Corrective Action Plans

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Views of responsible officials and planned corrective actions: Regretfully, with the transition of leadership at Central Office, we are unable to locate the necessary documents requested to show that input from stakeholders was identified for the use of ESSER funds. With new personnel in the positio...
Views of responsible officials and planned corrective actions: Regretfully, with the transition of leadership at Central Office, we are unable to locate the necessary documents requested to show that input from stakeholders was identified for the use of ESSER funds. With new personnel in the positions, we cannot accurately state if the input was obtained or not obtained. We have documentation showing that stakeholder input was involved at a later date, but have been unsuccessful in locating documentation for input for when the ESSER plan was submitted. Moving forward, under new leadership, stakeholder input is at the forefront and will be obtained.
Statement Of Condition: The Corporation is delinquent in making deposits to the Reserve for Replacements as required by the Section 8 Contract. There are sixteen delinquent deposits totaling $32,000 as of September 30, 2022. Comments on the Findings and Recommendation: Management intends to make all...
Statement Of Condition: The Corporation is delinquent in making deposits to the Reserve for Replacements as required by the Section 8 Contract. There are sixteen delinquent deposits totaling $32,000 as of September 30, 2022. Comments on the Findings and Recommendation: Management intends to make all delinquent deposits by October 31, 2023. Status: The Corporation has requested that HUD suspend the required monthly deposits to the Reserve for Replacements. If approved, the Corporation will make two deposits of $2,000 per month until October 2023, when all delinquent deposits will have been paid. If the suspension is not approved, the Corporation will make three deposits of $2,000 per month until October 2023, when all delinquent deposits will have been paid and will then return to making the minimum required monthly deposit.
View Audit 32803 Questioned Costs: $1
Finding 2022-002: Plan: Shortages in staffing resulted in incomplete implementation of corrective action plan in 2021 . Documentation and differentiation of job duties for Director of Housing and Project Manager will continue to be developed and implemented. Documentation of non-site-based housing s...
Finding 2022-002: Plan: Shortages in staffing resulted in incomplete implementation of corrective action plan in 2021 . Documentation and differentiation of job duties for Director of Housing and Project Manager will continue to be developed and implemented. Documentation of non-site-based housing staff members allocation of time to a property will continue to be implemented and refined. Anticipated Completion: December 3 1, 2022 ( ongoing) Contact: Duska Noel, Director of Housing Michael Tabory, Chief Operating Officer
Finding 2022-00 I: Plan: Director of Housing will monitor/review a I 0% sample of all recertifications. Program staff will proactively ask for peer review or program director review of any recertifications with complex income and rent calculations. Ongoing training will continue for all program staf...
Finding 2022-00 I: Plan: Director of Housing will monitor/review a I 0% sample of all recertifications. Program staff will proactively ask for peer review or program director review of any recertifications with complex income and rent calculations. Ongoing training will continue for all program staff. Anticipated Completion: December 31, 2022 ( ongoing)Contact: Duska Noel, Director of Housing Michael Tabory, Chief Operating Officer
2022-001 Financial Statement Preparation Recommendation: The Organization should evaluate their financial reporting processes and controls, including the expertise of its internal staff, to determine whether additional controls over the preparation of consolidated financial statements can be impleme...
2022-001 Financial Statement Preparation Recommendation: The Organization should evaluate their financial reporting processes and controls, including the expertise of its internal staff, to determine whether additional controls over the preparation of consolidated financial statements can be implemented to provide reasonable assurance that the consolidated financial statements are prepared in accordance with GAAP. The closing process should be evaluated and enhanced with checklists, reviews, and other controls as necessary to prevent material errors. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Management will continue to rely on the audit firm to draft the consolidated financial statements and the related notes to the consolidated financial statements, and will review, approve, and accept responsibility for the annual consolidated financial statements prior to their issuance. Management will review the close process for improvements. Name of the contact person responsible for corrective action: Deb Steinke, Vice President and Chief Financial Officer Planned completion date for corrective action plan: Immediately
FINDING 2022-004 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Director of Business Affairs (currently John Szabo) will co...
FINDING 2022-004 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Director of Business Affairs (currently John Szabo) will compile information and complete the Annual Reports, which will be reviewed and signed-off on by Assistant Superintendent (currently Tim Rayle) to ensure accuracy of information being submitted. Anticipated Completion Date: Immediately, as of the next required report submission.
FINDING 2022-006 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Real time reporting will be compiled by the Data Management...
FINDING 2022-006 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Real time reporting will be compiled by the Data Management Specialist (currently Stephanie Jackson) and will be reviewed by the Title I Grant Coordinator (currently Tim Rayle). Annual Financial reports will be compiled by the Director of Business Affairs (currently John Szabo), and prior to submission those reports will be reviewed by the Title I Grant Coordinator. Anticipated Completion Date: July 2023
FINDING 2022-005 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Director of Business Affairs will maintain a workbook with ...
FINDING 2022-005 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: Director of Business Affairs will maintain a workbook with regards to matching level of effort and earmarking. Calculations will be done periodically to ensure compliance, and this information will be reviewed and approved by the Title Grant Coordinator for the corporation (currently Tim Rayle). Periodically, with reimbursement requests made for expenditures from Title I grants, the Director of Business Affairs will check to make sure that the corporation is making the appropriate expenditures related to parent involvement. Director of Business Affairs will work with Title Grant Coordinator throughout the grant year to ensure that the corporation is on target to meet the minimum required expenditure level for this type of expenditure. Anticipated Completion Date: July 2023.
FINDING 2022-003 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: When appropriate, the Food Services Director will employ a ...
FINDING 2022-003 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number: 812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: When appropriate, the Food Services Director will employ a minimum three vendor rotation for Micro Purchases, and use effective reasoning when applicable. Director of Human Resource will review the use of these vendors on an ongoing basis. For intermediate purchases between $10,000 and $150,000, the Asst. Food Services Director will solicit at least three quotes. Once a vendor is selected, a contract will be executed and signed by the Asst. Food Services Director and the Director of Human Resources or another designated Director. For purchases over $150,000, formal bidding procedures including proper advertising and formal Board of Trustees approval. Once a vendor is selected by the Board of Trustees a contract will be executed and signed by the Asst. Food Services Director and the Director of Human Resources or another designated Director. Anticipated Completion Date: August 1, 2023
FINDING 2022-002 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number:812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: In order to monitor allowable costs, the Food Services Direc...
FINDING 2022-002 Contact Person Responsible for Corrective Action: John Szabo, Director of Business Affairs Contact Phone Number:812-443-4461 Views of Responsible Official: We concur with the finding. Description of Corrective Action Plan: In order to monitor allowable costs, the Food Services Director (currently Patricia Woolery) will review billing statements and insure that costs being billed to the school corporation are consistent with purchasing agreements that are in place. Food Services Director will communicate with vendors and review any communication from vendors in regards to price variance of items. Even though it may not be reasonable to double check each individual item ordered, Food Services Director will spot check an appropriate number of items to insure accuracy of costs. Anticipated Completion Date: August 1, 2023
Oversight Agency: U.S. Department of Aging Community Crisis Center, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022 Auditor: Dugan & Lopatka, CPAs 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For the year ended June 30...
Oversight Agency: U.S. Department of Aging Community Crisis Center, Inc. respectfully submits the following corrective action plans for the year ended June 30, 2022 Auditor: Dugan & Lopatka, CPAs 4320 Winfield Road Suite 450 Warrenville, IL 60555 Audit Period: For the year ended June 30, 2022. The finding from the schedule of findings and questioned costs are discussed below. The finding is numbered consistently with the numbers assigned in the schedule. Findings- Federal Award Programs Audit Department of Justice 2022-001 Crime Victim Assistance Program Auditor's Recommendation: We recommend Community Crisis Center, Inc. review its client files to ensure that all client files contain the required confidentiality forms. Action Taken: The Center's midnight Case Manager staff will work through all the intake paperwork for the day to ensure all forms are present, including the confidentiality form for clients. If the funding agency has questions regarding this plan, please call me at 847-742-4088
Finding number: 2022-001 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing Number: 84.063 and 84.268 Award year:2022 Corrective Act...
Finding number: 2022-001 Federal agency: U.S. Department of Education Programs: Student Financial Assistance Cluster Assistance Listing Number: 84.063 and 84.268 Award year:2022 Corrective Action Plan: To ensure complete and comprehensive National Student Loan Data System (NSLDS) reporting compliance as outlined in 34 CFR 685.309(b)(2) and in 2 CFR Part 200, Appendix XI Compliance Supplement, the College undertook a formal review of its NSLDS policies, processes and reporting procedures.- Our review acknowledges that areas in our current procedures could result in reporting inaccuracies, and we ascertain that these areas of our policies and procedures have now been formally updated to safeguard our future compliance. Changes and additions to current procedures will include a process of more timely reconciliation of monthly enrollment submissions, a more structured reconciliation of withdrawals and graduates, an annual review of the Department of Education's NSLDS Enrollment Reporting Guide, as well as an annual review/update of our internal policies and procedures. Additionally, the Director of Title IV Compliance will be responsible for enhanced bi-annual trainings of the College Registrar and of the Assistant Dean of Academic Services and Retention on the requirements and importance of NSLDS reporting. As these positions are key to data accuracy, NSLDS reporting functionality and our subsequent compliance with Federal regulations, it is paramount to note that whenever administrative turnover occurs, the new employees must be fully trained in the requirements of NSLDS reporting.
Finding No. 2022-001 Reporting Name (s) of the Contact Person (s) Responsible for Corrective Action Carlos M. Valentin Borges - Finance Director Condition Found As a result of our audit procedures, we noted one instance in which the Organization reported the use of funds to the federal grantor after...
Finding No. 2022-001 Reporting Name (s) of the Contact Person (s) Responsible for Corrective Action Carlos M. Valentin Borges - Finance Director Condition Found As a result of our audit procedures, we noted one instance in which the Organization reported the use of funds to the federal grantor after the required timeframe limit as follows: Fund Required DateReported Date Past Due Days Coronavirus State and Local Fiscal Recovery Funds (Worker Reliefe Program) 3/16/2022 3/22/2023 371 Company Response The Organization agrees with the finding. Corrective Action Plan At Saint Luke?s Memorial Hospital, Inc. we?ve been very careful regarding the monthly required reporting. However, due to the fact is the first time the Organization receives such funds and due to the learning process, we incurred in an involuntary mistake in report submission. Action was taken regarding personnel orientation as well as calendars setup for future reporting. Anticipated Completion Date Already implemented. __________________________ Carlos Valentin, MBA Finance Director
The Crete Public Schools District No. 2 Board of Education continually evaluates the distribution of duties to employees and closely monitors finances. The Executive Director of Finance and Superintendent will work with the Director of Federal Programs to ensure compliance monitoring is in place wh...
The Crete Public Schools District No. 2 Board of Education continually evaluates the distribution of duties to employees and closely monitors finances. The Executive Director of Finance and Superintendent will work with the Director of Federal Programs to ensure compliance monitoring is in place when using federal funds for construction related projects.
View Audit 32710 Questioned Costs: $1
Audit Finding 2022-002: Cash will be transferred from the operating account into the tenant security deposit account in an amount sufficient to cover the tenant security deposit liability.
Audit Finding 2022-002: Cash will be transferred from the operating account into the tenant security deposit account in an amount sufficient to cover the tenant security deposit liability.
Audit Finding 2022-001 Cash will be transferred from the operating account to the reserve for replacement account to replenish the $6,000 withdrawn without prior HUD approval.
Audit Finding 2022-001 Cash will be transferred from the operating account to the reserve for replacement account to replenish the $6,000 withdrawn without prior HUD approval.
The District is continually reviewing internal controls and ways to better segregate duties. Changes are made whenever possible.
The District is continually reviewing internal controls and ways to better segregate duties. Changes are made whenever possible.
Finding 2022-001: Reporting Recommendation: The Hospital should strengthen their system of internal controls around the review of HRSA guidance to ensure that all reporting is consistent with requirements and instructions as provided by regulatory agencies. Views of Responsible Officials: Manageme...
Finding 2022-001: Reporting Recommendation: The Hospital should strengthen their system of internal controls around the review of HRSA guidance to ensure that all reporting is consistent with requirements and instructions as provided by regulatory agencies. Views of Responsible Officials: Management agrees with the finding. Although reported in the incorrect quarter, the Hospital did incur expenses in excess of the amount of ARPA funds received. In addition, the Hospital also suffered lost revenues in excess of the ARPA funds received. Management will refine its review process of HRSA guidance and data entry into the portal to ensure appropriate designation between reporting periods. Children?s Hospital & Medical Center and Affiliates Corrective Action Plan: Management inadvertently reported expenses in the incorrect quarter of the Period 4 report submission. Although reported incorrectly, reported expenses were still above the total ARPA payments received. For future reporting, management will reinforce the reporting of activities in the proper quarter prior to submission. Completion Date: Completed Contact Person: Mindy Stetson 402-955-6765
2022-001 Lack of Adequate Segregation of Duties Corrective Action Plan: The Organization is working to separate responsibilities among additional staff to work towards increased segregation of duties. At this time,...
2022-001 Lack of Adequate Segregation of Duties Corrective Action Plan: The Organization is working to separate responsibilities among additional staff to work towards increased segregation of duties. At this time, the cost/benefit of hiring the additional support staff needed to obtain complete segregation of duties is not possible due to budget constraints. Anticipated Completion Date: Ongoing
Individuals Responsible for Corrective Action Plan: Corey Crownhart, BGCA ID ? Alliance Director Corrective Action: The Alliance Director has drafted and recommended the Board of Directors for the Idaho Alliance of Boys & Girls Clubs to adopt a Subrecipient Monitoring Policy. This policy would in...
Individuals Responsible for Corrective Action Plan: Corey Crownhart, BGCA ID ? Alliance Director Corrective Action: The Alliance Director has drafted and recommended the Board of Directors for the Idaho Alliance of Boys & Girls Clubs to adopt a Subrecipient Monitoring Policy. This policy would include: 1) Assessing risk associated with each sub-recipient based on factors such as financial stability, program complexity, and past performance, 2) Developing a monitoring plan for each sub-recipient, outlining the scope, frequency, and objectives of monitoring activities, 3) Clarifying to sub-recipients the records to be maintained and submitted as part of monitoring activities, and 4) Codifying the responsibilities of the Alliance to report monitoring findings to the sub-recipient and Board of Directors. The Subrecipient Monitoring Policy will be reviewed at the next Alliance Board Meeting scheduled for November 9th, 2023. Anticipated Completion Date: January 1, 2024
Finding No. 2022-001 ? Activities Allowed or Unallowed; Allowable Costs; and Reporting Identification of the federal programs: Federal Grantor: United States Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498, COVID-19 ...
Finding No. 2022-001 ? Activities Allowed or Unallowed; Allowable Costs; and Reporting Identification of the federal programs: Federal Grantor: United States Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498, COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Pass-Through Award Numbers: Not applicable Pass-Through Award Period of Performance: 07/01/2021?06/30/2022 Views of responsible officials and planned corrective actions: Although not in place the entire period of performance, effective March 31, 2022, the Financial and Data Analytics Director began conducting spot testing of each bi-weekly payroll expenditure report received from Human Resources for eligible PRF reporting and retains evidence of this testing.
Finding No. 2022-002 ? Activities Allowed or Unallowed; Allowable Costs and Eligibility ? Significant Deficiency in Internal Control Over Compliance Identification of the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administr...
Finding No. 2022-002 ? Activities Allowed or Unallowed; Allowable Costs and Eligibility ? Significant Deficiency in Internal Control Over Compliance Identification 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, HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund (Program) Pass-Through Award Numbers: Not applicable Pass-Through Award Period of Performance: 07/01/2021?06/30/2022 Views of responsible officials: December 31, 2022, the Company completed its evaluation of additional EPIC automated processes and opportunities to add documentation to evidence HRSA claim reviews. Additional opportunities to add documentation in EPIC were not identified. Testing and treatment claims under the above federal program are no longer accepted after March 22, 2022 and vaccine claims are no longer accepted after April 5, 2022. Should the program return, the Company would support either internal claim compliance spot testing, with evidence of this testing retained, or an EPIC system software audit of the automated processes.
Finding Number 2022-003 Federal Agency: U.S. Department of Housing and Urban Development Federal Financial Assistance Listing: 14.218 Program Name: CDBG Entitlement Grants Cluster Compliance Requirement: Reporting Type of Finding: Material Weakness in Internal Control over Compliance, Instance of N...
Finding Number 2022-003 Federal Agency: U.S. Department of Housing and Urban Development Federal Financial Assistance Listing: 14.218 Program Name: CDBG Entitlement Grants Cluster Compliance Requirement: Reporting Type of Finding: Material Weakness in Internal Control over Compliance, Instance of Non-compliance Criteria: 2 CFR 200.329(b) requires that reports submitted to the federal awarding agency include all activity of the reporting period, are supported by applicable accounting or performance records, and are fairly presented in accordance with program requirements. For direct recipients of grants or cooperative agreements who make first-tier subawards of $30,000 or more are required to register in the Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS) and report subaward date through FSRS. The City must report the following items: ? All subaward obligations/modifications that have been reported ? Subaward date ? Subrecipient DUNS number ? Amount of subaward ? Subaward obligation/action date ? Date of report submission ? Subaward number Condition: FFATA reporting was not completed through FSRS. Cause: The City?s control did not ensure the FFATA reporting was completed in accordance with governing requirements. Effect: Information was not reported to the federal awarding agency. Questioned Costs: None reported. Context/Sampling: The entire population of one subrecipient who received in excess of $30,000 was selected for testing. Repeat Finding from Prior Year: No Recommendation: Eide Bailly recommends the City enhance internal controls to ensure FFATA reporting is prepared in accordance with program requirements. Responsible Individuals: Amy Sells, Senior Management Analyst Consuelo Cardenas, Administrative Services Director Corrective Action Plan: The City requires subrecipients to provide the details necessary for subaward reporting as part of the agreement process. The City will assign designated staff member(s) to complete FFATA reporting for subawards that meet the reporting criteria. City staff will review each subaward $30,000 or greater approved by City Council and will coordinate with the assigned designated staff member(s) assigned to monitor and ensure that FFATA reporting is completed. Anticipated Completion Date: June 30, 2023.
Finding 33710 (2022-003)
Significant Deficiency 2022
2022-003 Significant Deficiency: National Student Loan Data System (NSLDS) Report (U.S. Department of Education, William D. Ford Direct Loan Program, ALN #84.268 and Federal Pell Grant Program, ALN #84.063) Name of Contact Person Melissa White, Director of Financial Aid is responsible to upload d...
2022-003 Significant Deficiency: National Student Loan Data System (NSLDS) Report (U.S. Department of Education, William D. Ford Direct Loan Program, ALN #84.268 and Federal Pell Grant Program, ALN #84.063) Name of Contact Person Melissa White, Director of Financial Aid is responsible to upload data to clearinghouse Corrective Action Planned During the audit, it was noted that Tusculum reported the incorrect date to NSLDS for the withdrawal date. Anthology reported the status date instead of the true withdrawal date. Therefore, if a student withdrew on January 1st but the status was not updated until January 4th. The report would pull January 4th instead of the true withdrawal date of January 1st. Tusculum University has since converted back to Colleague which pulls the true withdrawal date versus the status date. Colleague was the system used in the prior to Anthology that correctly reported withdrawal dates. With this conversion back, and the data exporting the true withdrawal date versus the status date, all student withdrawal dates should pull correctly. Anticipated Completion Date The University begun conversion back to Colleague in August 2022. The Majority of conversion from Anthology back to Colleague has been completed for this section to pull correctly as of March 2023.
Finding 33709 (2022-002)
Significant Deficiency 2022
2022-002 Significant Deficiency: National Student Loan Data System (NSLDS) Report (U.S. Department of Education, William D. Ford Direct Loan Program, ALN #84.268 and Federal Pell Grant Program, ALN #84.063) Name of Contact Person Melissa White, Director of Financial Aid is responsible to upload dat...
2022-002 Significant Deficiency: National Student Loan Data System (NSLDS) Report (U.S. Department of Education, William D. Ford Direct Loan Program, ALN #84.268 and Federal Pell Grant Program, ALN #84.063) Name of Contact Person Melissa White, Director of Financial Aid is responsible to upload data to clearinghouse. Corrective Action Planned During the audit, it was noted that Tusculum did not supply status updates to NSLDS in a timely manner, within the 60-day window. Due to staffing changeover and system conversions, the data and personnel were not available to provide timely notifications to NSLDS. With conversion back to Colleague from Anthology, the data element this error has been resolved. As for personnel, the Director of Financial Aid shall export and upload the data to clearinghouse. If the Director of Financial Aid is not available to upload the data, then the Associate Director of Financial Aid shall upload the data the moment that notice if given that the Director of Financial Aid is unable to upload the data. Anticipated Completion Date The University begun conversion back to Colleague in August 2022. The Majority of conversion back to Colleague which should have this issue resolved as of March 2023.
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