Corrective Action Plans

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Finding 21929 (2022-027)
Significant Deficiency 2022
10.558 Child and Adult Care Food Program Allowable Cost 2022-027 Strengthen Controls to Ensure Compliance with Allowable Costs Requirements of the Child and Adult Care Food Program (CACFP). Response: The MDE does not concur with this finding. The OSA did not identify weaknesses in the MDE subrec...
10.558 Child and Adult Care Food Program Allowable Cost 2022-027 Strengthen Controls to Ensure Compliance with Allowable Costs Requirements of the Child and Adult Care Food Program (CACFP). Response: The MDE does not concur with this finding. The OSA did not identify weaknesses in the MDE subrecipient monitoring process, such as in the selection of organizations, the monitoring cycle, or monitoring procedures. Instead, OSA identified potential errors made by individual participating organizations. The MDE has a robust system of internal controls and subrecipient monitoring system for the CACFP. In addition to meeting USDA requirements for monitoring, the MDE Office of Child Nutrition (OCN) also employs a risk -based process to select CACFP subrecipients for review and to determine the scope of monitoring. The MDE routinely exceeds the USDA requirement to monitor 33.3% of participating organizations annually. For Program Year (PY) 2021-2022, 60.3% of participating organizations were reviewed to provide additional oversight of subrecipients. When the MDE identifies instances of noncompliance, it requires participating organizations to take appropriate corrective action. For organizations that are very high-risk, the MDE employs the USDA Serious Deficiency process in accordance with 7 C.F.R. 226.6. The MDE already has a process to recover funds from an organization if an error is discovered during subrecipient monitoring. In PY 2022, the MDE assessed $132,207 in repayments of USDA funds and required an additional $40,577 in unallowable costs to be returned to local CACFP accounts. Finally, MDE staff was not included in the reviews of subrecipients by OSA, so the MDE was unable to verify the accuracy of the proposed unallowable costs before publication of the report from OSA. MDE staff will need to review documentation from OSA, and source documentation retained at CACFP sites before it can make a final determination regarding the potential unallowable cost determinations against sponsors. Corrective Action Plan: A. The MDE will review documentation provided by OSA of potential questioned costs and review source documentation held by the subrecipients to determine the amount of unallowable costs. If confirmed, the MDE will recover any unallowable costs in accordance with USDA policies. This review will be completed by January 22, 2024. Susie Evans, CACFP Director for the MDE OCN, will oversee the review. B. The MDE will continue to assess its CACFP monitoring and continue to strengthen the process while remaining in compliance with USDA regulations.
View Audit 18740 Questioned Costs: $1
REPORTING ALN Number 93.558 Temporary Assistance for Needy Families (TANF) 93.667 Social Services Block Grant (SSBG) 93.568 Low Income Home Energy Assistance (LIHEAP) 10.542 and 10.649 Pandemic EBT Benefits 93.596 and 93.575 Child Care Development Fund (CCDF) 2022-019 The Mississippi Department of...
REPORTING ALN Number 93.558 Temporary Assistance for Needy Families (TANF) 93.667 Social Services Block Grant (SSBG) 93.568 Low Income Home Energy Assistance (LIHEAP) 10.542 and 10.649 Pandemic EBT Benefits 93.596 and 93.575 Child Care Development Fund (CCDF) 2022-019 The Mississippi Department of Human Services Should Strengthen Controls to Ensure Compliance with the Federal Funding and Accountability and Transparency Act (FFATA) Reporting Requirements. Response : MDHS concurs that controls should be strengthened over FFATA reporting requirements. Corrective Action Plan: 1. Strengthen controls to ensure compliance with FFATA reporting requirements. A. MDHS implemented a process as of January 1, 2023, to ensure that FFATA reporting is being done and verified on a periodic basis. Standard Operating Procedures are under revision as we master this federal system. B. Responsible Parties: Wayne Carpenter, Deputy of Finance and Samuel Cole, Director of Procurement Services C. Anticipated Completion Date: Initial implementation was executed January 1, 2023, with newly issued subgrants. We are in the process of entering subgrants awarded between July 1, 2022, and December 31, 2022, in an attempt to become current on this fiscal year's reporting requirements.
MATERIAL WEAKNESS 2022-001 Segregation of Duties Name of contact person: Scott Reneker, County Auditor Corrective Action: The duties will be separated as much as possible and alternative controls will be considered to compensate for lack of separation. Proposed Completion Date: Ongoing.
MATERIAL WEAKNESS 2022-001 Segregation of Duties Name of contact person: Scott Reneker, County Auditor Corrective Action: The duties will be separated as much as possible and alternative controls will be considered to compensate for lack of separation. Proposed Completion Date: Ongoing.
2022-005: Special Tests and Provisions Rural Rental Housing Loan-Assistance Listing 10.415 Noncompliance: AGREED RCHA agrees that it is in noncompliance with the Special Tests and Provisions, we are governed by for the Rural Development Properties. Corrective Action: RCHA Administration will ke...
2022-005: Special Tests and Provisions Rural Rental Housing Loan-Assistance Listing 10.415 Noncompliance: AGREED RCHA agrees that it is in noncompliance with the Special Tests and Provisions, we are governed by for the Rural Development Properties. Corrective Action: RCHA Administration will keep working towards budget decisions that will assist with making regular deposit towards the Rural Development Reserve Account by April 1, 2023.
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken including oversight by a second employee to ensure that all quarterly expenditure reports are filed by the due dates. Management response: Management will take the necessary steps t...
Condition: Expenditure reports were not filed in a timely manner. Recommendation: We recommend that steps are taken including oversight by a second employee to ensure that all quarterly expenditure reports are filed by the due dates. Management response: Management will take the necessary steps to file all quarterly expenditure reports on time in the future. Anticipated date of completion: June 30, 2023
2022-001 Segregation of Duties Over Federal Awards - Continue to review control procedures to obtain the maximum internal control possible under the existing circumstances.
2022-001 Segregation of Duties Over Federal Awards - Continue to review control procedures to obtain the maximum internal control possible under the existing circumstances.
Finding No 2022-002 Name of Responsible Party Fred Gibbs FKGibbs Company, LLC PO Box 410312 Kansas City, MO 64141 Fred@fkgibbs.com M: 913.709.1811 Views of Responsible Official and Corrective Action Agrees with the recommendation Expected Date of Completion As soon as funds are...
Finding No 2022-002 Name of Responsible Party Fred Gibbs FKGibbs Company, LLC PO Box 410312 Kansas City, MO 64141 Fred@fkgibbs.com M: 913.709.1811 Views of Responsible Official and Corrective Action Agrees with the recommendation Expected Date of Completion As soon as funds are available
Finding No 2022-001 Name of Responsible Party Fred Gibbs FKGibbs Company, LLC PO Box 410312 Kansas City, MO 64141 Fred@fkgibbs.com M: 913.709.1811 Views of Responsible Official and Corrective Action Agrees with the recommendation Expected Date of Completion June 30, 2023
Finding No 2022-001 Name of Responsible Party Fred Gibbs FKGibbs Company, LLC PO Box 410312 Kansas City, MO 64141 Fred@fkgibbs.com M: 913.709.1811 Views of Responsible Official and Corrective Action Agrees with the recommendation Expected Date of Completion June 30, 2023
Corrective Action Plan - 2022-001 The Commission will obtain proper stafftraining related to grant management in order to ensure compliance with laws and regulations related to federal grant awards. Corrective Action Plan - 2022-002 The Commission will enhance the personnel training to ensure the fi...
Corrective Action Plan - 2022-001 The Commission will obtain proper stafftraining related to grant management in order to ensure compliance with laws and regulations related to federal grant awards. Corrective Action Plan - 2022-002 The Commission will enhance the personnel training to ensure the fixed assets are timely recorded on the ledgers.
Finding 2022-003 Federal Agency Name: National Endowment for the Arts Program Name: Promotion of the Arts Partnership Agreement CFDA # 45.025 Finding Summary: The Organization has a process for allocating employee wages based on hours worked, however, retroactive pay adjustments, bonus allocation fo...
Finding 2022-003 Federal Agency Name: National Endowment for the Arts Program Name: Promotion of the Arts Partnership Agreement CFDA # 45.025 Finding Summary: The Organization has a process for allocating employee wages based on hours worked, however, retroactive pay adjustments, bonus allocation for one employee, and one pay period for one employee did not follow this process. The controls in place did not operate as designed and failed to detect errors in the allocation of employee pay to the grants. Responsible Individuals: Anne Romens, Vice President and Emily Anderson, Chief Administrative Officer Corrective Action Plan: Arts Midwest uses Paylocity, a third-party payroll provider, for employee time tracking and payroll processing. Salary and benefit allocations to departments and grants are based on labor distribution reports generated by Paylocity. The Finance Team will review and verify report parameters and details to ensure they are accurate before the payroll costs are imported into the accounting system. In addition, the finance and operations teams will verify any one-time pay adjustments are correctly calculated and allocated based on related period of hours worked. With the start of a new Chief Financial Officer, this will be a priority for the first quarter of 2023. Estimated Completion Date: March 31, 2023
Finding 2022-002 Federal Agency Name: National Endowment for the Arts Program Name: Promotion of the Arts Partnership Agreement CFDA # 45.025 Finding Summary: Controls were not adequately designed to ensure compliance with all requirements for procurement, suspension, and debarment under Uniform Gui...
Finding 2022-002 Federal Agency Name: National Endowment for the Arts Program Name: Promotion of the Arts Partnership Agreement CFDA # 45.025 Finding Summary: Controls were not adequately designed to ensure compliance with all requirements for procurement, suspension, and debarment under Uniform Guidance. Responsible Individuals: Anne Romens, Vice President and Joshua Feist, Director of Grantmaking Corrective Action Plan: In the future, starting with the next round of subgrant awards, the grants team will verify through the SAM.gov website that potential subgrantees are not suspended or debarred before issuing subgrant agreements. This verification will be documented on the subgrantee file. Estimated Completion Date: March 31, 2023
Finding 2022-003 Maintenance of Effort (MOE) Response: The business office and special education department commit to meeting monthly to review MOE expenditures and standards. Corrective Action Plan: Special education leadership and business office leadership will meet monthly to review special ed...
Finding 2022-003 Maintenance of Effort (MOE) Response: The business office and special education department commit to meeting monthly to review MOE expenditures and standards. Corrective Action Plan: Special education leadership and business office leadership will meet monthly to review special education expenditures, staffing and exceptions. Responsible Party: Lawrence M. Galloway, Chief Financial Officer Bessye Adams, Controller Chastity Jackson, Director of Special Education
Finding 2022-001: Assistance Listing #21.019, Coronavirus Relief Fund Corrective Action: Once made aware, management prepared quarterly reports through December 31, 2022. Management will continue to prepare and submit quarterly reports timely through the end of the grant period. Contact: Lavon Steph...
Finding 2022-001: Assistance Listing #21.019, Coronavirus Relief Fund Corrective Action: Once made aware, management prepared quarterly reports through December 31, 2022. Management will continue to prepare and submit quarterly reports timely through the end of the grant period. Contact: Lavon Stephens, Administrative Director Anticipated Completion Date: Completed
Finding 21887 (2022-001)
Significant Deficiency 2022
2022-001 Health Centers Cluster ? Assistance Listing No. 93.224 and 93.527; Condition: VNA did not have family size and patient income information on file in order to demonstrate the proper sliding fee scale assigned to three patient encounters. Recommendation: Management should consider increasi...
2022-001 Health Centers Cluster ? Assistance Listing No. 93.224 and 93.527; Condition: VNA did not have family size and patient income information on file in order to demonstrate the proper sliding fee scale assigned to three patient encounters. Recommendation: Management should consider increasing the frequency of its self-reviews of patient encounters or expanding its sample sizes in addition to providing additional training for front desk staff regarding the collection and verification of patient information for each patient. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: ? Registration management to review workflow for entering and identifying patient slide fee scale into EMR with each team member. ? Additional training given to staff members to mitigate the data entry errors within the system. ? Random daily, weekly and monthly audits will be performed to ensure compliance with our policy Name(s) of the contact person(s) responsible for corrective action: Jim Hojnacki Planned completion date for corrective action plan: Completed: Review of workflow with each team member Ongoing: Daily, weekly and monthly quality review for each registration staff member
Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned - Management and the Board will continue to designate competent staff to oversee and review the financial reports and approve them before issuance. However, it is not feasible or cost effective to...
Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned - Management and the Board will continue to designate competent staff to oversee and review the financial reports and approve them before issuance. However, it is not feasible or cost effective to add staff with the competence to prepare these reports. Anticipated Completion Date ? This action will be ongoing.
Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned ? Management and the Board will continue to be aware of this condition and continue to be involved in the matters relating to the District?s operations. However, it is not feasible or cost effecti...
Management Views ? Management agrees with the finding and the recommendation. Corrective Action Planned ? Management and the Board will continue to be aware of this condition and continue to be involved in the matters relating to the District?s operations. However, it is not feasible or cost effective to add staff to achieve proper segregation of duties. Anticipated Completion Date ? This action will be ongoing.
FEDERAL AWARD FINDINGS 2022-002 - ALLOWABILITY Recommendation: We recommend that the Council implement controls to ensure that expenditures are properly reviewed and approved before being charged to a federal award and that adequate supporting documentation is maintained. Action Taken: In Februar...
FEDERAL AWARD FINDINGS 2022-002 - ALLOWABILITY Recommendation: We recommend that the Council implement controls to ensure that expenditures are properly reviewed and approved before being charged to a federal award and that adequate supporting documentation is maintained. Action Taken: In February 2023, the current Fiscal Officer received formal training from the National Endowment for the Humanities' grants management staff on allowable costs and proper documentation procedures for federal grants and grant-making entities, under 2 CFR 200. The Fiscal Officer and all staff involved with federal grants subsequently reviewed the Council's internal procedures, to ensure that all expenditure paperwork is received, approved, and filed with the grant documentation.
View Audit 20152 Questioned Costs: $1
FINDING 2022-004: Untimely Paid Credit Balance A. Comments on Findings and Recommendations: In response to the untimely paid credit balance, Brillare Beauty Institute agrees with the Single Audit Finding 2022-003. B. Actions Taken or Planned: Brillare Beauty Institute had resolved the student accoun...
FINDING 2022-004: Untimely Paid Credit Balance A. Comments on Findings and Recommendations: In response to the untimely paid credit balance, Brillare Beauty Institute agrees with the Single Audit Finding 2022-003. B. Actions Taken or Planned: Brillare Beauty Institute had resolved the student account credit balance issue but not in the required time. Brillare Beauty Institute hired an additional Financial Aid Officer in February 2022 to help with administering the Title IV program. The new position gave the institute the ability to have an additional set of eyes reviewing many of our processes to ensure compliance. At the time of this error, training of the new employee was still in process.
View Audit 20936 Questioned Costs: $1
FINDING 2022-003: Under awarded Federal Direct Subsidized Loan A. Comments on Findings and Recommendations: In response to the under awarded Direct Subsidized Loan, Brillare Beauty Institution agrees with the Single Audit Finding 2022-002. B. Actions Taken or Planned: Brillare Beauty Institute has r...
FINDING 2022-003: Under awarded Federal Direct Subsidized Loan A. Comments on Findings and Recommendations: In response to the under awarded Direct Subsidized Loan, Brillare Beauty Institution agrees with the Single Audit Finding 2022-002. B. Actions Taken or Planned: Brillare Beauty Institute has resolved the 2021-2022 award year regarding the under awarded Direct Subsidized loan. The 2021-2022 financial aid award year was re-opened and the under award loan amount was reallocated from Direct Unsubsidized to Direct Subsidized in Common Origination and Disbursement. Brillare Beauty Institute hired an additional Financial Aid Officer in February 2022 to help with administering the Title IV Direct Loan program. At the time of this error, training of the new employee was still in process. Also, Brillare Beauty Institute has contracted with a new 3rd Party Financial Aid Servicer as of December 2022 and as part of this transition, both reviewed and strengthened our Federal Direct Loan policies and procedures.
FINDING 2022-002: Over awarded Pell Grants A. Comments on Findings and Recommendations: In response to the under awarded Pell Grant, Brillare Beauty Institute agrees with the single audit finding 2022-001. B. Actions Taken or Planned: Brillare Beauty Institute has resolved the student under award Pe...
FINDING 2022-002: Over awarded Pell Grants A. Comments on Findings and Recommendations: In response to the under awarded Pell Grant, Brillare Beauty Institute agrees with the single audit finding 2022-001. B. Actions Taken or Planned: Brillare Beauty Institute has resolved the student under award Pell grant issue. The student was given a check by the Institute to rectify the under-awarded Pell Grant amount to be received. Brillare Beauty Institute has contracted with a new 3rd party Financial Aid Servicer as of December 2022 and as a part of this transition, both reviewed and strengthened our Pell grant policies and procedures. This revision took place after the student's 2021-2022 Pell grant disbursements.
Corrective Action Plan For the year ended December 31, 2022 U.S. Department of Housing and Urban Development: The Lehigh County Housing Authority respectfully submits the following corrective action plan for the year ended December 31, 2022. Auditor: Novogradac & Company, LLP Certified Publi...
Corrective Action Plan For the year ended December 31, 2022 U.S. Department of Housing and Urban Development: The Lehigh County Housing Authority respectfully submits the following corrective action plan for the year ended December 31, 2022. Auditor: Novogradac & Company, LLP Certified Public Accountants 1144 Hooper Avenue, Suite 203 Toms River, New Jersey 08753 The findings from the December 31, 2022 schedule of findings and responses are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Financial Statement Findings There were no findings relating to the financial statements which are required to be reported in accordance with Government Auditing Standards. Federal Award Findings and Questioned Costs Finding 2022-001: Federal Agency: U.S. Department of Housing and Urban Development Federal Program Titles: Section 8 Housing Choice Vouchers Program Federal Catalog Numbers: 14.871 Noncompliance ? N. Special Tests and Provisions ? Housing Quality Standards Non Compliance Material to the Financial Statements: Yes Material Weakness in Internal Control over Compliance for Special Tests and Provisions Criteria: Housing Quality Standards Inspections. The PHA must inspect the unit leased to a family at least biennially to determine if the unit meets the Housing Quality Standards (HQS) and the PHA must conduct quality control re-inspections. The PHA must prepare a unit inspection report (24 CFR sections 982.158(d) and 982.405(b)). Condition: Based upon inspection of the Authority?s files and on discussion with management, there were units that were not reinspected within the biennial reinspection period of two (2) years. Finding 2022-001: (continued) Context: There are approximately 1,043 Section 8 Housing Choice Vouchers units. Of a sample size of twenty-three (23) tenant files, five (5) biennial inspections were not completed in a timely manner. Our sample size is statistically valid. Known Questioned Costs: $42,870 Cause: There is a material weakness in internal controls over the compliance for the special tests and provisions type of compliance related to HQS inspections. The Authority has not properly performed HQS inspections in compliance with program requirements following the expiration of HUD waivers as a result of a software error. Effect: The Section 8 Housing Choice Vouchers Program is in material non-compliance with the special tests and provisions type of compliance related to HQS inspections. Recommendation: We recommend the Authority design and implement a corrective action plan that will assure compliance with the Uniform Guidance and the compliance supplement. Authority Response: The Authority accepts the recommendation of the auditor, and will make the several changes to its inspection process to ensure enforcement of Housing Quality Standards (or any subsequent replacement). Views of responsible officials and planned corrective action: Helen Khouli, HCV Program Coordinator, is responsible for implementing this corrective action by December 31, 2023.
View Audit 20759 Questioned Costs: $1
A. Comments on Findings and Recommendations: 2022-001 - Missing Proof of Loan Entrance Counseling. It seems that the student may not have completed entrance counseling. When this student started, MCU was contracted with Weber as its Third- Party Servicer who used to check entrance counseling before ...
A. Comments on Findings and Recommendations: 2022-001 - Missing Proof of Loan Entrance Counseling. It seems that the student may not have completed entrance counseling. When this student started, MCU was contracted with Weber as its Third- Party Servicer who used to check entrance counseling before processing our students. Since 2020, MCU has been contracted with Campus Ivy whose platform now requires the Financial Aid Department to upload the entrance counseling proof before processing can occur. B. Actions Taken or Planned: 2022-001 - Missing Proof of Loan Entrance Counseling. The student in question has now performed the required Entrance Counseling. Since May 2020, MCU's updated entrance counseling process with Campus Ivy has helped mitigate a risk of gaps with regard to the completion of entrance counseling. MCU will perform an internal review on current students enrolled before May 2020 to ensure entrance counselings are complete.
View Audit 18645 Questioned Costs: $1
A. Comments on Findings and Recommendations: 2022-003 - Untimely Enrollment Status Reporting. The Financial Aid Department has a consistent procedure surrounding NSLDS updates, but like many schools, encountered some technical issues over the summer when the NSLDS platform was updated. B. Actions Ta...
A. Comments on Findings and Recommendations: 2022-003 - Untimely Enrollment Status Reporting. The Financial Aid Department has a consistent procedure surrounding NSLDS updates, but like many schools, encountered some technical issues over the summer when the NSLDS platform was updated. B. Actions Taken or Planned: 2022-003 - Untimely Enrollment Status Reporting. MCU switched over to Campus Ivy performing its NSLDS reporting in December 2022 which helps eliminate the duplication of efforts in updating CORE and NSLDS. This should also help to close any potential gaps in reporting.
A. Comments on Findings and Recommendations: 2022-002 - Incorrect Refund Calculations. This seems like a simple administrative error surrounding the break and that the break should have been included. The Financial Aid Operations Administrator was still in their final R2T4 training phase at this poi...
A. Comments on Findings and Recommendations: 2022-002 - Incorrect Refund Calculations. This seems like a simple administrative error surrounding the break and that the break should have been included. The Financial Aid Operations Administrator was still in their final R2T4 training phase at this point in 2022, having taken on the task during the prior year. B. Actions Taken or Planned: 2022-002 - Incorrect Refund Calculations. The Financial Aid Department has updated their internal procedures for R2T4's to make them even more robust, adding further emphasis on the scheduled trimester break section within its R2T4 template. This should help further mitigate the risk of mix up when performing a few at the same time. MCU will refund the resulting overage to the student.
Views of Responsible Officials: The National Disability Institute will adopt a formal risk assessment pre-award policy that outlines detailed and specific levels of monitoring for subrecipients based on the assessed level of risk. The National Disability Institute will document the pre-award risk as...
Views of Responsible Officials: The National Disability Institute will adopt a formal risk assessment pre-award policy that outlines detailed and specific levels of monitoring for subrecipients based on the assessed level of risk. The National Disability Institute will document the pre-award risk assessment process and resulting linked level of monitoring on its subrecipients as part of the pre-award process.
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