Corrective Action Plans

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1. Standardize data and dates used for reporting.
1. Standardize data and dates used for reporting.
The Registrar's Office will rely solely on the official enrollment and withdrawal status fields and dates recorded in Banner as the source for all enrollment reporting to the National Student Clearinghouse (NSC) and subsequently NSLDS. Internal lists, such as graduation lists or ad hoc reports, will...
The Registrar's Office will rely solely on the official enrollment and withdrawal status fields and dates recorded in Banner as the source for all enrollment reporting to the National Student Clearinghouse (NSC) and subsequently NSLDS. Internal lists, such as graduation lists or ad hoc reports, will no longer serve as the primary source for effective dates. For students identified in the audit sample, the registrar will review and correct NSLDS records to ensure that status codes and effective dates align with the official institutional records.
2. Tighten the roster submission and response schedule.
2. Tighten the roster submission and response schedule.
The college will ensure that roster files received from NSLDS (via NSC) are reviewed and certified in accordance with federal requirements no less frequently than every 60 days and that responses are transmitted within 15 days of receipt. Internally, the Registrar's Office will work on a more freque...
The college will ensure that roster files received from NSLDS (via NSC) are reviewed and certified in accordance with federal requirements no less frequently than every 60 days and that responses are transmitted within 15 days of receipt. Internally, the Registrar's Office will work on a more frequent submission rhythm during active terms (e.g., mid-term and end-of-term cycles) to avoid delays like those noted in the finding.
3. Automate and streamline withdrawal/status processing.
3. Automate and streamline withdrawal/status processing.
In coordination with Information Technology, the Registrar's Office is refining Banner SaaS workflows so that withdrawals and other status changes (e.g., reductions to less than half­time) are consistently captured in the system and reflected in the next enrollment reporting file, without manual int...
In coordination with Information Technology, the Registrar's Office is refining Banner SaaS workflows so that withdrawals and other status changes (e.g., reductions to less than half­time) are consistently captured in the system and reflected in the next enrollment reporting file, without manual intervention where possible. This includes validating that students who attend and withdraw in the same term are correctly reflected as withdrawn in NSLDS, rather than remaining in a prior status.
4. Retrospective review and clean-up of recent terms.
4. Retrospective review and clean-up of recent terms.
The Interim Registrar will conduct a targeted review of enrollment records for the periods impacted by the system transition (including FY 2024-2025), comparing Banner to NSC/NSLDS data. Any discrepancies (missing withdrawals, incorrect dates, "L-Less than Half-time" where a withdrawal occurred, "Z-...
The Interim Registrar will conduct a targeted review of enrollment records for the periods impacted by the system transition (including FY 2024-2025), comparing Banner to NSC/NSLDS data. Any discrepancies (missing withdrawals, incorrect dates, "L-Less than Half-time" where a withdrawal occurred, "Z-No Record Found," or outdated records) will be corrected through updated files and/or NSLDS Enrollment Maintenance.
5. Written procedures, staff training, and ongoing monitoring.
5. Written procedures, staff training, and ongoing monitoring.
The College is updating its written procedures for Enrollment Reporting to clearly document:
The College is updating its written procedures for Enrollment Reporting to clearly document:
o The Banner fields and dates that must be used for enrollment and withdrawal reporting;
o The Banner fields and dates that must be used for enrollment and withdrawal reporting;
o The required timing for responding to NSLDS roster files; and
o The required timing for responding to NSLDS roster files; and
o The steps for making corrections when errors are identified.
o The steps for making corrections when errors are identified.
These actions are either already underway or will be implemented in the current fiscal year to fully resolve the finding and ensure ongoing compliance with the Federal Enrollment Reporting requirements.
These actions are either already underway or will be implemented in the current fiscal year to fully resolve the finding and ensure ongoing compliance with the Federal Enrollment Reporting requirements.
Name: Steven Aguilar
Name: Steven Aguilar
Title: Financial Aid Director
Title: Financial Aid Director
Anticipated Completion Date:
Anticipated Completion Date:
Context and Cause – During the year ended June 30, 2025, a severance payment was issued to an employee that worked on more than one federal program. The payment was an allowable cost, but was not allocated across the other federal programs based on time and effort per their policy. While internal co...
Context and Cause – During the year ended June 30, 2025, a severance payment was issued to an employee that worked on more than one federal program. The payment was an allowable cost, but was not allocated across the other federal programs based on time and effort per their policy. While internal controls and procedures have been established for payroll expenses, the procedures were bypassed when processing the severance payment. It should be noted that the employee spent the majority of their time on the program the severance was allocated to, and the transaction was isolated. Recommendation – The Organization should follow establish written policies and procedures for allocation of costs. Allocation spreadsheets currently used for the allocation of payroll should be used for all payroll related costs. Action Taken: OMEP will utilize standard allocation procedures for all payroll related payments going forward. Responsible parties: Controller. Anticipated completion date: June 30, 2026.
Context and Cause – During the year ended June 30, 2025, OMEP entered into four first-tier subawards greater than $30,000 under AL number 11.611. The auditor tested one of these subawards, noting that the award was not yet reported under the Federal Funding Accountability and Transparency Act to the...
Context and Cause – During the year ended June 30, 2025, OMEP entered into four first-tier subawards greater than $30,000 under AL number 11.611. The auditor tested one of these subawards, noting that the award was not yet reported under the Federal Funding Accountability and Transparency Act to the Federal Subaward Reporting System (FSRS). Per further inquiry, all of the first-tier subawards were yet to be reported to the FSRS. OMEP was aware of the FFATA reporting requirements, but the reporting was not made timely. Internal controls were not adequately designed, and procedures were not in place to track and report first-tier subawards within the time frame required by federal requirements. Recommendation – The Organization should establish written policies and procedures for reporting first-tier subawards. Action Taken: OMEP will add a fiscal policy, that includes a documented review of first tier subawards, to ensure they are input to the FSRS no later than the last day of month that follows the initial obligation to the sub awardee. Responsible parties: Controller. Anticipated completion date: June 30, 2026.
Audit Finding Number: 2025-001 – Cash Management Agency: Public Housing Capital Fund Responsible Person, Title: Stephanie Schmutzer, Accountant Completion date: 7/1/2025 Agency Response: Concur Corrective Action Plan: Management concurs with the recommendation to implement timely LOCCS fundings that...
Audit Finding Number: 2025-001 – Cash Management Agency: Public Housing Capital Fund Responsible Person, Title: Stephanie Schmutzer, Accountant Completion date: 7/1/2025 Agency Response: Concur Corrective Action Plan: Management concurs with the recommendation to implement timely LOCCS fundings that coincides with our normal accounting cycle when receiving Capital Funds in the future.
Corrective Action Plan 2025-001: We acknowledge the overaward of Direct Subsidized Loans and underaward of Unsubsidized Loans for both students identified in the finding. Based on the guidance in Volume 8, Chapter 3 of the 2024-2025 Federal Student Aid Handbook which states “If you discover that a s...
Corrective Action Plan 2025-001: We acknowledge the overaward of Direct Subsidized Loans and underaward of Unsubsidized Loans for both students identified in the finding. Based on the guidance in Volume 8, Chapter 3 of the 2024-2025 Federal Student Aid Handbook which states “If you discover that a student received Direct Subsidized Loan funds in excess of financial need after the student is no longer enrolled for the loan period, you are not required to take any action to eliminate the excess subsidized loan amount.” We have not adjusted the student’s loan awards given the identification of the overaward took place after the end of the loan period for each student. As the University has closed after August 15, 2025, no additional actions are considered necessary. Completion Date: August 2025 Contact Person: Ann Spall, Chief Financial Officer
SA-2025-01 - SIGNIFICANT DEFICIENCY FINDING: During our testing of Title 1 disbursements, we noted there were multiple purchases shipped directly to a private residence without receipt of the products at the District office. All disbursements should be shipped to District property for accountability...
SA-2025-01 - SIGNIFICANT DEFICIENCY FINDING: During our testing of Title 1 disbursements, we noted there were multiple purchases shipped directly to a private residence without receipt of the products at the District office. All disbursements should be shipped to District property for accountability, tracking and ensuring compliance with federal regulations. When supplies are shipped to private residences, there exists the increased likelihood of errors and fraud. AUDITOR RECOMMENDATION: We recommend all disbursements be shipped to District property. PLAN OF ACTION AND TIMEFRAME FOR IMPLEMENTATION: The district acknowledges the finding and has already met with the Title 1 Coordinator and the District purchasing clerk immediately after the exit meeting with the auditors to ensure this does not occur again effective this 2025-2026 school year.
Finding 1174308 (2025-001)
Material Weakness 2025
Responsible Parties: Janet Payne, Human Services Director Ashley Lantz, Department of Social Services Director Finding 2025-001, Medicaid Program - Significant Deficiency-Eligibility Response/Corrective Action: Findings: During the FY26 Single Audit of Medicaid, it was determined that the Union Coun...
Responsible Parties: Janet Payne, Human Services Director Ashley Lantz, Department of Social Services Director Finding 2025-001, Medicaid Program - Significant Deficiency-Eligibility Response/Corrective Action: Findings: During the FY26 Single Audit of Medicaid, it was determined that the Union County Medicaid program has deficiencies in the areas of oversight, income and deduction calculations, self employment income, self attestation, and internal controls related to 2nd party review corrections. Root Cause: It has been determined that staffing issues as well as deficiencies in training, due to vacancies on the training team, and lack of supervisor oversight due to span of control contributed to these deficiencies. Corrective Action: Due the the preliminary findings of the Single Audit, Union County Medicaid has already begun working on corrective actions. We have completed the following actions: • When an error is determined on an internal or external 2nd party review, the worker has 2 days to complete the correction. Once corrections are completed, the worker is to notify the supervisor that it has been completed. Supervisors are given 2 days to review the corrections. This is being added to our 2nd party review sheet for tracking effective 2/1. Initial tracking will be available once all February 2nd party reviews are completed. • Updates to our training are currently in progress for both new and seasoned staff. We anticipate these updates to be completed mid-February 2026 with training being completed by May 31, 2026 with all Medicaid staff. • Division Manager began monthly meetings with Medicaid leadership in November 2025. Monthly meetings focus on previous month’s 2nd party review findings and training needs as a way to ensure ongoing training needs are properly addressed. Corrective action currently in process includes the following: • Training on audit findings will be conducted by May 31, 2026. Pre and post assessments will be given to determine effectiveness of training. All staff will sign a statement of attendance and understanding upon the completion of trainings. Training topics will include income, self-employment income and deductions, self attestation, notices, and proper documentation. • Continuing education training will be completed monthly. Trainings will vary from month to month and will focus on common errors found in 2nd party reviews. Sessions will be conducted in small groups to allow better communication and more one on one time between the trainers and staff. Continuing education training will begin by May 31, 2026. • - Supervisors will continue to conduct 2nd party reviews to assess comprehension and adherance to Medicaid policy. Each month, beginning March 2026, Division Manager will receive a report from CQI to ensure that the 2 day correction and review mandate is being adhered to. It is important to note that the Medicaid Program Manager position is now vacant. The position will be filled as quickly as possible, and the Division Manager is currently taking over all roles of the Program Manager. Union County will implement the Corrective Action Plan by June 30, 2026.
Finding #2025-001 – Significant Deficiency and Other Noncompliance. Condition and context: Of the sample of 25 payroll transactions tested (pay amount for an employee for a pay period) for the Special Education Cluster (IDEA), seven transactions were under-charged to the grant as compared to the tim...
Finding #2025-001 – Significant Deficiency and Other Noncompliance. Condition and context: Of the sample of 25 payroll transactions tested (pay amount for an employee for a pay period) for the Special Education Cluster (IDEA), seven transactions were under-charged to the grant as compared to the timesheet, for a total of $1,001, and two transactions were over-charged for a total of $1,559. The net amount over-charged to the grant of the sample tested was $558. Recommendation: SWWF should establish written policies and procedures and provide training to its employees on the policies and procedures for allocating salaries in accordance with Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, §200.430. Planned corrective action: Policy and procedures for the allocation of payroll costs to the appropriate program in accordance with Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, §200.430 will be drafted within the next 15 days. Training of all employees affected will be completed within 15 days of that. Monthly monitoring will be conducted by the Associate Superintendent of Federal Programs, and quarterly by the Chief Financial Officer, to ensure the plan is effective. The Director of Human Resources will ensure all parties are notified of new hires. Our corrective action plan includes: 1) Coverage Plan: We currently have a policy and procedure in place, and have the Associate Superintendent of Federal Grants and the HR Director overseeing the submission of required documents. PARs are submitted semiannually by single-funded personnel and monthly by multi-funded personnel. Once the Associate Superintendent of Federal Programs reviews PARs, WebSmart should be notified, via the ticketing system, if there is a need to update allocations. Note: During the final months of the fiscal year, the Director of the SE Co-op resigned, resulting in a brief lapse in review while training was underway. During the fiscal year, we had a Desk Review where the allocations did not necessarily match what was paid out. The auditor said that so long as the program did not overcharge the federal fund (which it did not), we could allocate to the other non-federal fund. The issue was not to overcharge the federal fund, which we did not. 2) Process Improvement: The notification to Websmart to update allocations will be added to the SWWF procedures. Training is completed within 10 days of the procedure updates. Training will occur before their first payroll, for new employees, by the Associate Superintendent of Federal Programs. 3) Monitoring & Review: In addition to the Associate Superintendent of Federal Programs’ monthly review, the Chief Financial Officer will review allocations quarterly to ensure accuracy. 4) Communication Plan: All employees involved in Time and Effort reporting will be provided with the updated procedures by the Associate Superintendent of Federal Programs. The Director of Human Resources will ensure all appropriate personnel are notified when a new employee begins. Responsible officer: Judyjane Witte, Chief Financial Officer. Estimated completion date: January 31, 2026.
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