Corrective Action Plans

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U.S. Department of Health and Human services 2022-001 Health Center Cluster ? Assistance Listing Numbers 93.224 & 93.527 Recommendation: As the policy has already been revised, we recommend the Center follow the requirements under the new policy and ensure documentation is maintained as appropriate ...
U.S. Department of Health and Human services 2022-001 Health Center Cluster ? Assistance Listing Numbers 93.224 & 93.527 Recommendation: As the policy has already been revised, we recommend the Center follow the requirements under the new policy and ensure documentation is maintained as appropriate to support each procurement method. We also recommend implementing procedures to monitor vendor totals to identify situations where a vendor originally expected to be under a procurement threshold, subsequently exceeds it. In the event this happens, analysis and documentation would be necessary to support the continued use of the vendor. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Management has revised the procurement policy to meet Uniform Guidance requirements, and will ensure the new policy and procedures are followed moving forward. The Center also had a call with Keith Schwart, HRSA Program Specialist to discuss the progress made on prior findings on April 25, 2023. Name(s) of the contact person(s) responsible for corrective action: Jennifer Beckius, CFO Planned completion date for corrective action plan: New policy was implemented in June 2022
Audit Period: Fiscal year ended June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule of findings and questioned costs. Findings - Financial Statement Audit M...
Audit Period: Fiscal year ended June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule of findings and questioned costs. Findings - Financial Statement Audit MATERIAL WEAKNESS None Reported SIGNIFICANT DEFICIENCY None Reported Findings - Federal Award Programs Audit MATERIAL WEAKNESS None Reported SIGNIFICANT DEFICIENCY None Reported Water and Waste Systems -ALN: 10.760 Finding: Schedule of Expenditures of Federal Awards Preparation Recommendation: Procedures should be implemented to ensure completion of an entry to the Schedule of Federal Expenditures of Federal Awards to achieve a reliable reporting of total expenditures for an audit period. Action Taken: We acknowledge our responsibility to present the Schedule of Expenditures of Federal Awards and related notes in accordance with Uniform Guidance requirements. To ensure future implementation of this requirement, the City of Cave Spring will record all expenditures on the schedule of federal expenditures.
PROCEDURES WILL BE IMPLEMENTED TO SEGREGATE DUTIES WHERE POSSIBLE INCLUDING A CROSS TRAINING OR ROTATING OF JOB DUTIES TO ENSURE ONE PERSON DOES NOT HAVE COMPLETE UNSUPERVISED CONTROL OVER ONE PARTICULAR AREA.
PROCEDURES WILL BE IMPLEMENTED TO SEGREGATE DUTIES WHERE POSSIBLE INCLUDING A CROSS TRAINING OR ROTATING OF JOB DUTIES TO ENSURE ONE PERSON DOES NOT HAVE COMPLETE UNSUPERVISED CONTROL OVER ONE PARTICULAR AREA.
Finding Number: 2022-001 -Cash Management Fiscal Year: 2022 Finding: The Corporation failed to deposit the 2021 surplus cash balance into the residual receipts account in accordance with HUD guidelines. Status: Corrective action in progress corrective action: The Corporation will compute surplus ca...
Finding Number: 2022-001 -Cash Management Fiscal Year: 2022 Finding: The Corporation failed to deposit the 2021 surplus cash balance into the residual receipts account in accordance with HUD guidelines. Status: Corrective action in progress corrective action: The Corporation will compute surplus cash when preparing the audit workpapers and deposit any cash surplus in accordance with guidelines mandated by HUD in the future. completion date: December 31, 2022 Acknowledged: Sam a. jones, president amurcon realty
Finding No. 2022?001 ? Special Tests and Provisions ? Return of Title IV Funds Condition found. The return of Title IV funds as calculated by the University was performed after the required 45 days, in the following case: Student Id. No. Determination date Refund date 92710 6/24/2022 8/24/2022 Manag...
Finding No. 2022?001 ? Special Tests and Provisions ? Return of Title IV Funds Condition found. The return of Title IV funds as calculated by the University was performed after the required 45 days, in the following case: Student Id. No. Determination date Refund date 92710 6/24/2022 8/24/2022 Management Response The University agrees with the finding. Corrective Action Plan The University affirms its understanding of its obligation to submit the return of Title IV funds due to a total withdrawal to the Department of Education no later than 45 days after the determination date, the date that the school became aware that the student withdrew. In this case, the disbursement of Title IV funds was posted at the same date and time the R2T4 was processed, and one process blocked the other. To avoid this issue, officials must be aware that process that involve return of funds should be processed on different days than the disbursement of Title IV funds are processed. Name of the Contact Person Responsible for Corrective Action Elaine Nu?ez, Financial Aid Office Director Anticipated Completion Date During fiscal year 2022-2023
Name of auditee: Rouses Point Senior Housing Development Fund Company, Inc. Project No.: 014-EE192 TIN: 16-1028940 Name of audit firm: EFPR Group, CPA, PLLC Period covered by audit: March 31, 2022 CAP prepared by: Robert Miller, Jr. President Belmont Management Co., Inc. (716) 854-1251 Finding 2022-...
Name of auditee: Rouses Point Senior Housing Development Fund Company, Inc. Project No.: 014-EE192 TIN: 16-1028940 Name of audit firm: EFPR Group, CPA, PLLC Period covered by audit: March 31, 2022 CAP prepared by: Robert Miller, Jr. President Belmont Management Co., Inc. (716) 854-1251 Finding 2022-001 Management understands HUD?s requirements for monthly deposits into the reserve for replacements and has deposited the delinquent deposit of $1,200 into the reserve for replacements account in April 2022.
Finding 2022-103 ? Improve Controls over Capital Assets (Significant Deficiency) ? (Repeat Finding) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: The School has not performed a comprehensive inventory of capital ass...
Finding 2022-103 ? Improve Controls over Capital Assets (Significant Deficiency) ? (Repeat Finding) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: The School has not performed a comprehensive inventory of capital assets in several years. Accordingly, the School has not reconciled a physical observation to its detailed capital asset listing. Recommendation: The auditors recommended that the School perform a physical inventory of the School's capital assets on at least a biennial basis. In addition, the Finance Department should update the School's accounting records based on the results of the physical inventory. Contact Name: Renee Ramirez, Business Manager Corrective Action Planned: HBCS is planning to perform a physical inventory of the school?s capital assets every two years. A system will be designed to ensure that this occurs. The Business Department will update the School?s accounting records based on the results of the biennial inventory. Anticipated Completion Date: June 30, 2023
Finding 2022-102 ? Improve Controls over Allowable Costs (Material Weakness) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: During 2022, the School provided stipends to employees for recruiting and retention. These ...
Finding 2022-102 ? Improve Controls over Allowable Costs (Material Weakness) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: During 2022, the School provided stipends to employees for recruiting and retention. These stipends ranged from $1,800 to $16,700 per employee. The recruiting and retention stipends had no supporting documentation justifying the amount paid. Recommendation: The auditors recommended that the School establish a written policy on the stipends for recruiting and retention that is reasonable and comparable to other similar organizations in the area. Contact Name: Renee Ramirez, Business Manager Corrective Action Planned: HBCS will develop, in conjunction with the Governing School Board, a recruitment and retention policy that is reasonable and comparable to other schools on Hopi. Anticipated Completion Date: June 30, 2023
Finding 2022-101 - Improve Internal Control over Reporting (Material Weakness) ? (Repeat Finding) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: The four quarterly reports were not filed within the 30 days required by ...
Finding 2022-101 - Improve Internal Control over Reporting (Material Weakness) ? (Repeat Finding) FAL Numbers: 15.042 Program Titles: Indian School Equalization COVID-19 Indian School Equalization Condition and Context: The four quarterly reports were not filed within the 30 days required by the contract. Also, the Uniform Guidance requires the submission of a single audit reporting package to the Federal Audit Clearinghouse within nine months of the auditee?s fiscal year end. Recommendation: The auditors recommended that the School establish a system of monitoring for the filing of all required reporting and that the chief school administrator review the monitoring list on a regular basis consistent with the timing of report filings. Contact Name: Renee Ramirez, Business Manager Corrective Action Planned: HBCS will establish a monitoring system for the filing of all required reporting. Additionally, the principal will review the system on a regular basis to ensure the timely filing of all reports. Anticipated Completion Date: June 30, 2023
Finding 37656 (2022-004)
Significant Deficiency 2022
HEERF Procurement, Suspension and Debarment ? Assistance Listing No. 84.425F Recommendation: We recommend that the College review their procurement policy to ensure a process is in place to follow it in the future. We also recommend a policy be drafted surrounding suspension and debarment that inclu...
HEERF Procurement, Suspension and Debarment ? Assistance Listing No. 84.425F Recommendation: We recommend that the College review their procurement policy to ensure a process is in place to follow it in the future. We also recommend a policy be drafted surrounding suspension and debarment that includes all federal requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College will review their procedures around HEERF reporting and ensure someone is designated to review prior to uploading the reports. Name(s) of the contact person(s) responsible for corrective action: Kelly Flege Planned completion date for corrective action plan: update plan
Finding 37654 (2022-003)
Significant Deficiency 2022
2022-003 HEERF Reporting ? Assistance Listing No. 84.425E, 84.425F Recommendation: We recommend that the College review their policies surrounding federal grants and ensure a review process is in place to ensure that all necessary compliance requirements are met. Explanation of disagreement with aud...
2022-003 HEERF Reporting ? Assistance Listing No. 84.425E, 84.425F Recommendation: We recommend that the College review their policies surrounding federal grants and ensure a review process is in place to ensure that all necessary compliance requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College will review their procedures around HEERF reporting and ensure someone is designated to review prior to uploading the reports. Name(s) of the contact person(s) responsible for corrective action: Kelly Flege Planned completion date for corrective action plan: update plan
Finding 37646 (2022-002)
Significant Deficiency 2022
2022-002 SCHER1 ? Assistance Listing No. 84.007, 84.033, 84.038, 84.063, 84.268, 84.379 Recommendation: We recommend that the College review their policies surrounding federal grants and ensure a review process is in place to ensure that all necessary compliance requirements are met. Explanation of ...
2022-002 SCHER1 ? Assistance Listing No. 84.007, 84.033, 84.038, 84.063, 84.268, 84.379 Recommendation: We recommend that the College review their policies surrounding federal grants and ensure a review process is in place to ensure that all necessary compliance requirements are met. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College will continue to monitor errors within SCHEER 1 to ensure they are corrected within 10 days. Name(s) of the contact person(s) responsible for corrective action: Pam Perry Planned completion date for corrective action plan: The process was implemented in July 2021.
SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONS COSTS FINDING 2022-001 ? CONTROLS AND NONCOMPLIANCE OVER REPORTING Management?s Response The College accepts this finding and will add additional steps to reinforce established policies and procedures regarding timely submission of the COD inform...
SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONS COSTS FINDING 2022-001 ? CONTROLS AND NONCOMPLIANCE OVER REPORTING Management?s Response The College accepts this finding and will add additional steps to reinforce established policies and procedures regarding timely submission of the COD information. Plan The College?s Student Financial Aid department has developed additional steps to reinforce established policies and procedures regarding timely submission of the COD information. These steps are outlined below. Every Friday the Director (Manager in absence of Director) runs the FATP report and provides the report to the Manager. The Manager (Coordinator if Manager runs FATP) reviews sample of report and confirms via email to Director and Manager (if appropriate). The Manager (Coordinator in absence of Manager) sends sample the Business Office Every Tuesday the Business Office reviews sample in ASAI (Student Account History). If correct, the Business Office solicits final-signoff from Director of Financial Aid (Manager in absence of Director). The Director of Financial Aid (Manager in absence of Director) reviews and signs-off on the document and returns to the Business Office. Upon receipt of sign-off Business Office transmits funds to COD and prepares drawdown request. Anticipated Date of Completion 1/1/2023 Name of Contact Person Avianca Taylor
SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONS COSTS FINDING 2022-002 ? CONTROLS AND NONCOMPLIANCE OVER ELIGIBILITY AND DISBURSEMENT Management?s Response The College accepts this finding and will continue to undergo updates in procedures regarding documentation retention. Plan SSC Student ...
SECTION III ? FEDERAL AWARD FINDINGS AND QUESTIONS COSTS FINDING 2022-002 ? CONTROLS AND NONCOMPLIANCE OVER ELIGIBILITY AND DISBURSEMENT Management?s Response The College accepts this finding and will continue to undergo updates in procedures regarding documentation retention. Plan SSC Student Financial Aid is in the process of developing an electronic document retention system. In the meantime, all documents are being retained in student files via hardcopy format under the supervision of the Manager. Each Friday the Manager (Coordinator in the absence of Manager) and Director audit files of students receiving FSEOG to verify document retention. Additionally, the College is implementing a Colleague rule to prevent disbursement of FSEOG to any student who does not have a $0 EFC. This is in addition to the existing rule that requires a student to be receiving a Federal Pell Grant in order to have a Federal SEOG disbursement paid to their College account. Anticipated Date of Completion 1/1/2023 Name of Contact Person Avianca Taylor
View Audit 34723 Questioned Costs: $1
FINDING 2022-002 ? Special Tests and Provisions ? Enrollment Reporting: Significant Deficiency in Internal Control Recommendation: We recommend that the University develop additional procedures to monitor the accuracy of information provided by its third-party servicer on behalf of the University t...
FINDING 2022-002 ? Special Tests and Provisions ? Enrollment Reporting: Significant Deficiency in Internal Control Recommendation: We recommend that the University develop additional procedures to monitor the accuracy of information provided by its third-party servicer on behalf of the University to NSLDS. One additional monitoring control could be to review a sample of students within NSLDS after each roster file response to ensure that the enrollment status is accurate. Each institution has access to correct information directly within NSLDS at any time. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with the importance of ensuring timely and accurate NSLDS reporting in accordance with 34 CFR section 685.309(b)(2)(i)). The NCU Quality Assurance, under Brandy Baker, team now reviews enrollment reporting on a regular basis to confirm the reporting process is consistent with the Title IV regulation. Starting in January 2023, Quality Assurance team leads investigations while partnering with our Financial Aid Director, Kimberly Quinn, and our Registrar team, under Chris Alvarado, to determine the cause of the inaccurate reporting for quality assurance review findings and will work with the appropriate departments and teams to ensure that any required corrections to process, reporting, reporting code or systems is rectified. Management agrees with the importance of communicating with the Department of Education when an enrolled student ceases to be enrolled at least half-time.
FINDING 2022-001 ? Special Tests and Provisions ? Return of Title IV: Significant Deficiency in Internal Control Recommendation ? We recommend NCU revise their system queries to capture all withdrawn students and implement a process by which the queries are tested annually. We also recommend NCU im...
FINDING 2022-001 ? Special Tests and Provisions ? Return of Title IV: Significant Deficiency in Internal Control Recommendation ? We recommend NCU revise their system queries to capture all withdrawn students and implement a process by which the queries are tested annually. We also recommend NCU implement a process in which there is a final review of the Title IV return after the fact for all students to ensure all aspects are correct and timely. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with the importance of ensuring that the return of Title IV funds (R2T4) is performed both timely and accurately. In November 2022, the University instituted a new workflow process that is easily tracked and reported, allowing our Processing, under Kimberly Quinn, and Quality Assurance, under Brandy Baker, teams to monitor and control the R2T4 process more effectively. In addition, the Quality Assurance team at NCU is now performing regular and periodic file reviews to ensure file accuracy. The Quality Assurance process includes a review of both an assessment of the accuracy of our calculations and that all required R2T4s are complete. These new internal controls ensure we process R2T4 in accordance with 34 CFR section 668.22 (2)(i) in the required timeframe. We anticipate the changes mentioned above will remediate this finding.
Management agrees with the finding. Due to vacancies experienced by the City of South Gate and the absence of a Director and Deputy Director of Administrative Services, management was not able to properly oversee the timely submission of the SF-425 financial reports for fiscal year ended June 30, 20...
Management agrees with the finding. Due to vacancies experienced by the City of South Gate and the absence of a Director and Deputy Director of Administrative Services, management was not able to properly oversee the timely submission of the SF-425 financial reports for fiscal year ended June 30, 2022. Additionally, due to these vacancies, the late submission of these reports extended into the first two quarters of the following fiscal year. However, these vacant positions have since been filled and Management will ensure that all SF-425 financial reports are reviewed and submitted within 30 days after the reporting period end date.
Finding 37637 (2022-005)
Significant Deficiency 2022
Management acknowledges the importance of ensuring that payroll costs charged to the program are consistent between the payroll system and the employee?s timesheet. The Finance Department plans to provide training to program staff on how to properly report their time worked on the grant to ensure t...
Management acknowledges the importance of ensuring that payroll costs charged to the program are consistent between the payroll system and the employee?s timesheet. The Finance Department plans to provide training to program staff on how to properly report their time worked on the grant to ensure that hours worked are both reported correctly on the timesheets and are following the funding allocations that are approved by the grant.
View Audit 31838 Questioned Costs: $1
Finding Number: 2022-003 Planned Corrective Action: The School District Treasurer will review all Final Expenditure Report data submitted to the Ohio Department of Education to ensure that is accurate. Anticipated Completion Date: April 30, 2023 Responsible Contact Person: Samantha Hamilton, Treasur...
Finding Number: 2022-003 Planned Corrective Action: The School District Treasurer will review all Final Expenditure Report data submitted to the Ohio Department of Education to ensure that is accurate. Anticipated Completion Date: April 30, 2023 Responsible Contact Person: Samantha Hamilton, Treasurer
Finding Number: 2022-002 Planned Corrective Action: The School District in the future will monitor contracts paid with federal funds to ensure if they require prevailing wage language in contracts that it is included and properly monitored. Anticipated Completion Date: April 30, 2023 Responsible Con...
Finding Number: 2022-002 Planned Corrective Action: The School District in the future will monitor contracts paid with federal funds to ensure if they require prevailing wage language in contracts that it is included and properly monitored. Anticipated Completion Date: April 30, 2023 Responsible Contact Person: Samantha Hamilton, Treasurer
Finding Number: 2022-001 Planned Corrective Action: The School District will review all purchases made with federal funds to ensure they are properly capitalized and input into the EIS system for tracking purposes. Anticipated Completion Date: April 30,2023 Responsible Contact Person: Samantha Hami...
Finding Number: 2022-001 Planned Corrective Action: The School District will review all purchases made with federal funds to ensure they are properly capitalized and input into the EIS system for tracking purposes. Anticipated Completion Date: April 30,2023 Responsible Contact Person: Samantha Hamilton, Treasurer
Finding Number: 2022-001 Condition: Controls in place did not minimize the time elapsing between the transfer of funds and disbursement to VAIA?s subrecipients. Planned Corrective Action: Prior to the auditor?s testing that resulted in this finding, the Office of Sponsored Research (OSR) had created...
Finding Number: 2022-001 Condition: Controls in place did not minimize the time elapsing between the transfer of funds and disbursement to VAIA?s subrecipients. Planned Corrective Action: Prior to the auditor?s testing that resulted in this finding, the Office of Sponsored Research (OSR) had created a new Sponsored Research Administrator role dedicated, in part, to proactive subrecipient monitoring and invoicing. This individual reports directly to the Director of Sponsored Research and meets with the Director monthly to monitor the subaward invoicing and routing process. Subaward invoicing activities were fully transitioned to the Sponsored Research Administrator (SRA) in October 2022. As part of the transition to this new SRA role, existing subaward checklists and process documentation were reviewed and improved. OSR also updated the subrecipient payment process document to include an explicit statement indicating invoices must be paid within 30 days of receipt unless the invoice is reasonably believed to be improper. Additional planned corrective actions include: - Further refining policies and procedures and roles and responsibilities related to subrecipient monitoring and invoice payments. - Implementing a formal backup plan for subrecipient payments to ensure timely payment during the absence or work overload of the SRA. - Weekly reporting on subaward invoices and payments by the SRA to OSR leadership. - Updating OSR?s invoice tracking tools to include `Invoice Date ? Received? and `Invoice Date ? Paid? fields to highlight aged invoices and enable expedited resolution plans. - Providing continuing education for the OSR team on subrecipient compliance and regulatory timelines. Contact person responsible for corrective action: Jeff Richardson, Director, Office of Sponsored Research Anticipated Completion Date: 6/1/2023
See Corrective Action Plan
See Corrective Action Plan
Sandusky Community School respectfully submits the following corrective action plan for the year ended June 30, 2022. Auditor: Anderson, Tuckey, Bernhardt & Doran, PC 715 E Frank St Caro, MI 48723 Audit Period: Year ended June 30, 2022 District responsible individual to implement this plan: Kendra M...
Sandusky Community School respectfully submits the following corrective action plan for the year ended June 30, 2022. Auditor: Anderson, Tuckey, Bernhardt & Doran, PC 715 E Frank St Caro, MI 48723 Audit Period: Year ended June 30, 2022 District responsible individual to implement this plan: Kendra Messing, Business Director Finding ? Federal Award Finding and Question Cost Finding 2022-001 ? Considered a Significant Deficiency Recommendation: The District should implement a budget, as well as the required corrective action plan, for the 2022-2023 school year that will adequately reduce the food service fund balance. Action to be taken: The District concurs with the facts of this finding and is in the process of continue the development of a long-term plan to continue to spend down the food service balance. Items being considered is improving outdated equipment and enhancing, plus expanding, the food options available in the District. The District has also discussed expanding staff and raising wages for contracted staff to continue to run the program
R2T4 Planned Corrective Action: ETBU Registrars office is now informing the Financial aid office of any student who withdrawals or that is reported as not attending in courses from the second FLEX terms. Financial aid is awarded based on total payment period enrollment and any notification of chan...
R2T4 Planned Corrective Action: ETBU Registrars office is now informing the Financial aid office of any student who withdrawals or that is reported as not attending in courses from the second FLEX terms. Financial aid is awarded based on total payment period enrollment and any notification of change in enrollment will result in a review and recalculation of aid eligibility if necessary. Reports were revised to reflect changes in enrollment after primary term census. Person Responsible for Corrective Action: Troy White, Registrar and Linda Slawson, Director of Financial aid. Anticipated Date of Completion: Already implemented.
View Audit 35821 Questioned Costs: $1
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