corrective action plan: April 2023
Finding: 2022-004 Suspension and Debarment Federal agency: U.S. Department of Agriculture Federal program Title: Child Nutrition Cluster Assistance Listing Number: 10.553, 10.555, 10.556 and 10.559 Federal Award Identification Number and Year: 212MN061N1199- 2022 Pass-Through Agency: Minnesota Depa...
Finding: 2022-004 Suspension and Debarment Federal agency: U.S. Department of Agriculture Federal program Title: Child Nutrition Cluster Assistance Listing Number: 10.553, 10.555, 10.556 and 10.559 Federal Award Identification Number and Year: 212MN061N1199- 2022 Pass-Through Agency: Minnesota Department of Education Pass-Through Number(s): 1-2342-000 Award Period: June 30, 2022 Type of Finding: Significant Deficiency in Internal Control Over Compliance Recommendation: We recommend that District implement procedures and controls to ensure vendors are not suspended or debarred. Views of Responsible Officials: There is no disagreement with the audit finding. Action Taken in Response to Finding: The District will implement procedures to ensure before a transaction is entered into with a vendor, they have a review in place to ensure the vendor is not included on the suspension and debarment listing. Name of the Contact Person Responsible for Corrective Action Plan: Paul Brownlow, Superintendent Planned Completion Date for Corrective Action Plan: June 30, 2023
Finding 2022-008 ? Cash Management ? Untimely Disbursements During the audit, it was noted that Student Aid Portion grant funds were not disbursed within 15 calendar days of the drawdown from G5. The Institution agrees with the finding. The Institute agrees with this finding, the funds were disburse...
Finding 2022-008 ? Cash Management ? Untimely Disbursements During the audit, it was noted that Student Aid Portion grant funds were not disbursed within 15 calendar days of the drawdown from G5. The Institution agrees with the finding. The Institute agrees with this finding, the funds were disbursed later than 15 days after drawdown of the funds. The school was aware that the funds were not disbursed in a timely manner due to timing issues within the department that was responsible to release the funds. In the future, the school will better prepare the checks and letters, so that the drawdown will be completed once the school is ready to release the funds.
View Audit 19109 Questioned Costs: $1
Finding 2022-007 ? Untimely Reporting: During the audit, we noted two institutional quarterly reports that were not posted in a timely manner. The Institution agrees with the finding. The Institute agrees with the finding because we cannot procure the original webmaster records; but wants to state t...
Finding 2022-007 ? Untimely Reporting: During the audit, we noted two institutional quarterly reports that were not posted in a timely manner. The Institution agrees with the finding. The Institute agrees with the finding because we cannot procure the original webmaster records; but wants to state that the annual reports were submitted in a timely manner and that the quarterly reports were posted to our prior website for the public and the Department to view. The same response is true for this finding as finding 2022-006.
Finding 2022-006 ? Inaccurate Reporting: During the audit, we noted two reports that were either missing the required elements set forth by the Department, or had inaccurate information disclosed. The Institution agrees with the finding. The Institute does agree with the finding; but did believe tha...
Finding 2022-006 ? Inaccurate Reporting: During the audit, we noted two reports that were either missing the required elements set forth by the Department, or had inaccurate information disclosed. The Institution agrees with the finding. The Institute does agree with the finding; but did believe that the reports were correct when submitted. The funds were represented on future reports. The Institute again will take this opportunity to learn from the mistakes found on this audit to ensure that the reporting issues from two of the reports will not be repeated in future reports, if any additional HERFF grants are awarded.
Finding 2022-005 ? Insufficient Standard of Conduct: The Institution was unable to provide an adequate Standard of Conduct policy that contained the required elements set forth by the Department. The Institution agrees with the finding. As stated above, the institution did believe at the time that t...
Finding 2022-005 ? Insufficient Standard of Conduct: The Institution was unable to provide an adequate Standard of Conduct policy that contained the required elements set forth by the Department. The Institution agrees with the finding. As stated above, the institution did believe at the time that they were following the Department?s guidance. The same response is true for this finding as finding 2022-004.
Finding 2022-004 ? Insufficient Procurement Policy The Institution?s documented Procurement Policy did not contain the required elements set forth by the Department. The Institution agrees with the finding. ...
Finding 2022-004 ? Insufficient Procurement Policy The Institution?s documented Procurement Policy did not contain the required elements set forth by the Department. The Institution agrees with the finding. The Institute agrees that while they thought that they were following the Department?s guidance in-regards-to the procurement of HERFF funds, they misinterpreted the information which created the findings. Now that the Institute has a better understanding of the process of HERFF procurement and disbursement, and if additional funding is available in the future, the Institute will change its procedures to match those of the Department as learned from the errors found in this audit.
Finding 2022-001 ? Underawarded Pell Grants: During the audit, it was noted that two students were not awarded the full amount of their allowable Pell grants. It was recommended that the school credit the appropriate students? accounts $1,077. The Institution agrees with the finding. The school has ...
Finding 2022-001 ? Underawarded Pell Grants: During the audit, it was noted that two students were not awarded the full amount of their allowable Pell grants. It was recommended that the school credit the appropriate students? accounts $1,077. The Institution agrees with the finding. The school has made the appropriate corrections to the student accounts and both students have received their additional funding. The Institute recognized that our 3rd party Servicer was not disbursing the correct amount of Pell grant funds and requested that they complete a full audit of disbursements, the error on their end has been corrected and should not lead to additional findings moving forward.
Finding 2022-003 ? Late Refunds: During the audit, we noted two students who did not have refunds returned to the Department in a timely manner. The Institution agrees with the finding. The Institute acknowledges that the lag time between registration and financial aid did contribute to this issue. ...
Finding 2022-003 ? Late Refunds: During the audit, we noted two students who did not have refunds returned to the Department in a timely manner. The Institution agrees with the finding. The Institute acknowledges that the lag time between registration and financial aid did contribute to this issue. Similar to the resolution above, the director will continue to monitor these issues and work between the financial aid and business offices to ensure that refunds are made in a timely manner.
View Audit 19109 Questioned Costs: $1
Finding 2022-002 ? Incorrect Refund Calculation: During the audit, one student had an incorrect refund calculation resulting in $1,592 that should be returned to the Department of Education. The Institution agrees with the finding. The erroneous action happened due to administrative oversight, the r...
Finding 2022-002 ? Incorrect Refund Calculation: During the audit, one student had an incorrect refund calculation resulting in $1,592 that should be returned to the Department of Education. The Institution agrees with the finding. The erroneous action happened due to administrative oversight, the refunds to the Department have been completed in the amount of $211.00 Pell grant and $1,381 in Subsidized Direct loan funds. The school understands the importance of calculating the Title IV refund correctly, as a new financial aid administrator and director move into these roles, more oversight from the director position will be initiated.
View Audit 19109 Questioned Costs: $1
2022-001 Sliding Fee Discount Determination Name of Contact Person: Interim Chief Financial Officer: Daniel Winokur, Patient Accounts Manager: George Ward Corrective Action: San Francisco Medical Center Outpatient Improvement Programs, Inc will: - Immediately retrain staff involved in Slidin...
2022-001 Sliding Fee Discount Determination Name of Contact Person: Interim Chief Financial Officer: Daniel Winokur, Patient Accounts Manager: George Ward Corrective Action: San Francisco Medical Center Outpatient Improvement Programs, Inc will: - Immediately retrain staff involved in Sliding Fee Discount Program (SFDP) on program requirements and proper implementation of sliding fee determination and billing. - Train all new staff at new hire orientations, conduct an internal audit, and retrain current staff based on outcome as needed. - Perform periodic audits of sliding fee transactions Proposed Completion Date: September 30, 2022
TWIN PORTS ACCESSIBILITY PROJECT, INC. HUD PROJECT NO. 092-11251 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Twin Ports Accessibility Project, Inc. respectfully submits the following corrective action...
TWIN PORTS ACCESSIBILITY PROJECT, INC. HUD PROJECT NO. 092-11251 CORRECTIVE ACTION PLAN YEAR ENDED JUNE 30, 2022 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Twin Ports Accessibility Project, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. Name and address of independent public accounting firm: Hinrichs & Associates, Ltd. 1000 Shelard Parkway, Suite 110 Minneapolis, MN 55426 Audit Period: June 30, 2022 The finding from the June 30, 2022 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Section A of the schedule, Summary of Audit Results, does not include findings and is not addressed. FINDINGS - FINANCIAL STATEMENT AUDIT NONE FINDINGS - FEDERAL AWARD PROGRAMS AUDIT DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FINDING 2022-001: SECTION 223(f), ASSISTANCE LISTING NUMBER 14.155 Condition: The Project overpaid management fees to the management company. Recommendation: The management company should repay the $271 to the Project. Action Taken: The Project agrees with the finding. The management company will repay the overpaid management fees as soon as possible. If the Department of Housing and Urban Development has questions regarding this plan, please call Chuck Reuter at 651-645-7271.
View Audit 20114 Questioned Costs: $1
Finding 21803 (2022-004)
Significant Deficiency 2022
Finding 2022-004-- Inaccurate Program Data to NSLDS Management Response: Beloit College?s IT and Registrar?s Office identified the issue in the software system causing the incorrect dates to populate and are working to correct it. Because the Registrar pulls the program information out of the soft...
Finding 2022-004-- Inaccurate Program Data to NSLDS Management Response: Beloit College?s IT and Registrar?s Office identified the issue in the software system causing the incorrect dates to populate and are working to correct it. Because the Registrar pulls the program information out of the software system, the correct information will be provided as soon as the software issue is remedied. After the software issue is fixed, the Financial Aid Office will audit program level data for accuracy no less than once per semester. Anticipated Completion Date March 1, 2023 Contact Person: Betsy Henkel, Director of Financial Aid henkelb@beloit.edu, 608-363-2662
Finding 21802 (2022-003)
Significant Deficiency 2022
Finding 2022-003 -- Incorrect Enrollment Reporting to NSLDS Management Response: Management agrees with this finding. The Registrar and Financial Aid Office share a report to process mid-semester withdrawals. An additional column was added to this shared report to more clearly display the date the...
Finding 2022-003 -- Incorrect Enrollment Reporting to NSLDS Management Response: Management agrees with this finding. The Registrar and Financial Aid Office share a report to process mid-semester withdrawals. An additional column was added to this shared report to more clearly display the date the Registrar should be reporting to the NSLDS when a student withdraws mid-semester. Furthermore, the Financial Aid Office will audit the effective dates reported for mid-semester withdrawals to verify the Registrar is reporting the correct dates. Anticipated Completion Date December 1, 2022 Contact Person: Betsy Henkel, Director of Financial Aid henkelb@beloit.edu, 608-363-2662
Finding 21801 (2022-002)
Significant Deficiency 2022
Finding 2022-002-- Late Enrollment Reporting to NSLDS Management Response: Management agrees with this finding. Beloit College?s Registrar will exercise the option to use the ad hoc NSC reporting tool to ensure that timely enrollment reporting updates are received by NSLDS. Anticipated Completio...
Finding 2022-002-- Late Enrollment Reporting to NSLDS Management Response: Management agrees with this finding. Beloit College?s Registrar will exercise the option to use the ad hoc NSC reporting tool to ensure that timely enrollment reporting updates are received by NSLDS. Anticipated Completion Date October 15, 2022 Contact Person: Betsy Henkel, Director of Financial Aid henkelb@beloit.edu, 608-363-2662
Finding number: 2022-001 Corrective Action Plan: During the next window to make changes to the 2021 annual report, changes will be made to ensure the report matches our internal records. Review procedures will be in place to ensure accurate reporting going forward. Timeline for Implementation of Cor...
Finding number: 2022-001 Corrective Action Plan: During the next window to make changes to the 2021 annual report, changes will be made to ensure the report matches our internal records. Review procedures will be in place to ensure accurate reporting going forward. Timeline for Implementation of Corrective Action Plan: Immediately Contact Person Mark Boudreau, Comptroller
U. S. Environmental Protection Agency The Lancaster Farmland Trust respectively submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent accounting firm: Brown Schultz Sheridan & Fritz 454 New Holland Avenue, Suite 101 Lancaster, PA 176...
U. S. Environmental Protection Agency The Lancaster Farmland Trust respectively submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent accounting firm: Brown Schultz Sheridan & Fritz 454 New Holland Avenue, Suite 101 Lancaster, PA 17602 Audit Period: January 01, 2022 to December 31, 2022 The findings from the schedule of questioned costs for the year ended December 31, 2022 are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS ? FEDERAL AWARD Finding reference: 2022-001 Federal Agency: U.S. Environmental Protection Agency Pass-through entity: National Fish and Wildlife Foundation Federal Program: 66.466 Chesapeake Bay Trust Program Requirement: Matching Type of Finding: Material weakness in internal control over compliance; Noncompliance Condition and criteria: Federal funds were used as matching contributions that are required to be nonfederal. Cause: The Trust did not realize the funds being applied as matching funds were federal when they indicated them as matching funds. This resulted in noncompliance. Effect: Ineligible matching funds were used. Recommendation: The Trust should verify the source of funds it will use as matching funds for federal grants. The Trust?s response: The Trust will secure other nonfederal funds before the grant period ends and will verify the source of matching funds going forward. If the U. S. Environmental Protection Agency has any questions regarding this response, please call Jeffery Swinehart, President and CEO at 717-687-8484.
October 29, 2022 Schedule of Findings and Questioned Costs Corrective Action Plan For: 2022-001 ? Excess Fund Balance in Food Service Condition: As of year-end the District had a fund balance in the non-profit food service fund in excess of three months? operating expenses by approximately $213,867....
October 29, 2022 Schedule of Findings and Questioned Costs Corrective Action Plan For: 2022-001 ? Excess Fund Balance in Food Service Condition: As of year-end the District had a fund balance in the non-profit food service fund in excess of three months? operating expenses by approximately $213,867.22. Corrective Action to Be Taken: The District is updating their Spenddown Plan for the excess fund balance. The Food Service Director and the Assistant Superintendent have already identified areas where there are needs for upgrades or enhancements needed. Over the next few months the Excess Fund Balance will get used to improve the Food Service Program. Responsible Parties for Implementation of Corrective Action: Food Service Director with follow up by the Assistant Superintendent. Date of Anticipated Completion of Corrective Action: The corrective action plan was immediately implemented during the fall of 2022. Sarah M. Glann Assistant Superintendent
During our fiscal year 2022 audit, the period one provider relief fund (PRF) report was tested. An error was discovered in the report involving the final Medicaid cost report adjustment. While this adjustment was included in the PRF report, the entry made to include it was made in the exact opposit...
During our fiscal year 2022 audit, the period one provider relief fund (PRF) report was tested. An error was discovered in the report involving the final Medicaid cost report adjustment. While this adjustment was included in the PRF report, the entry made to include it was made in the exact opposite direction from how it should have been recorded. This resulted in overstated lost revenue. Upon correcting the entry and balancing it against the applicable fiscal year, the clinic was still able to fully allocate the lost revenue against the PRF funds. After the corrections were made, there was still $30,128 in lost revenue that was not covered by the funds. In an effort to correct this error with HHS, Angela Gargus, CFO, called the PRF provider support line. She explained the situation and asked for the portal to be opened so she could update her report. She talked with at least three different levels of support. While all understood her desire to update the information, she was told since HHS was already up to period 4 and 5 that the likelihood of being able to submit a correction was slim. The support line did take her official request with the details of the correction so a formal response could be obtained for the clinic?s files. Her official request was denied by HRSA PRB Inquiries on January 4, 2023. The denial stated the report was closed and changes could no longer be made. She was instructed to maintain all records related to the organization?s PRF payment for three years. At this time, all actions that can be taken to correct this error have been tried. Ms. Gargus has stored the corrected report as well as the documented attempt to submit the corrected file to HHS in the file with the original PRF submission. The clinic?s CEO and Board of Directors are aware of the error and the actions taken to attempt to fix it.
Finding 2022-002 ? Reporting Information of the federal program: Federal Grantor: United States Department of Hea...
Finding 2022-002 ? Reporting Information of the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498, COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Provider Relief Fund Reporting Entity: Northwestern Memorial Healthcare Group Tax Identification Number (TIN): 364724966 Federal Award Period of Performance: 01/01/2020?06/30/2022 (Period 3) Views of responsible officials and planned corrective actions: Management will add additional peer review for the out of period adjustments to ensure reported amounts align with financial reporting for net patient service revenue. Responsible Official: Paal Braathen, Finance Director Completion date: May 17, 2023
Finding 2022-001 ? Activities Allowed or Unallowed and Eligibility Information of the federal program: Federal Grantor: United States Department of Health and ...
Finding 2022-001 ? Activities Allowed or Unallowed and Eligibility Information of the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461, COVID-19 HRSA COVID-19 Claims Reimbursement for the Uninsured and the COVID-19 Coverage Assistance Fund Federal Award Numbers: Various Federal Award Period of Performance: 09/01/2021?04/05/2022 Views of responsible officials and planned corrective actions: Management made the adjustments to the report script to ensure all uninsured COVID-19 patient accounts eligible for reimbursement by HRSA are captured for management review and includes accounts with a zero balance and/or have a closed status. The corrective action plan was implemented and in place by December 31, 2021 shortly after the 8/31/2020 Uniform Guidance audit was completed on November 29, 2021. The adjustments will ensure that claims completed after December 31, 2021 are captured. Responsible Official: Michael Mullen, Vice President Revenue Cycle Completion date: December 31, 2021.
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